The effect of peers support on fear of hypoglycemia in iranian patients with type 1 diabetes: A clinical trial study

Abstract

Background: Fear of hypoglycemia is a medical emergency which leads to disrupt individuals' normal lives. Peers support is a hopeful approach to improve diabetes self-care behaviors. This study was conducted to assess the effect of peers support on the fear of hypoglycemia in patients with type 1 diabetes. Materials and Methods: This randomized clinical trial study was performed among 60 patients with type 1 diabetes in Qazvin city from September 2019 to October 2020. Patients were assigned to control and intervention groups using a random method. The data collection tools included demographic characteristics and a standard questionnaire for Hypoglycemia Fear Survey (HFS). Patients in the intervention group were trained by skilled peers for 2 months, but those of the control group only received routine hospital training. The data were analyzed by SPSS version 16 and paired and independent t -test. Results: The scores of the fear of hypoglycemia in diabetic patients in the two groups had no significant statistical difference before intervention (t 53 = 0.93, p = 0.94). But after the intervention, the independent t -test showed that there was a significant difference between the scores of the fear of hypoglycemia in both groups (t 53 = -2.13, p = 0.03). Conclusions: Considering the results of the current study, peer support for diabetic patients is an effective way to reduce the fear of hypoglycemia. Therefore, it is recommended using this training method to train diabetic patients.

Training peers to deliver mental health support to adults with type 1 diabetes using the REACHOUT mobile app

“…In contrast to peer‐based support, peer‐led support models recruit individuals with T1D to undergo training to deliver the intervention itself. The only adult‐focused T1D study compared an eight‐session, peer‐led self‐management intervention to usual care where the former reported significantly lower fear of hypoglycaemia at 2‐months post‐intervention 13 . It should be noted that these authors provided a synopsis for the intervention curriculum, but they did not describe the training process required for peer supporters.…”

Latent Profile Analysis of Fear of Hypoglycemia in Middle-Aged and Elderly Hospitalized Patients with Type 2 Diabetes and Its Relationship with Sleep Quality

“…A previous study demonstrated that it is of great importance that patients have the ability to recognize and cope with hypoglycemia to achieve better outcomes with FoH, 10 and our results were in accordance with this study. It should be advisable that health-care providers make an effort to reduce the fear of patients and reduce the interference and avoidance of fear in daily life through various intervention measures according to the characteristics of various FoH types, ie, diabetes health education, peers support, 43 eye movement desensitization and reprocessing, 44 video-based telemedicine, 45 cognitive behavioral therapy, 46 blood glucose awareness training, 18,47 and new technology (ie, insulin bolus calculator 48 ).…”