Reaching Immigrants through Community Empowerment

Project RICE was a five-year, community-driven initiative to promote diabetes prevention among Korean and South Asian American immigrants at risk for diabetes in New York City using a community health worker (CHW) model approach. Project RICE consisted of two phases, a descriptive study completed in 2010 that informed the design of the pilot intervention and the intervention itself. The descriptive study consisted of surveys, health screenings, and needs assessment surveys that were administered in Korean (n=284) and South Asian (n=305) communities at community health fairs in order to characterize community members' general health needs, access to services, lifestyle behaviors, and perceptions of disease as related to diabetes prevention and health promotion. Focus groups were also lead by CHWs and conducted with Korean and South Asian immigrant communities. The CHW intervention utilized a randomized controlled design. The eligible participants were Korean and South Asian immigrants between 18 and 75 years of age, identified as at risk for diabetes by a risk assessment, and willing to be randomizing into a treatment or control group. The pilot intervention was completed in 2012 and included a total of 145 Asian Indian and 48 Korean individuals. The full intervention took place between 2012 and 2014, and total of 310 Korean individuals were consented into the full intervention. The intervention lasted 6-months, and the data was collected at baseline, 3-months, and 6-months.

项目RICE是一项为期五年的社区驱动型计划，旨在通过社区健康工作者（CHW）模式，在纽约市推广针对患有糖尿病风险的韩国及南亚美国移民的糖尿病预防措施。项目RICE分为两个阶段：2010年完成的描述性研究，为试点干预的设计提供了信息，以及干预本身。描述性研究包括调查、健康筛查和需求评估调查，这些调查在韩国（n=284）和南亚（n=305）社区的健康博览会中用韩语进行，旨在描述社区成员的普遍健康需求、服务可及性、生活方式行为以及与糖尿病预防和健康促进相关的疾病认知。此外，由CHW领导的焦点小组也对韩国和南亚移民社区进行了调研。CHW干预采用随机对照设计。符合条件的参与者为18至75岁的韩国和南亚移民，经风险评估确定为糖尿病风险人群，并愿意被随机分配到治疗组或对照组。试点干预于2012年完成，共包括145名印度裔亚洲人和48名韩国人。全面干预于2012年至2014年进行，共有310名韩国人同意参与全面干预。干预持续了6个月，数据在基线、3个月和6个月时收集。