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Table 1 Patient-centered outcomes by source, domain, and measurement frequency over the course of one wave.a EMR Electronic medical record; Intake refers to intake interview by community health worker

From: Protocol for the CHORD project (community health outreach to reduce diabetes): a cluster-randomized community health worker trial to prevent diabetes

Sourcea Domain Baseline Quarterly 1-Year
EMR Sex, age, race, language   
Intake Marital status, education, residential status, employment status, income   
Social determinants of health   
Health Attitudes and Behavior
Intake Self-reported health status  
Diabetes risk belief  
Prediabetes awareness  
Physical activity  
Awareness of prevention resources  
Patient Activation
Intake 6-item Patient Activation Measure ®  
Clinical Data
EMR Weight
Hemoglobin A1C
Serum glucose
Blood pressure (Systolic/Diastolic)
Total cholesterol
LDL cholesterol
HDL cholesterol
Smoking status
Health service utilization: # of
EMR Primary care encounters
Walk-in clinic encounters
Emergency Department encounters
Hospital weight loss clinic
Nutrition encounters
Diagnostic Codes for:
EMR Type 2 Diabetes
Chronic Kidney Disease
Cardiovascular Disease
Peripheral Artery Disease