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N/A N=168

Impact of Community Health Workers on Adherence to Therapy for Non-Communicable Chronic Disease in Chiapas, Mexico

Hypertension · Diabetes Mellitus, Type 2

Enrolled (actual)
168
Serious AEs
0.3%
Results posted
Dec 2025
Primary outcome: Primary: Change in Hemoglobin A1c — -0.35 percentage of glycated hemoglobin

Study Design & Population

Study type
Observational
Phase
N/A
Interventions
Age
Adult, Older Adult · 18+ yrs
Sex
All
Sponsor
Brigham and Women's Hospital
Primary completion
Apr 2018

Outcome Measures

OutcomeResultp-value
PRIMARY
Change in Hemoglobin A1c
-0.35
PRIMARY
Change in Systolic Blood Pressure
-4.7
SECONDARY
Change in Adherence to Daily Medications
SECONDARY
Change in Diastolic Blood Pressure
-2.2
SECONDARY
Disease Control

Summary

This study evaluates the effectiveness of community health workers when added to routine care for patients with diabetes and high blood pressure in rural clinics in Chiapas, Mexico. It does so by recording information on adherence to therapy, blood pressure and hemoglobin A1c while a non-governmental organization working in Mexico trains and introduces a community health worker program.

Eligibility Criteria

Inclusion Criteria

  • Formal diagnosis of Type II Diabetes Mellitus, Stage I or II Hypertension or both
  • Daily medications required for patient's condition
  • Residence and receipt of therapy within the study catchment area
  • Age greater than or equal to 18 years.

Exclusion Criteria

  • Known or suspected secondary hypertension
  • Known or suspected Type 1 diabetes
  • Pregnancy
  • Chronic use of glucocorticoids.
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT02549495). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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