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Health educator recruitment
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Placed ads in local newspapers; set minimal qualifications as health education experience.
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Employed well-connected individuals from the local community with less than minimal qualifications.
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Patient recruitment
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Patient recruitment led by physicians or self-referral from clinic recruitment posters.
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Clipped patient eligibility referral sheets to medical charts to prompt physician recruitment efforts.
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Patient incentives
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Incentives included a tote bag, glucose monitors and strips, and/or blood pressure monitor.
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Incentives remained the same throughout the implementation.
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Class sessions
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Set curriculum.
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Natural variation of teaching style using suggested curriculum.
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Program materials
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Posters, brochures, workbooks, low-literacy format, flipcharts for diabetes and hypertension, incentives (magnets, calendars, tote bags, medication pill box, medication compliance worksheet, food sheets).
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All program materials were used and appreciated by patients and clinic staff. A few health educators enhanced materials, even though it was discouraged by project staff. Translated materials according to various Spanish-speaking cultures.
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Program manuals
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Developed by project staff and used in all clinic sites for standardized training and implementation.
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The clinic training schedule was adapted to the needs of each clinic site.
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Patient retention and follow-up
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6 month commitment from patients.
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Scheduled patient's health education appointments in conjunction with medical appointments.
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Technical assistance
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Offered support to health educators via e-mail or telephone, as needed.
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Need for daily support to health educators was much greater than anticipated by project staff.
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Staff incentives
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Not included in the original design.
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Frequently requested to increase staff buy-in.
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