Effect of social networks intervention in type 2 diabetes: a partial randomised study

Shaya, Fadia T.; Chirikov, Viktor; Howard, DeLeonardo; Foster, Clyde; Costas, J.; Snitker, Søren; Frimpter, Jeffrey; Kucharski, K.

doi:10.1136/jech-2013-203274

Cited by 64 publications

(85 citation statements)

References 32 publications

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“…This is in agreement with the findings of other studies that social networks were significantly positively associated with the reduction of complication related to diabetes (Shaya et al, 2014).…”

Section: Sources Of Informationsupporting

confidence: 83%

The knowledge and practice of self-care management among patients attending a diabetes clinic in Kigali, Rwanda

Mukeshimana¹,

Hakizimana²,

Mwali³

et al. 2015

RWJour

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Background: Self-care management in diabetic patients is crucial to control and prevent associated complications. Diabetes complications are still highly prevalent and are mostly attributed to the lack of self-care knowledge and practices. Methods: A descriptive cross-sectional design approach explored self-care knowledge and practice among 80 participants attending a diabetes clinic in Kigali in 2011. Data were collected using a self-administered questionnaire that assessed 4 levels of diabetes self-care knowledge and practices which are respectively diet, blood glucose monitoring, physical activities and foot care. Results: Participants had a self-care knowledge gap in some areas of diabetes self-management. As many as 54.9% (n=44) of participants did not know the frequency of blood sugar testing; 63.7% (n=51) did not know the importance of snack/meal before exercising and 70% (n=56) among them were not taking a snack/meal before exercising. The participants experienced some complications: feet problems 88.7% (n=71); retinopathy 15% (n=12); hypertension 23.7% (n=19) and kidney diseases 8.7% (n=7). Conclusion: There were self-care knowledge and practice gaps in some areas of diabetes self-care management. Health care providers, particularly nurses should play a key role in providing with accurate information on diabetes self-care.

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Section: Sources Of Informationsupporting

confidence: 83%

The knowledge and practice of self-care management among patients attending a diabetes clinic in Kigali, Rwanda

Mukeshimana¹,

Hakizimana²,

Mwali³

et al. 2015

RWJour

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“…Third, our follow-up rate of 60% was lower than the 67% to 85% range reported in other studies targeting the African American community. [10][11][12][13] While this 15-month intervention was lengthier [11][12][13] than some other studies, our low retention rate still raises questions concerning acceptability and sustainability. Towards the end of the intervention, some participants appeared to experience intervention "burnout."…”

Section: S33mentioning

confidence: 60%

“…In fact, only 3 of 14 randomized controlled trials analyzed in a 2012 systematic review of peer support interventions in diabetes targeted the African American community. 7,[9][10][11] While the few peer support trials in the African American community have generally yielded positive findings, [10][11][12][13] the majority of these interventions have been short-term rather than longer-term diabetes self-management support (DSMS) programs. Accordingly, the objective of this study, the Peer-Led, Empowerment-Based Approach to SelfManagement Efforts in Diabetes (PLEASED) Study, was to investigate whether a peer support model could sustain improvements achieved in a short-term diabetes self-management education (DSME) program for African American adults with type 2 diabetes.…”

Section: W Ith 13% Of African Americans Known To Have Diabetes Africanmentioning

confidence: 99%

Peer-Led, Empowerment-Based Approach to Self-Management Efforts in Diabetes (PLEASED): A Randomized Controlled Trial in an African American Community

Tang

Funnell

Sinco

et al. 2015

The Annals of Family Medicine

113

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PURPOSE We compared a 3-month diabetes self-management education (DSME) program followed by a 12-month peer support intervention with a 3-month DSME program alone in terms of initial and sustained improvements in glycated hemoglobin (HbA 1c ). Secondary outcomes were risk factors for cardiovascular disease (CVD), diabetes distress, and social support. METHODSWe randomized 106 community-dwelling African American adults with type 2 diabetes to a 3-month DSME program followed by 12 months of weekly group sessions and supplementary telephone support delivered by peer leaders or to a 3-month DSME program with no follow-up peer support. Assessments were conducted at baseline, 3, 9, and 15 months. RESULTSNo changes in HbA 1c were observed at 3 months or at 15 months for either group. The peer support group either sustained improvement in key CVD risk factors or stayed the same while the control group worsened at 15 months. At 15 months, the peer-support group had significantly lower low-density lipoprotein cholesterol levels (-15 mg/dL, P = .03), systolic blood pressure (-10 mm Hg, P = .01), diastolic blood pressure (-8.3 mm Hg, P = .001), and body mass index (-0.8 kg/m 2 , P = .032) than the DSME-alone group.CONCLUSIONS In this population of African American adults, an initial DSME program, whether or not followed by 12 months of peer support, had no effect on glycemic control. Participants in the peer-support arm of the trial did, however, experience significant improvements in some CVD risk factors or stay approximately the same while the control group declined.

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“…156 Conversely, social environment factors such as social support have been shown to reduce depression symptoms and to improve health behaviors among racial/ethnic minority groups. [171][172][173] Poor built environments can increase the likelihood of mental health disorders by exposing individuals residing in disadvantaged neighborhoods to daily stressors and inconveniences, social strain, exposure to crime and trauma, and limited access to green space. 174,175 For example, residential environment factors such as crime and low personal safety can lead to the experience of anxiety, which in turn can also affect physical activity.…”

Section: Psychological Mechanismsmentioning

confidence: 99%

Social Determinants of Risk and Outcomes for Cardiovascular Disease

Havranek¹,

Mujahid²,

Barr³

et al. 2015

Circulation

1,054

732

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Effect of social networks intervention in type 2 diabetes: a partial randomised study

Abstract: The social networks intervention showed improved integration of patients within their existing networks leading to a greater reduction in HbA1c and blood glucose, as well as improved behaviour mediating outcomes.

Cited by 64 publications

References 32 publications

The knowledge and practice of self-care management among patients attending a diabetes clinic in Kigali, Rwanda

The knowledge and practice of self-care management among patients attending a diabetes clinic in Kigali, Rwanda

Peer-Led, Empowerment-Based Approach to Self-Management Efforts in Diabetes (PLEASED): A Randomized Controlled Trial in an African American Community

Social Determinants of Risk and Outcomes for Cardiovascular Disease

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