Author: Joshu, C.
Date Published: 2007
The purpose of this article is to describe the integration of a promotora-led self-management component into a system of care and assess the influence of this program on indicators of metabolic control over time. Gateway Community Health Center is a federally qualified health center in Laredo, Texas that serves a predominantly Hispanic population. Gatweay integrated self-management support into care for people with diabetes by incorporating promotra led self-management services into the clinic structure, operations, and patient visits. The self management program included education, goal setting , depression screening with symptom follow up and support groups after course ends.