Evidence Intelligence™
- EvidenceScore™
- Moderate
- Score 69 · Based on 2 studies
- ImpactScore™
- 75
- Positive
- ConsistencyScore™
- 100
- consistent
Estudios de apoyo: Basado en 2 estudios
Add to Evidence TrackerResumen de Investigación
Analyzed using Evidence Intelligence™
CHE interventions improve nutrition and activity in Cambodian refugees
Última actualización 29 de agosto de 2026
Key finding
Individuals in the EWS intervention significantly increased their brown rice consumption (p < .001, Cohen's d = 0.76).
This study evaluated community health educator interventions for diabetes prevention among Cambodian-American refugees, finding significant increases in brown rice consumption and physical activity.
Quick read
Study at a glance
The essential study design details in one scan.
EvidenceScore™
Moderate
Study type
RCTs
Follow-up
Long-Term (1–5 y)
Risk of bias
Some Concerns
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Plain-language summary
What this paper says
A plain-language read of the study’s main message and where it applies.
Study focus
This study evaluated community health educator interventions for diabetes prevention among Cambodian-American refugees, finding significant increases in brown rice consumption and physical activity.
Clinical relevance
These findings highlight the potential for community-based health interventions to improve dietary and physical activity behaviors in at-risk populations, such as Cambodian-American refugees, who may face unique barriers to health. Enhancing these behaviors can lead to better diabetes prevention outcomes, which is crucial given the rising prevalence of diabetes in immigrant communities.
Keep in mind
Limited generalizability due to specific population focus. Small sample size may affect the robustness of findings. No assessment of long-term sustainability of behavior changes.
Published in
Referencia de la Revista
Publication details and source links for this paper.
Julie AW, Angela B, Thomas EB, et al. Community Health Educator Interventions for Diabetes Prevention in Cambodian-American Refugees. The International Journal of Behavioral Nutrition and Physical Activity. 2023;20:107. doi:10.1186/s12966-023-01509-y
Efectos Principales
EWS participants significantly increased brown rice consumption (p < .001, Cohen's d = 0.76).
EWS + MTM participants significantly increased brown rice consumption (p < .001, Cohen's d = 0.74).
EWS participants significantly increased moderate-to-vigorous physical activity (p = .039, Cohen's d = 0.32).
EWS + MTM participants significantly increased moderate-to-vigorous physical activity (p = .039, Cohen's d = 0.32).
Evidence network
How this study fits
Understand where this research contributes within the broader evidence network.
Evidence Context
This study contributes evidence to EWS plus Medication Therapy Management (EWS + MTM), Eat, Walk, Sleep (EWS), Social Services (SS) and HbA1c, Increase in brown rice consumption, Vigorous physical activity.
This study contributes evidence to
Primary intervention
EWS plus Medication Therapy Management (EWS + MTM)
Primary outcomes
- HbA1c
- Increase in brown rice consumption
- Vigorous physical activity
Evidence topics
Primary intervention
Evidence relationships
Intervention and outcome relationships this study adds to the evidence network.
7
Evidence pairs
7
Relationships
1
Evidence topics
contributes_evidence
Editorial context
Why this study matters
See why this paper is useful beyond its individual results.
Evidence network role
This section describes how the study fits into the current evidence network. It does not determine whether an intervention works on its own.
Moderate contributionModerate confidenceNetwork score: 59
1
Related topics
7
Evidence pairs
449
Related studies
High relevance in at least one topic
Why it is useful
- Contributes to 7 evidence relationships
- Includes primary outcome data
- Linked to 1 direct semantic evidence topic
Topic contributions
Evidence topic
Contributes evidence
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Evidencia principal
Tema de evidencia
HbA1c Reduction
matched_outcome
Core evidence
Study findings
The primary outcomes reported in this study.
