Implementing a peer-support intervention for people with type 2 diabetes: a qualitative study

Paul, Gillian; Keogh, Karen; D’Eath, Maureen; Smith, Susan M

doi:10.1093/fampra/cmt027

Cited by 22 publications

(34 citation statements)

References 13 publications

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“…This is based on the belief that individuals are socially embedded, where social relations constitute an individual’s identity and this is reaffirmed or discredited through interaction with others. Since the PSWs’ emerging identity is dependent on this interaction, it was seen to engender a sense of purpose and increased self esteem [ 9 , 11 , 12 , 19 , 21 , 22 , 25 , 33 – 35 , 40 ].…”

Section: Resultsmentioning

confidence: 99%

“…The value of peer support models for improving client access, uptake and engagement with health services and for adding value to the client experience is widely recognised. Their success has been replicated in engagement with hard to reach groups from middle aged men with chronic disease [ 17 – 21 ], to those with stigmatised disease [ 16 , 22 – 25 ] and people who misuse substances [ 26 , 27 ].…”

Section: Introductionmentioning

confidence: 99%

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Peer Support Workers in Health: A Qualitative Metasynthesis of Their Experiences

et al. 2015

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ObjectivePeer support models, where an individual has a specific illness or lifestyle experience and supports others experiencing similar challenges, have frequently been used in different fields of healthcare to successfully engage hard-to-reach groups. Despite recognition of their value, the impact of these roles on the peer has not been systematically assessed. By synthesising the qualitative literature we sought to review such an impact, providing a foundation for designing future clinical peer models.MethodsSystematic review and qualitative metasynthesis of studies found in Medline, CINAHL or Scopus documenting peer worker experiences.Results1,528 papers were found, with 34 meeting the criteria of this study. Findings were synthesised to reveal core constructs of reframing identity through reciprocal relations and the therapeutic use of self, enhancing responsibility.ConclusionsThe ability of the Peer Support Worker to actively engage with other marginalised or excluded individuals based on their unique insight into their own experience supports a therapeutic model of care based on appropriately sharing their story. Our findings have key implications for maximising the effectiveness of Peer Support Workers and in contributing their perspective to the development of a therapeutic model of care.

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Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Peer Support Workers in Health: A Qualitative Metasynthesis of Their Experiences

et al. 2015

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“…Across the literature, there is a large variation in the training offered to volunteers in the amount of hours and in the content delivered. Similar research with volunteers has reported training durations ranging from 5 hours in some studies27 to 50 hours in others 28. The intensity of the training is dependent on the nature of the peer supporters’ role.…”

Section: Discussionmentioning

confidence: 62%

“…Other than requiring a dedicated staff member, currently little is known about the specifics and amount of supervision needed for peer supporter roles for optimal retention and effectiveness,35 with some literature reporting a member of the research team contacting peer supporters monthly by phone 13 27. Simmons et al 26 reported a 50% withdrawal rate of volunteers after a 2-month period, compared with an 11% withdrawal rate over a similar time period in this program.…”

Section: Discussionmentioning

confidence: 99%

Recruitment, retention, and training of people with type 2 diabetes as diabetes prevention mentors (DPM) to support a healthcare professional-delivered diabetes prevention program: the Norfolk Diabetes Prevention Study (NDPS)

