Effectiveness of a community-based diabetes self-management education (DSME) program in a rural agricultural setting

Paz-Pacheco, Elizabeth; Sandoval, Mark Anthony; Ardena, Gregory Joseph Ryan; Paterno, Elizabeth; Juban, Noel; Lantion-Ang, Frances Lina; Jimeno, Cecilia; Patal, Perpetua C; Bongon, Joseph

doi:10.1017/s1463423616000335

Cited by 41 publications

(77 citation statements)

References 18 publications

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“…Potential PLs were primarily identified through recommendations from health professionals or through centers or databases that contained information on patients with diabetes . Eighteen studies defined eligibility criteria for PL recruitment . Most studies required a personal history of diabetes as an eligibility criterion.…”

Section: Resultsmentioning

confidence: 99%

“…The programs were primarily led by research teams and health professionals, including certified diabetes educators, clinical psychologists, nurses, nutritionists, and, in one study, endocrinologists. The core elements of each training program, in order of frequency, were (a) communication skills, (b) diabetes knowledge, (c) facilitation skills, (d) behavioral modification skills, (e) motivational interviewing, (f) ethics, and (g) available community resources . Role plays were a popular teaching approach.…”

Section: Resultsmentioning

confidence: 99%

“…Studies were conducted in a variety of settings: 12, 1, 3, and 6 studies were held in primary care, secondary care, tertiary care, and community‐based settings, respectively (Appendix 2). Only one study was conducted in a joint (primary care and community) setting to reach the recruitment target …”

Section: Resultsmentioning

confidence: 99%

“…Some studies used PS to deliver ongoing DSME; [17][18][19][20][21][22][23] others used PS as ongoing DSMS following short-term DSME programs. [11][12][13][14][15][16][24][25][26][27][28][29][30][31][32][33] The rationales given for the PS interventions were to improve clinical and/or psychosocial outcomes (either directly or through increasing self-efficacy 31 or enhanced diabetes self-management 14 ), self-efficacy, self-care behaviors, diabetes self-management, and use of health care services.…”

Section: Why What and Who?mentioning

confidence: 99%

“…12,14,18,19,25,34 Eighteen studies defined eligibility criteria for PL recruitment. [11][12][13][14][15][16][17][18][19][20][22][23][24][25]27,29,30,32 Most studies required a personal history of diabetes as an eligibility criterion. In three studies, however, a PL could be an individual without diabetes who had cared for or lived with a patient with diabetes.…”

Section: Why What and Who?mentioning

confidence: 99%

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Peer support interventions in type 2 diabetes: Review of components and process outcomes

Afshar

Tang

Askari

et al. 2019

Journal of Diabetes

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Background This review seeks to identify (a) the various components and process outcomes of type 2 diabetes peer support (PS) interventions and (b) the measures implemented to monitor intervention fidelity and evaluate outcomes in these studies. Methods The MEDLINE, PubMed, EMBASE (Excerpta Medica Database), CENTRAL (Cochrane Central Register of Controlled Trials), CINAHL (Cumulative Index to Nursing and Allied Health Literature), and PsycINFO databases were searched from inception to May 2019. Two reviewers independently screened and extracted data from eligible articles via the Template for Intervention Description and Replication (TIDieR) checklist (why, what, who provided, how, where, when and how much, tailoring, modifications, and how well). Results Twenty‐three trials were included. The total number of participants was 7178. Most interventions were in primary care. Although face‐to‐face was the most common modality of contact, rates of contact were highest for telephone. Potential peer leaders (PLs) were identified primarily through recommendations from health professionals, based on their communication skills, glycosylated hemoglobin (HbA1c), and coaching interest. PLs were mostly female, university educated, and had a long history of diabetes (≥ 10 years). PL training varied significantly in length and content; the two most frequent topics were communication skills and diabetes knowledge. Although several studies implemented methods to evaluate “intervention fidelity,” only few rigorously assessed the two key components of fidelity, “adherence” and “competence,” through audio‐ and video‐taping or direct observations. Conclusions The impact of PS on participants' health outcomes is well investigated; however, the implementation and evaluation strategies vary significantly across these studies. In the present review, we define the various components of PS interventions and propose suggestions for enhancing the implementation and evaluation of future PS models.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Why What and Who?mentioning

confidence: 99%

Section: Why What and Who?mentioning

confidence: 99%

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Peer support interventions in type 2 diabetes: Review of components and process outcomes