Increase in brown rice consumption
Eat, Walk, Sleep (EWS) → Increase in brown rice consumption
Eat, Walk, Sleep (EWS) → Increase in brown rice consumption
Evidence Intelligence™
- EvidenceScore™
- Emerging
- Score 59 · Based on 1 study
- ImpactScore™
- 100
- Very Positive
- ConsistencyScore™
- unclear
- Not enough independent studies
Estudios de apoyo: Basado en 1 estudio
Add to Evidence TrackerVigorous physical activity
Eat, Walk, Sleep (EWS) → Vigorous physical activity
Eat, Walk, Sleep (EWS) → Vigorous physical activity
Evidence Intelligence™
- EvidenceScore™
- Emerging
- Score 59 · Based on 1 study
- ImpactScore™
- 100
- Very Positive
- ConsistencyScore™
- unclear
- Not enough independent studies
Estudios de apoyo: Basado en 1 estudio
Add to Evidence TrackerHbA1c
EWS plus Medication Therapy Management (EWS + MTM) → HbA1c
EWS plus Medication Therapy Management (EWS + MTM) → HbA1c
Evidence Intelligence™
- EvidenceScore™
- Emerging
- Score 59 · Based on 1 study
- ImpactScore™
- 50
- Neutral
- ConsistencyScore™
- unclear
- Not enough independent studies
Estudios de apoyo: Basado en 1 estudio
Add to Evidence TrackerIncrease in brown rice consumption
EWS plus Medication Therapy Management (EWS + MTM) → Increase in brown rice consumption
EWS plus Medication Therapy Management (EWS + MTM) → Increase in brown rice consumption
Evidence Intelligence™
- EvidenceScore™
- Emerging
- Score 59 · Based on 1 study
- ImpactScore™
- 100
- Very Positive
- ConsistencyScore™
- unclear
- Not enough independent studies
Estudios de apoyo: Basado en 1 estudio
Add to Evidence TrackerVigorous physical activity
EWS plus Medication Therapy Management (EWS + MTM) → Vigorous physical activity
EWS plus Medication Therapy Management (EWS + MTM) → Vigorous physical activity
Evidence Intelligence™
- EvidenceScore™
- Emerging
- Score 59 · Based on 1 study
- ImpactScore™
- 100
- Very Positive
- ConsistencyScore™
- unclear
- Not enough independent studies
Estudios de apoyo: Basado en 1 estudio
Add to Evidence TrackerEvidence Intelligence™
- EvidenceScore™
- Emerging
- Score 59 · Based on 1 study
- ImpactScore™
- 50
- Neutral
- ConsistencyScore™
- unclear
- Not enough independent studies
Estudios de apoyo: Basado en 1 estudio
Add to Evidence TrackerEvidence Library
Build your evidence library
Save research, organize studies, and quickly find important evidence again.
La Evidencia Sugiere
- Brown rice consumption increased significantly in both EWS and EWS + MTM groups.
- Moderate-to-vigorous physical activity levels rose significantly in both intervention groups.
- No changes were observed in sleep metrics across all interventions.
A quién se aplica
- Cambodian-American refugees at risk for diabetes.
- Individuals seeking community-based health interventions for lifestyle changes.
Tener en Cuenta
- Results may not apply to other ethnic groups or populations.
- Intervention effects may vary based on individual participant characteristics.
- Further research is needed to explore long-term impacts of these interventions.
Entre Líneas
- Limited generalizability due to specific population focus.
- Small sample size may affect the robustness of findings.
- No assessment of long-term sustainability of behavior changes.
Evidence Library
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Connected Evidence
Explore related studies, evidence collections, and research questions.
Relationships organized using the Dediabetes Evidence Intelligence™ framework.
This study contributes to evidence on Eat, Walk, Sleep (EWS) and HbA1c, Eat, Walk, Sleep (EWS) and Increase in brown rice consumption.
Relaciones de evidencia relacionadas
Explore in Evidence ExplorerThis study contributes to the evidence on the following intervention-outcome relationships.
Behavioral & Lifestyle
Eat, Walk, Sleep (EWS) → HbA1c
Behavioral & Lifestyle
Evidence Intelligence™
- EvidenceScore™
- Moderate
- Score 69 · Based on 2 studies
- ImpactScore™
- 75
- Positive
- ConsistencyScore™
- 100
- consistent
Estudios de apoyo: Basado en 2 estudios
View evidenceBehavioral & Lifestyle
Eat, Walk, Sleep (EWS) → Increase in brown rice consumption
Behavioral & Lifestyle
Evidence Intelligence™
- EvidenceScore™
- Emerging
- Score 59 · Based on 1 study
- ImpactScore™
- 100
- Very Positive
- ConsistencyScore™
- unclear
- Not enough independent studies
Estudios de apoyo: Basado en 1 estudio
View evidenceIncluido en estas colecciones de evidencia
Curated evidence collections and hubs this study is part of.
