@article{b965db67041142f9b2e9014b9f9fa4a0,
title = "Development of a Community Health Worker-Delivered Cognitive Behavioral Training Intervention for Individuals with Diabetes and Chronic Pain",
abstract = "Cognitive behavioral therapy (CBT) programs have the potential to improve quality of life in individuals with chronic pain and diabetes. Rural communities often lack the infrastructure necessary to implement such programs. CBT traditionally requires trained therapists, who are rarely available in these areas. An alternative may be programs delivered by community health workers (CHWs). We present an iterative developmental approach that combined program adaptation, pretesting, and CHW training processes for a CBT-based diabetes self-care program for individuals living with diabetes and chronic pain. Collaborative intervention refinement, combined with CHW training, is a promising methodology for community-engaged research in remote, underresourced communities.",
keywords = "chronic pain, community health workers, diabetes",
author = "Andreae, {Susan J.} and Andreae, {Lynn J.} and Cherrington, {Andrea L.} and Marquita Lewis and Ethel Johnson and Debra Clark and Safford, {Monika M.}",
note = "Funding Information: Author Affiliations: Medicine, University of Alabama at Birmingham (Drs S. J. Andreae, Cherrington, and Lewis and Mss L. J. Andreae, Johnson, and Clark); and Medicine, Weill Cornell Medical College, New York (Dr Safford). This study was made possible through grant R18HS019239 from the Agency for Healthcare Research and Quality and departmental funds from the University of Alabama at Birmingham. The authors thank Atif Rahman and Zaeem ul Haq for generously sharing the original program materials for adaptation for this program. The authors declare no conflict of interest. Correspondence: Susan J. Andreae, PhD, MPH, Medicine, University of Alabama at Birmingham, 1717 11th Ave S, MT 649, Birmingham, AL 35205 (sandreae@uabmc.edu). Copyright {\textcopyright} 2018 Wolters Kluwer Health, Inc. All rights reserved. DOI: 10.1097/FCH.0000000000000197 Funding Information: This study was made possible through grant R18HS019239 from the Agency for Healthcare Research and Quality and departmental funds from the University of Alabama at Birmingham. Publisher Copyright: {\textcopyright} 2018 Wolters Kluwer Health, Inc. All rights reserved.",
year = "2018",
doi = "10.1097/FCH.0000000000000197",
language = "English (US)",
volume = "41",
pages = "178--184",
journal = "Family and Community Health",
issn = "0160-6379",
publisher = "Lippincott Williams and Wilkins",
number = "3",
}
