Assessing the Feasibility and Preliminary Efficacy of a Community Health Worker Program in a Safety Net Clinic

Courtney E. Gamston, ScM, PharmD, BCPS
Auburn University

Project Goals and Relevance

Diabetes is a leading public health concern, affecting 11.6% of U.S. adults and impacting communities with limited access to healthcare. The Southeast, including Alabama, experiences some of the highest diabetes prevalence rates in the country. This project evaluates a community health worker (CHW) training and outreach program at the Auburn University Health Care and Education Clinic aimed at improving diabetes outcomes for adults who face persistent challenges accessing primary care. The study addresses language barriers, cultural alignment, and limited healthcare access that contribute to gaps in health outcomes.

Intervention/Approach

Using the RE-AIM framework, the project assesses how CHW-delivered peer-support intervention affect diabetes knowledge, confidence, and patient engagement. Participants receive individualized education emphasizing non-clinical factors such as diet, activity, and social support.

Expected Outcomes

• Patient Empowerment: Increased patient understanding of diabetes management.
• Scalable Community-Based Approach: A CHW model adaptable for broader use across diverse populations.
• Implementation Insights: Practical lessons for sustainable, responsive programs in communities facing health system challenges.

Recruitment Details

Eligibility Criteria:

Participants who are aged 19 years or older with strong interpersonal skills, excellent person-centered communication, and a commitment to improving community health with willingness to complete 12-week training that includes interactive workshops, hands-on practice, and shadowing opportunities at local clinic.

Practical Tips for Everyday Health

Not part of the study or don’t meet eligibility criteria? You can still take steps to manage or prevent diabetes and support your overall well-being.
Small actions can make a big difference.

Know Your Numbers
Get regular screenings for blood sugar, cholesterol, and blood pressure. Knowing your numbers helps you take action early and keep your health on track.

Prioritize Your Health
Focus on one or two small changes that matter most to you, like choosing healthier meals, staying active, or keeping your blood pressure in a healthy range. Consistency can help prevent complications and improve your energy.

Seek Community Resources
Connect with local diabetes education programs, support groups, or wellness classes. Learning and sharing with others can help you stay motivated and find new strategies that work for you.

Healthy habits are worth sharing, pass these tips along and encourage others to take charge of their health, too.