Study protocol and baseline sample characteristics: From clinic to community: Using peer support as a transition model for improving long-term diabetes-related health outcomes

Tang, Tricia S.; Afshar, Rowshanak; Elliott, Thomas; Kong, Jason M.; Gill, Sabrina

doi:10.1016/j.cct.2019.02.002

Cited by 7 publications

(8 citation statements)

References 22 publications

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“…This was a qualitative study conducted subsequent to a larger, randomized controlled trial evaluating the effects of a 12‐month peer‐led diabetes self‐management support intervention on diabetes‐related health outcomes. The detailed description of the study is published elsewhere 19 . A brief summary is written below.…”

Section: Methodsmentioning

confidence: 99%

“…The detailed description of the study is published elsewhere. 19 A brief summary is written below. To inform the present research question, we utilized an explanatory sequential mixed-methods model using a qualitative descriptive approach (a quantitative study subsequent to a qualitative study, using semi-structured interviews to explain the quantitative results).…”

Section: Designmentioning

confidence: 99%

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Out of the mouths of Peer Leaders: Perspectives on how to improve a telephone‐based peer support intervention in type 2 diabetes

et al. 2022

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Objective To explore the experiences of peer leaders with respect to delivering core components of a 12‐month, telephone‐based peer support intervention in type 2 diabetes within a tertiary‐care setting. Methods Seventeen peer leaders were recruited and interviewed. Interviews lasted approximately 20 to 45 min, were audio‐taped, and transcribed verbatim. The transcripts were analysed by two team members using the qualitative descriptive approach. Findings Peer leaders reported mutually beneficial and reciprocal relationships with participants. They encountered challenges in maintaining regular contact with participants and in motivating them to make lifestyle changes. To improve the programme, peer leaders suggested having more frequent – but shorter – training sessions and reducing the diabetes education component of the training programme. To enhance the intervention fidelity and retention rate, they recommended matching peer leaders to participants on more meaningful variables (e.g. diabetes‐related commonalities, personality, life experiences, etc.) beyond just gender, geographic proximity and availability. They also requested more frequent face‐to‐face contacts with participants (Modality of Contact), and additional ongoing support from the research team. Conclusion Peer leaders were satisfied with the intervention design. However, future studies may consider more comprehensive peer leader‐matching algorithms and increased opportunities for in‐person communication modalities. ClinicalTrials.gov Identifier: NCT02804620.

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Section: Methodsmentioning

confidence: 99%

Section: Designmentioning

confidence: 99%

Out of the mouths of Peer Leaders: Perspectives on how to improve a telephone‐based peer support intervention in type 2 diabetes

et al. 2022

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“…From February to April 2018, we recruited and interviewed 25 participants from a larger RCT ( n = 196) to evaluate the impact of a telephone‐based peer‐led support intervention for adults with T2D called From Clinic to Community: Using Peer Support as a Transition Model for Improving Long‐term Diabetes‐related Health Outcomes 20 . To be eligible, participants had to be in the intervention group and have completed all three assessments (baseline, 3 months and 12 months).…”

Section: Methodsmentioning

confidence: 99%

Autopsy of a telephone‐based peer support intervention: Exploring participants' perspectives of and experiences with a self‐management support model for adults with type 2 diabetes from speciality care settings

et al. 2022

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Aims:To explore participants' experiences with and perspective of a telephonebased, peer-led diabetes self-management intervention targeting adults with type 2 diabetes (T2D) from speciality care settings. We also sought to identify areas for improvement for future iterations of the intervention.Methods: This study recruited 25 adults with T2D from the intervention arm of a randomized controlled trial of a peer support intervention for diabetes. Individuals took part in semi-structured interviews that explored the following topics: perceived impact of the intervention, relationship with peer leader, desirable characteristics in a peer leader, and suggestions for improving the intervention. Focus groups were recorded, transcribed, quality checked, coded, and analysed to develop themes and subthemes.Results: Four core themes emerged: (1) importance of the 'participant-peer leader' match, (2) peer leader roles and responsibilities, (3) need for flexible support models, and (4) factors affecting intervention implementation and engagement. The quality of the participant-peer leader relationship appeared to be linked to intervention satisfaction. Beyond demographic features such as age and sex, key characteristics for forming a strong match included stage of life, lifestyle, diabetes-related factors, and communication style. Conclusions: Participants have unique ideas about what support should look like and preferences for how support is best delivered. Future models of peer support need to be customizable to individuals' needs and responsive to changes in life circumstances. If participants are the decision makers in the matching process, they may experience greater satisfaction and derive maximal benefits.