Eat, Walk, Sleep (EWS) Evidence Hub
All studies on Eat, Walk, Sleep (EWS)
2 studies
intervention_hubContributes to Eat, Walk, Sleep (EWS) evidence base.
HbA1c Evidence Hub
All studies measuring HbA1c
2 studies
outcome_hubMeasures HbA1c as a key outcome.
Increase in brown rice consumption Evidence Hub
All studies measuring Increase in brown rice consumption
1 studies
outcome_hubMeasures Increase in brown rice consumption as a key outcome.
Explora más en Evidence Explorer
Jump to pre-filtered views in Evidence Explorer.
All studies on Eat, Walk, Sleep (EWS) and HbA1c
Intervention: Eat, Walk, Sleep (EWS)Outcome: HbA1c
2 results
All studies on Eat, Walk, Sleep (EWS) and Increase in brown rice consumption
Intervention: Eat, Walk, Sleep (EWS)Outcome: Increase in brown rice consumption
1 results
All studies on Eat, Walk, Sleep (EWS)
Intervention: Eat, Walk, Sleep (EWS)
2 results
All studies measuring HbA1c
Outcome: HbA1c
2 results
All studies measuring Increase in brown rice consumption
Outcome: Increase in brown rice consumption
1 results
Questions answered by this study
Generated from the study's connected evidence using Evidence Intelligence™.
Does Eat, Walk, Sleep (EWS) improve HbA1c?
Moderate Evidence
Eat, Walk, Sleep (EWS) may improve HbA1c.
ConsistencyScore™: Results are consistent across studies.
Ranked evidence signals
- 1
HbA1c
EvidenceScore™ Moderate | EvidenceScore™ 69.0 | moderate positive | ConsistencyScore™ Consistent | 1 study
Why this answer: This answer is based on a single supporting study.
Limitations
- Only one supporting study is available.
- Population details are unavailable.
Does EWS plus Medication Therapy Management (EWS + MTM) improve increase in brown rice consumption?
Emerging Evidence
EWS plus Medication Therapy Management (EWS + MTM) appears to improve Increase in brown rice consumption.
ConsistencyScore™: Consistency cannot yet be determined from the available evidence.
Ranked evidence signals
- 1
Increase in brown rice consumption
EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study
Why this answer: This answer is based on a single supporting study.
Limitations
- Only one supporting study is available.
- Consistency cannot yet be determined.
- Population details are unavailable.
Does EWS plus Medication Therapy Management (EWS + MTM) improve vigorous physical activity?
Emerging Evidence
EWS plus Medication Therapy Management (EWS + MTM) appears to improve Vigorous physical activity.
ConsistencyScore™: Consistency cannot yet be determined from the available evidence.
Ranked evidence signals
- 1
Vigorous physical activity
EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study
Why this answer: This answer is based on a single supporting study.
Limitations
- Only one supporting study is available.
- Consistency cannot yet be determined.
- Population details are unavailable.
Does Eat, Walk, Sleep (EWS) improve increase in brown rice consumption?
Emerging Evidence
Eat, Walk, Sleep (EWS) appears to improve Increase in brown rice consumption.
ConsistencyScore™: Consistency cannot yet be determined from the available evidence.
Ranked evidence signals
- 1
Increase in brown rice consumption
EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study
Why this answer: This answer is based on a single supporting study.
Limitations
- Only one supporting study is available.
- Consistency cannot yet be determined.
- Population details are unavailable.
Next steps
Continue your research
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Explore in Evidence Explorer
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All studies on Eat, Walk, Sleep (EWS) and HbA1cAll studies on EWS plus Medication Therapy Management (EWS + MTM) and HbA1cAll studies on EWS plus Medication Therapy Management (EWS + MTM) and Increase in brown rice consumptionAll studies on EWS plus Medication Therapy Management (EWS + MTM) and Vigorous physical activity
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