Peer support facilitator and peer perspectives of an inner‐regional Australian diabetes prevention and self‐management peer support program

Kim, Claire; MacMillan, Freya; Osuagwu, Uchechukwu L.; Simmons, David

doi:10.1111/hsc.13798

Cited by 1 publication

(1 citation statement)

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“…This was supplemented with maintenance of weight loss and diabetes remission, which are known to provide ongoing motivation. 11,28 Given that peer support groups have shown to be valuable in weight loss as well as diabetes prevention and self-management, 31,32 embedding a peer support component in the programme may provide additional support to help participants overcome the challenges faced across all phases of the DiRECT-Australia intervention.…”

Section: Discussionmentioning

confidence: 99%

A qualitative study of the perceptions and experiences of participants and healthcare professionals in the DiRECT‐Australia type 2 diabetes remission service

Chimoriya,

MacMillan,

Lean

et al. 2024

Diabet Med

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BackgroundThe UK Diabetes Remission Clinical Trial (DiRECT) study was replicated in an Australian primary care setting. This qualitative study aimed to explore and understand the perceptions and experiences of both participants and healthcare professionals (HCPs) involved in the DiRECT‐Australia Type 2 Diabetes Remission Service.MethodsAll participants and HCPs delivering the service were invited to participate in semi‐structured interviews via online videoconferencing. The interview guides explored perceptions and experiences in DiRECT‐Australia, covering aspects such as barriers and facilitators to recruitment and participation, motivations and challenges across service phases, adequacy of support provided and the overall acceptability of the service. All interviews were audio‐recorded, transcribed verbatim and analysed using thematic analysis.ResultsEight DiRECT‐Australia participants and six HCPs (three general practitioners, two practice nurses and one dietitian) participated. Four overarching themes were identified: (1) Enablers and barriers to recruitment and continuous participation in DiRECT‐Australia; (2) Motivators and overcoming barriers across the total diet replacement, food reintroduction and weight maintenance phases; (3) Importance of participant‐HCP interactions and continuous support; (4) Acceptance and long‐term need for DiRECT‐Australia. Adherence to total diet replacement was less challenging than anticipated by participants. Transitioning to the food reintroduction phase was difficult but overcome through HCP support. DiRECT‐Australia was well accepted by both participants and HCPs, and participants expressed willingness to continue with the service, if provided on a long‐term basis.ConclusionsBoth participants and HCPs were highly interested in the new diabetes remission service set up in an Australian primary care setting. The acceptability of DiRECT‐Australia was underscored by participants emphasising the effectiveness of the service in achieving significant weight loss and diabetes remission. There is a need for long‐term and wider implementation of the service to ensure that anyone with recent onset type 2 diabetes is offered the best possible chance to achieve remission.

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