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“…Peer leaders (PLs) completed a 30‐h training program described in detail elsewhere 23 . Briefly, PLs developed the knowledge and skills to address three key peer support functions: (1) assist participants in daily self‐management, (2) provide social and emotional support and (3) link patients to community resources.…”

Section: Methodsmentioning

confidence: 99%

“…Peer leaders (PLs) completed a 30-h training program described in detail elsewhere. 23 Briefly, PLs developed the knowledge and skills to address three key peer support functions: (1) assist participants in daily selfmanagement, (2) provide social and emotional support and (3) link patients to community resources. PLs learned how to help participants identify their personal motivation to make self-management changes, use active listening skills, utilize empowerment-based communication strategies, set goals and develop action plans, and apply the problem-solving process.…”

Section: Peer Leadersmentioning

confidence: 99%

From clinic to community: A randomized controlled trial of a peer support model for adults with type 2 diabetes from specialty care settings in British Columbia

et al. 2022

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Aims To examine the impact of a 12‐month peer‐led diabetes self‐management support intervention delivered via telephone amongst adults with type 2 diabetes (T2D) from specialty care settings in British Columbia (BC). Methods One‐hundred ninety‐six adults with T2D were randomly assigned to either a 12‐month Peer‐Led, Empowerment‐based, Approach, to Self‐management Efforts in Diabetes (PLEASED) intervention or a usual care condition. PLEASED involved weekly telephone contacts from a peer leader (PL) in the first 3 months followed by bi‐weekly telephone contacts in the last 9 months. Assessments were conducted at baseline, 3 and 12 months. The primary outcome was HbA1c; secondary outcomes included diabetes distress (DD), ApoB, systolic and diastolic blood pressure (BP), body mass index, waist circumference and depressive symptoms. Results No within or between group changes were observed for HbA1c at 3 or 12 months. However, amongst participants with HbA1c ≥ 69 mmol/mol (8.5%), the PLEASED group significantly lowered their HbA1c at 12 months [−11.7 mmol/mol (−1.07%); 95% CI: −20.7, −2.5 (−1.89, −0.23); p = 0.016] compared to usual care. Amongst secondary outcomes, within‐group improvements in overall DD were found at 3 months (−0.21; 95% CI: −0.35, −0.08; p = 0.002) for the PLEASED group and at 12 months for both groups (PLEASED: −0.35; 95% CI: −0.49, −0.21; p < 0.001 and control: −0.33; 95% CI: −0.47, −0.19; p < 0.001), however, no between‐group differences were observed. The PLEASED group improved systolic BP at 12 months (−5.4 mm Hg; 95% CI: −10.0, −0.8; p = 0.023) compared to usual care. Conclusions Participation in a peer support intervention in diabetes delivered via telephone leads to long‐term improvements in HbA1c amongst high‐risk adults with T2D living in BC. Trial registration: The study was registered on http://clinicaltrials.gov (NT02804620).

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Study protocol and baseline sample characteristics: From clinic to community: Using peer support as a transition model for improving long-term diabetes-related health outcomes

Cited by 7 publications

References 22 publications

Out of the mouths of Peer Leaders: Perspectives on how to improve a telephone‐based peer support intervention in type 2 diabetes

Out of the mouths of Peer Leaders: Perspectives on how to improve a telephone‐based peer support intervention in type 2 diabetes

Autopsy of a telephone‐based peer support intervention: Exploring participants' perspectives of and experiences with a self‐management support model for adults with type 2 diabetes from speciality care settings

From clinic to community: A randomized controlled trial of a peer support model for adults with type 2 diabetes from specialty care settings in British Columbia

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