PMID- 29856846
OWN - NLM
STAT- MEDLINE
DCOM- 20181211
LR  - 20231112
IS  - 1932-6203 (Electronic)
IS  - 1932-6203 (Linking)
VI  - 13
IP  - 6
DP  - 2018
TI  - Role of community health workers in type 2 diabetes mellitus self-management: A 
      scoping review.
PG  - e0198424
LID - 10.1371/journal.pone.0198424 [doi]
LID - e0198424
AB  - BACKGROUND: Globally the number of people with Type 2 diabetes mellitus (T2DM) 
      has risen significantly over the last few decades. Aligned to this is a growing 
      use of community health workers (CHWs) to deliver T2DM self-management support 
      with good clinical outcomes especially in High Income Countries (HIC). Evidence 
      and lessons from these interventions can be useful for Low- and Middle-Income 
      countries (LMICs) such as South Africa that are experiencing a marked increase in 
      T2DM prevalence. OBJECTIVES: This study aimed to examine how CHW have been 
      utilized to support T2DM self-management globally, their preparation for and 
      supervision to perform their functions. METHOD: The review was guided by a 
      stepwise approach outlined in the framework for scoping reviews developed by 
      Arksey and O'Malley. Peer reviewed scientific and grey literature was searched 
      using a string of keywords, selecting English full-text articles published 
      between 2000 and 2015. Articles were selected using inclusion criteria, charted 
      and content analyzed. RESULTS: 1008 studies were identified of which 54 full text 
      articles were selected. Most (53) of the selected studies were in HIC and 
      targeted mostly minority populations in low resource settings. CHWs were mostly 
      deployed to provide education, support, and advocacy. Structured curriculum based 
      education was the most frequently reported service provided by CHWs to support 
      T2DM self-management. Support services included informational, emotional, 
      appraisal and instrumental support. Models of CHW care included facility linked 
      nurse-led CHW coordination, facility-linked CHW led coordination and standalone 
      CHW interventions without facility interaction. CONCLUSION: CHWs play several 
      roles in T2DM self-management, including structured education, ongoing support 
      and health system advocacy. Preparing and coordinating CHWs for these roles is 
      crucial and needs further research and strengthening.
FAU - Egbujie, Bonaventure Amandi
AU  - Egbujie BA
AUID- ORCID: 0000-0003-0748-1882
AD  - School of Public Health, University of the Western Cape, Cape Town, South Africa.
FAU - Delobelle, Peter Arthur
AU  - Delobelle PA
AD  - School of Public Health, University of the Western Cape, Cape Town, South Africa.
AD  - Chronic Disease Initiative for Africa, Division of Diabetic Medicine and 
      Endocrinology, Department of Medicine, University of Cape Town, Cape Town, South 
      Africa.
FAU - Levitt, Naomi
AU  - Levitt N
AD  - Chronic Disease Initiative for Africa, Division of Diabetic Medicine and 
      Endocrinology, Department of Medicine, University of Cape Town, Cape Town, South 
      Africa.
FAU - Puoane, Thandi
AU  - Puoane T
AD  - School of Public Health, University of the Western Cape, Cape Town, South Africa.
FAU - Sanders, David
AU  - Sanders D
AD  - School of Public Health, University of the Western Cape, Cape Town, South Africa.
FAU - van Wyk, Brian
AU  - van Wyk B
AD  - School of Public Health, University of the Western Cape, Cape Town, South Africa.
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PT  - Review
DEP - 20180601
PL  - United States
TA  - PLoS One
JT  - PloS one
JID - 101285081
SB  - IM
MH  - *Community Health Workers/education/psychology
MH  - Diabetes Mellitus, Type 2/pathology/*psychology
MH  - Humans
MH  - Models, Theoretical
MH  - Patient Advocacy
MH  - Randomized Controlled Trials as Topic
MH  - Self Care
MH  - Social Support
PMC - PMC5983553
COIS- The authors have declared that no competing interests exist.
EDAT- 2018/06/02 06:00
MHDA- 2018/12/12 06:00
PMCR- 2018/06/01
CRDT- 2018/06/02 06:00
PHST- 2017/02/06 00:00 [received]
PHST- 2018/05/19 00:00 [accepted]
PHST- 2018/06/02 06:00 [entrez]
PHST- 2018/06/02 06:00 [pubmed]
PHST- 2018/12/12 06:00 [medline]
PHST- 2018/06/01 00:00 [pmc-release]
AID - PONE-D-17-03999 [pii]
AID - 10.1371/journal.pone.0198424 [doi]
PST - epublish
SO  - PLoS One. 2018 Jun 1;13(6):e0198424. doi: 10.1371/journal.pone.0198424. 
      eCollection 2018.