Afshar

Tang

Askari

et al. 2019

Journal of Diabetes

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Burden and management of type 2 diabetes in rural United States

Dugani

Mielke

Vella

2020

Diabetes Metabolism Res

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In the United States, rural areas have a higher burden of type 2 diabetes (T2DM) compared to urban areas. However, there is limited information on risk factors and interventions that improve the primary prevention and management of T2DM in rural areas. To synthesize current knowledge on T2DM in rural areas and to guide healthcare providers and policy makers, we reviewed five scientific databases and the grey literature over the last decade (2010–2020). We described classification systems for rurality and the T2DM burden based on rurality and region (West, South, Midwest, and Northeast). We highlighted risk factors for T2DM in rural compared to urban areas, and summarized interventions to screen and manage T2DM based on opportunistic screening, T2DM self‐management, community‐based initiatives, as well as interventions targeting comorbidities and T2DM. Several studies identified the co‐existence of T2DM and depression/psychological symptoms, which could reduce adherence to non‐pharmacologic and pharmacologic management of T2DM. We highlighted the role of technology in education and counselling of patients with geographic and financial barriers to accessing care, which is exacerbated by the SARS‐CoV‐2 coronavirus disease‐19 pandemic. We identified knowledge gaps and next steps in improving T2DM care in rural areas. There is an urgent need for interventions tailored to rural areas given that rural Americans currently experience a disproportionate burden of T2DM and are encumbered by its associated morbidity, mortality, and loss in economic productivity.

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Effect of community and peer support based healthy lifestyle program (CP-HELP) on self care behavior and fasting blood glucose in patient with type 2 Diabetes Mellitus

Samudera

Efendi

Indarwati

2021

J Diabetes Metab Disord

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Background Type 2 diabetes mellitus (T2DM) was one of chronic disease that remain global concern including in Indonesia. Healthy lifestyle is a part of diabetes mellitus treatment to achieve the highest health status and to prevent diabetes complication. Purpose: This study aimed to examine the effect of community and peer support based healthy lifestyle program (CP-HELP) on self-care behavior and fasting blood glucose in patient with T2DM. Methods: The research design was used quasi experimental pre and post-test design. 163 participants with T2DM were divided into two groups, 83 participants as intervention group were given CP-HELP intervention and 80 participants as control group were given usual care. Measurement of self-care behavior used Diabetes Self-Management Questionnaire (DSMQ). Furthermore, measurement of fasting blood glucose was measured by capillary blood test. This study was used paired t test and multivariate analysis of variance. Results: An increase of mean value of self-care behavior was occurred in both of group intervention and control. A significant different between pre-test and post-test in intervention group (p = 0.000). Results of statistical test used paired t test in control group, was not showed significantly different (p = 0.249). Improved of fasting blood glucose only occurred in intervention group (p = 0.020). Results of multivariate statistic test was showed in both outcomes obtained significant value less than 0.05, self-care behavior (p = 0.010), fasting blood glucose (p = 0.042). Conclusion: CP-HELP may be a promising interventional strategy to improve self-care behavior and improving of fasting blood glucose in patient with T2DM. The research results can be used as an important reference for improving self care behavior and fasting blood glucose in patient with type 2 Diabetes Mellitus.

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Effectiveness of a community-based diabetes self-management education (DSME) program in a rural agricultural setting

Abstract: DSME in this rural agricultural town improved glycemic control and promoted foot examination.

Cited by 41 publications

References 18 publications

Peer support interventions in type 2 diabetes: Review of components and process outcomes

Peer support interventions in type 2 diabetes: Review of components and process outcomes

Burden and management of type 2 diabetes in rural United States

Effect of community and peer support based healthy lifestyle program (CP-HELP) on self care behavior and fasting blood glucose in patient with type 2 Diabetes Mellitus

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