Development of a Community Health Worker-Delivered Cognitive Behavioral Training Intervention for Individuals with Diabetes and Chronic Pain

Academic Article


  • 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.
  • Published In

    Digital Object Identifier (doi)

    Author List

  • Andreae SJ; Andreae LJ; Cherrington AL; Lewis M; Johnson E; Clark D; Safford MM
  • Start Page

  • 178
  • End Page

  • 184
  • Volume

  • 41
  • Issue

  • 3