A randomized clinical trial conducted across three community clinics in Texas evaluated a multidimensional diabetes management program delivered by community health workers (CHWs) among 257 low-income, uninsured White Hispanic adults with type 2 diabetes. The intervention combined group diabetes education, individualized telehealth coaching, and a structured participant-CHW-clinician feedback loop designed to improve communication, address patient concerns, and enhance care coordination. After 12 months, participants receiving the intervention showed greater reductions in HbA1c levels (net difference, −1.0 percentage point), total cholesterol (−35.4 mg/dL), and LDL cholesterol (−29.7 mg/dL) compared with those receiving usual care.
Adherence to American Diabetes Association recommendations for foot examinations and urine microalbumin screening also improved. Through the feedback loop,…
