Telecare motivational interviewing for diabetes patient education and support: a randomised controlled trial based in primary care comparing nurse and peer supporter delivery

Dale, Jeremy; Caramlau, Isabela; Docherty, Andrea; Sturt, Jackie; Hearnshaw, Hilary

doi:10.1186/1745-6215-8-18

Cited by 26 publications

(12 citation statements)

References 13 publications

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“…Two randomized trials have suggested improved self efficacy and HbA1c from peer-led self management support within Spanish-speaking communities [24] and increased physical activity from peer support amongst African-American women [25]. Other trials have been conducted in Dublin (evaluating group support in primary care, including an educational component) [26,27], Warwick (evaluating telecare by peers) [28] and Michigan (comparing peer support with nurse care management) [20]. …”

Section: Introductionmentioning

confidence: 99%

Testing a peer support intervention for people with type 2 diabetes: a pilot for a randomised controlled trial

et al. 2013

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BackgroundPeople with Type 2 diabetes face various psycho-social, self-management and clinical care issues and evidence is mixed whether support from others with diabetes, ‘peer support’, can help. We now describe a 2 month pilot study of different peer support interventions.MethodsThe intervention was informed by formative evaluation using semi-structured interviews with health professionals, community support groups and observation of diabetes education and support groups. Invitations to participate were mailed from 4 general practices and included a survey of barriers to care. Participants were randomized by practice to receive individual, group, combined (both individual and group) or no peer support. Evaluation included ethnographic observation, semi-structured interviews and questionnaires at baseline and post-intervention.ResultsOf 1,101 invited, 15% expressed an interest in participating in the pilot. Sufficient numbers volunteered to become peer supporters, although 50% of these (8/16) withdrew. Those in the pilot were similar to other patients, but were less likely to feel they knew enough about diabetes (60.8% vs 44.6% p = 0.035) and less likely to be happy with the diabetes education/care to date (75.4% vs 55.4% p = 0.013). Key issues identified were the need to recruit peer supporters directly rather than through clinicians, to address participant diabetes educational needs early and the potential for group sessions to have lower participation rates than 1:1 sessions.ConclusionsRecruitment to a full trial of peer support within the existing study design is feasible with some amendments. Attendance emerged as a key issue needing close monitoring and additional intervention during the trial.

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Section: Introductionmentioning

confidence: 99%

Testing a peer support intervention for people with type 2 diabetes: a pilot for a randomised controlled trial

et al. 2013

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“…For instance, Dale and colleagues [24-25] trained peer supporters to deliver a 6-session, telephone-based, self-management support intervention designed to enhance routine clinic visits. The goal of the intervention was to motivate patients to implement treatment recommendations made by health care providers during clinic visits.…”

Section: Introductionmentioning

confidence: 99%

Training peers to provide ongoing diabetes self-management support (DSMS): Results from a pilot study

Tang

Funnell

Gillard

et al. 2011

Patient Education and Counseling

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Objective This study determined the feasibility of training adults with diabetes to lead diabetes self-management support (DSMS) interventions, examined whether participants can achieve the criteria required for successful graduation, and assessed perceived efficacy of and satisfaction with the peer leader training (PLT) program. Methods We recruited nine African-American adults with diabetes for a 46-hour PLT pilot program conducted over 12 weeks. The program utilized multiple instructional methods, reviewed key diabetes education content areas, and provided communication, facilitation, and behavior change skills training. Participants were given three attempts to achieve the pre-established competency criteria for diabetes knowledge, empowerment-based facilitation, active listening, and self-efficacy. Results On the first attempt 75%, 75%, 63%, and 75% passed diabetes knowledge, empowerment-based facilitation, active listening, and self-efficacy, respectively. Those participants who did not pass on first attempt passed on the second attempt. Participants were highly satisfied with the program length, balance between content and skills development, and preparation for leading support activities. Conclusion Findings suggest that it is feasible to train and graduate peer leaders with the necessary knowledge and skills to facilitate DSMS interventions. Practical Implications With proper training, peer support may be a viable model for translating and sustaining DSMS interventions into community-based settings.

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“…The self-management materials were supplemented with three coaching sessions and carers reported a functional improvement in the people they were caring for and this was associated with reductions in expressed emotion and accommodating and enabling behaviours (Goddard et al, 2011 ). Moreover, in ED treatment generally, the addition of guidance improves the effectiveness of self-help (Grover et al, 2011a , 2011b ) and there are promising results in other health-related fields for trained peer support delivered by telephone (Dale, Caramlau, Docherty, Sturt, & Hearnshaw, 2007 ; Ghorob et al, 2011 ; Goldman, Ghorob, Eyre, & Bodenheimer, 2013 ; McCusker et al, 2012 ). However, as yet, neither professionals nor carers' skills have been measured in terms of fidelity to the intervention or guidance being offered.…”

Section: Introductionmentioning

confidence: 99%

Disseminating skills to carers of people with eating disorders: an examination of treatment fidelity in lay and professional carer coaches

Macdonald

Hibbs

Rhind

et al. 2014

Health Psychology and Behavioral Medicine

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Family members of people with eating disorders (EDs) have high levels of stress and can use maladaptive methods of coping. We have developed an intervention, using motivational interviewing (MI) strategies that trains lay and professional carer coaches (CCs) to support carers of adolescents with EDs to use more adaptive coping procedures. The aim of this study is to measure treatment integrity in coaches with either academic or lived experience. Eleven coaches were trained and supervised by an expert trainer and an ‘expert by experience’ trainer. Six of the coaches had prior training in clinical work and/or psychology and five had personal experience of supporting a loved one with an ED. Two audio-taped sessions (Sessions 3 and 7) from each family coached (n = 22) were assessed for fidelity to MI. Half the sessions (50% n = 11) had a Motivational Interviewing Treatment Integrity global score above the suggested cut-off for recommended competency. Prior clinical training was related to higher treatment fidelity and experiential training (having coached a greater number of families) improved treatment fidelity in the lay carer group. These preliminary findings suggest that: “lay CCs” can be trained to deliver an intervention based on MI. Further exploration of a more effective means of training, monitoring and supervision is required to maximise the quality of the intervention.

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Telecare motivational interviewing for diabetes patient education and support: a randomised controlled trial based in primary care comparing nurse and peer supporter delivery

Cited by 26 publications

References 13 publications

Testing a peer support intervention for people with type 2 diabetes: a pilot for a randomised controlled trial

Testing a peer support intervention for people with type 2 diabetes: a pilot for a randomised controlled trial

Training peers to provide ongoing diabetes self-management support (DSMS): Results from a pilot study

Disseminating skills to carers of people with eating disorders: an examination of treatment fidelity in lay and professional carer coaches

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