The impact of diabetes education and peer support upon weight and glycemic control of elderly persons with noninsulin dependent diabetes mellitus (NIDDM).

Wilson, Willetta; Pratt, Clara C.

doi:10.2105/ajph.77.5.634

Cited by 96 publications

(52 citation statements)

References 11 publications

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“…Generalizability is likely limited to clinic settings because only four interventions were delivered outside the clinic: three in the home (56,73,75) and one in senior centers (46,63). Interventions focused mainly on lifestyle modification (diet and physical activity) and knowledge levels, with only one study (68) focusing exclusively on skills such as self-monitoring of blood glucose and none using coping skills as the only focus of the intervention.…”

Section: Meta-regressionmentioning

confidence: 99%

Self-Management Education for Adults With Type 2 Diabetes

Norris

Lau

Sj³

et al. 2002

Diabetes Care

1,510

1,067

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OBJECTIVE -To evaluate the efficacy of self-management education on GHb in adults with type 2 diabetes. Medline (1980), Cinahl (1982, and the Educational Resources Information Center database (ERIC) (1980 -1999), and we manually searched review articles, journals with highest topic relevance, and reference lists of included articles. Studies were included if they were randomized controlled trials that were published in the English language, tested the effect of self-management education on adults with type 2 diabetes, and reported extractable data on the effect of treatment on GHb. A total of 31 studies of 463 initially identified articles met selection criteria. We computed net change in GHb, stratified by follow-up interval, tested for trial heterogeneity, and calculated pooled effects sizes using random effects models. We examined the effect of baseline GHb, follow-up interval, and intervention characteristics on GHb. RESEARCH DESIGN AND METHODS -We searched for English language trials inRESULTS -On average, the intervention decreased GHb by 0.76% (95% CI 0.34 -1.18) more than the control group at immediate follow-up; by 0.26% (0.21% increase -0.73% decrease) at 1-3 months of follow-up; and by 0.26% (0.05-0.48) at Ն4 months of follow-up. GHb decreased more with additional contact time between participant and educator; a decrease of 1% was noted for every additional 23.6 h (13.3-105.4) of contact.CONCLUSIONS -Self-management education improves GHb levels at immediate followup, and increased contact time increases the effect. The benefit declines 1-3 months after the intervention ceases, however, suggesting that learned behaviors change over time. Further research is needed to develop interventions effective in maintaining long-term glycemic control.

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Section: Meta-regressionmentioning

confidence: 99%

Self-Management Education for Adults With Type 2 Diabetes

Norris

Lau

Sj³

et al. 2002

Diabetes Care

1,510

1,067

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“…Studies have linked social support to higher health status levels (Wierenga, 1994;Wilson & Pratt, 1987), better compliance with treatment regimen (MacLean & Lo, 1998;Whittemore, Melkus, & Grey, 2005), adherence to self-care activities (Wang & Fenske, 1996;Whittemore et al, 2005), increased health related quality of life (Aalto, Uutela, & Aro, 1997), and improved psychosocial adaptation (Fisher, Lagreca, Creco, Arfken, & Schneiderman, 1997;Karlsen, Idsoe, Hanestad, Murberg, & Bru, 2004;White et al, 1992;Whittemore et al, 2005).…”

Section: Self-regulation Behaviormentioning

confidence: 99%

Illness representations, emotional distress, coping strategies, and coping efficacy as predictors of patient outcomes in type 2 diabetes

Hart¹,

Grindel²

2010

J of Nursing and Healthcare

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hart pl & grindel cg (2010) Journal of Nursing and Healthcare of Chronic Illness2, 225–240 Illness representations, emotional distress, coping strategies, and coping efficacy as predictors of patient outcomes in type 2 diabetes Aim. To examine the relationship between illness representations, emotional distress, coping strategies, and coping efficacy as predictors of self‐care behaviour and A1c levels in individuals with type 2 diabetes. Background. Diabetes mellitus affects 23·6 million Americans and is the seventh leading cause of death in the United States. Reduction in complications can be best achieved by individuals’ adhering to appropriate lifestyle changes and maintaining tight glycemic control. Understanding the degree of influence that psychosocial factors have on individuals’ decisions to perform self‐regulation activities will give insight on strategies to encourage better decision‐making to prevent acute and chronic complications. Methods. A descriptive, correlational design examined the psychosocial factors to determine the predictive relationships with self‐care behaviour and A1c levels. Participants were 119 men and women recruited from physician offices, medical clinics, and diabetes education centers. The research was conducted from March–December 2007. Results. Participants perceived their diabetes to be a chronic, moderately cyclical condition with negative consequences and with moderate amounts of symptomatology that greatly influenced their emotional status. Hierarchical multiple linear regression analyses revealed that a) coping efficacy uniquely accounted for 9% of the variance in self‐care behaviour and b) illness representations, particularly timeline‐cyclical, uniquely accounted for 12% of the variance in A1c levels. Conclusions. The findings confirm how illness representations, emotional distress, coping strategies, and coping efficacy influence self‐care behaviour and health outcomes. Psychosocial factors can influence lifestyle behaviour changes and outcomes of individuals with diabetes mellitus. Relevance to clinical practice. Findings from the study have implications for nurses in the areas of assessment, diabetes management, coping skills training, and cognitive behavioural therapy. Nurses should incorporate these strategies into their daily practice to help individuals identify successful coping strategies, enhance coping efficacy, and change misconceptions about diabetes mellitus to improve self‐care behaviour and health outcomes.

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“…Research on the peer approach in other chronically ill populations has suggested that both the peers providing the support and the patients receiving the support experience benefits (Hamilton & Borstein, 1979;Whittemore et al, 2000;Wilson & Pratt, 1987;Antonucci & Israel, 1986). Most peer support research in the area of HIV has been limited to HIVnegative volunteers who have provided social support to HIV-positive individuals.…”

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confidence: 99%

Peer Support to Promote Medication Adherence Among People Living with HIV/AIDS

Marino

Simoni

Silverstein

2007

Social Work in Health Care

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Since early in the AIDS epidemic, HIV-positive individuals have benefited from the services of peer support or buddy programs. However, little research has focused on the experience of the peer providing support. We conducted qualitative interviews with nine HIV-positive peers who had participated in an intervention designed to provide support to other HIV-positive individuals as one means of promoting antiretroviral therapy adherence. Analyses of the peers' common dialogue about their involvement in the study revealed four main themes: social acceptance, reciprocal support, personal growth and empowerment, and resistance and other challenges. Recommendations for future research and for implementing similar interventions in a health care setting are provided.

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The impact of diabetes education and peer support upon weight and glycemic control of elderly persons with noninsulin dependent diabetes mellitus (NIDDM).

Cited by 96 publications

References 11 publications

Self-Management Education for Adults With Type 2 Diabetes

Self-Management Education for Adults With Type 2 Diabetes

Illness representations, emotional distress, coping strategies, and coping efficacy as predictors of patient outcomes in type 2 diabetes

Peer Support to Promote Medication Adherence Among People Living with HIV/AIDS

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