Training Cambodian Village Health Support Guides in Diabetes Prevention: Effects on Guides' Knowledge and Teaching Activities Over 6 Months.

Publisher: Informa Healthcare Country of Publication: England NLM ID: 9421097 Publication Model: Print Cited Medium: Internet ISSN: 1532-7558 (Electronic) Linking ISSN: 10705503 NLM ISO Abbreviation: Int J Behav Med Subsets: MEDLINE

Publication: London : Informa Healthcare
Original Publication: Hillsdale, NJ : Lawrence Erlbaum Associates, c1994-

Health Behavior* ; Public Health*; Diabetes Mellitus, Type 2/*prevention & control; Adolescent ; Adult ; Aged ; Cambodia ; Female ; Humans ; Male ; Middle Aged ; Young Adult

Background: Type 2 diabetes is a pressing public health concern in Cambodia, a country with limited human resource capacity due to genocide. Cambodian village health support guides (Guides) promote health at the local level.
Purpose: This paper reports preliminary results of training Guides in diabetes prevention.
Method: The curriculum, called Eat, Walk, Sleep was delivered to Guides in Siem Reap province once over 3 h. Participants completed a pretest and posttest on diabetes knowledge. Guides were offered continuing education through Eat, Walk, Sleep resources and were encouraged to teach Eat, Walk, Sleep in their villages. For each of 6 months following their training, Guides completed a checklist regarding their activities.
Results: One hundred eighty-five Guides attended one of ten trainings. Knowledge scores increased significantly from pretest to posttest. During 6 months of follow-up, n = 159 Guides (85 %) completed at least one monthly checklist. Guides reported high rates of uptake and delivery of the Eat, Walk, Sleep curriculum and moderate rates of continuing education about diabetes.
Conclusion: Diabetes prevention in Cambodia is nascent. Guides show excellent uptake and dissemination of the curriculum. Future research should examine effect of support for Guide activities and the effect of the curriculum on villager health behaviors, and ultimately, on rates of type 2 diabetes.

Diabet Med. 2004 Apr;21(4):371-6. (PMID: 15049941)
Diabetologia. 2006 Feb;49(2):289-97. (PMID: 16391903)
Soc Sci Med. 2010 Sep;71(5):1027-36. (PMID: 20621406)
Diabetes Care. 2010 Feb;33(2):414-20. (PMID: 19910503)
J Am Coll Nutr. 2012 Aug;31(4):243-58. (PMID: 23378452)
J Am Coll Nutr. 2011 Dec;30(6):547-58. (PMID: 22331690)
Diabetes Res Clin Pract. 2014 Feb;103(2):231-7. (PMID: 24300015)
J Health Care Poor Underserved. 2015 May;26(2):441-52. (PMID: 25913342)
Diabetes. 2010 Sep;59(9):2126-33. (PMID: 20585000)
Diabetes Res Clin Pract. 2006 Aug;73(2):126-34. (PMID: 16563548)
Glob Public Health. 2011;6(2):125-38. (PMID: 19916089)
Sleep. 2008 Apr;31(4):473-80. (PMID: 18457234)
Diabetes. 2009 Dec;58(12):2718-25. (PMID: 19940235)
Diabetes Care. 2003 Oct;26(10):2758-63. (PMID: 14514576)
Diabetes Care. 2008 Dec;31(12):2383-90. (PMID: 19033418)
BMC Public Health. 2011 Jan 17;11(1):40. (PMID: 21235825)
Am J Clin Nutr. 2013 Mar;97(3):584-96. (PMID: 23364021)
Hum Resour Health. 2008 Sep 15;6:18. (PMID: 18793436)
Diabetologia. 2007 Feb;50(2):286-92. (PMID: 17180353)
Prog Community Health Partnersh. 2014 Winter;8(4):541-7. (PMID: 25727987)
Diabetes Care. 2010 Aug;33(8):1771-7. (PMID: 20484134)
Lancet. 2005 Nov 5;366(9497):1633-9. (PMID: 16271644)
Prev Med. 2001 Dec;33(6):586-94. (PMID: 11716654)
Prev Med. 2014 Sep;66:34-8. (PMID: 24879890)
Lancet. 2008 May 24;371(9626):1783-9. (PMID: 18502303)
Psychiatry Res. 2013 Nov 30;210(1):115-20. (PMID: 23806625)
Diabetes Care. 2007 Aug;30(8):2007-12. (PMID: 17468342)
Sleep. 2008 May;31(5):619-26. (PMID: 18517032)
Diabetologia. 2012 Nov;55(11):2895-905. (PMID: 22890825)

Keywords: Asia; Community health workers; Developing countries; Diabetes; Prevention

Date Created: 20151007 Date Completed: 20161031 Latest Revision: 20181202

20231215

10.1007/s12529-015-9515-x

26438042