Garner

Pascale

Ferns

et al. 2019

BMJ Open Diab Res Care

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ObjectiveIntensive lifestyle interventions reduce the risk of type 2 diabetes in populations at highest risk, but staffing levels are usually unable to meet the challenge of delivering effective prevention strategies to a very large at-risk population. Training volunteers with existing type 2 diabetes to support healthcare professionals deliver lifestyle interventions is an attractive option.MethodsWe identified 141 973 people at highest risk of diabetes in the East of England, screened 12 778, and randomized 1764 into a suite of type 2 diabetes prevention and screen detected type 2 diabetes management trials. A key element of the program tested the value of volunteers with type 2 diabetes, trained to act as diabetes prevention mentors (DPM) when added to an intervention arm delivered by healthcare professionals trained to support participant lifestyle change.ResultsWe invited 9951 people with type 2 diabetes to become DPM and 427 responded (4.3%). Of these, 356 (83.3%) were interviewed by phone, and of these 131 (36.8%) were interviewed in person. We then appointed 104 of these 131 interviewed applicants (79%) to the role (mean age 62 years, 55% (n=57) male). All DPMs volunteered for a total of 2895 months, and made 6879 telephone calls to 461 randomized participants. Seventy-six (73%) DPMs volunteered for at least 6 months and 66 (73%) for at least 1 year.DiscussionIndividuals with type 2 diabetes can be recruited, trained and retained as DPM in large numbers to support a group-based diabetes prevention program delivered by healthcare professionals. This volunteer model is low cost, and accesses the large type 2 diabetes population that shares a lifestyle experience with the target population. This is an attractive model for supporting diabetes prevention efforts.

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“…Using peers to educate other patients with T2D has shown effective in providing ongoing support over a longer period. 31 32 In this study, volunteer patients with T2D are recruited through the Danish Diabetes Association, where a consultant contacts possible patients via email. The Interval Walking Ambassadors do IWT locally in phase II with patients from the IWTsupport group.…”

Section: Methods and Analysismentioning

confidence: 99%

Long-term effect of smartphone-delivered Interval Walking Training on physical activity in patients with type 2 diabetes: protocol for a parallel group single-blinded randomised controlled trial

et al. 2017

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IntroductionPhysical activity is a cornerstone in type 2 diabetes (T2D) rehabilitation. Effective long-term and low-cost strategies to keep these patients' physically active are needed. However, maintaining physical activity behaviour is difficult once formalised interventions end. Structured exercise training supported by mobile technology and remote feedback is potentially an effective strategy. The objective of the trial is to investigate whether mobile health support using the InterWalk application for smartphones is effective in increasing physical activity levels in persons with T2D over time compared with standard care. We investigate whether Interval Walking Training using the InterWalk application is superior to Danish municipality-based rehabilitation in increasing moderate-and-vigorous physical activity levels in patients with T2D across 52 weeks. Secondary, we hypothesise that a motivational programme added from end of intervention to 52 weeks further increases level of physical activity in everyday life in patients with T2D.Methods and analysisThe trial is a parallel-group, open-labelled, randomised controlled trial with long-term follow-up at 52 week including patients with T2D. The primary outcome is change in moderate-and-vigorous physical activity. The key secondary outcome includes motivation for physical activity behaviour change. Other secondary outcomes are VO2-peak, strength in the lower extremities. Exclusion criterion is medical contraindication to exercise. We include up to 246 patients and randomly allocate them into a control (standard group) or an experimental group (8–12 weeks of IWT supported by the smartphone-based InterWalk application) in a 1:2 fashion. After intervention, the experimental group is randomly allocated into two follow-up conditions with unsupervised IWT with or without motivational support until 52-week follow-up. The intention-to-treat principle is applied.Ethics and disseminationThe local regional Research Ethics Committee in Denmark (H-1-2014-074) and the Danish Data Protection Agency (j.nr. 2014-54-0897) have approved the trial. Positive, negative or inconclusive results will be disseminated in scientific journals and conferences.Trial registration numberNCT02341690.

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Implementing a peer-support intervention for people with type 2 diabetes: a qualitative study

Abstract: This study revealed that it was feasible to implement a peer-support intervention in the general practice setting. Challenges of delivering such an intervention were identified, particularly in relation to meeting attendance, and should be considered in further research in the area.

Cited by 22 publications

References 13 publications

Peer Support Workers in Health: A Qualitative Metasynthesis of Their Experiences

Peer Support Workers in Health: A Qualitative Metasynthesis of Their Experiences

Recruitment, retention, and training of people with type 2 diabetes as diabetes prevention mentors (DPM) to support a healthcare professional-delivered diabetes prevention program: the Norfolk Diabetes Prevention Study (NDPS)

Long-term effect of smartphone-delivered Interval Walking Training on physical activity in patients with type 2 diabetes: protocol for a parallel group single-blinded randomised controlled trial

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