Cadre Interventions on Health Outcomes of Diabetes Mellitus Patients: Systematic Review of Randomized Control Trial

Background: Diabetes mellitus is a disease that can cause complications in various organs of the body. There needs to be a strategic effort to improve the health outcomes of diabetes mellitus patients. Research studies show that cadres are able to become liaisons between patients and health care providers and make a positive contribution to the surrounding community. This systematic study aimed to review studies on cadre interventions on health outcomes of diabetes mellitus patients. Methods: The literature search was carried out on the online databases of PubMed, Proquest, and Google Scholar journals published in the range of 2015 – 2021. The keywords used included community health worker, intervention, health outcomes, and diabetes mellitus. Meanwhile, the literature criteria used included journal articles, peer-reviewed, written in English, and research studies with the Randomized Control Trial (RCT) design. Result: Based on the results of a review of 15 selected articles, it was found that the overall interventions carried out were providing education, counseling, and group classes. Other activities include home visits, goal setting and action plans, diabetes mellitus diaries, and follow-up phone calls. There were interventions carried out by cadres, in partnership with health care providers and academic partners, involving peers of diabetes mellitus patients and culturally relevant community resources. Conclusion: The results of the review showed that almost all articles found changes in metabolic control, behavior, and psychosocial of diabetes mellitus patients as a result of the interventions. Therefore, there needs to conduct subsequent studies on the effect of cadre interventions on the prevention of disease complications both macrovascular and microvascular.