@article{1bf3eeeb18134b4d97c2dd3922fae085,
title = "Rural Collaborative Model for Diabetes Prevention and Management: A Case Study",
abstract = "Diabetes disproportionately affects racial and ethnic minorities, rural, and impoverished populations. This case study describes the program components and key lessons learned from implementing Vivir Mejor! (Live Better!), a diabetes prevention and management program tailored for the rural, Mexican American population. The program used workforce innovations and multisector partnerships to engage and activate a rural, mostly Hispanic population. Community health worker (CHW) roles were designed to reach and support distinct populations. Promotoras focused exclusively on health education and patient navigators individually coached patients with chronic disease management issues for the high-risk patient population. To extend diabetes health education to the broader community in Santa Cruz County, promotoras trained lay leaders to become peer educators. Multisector partnerships allowed the program to offer health and social services around diabetes care. The partners also supported provider engagement through continuing education workshops and digital story screening to encourage referrals to the program. Multisector partnerships, including partnering with critical access hospitals, for diabetes management and prevention, as well as using different types of CHWs to implement programs that target high- and low-risk populations are innovative and valuable components of the Vivir Mejor! model.",
keywords = "Latino, chronic disease, diabetes, health education, health promotion, lay health advisors/community health workers, minority health, partnerships/coalitions, rural health, training",
author = "Susan Kunz and Maia Ingram and Rosalinda Piper and Tianne Wu and Nina Litton and Joanne Brady and Alana Knudson",
note = "Funding Information: 1Mariposa Community Health Center, Nogales, AZ, USA 2Arizona Prevention Research Center, Tucson, AZ, USA 3NORC at the University of Chicago, Bethesda, MD, USA Authors{\textquoteright} Note: The authors would like to acknowledge the contributions of community health workers Alicia Sander and Silvia Ochoa to the success of the Vivir Mejor! initiative. The authors also thank Patty Molina, who provided input on this article, and Sean McKenzie, who prepared the Vivir Mejor! evaluation reports that provided important findings to support the development of this case study. The content is solely the responsibility of the authors and does not necessarily represent the official views of the Federal Office of Rural Health Policy. All services pertaining to this project were supported by federal funds. This project was supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health & Human Services (HHS) under grant number DO4RH23596 (“Vivir Mejor! (Live Better!) System of Diabetes Prevention and Care”) and grant number U56RH05539 (Rural Assistance Center for Federal Office of Rural Health Policy Cooperative Agreement). The grant was $450,000 over 3 years. This information or content and conclusions are those of the author and should not be construed as the official position or policy of nor should any endorsements be inferred by HRSA, HHS, or the U.S. Government. Address correspondence to Alana Knudson, NORC at the University of Chicago, 4350 East West Highway, 8th Floor, Bethesda, MD 20814, USA; e-mail: knudson.alana@norc.org. Publisher Copyright: {\textcopyright} 2017, {\textcopyright} 2017 Society for Public Health Education.",
year = "2017",
month = nov,
day = "1",
doi = "10.1177/1524839917712730",
language = "English (US)",
volume = "18",
pages = "798--805",
journal = "Health Promotion Practice",
issn = "1524-8399",
publisher = "SAGE Publications Inc.",
number = "6",
}