Peer Support For Self-Management Of Diabetes Improved Outcomes In International Settings

Fisher, Edwin B.; Boothroyd, Renée I.; Coufal, Muchieh Maggy; Baumann, Linda C.; Mbanya, Jean Claude; Rotheram‐Borus, Mary Jane; Sanguanprasit, Boosaba; Tanasugarn, Chanuantong

doi:10.1377/hlthaff.2011.0914

Cited by 243 publications

(221 citation statements)

References 18 publications

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“…Peer coaches have been shown to improve asthma, cancer screening and treatment, and diabetes outcomes among low-income minorities. [9][10][11][12][13][14][15][16] It is not known, however, whether peer coaches can be effective in rural, under-resourced settings, where distance barriers are considerable and telephone connections are intermittent, or whether peer coaches are superior to diabetes education alone, especially in areas where basic knowledge about diabetes and healthy lifestyles is low. To fill these gaps in the evidence, we conducted a cluster-randomized trial in a rural, under-resourced region that tested the effectiveness of peer coaches plus brief education compared with brief education alone.…”

Section: Introductionmentioning

confidence: 99%

Peer Coaches to Improve Diabetes Outcomes in Rural Alabama: A Cluster Randomized Trial

Safford

Andreae

Cherrington

et al. 2015

The Annals of Family Medicine

119

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PURPOSE It is unclear whether peer coaching is effective in minority populations living with diabetes in hard-to-reach, under-resourced areas such as the rural South. We examined the effect of an innovative peer-coaching intervention plus brief education vs brief education alone on diabetes outcomes. METHODSThis was a community-engaged, cluster-randomized, controlled trial with primary care practices and their surrounding communities serving as clusters. The trial enrolled 424 participants, with 360 completing baseline and follow-up data collection (84.9% retention). The primary outcomes were change in glycated hemoglobin (HbA 1c ), systolic blood pressure (BP), low density lipoprotein cholesterol (LDL-C), body mass index (BMI), and quality of life, with diabetes distress and patient activation as secondary outcomes. Peer coaches were trained for 2 days in community settings; the training emphasized motivational interviewing skills, diabetes basics, and goal setting. All participants received a 1-hour diabetes education class and a personalized diabetes report card at baseline. Intervention arm participants were also paired with peer coaches; the protocol called for telephone interactions weekly for the first 8 weeks, then monthly for a total of 10 months.RESULTS Due to real-world constraints, follow-up was protracted, and intervention effects varied over time. The analysis that included the 68% of participants followed up by 15 months showed only a significant increase in patient activation in the intervention group. The analysis that included all participants who eventually completed follow-up revealed that intervention arm participants had significant differences in changes in systolic BP (P = .047), BMI (P = .02), quality of life (P = .003), diabetes distress (P = .004), and patient activation (P = .03), but not in HbA 1c (P = .14) or LDL-C (P = .97).CONCLUSION Telephone-delivered peer coaching holds promise to improve health for individuals with diabetes living in under-resourced areas.

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Section: Introductionmentioning

confidence: 99%

Peer Coaches to Improve Diabetes Outcomes in Rural Alabama: A Cluster Randomized Trial

Safford

Andreae

Cherrington

et al. 2015

The Annals of Family Medicine

119

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“…Some factors that explain economical benefits of implementing telemedical solutions include improved and continuous health monitoring of patients which allows on time intervention minimizing complications of disease. There are several studies which have confirmed improved health care amongst patients using telemedical applications [22], [23]. Furthermore, it has been also shown that such applications enable to obtain clinical outcomes comparable to in-person care [20].…”

Section: International Journal Of Computer Applications (0975 -8887) mentioning

confidence: 96%

Assessment and Comparison of Functionalities of Telemedical Applications

Plechawska–Wójcik¹,

Rybka²

2014

IJCA

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Medical services on the Internet are modern alternative to traditional medical care supporting many functions of healthcare process. In order to improve quality and usability of upcoming tools, evaluation of existing solutions may provide valuable insight for further developments. Therefore the objective of this study was to analyze functionalities of selected telemedical applications. Our analysis provided overview of most widely-used tools and their functionalities. We discriminated three important groups of telemedical applications which were further characterized by ascribing specific functionalities considering also main and supporting role of these functionalities in each group. Our analysis resulted in extensive yet non-exhaustive list of functionalities. Based on data ontology commonly used in medical applications we distinguish three main groups of applications: Communication and social networks, Self-observation, monitoring and diagnosis, Support for medical professionals. Functional analysis for each group of medical applications was performed based on selected cases. According to the findings from our study the major criterion that allows to disentangle the heterogeneity of medical application functionalities is professionalization of the medical application. It is plausible that in future different groups of applications will become even less distinguishable due to increasing applicability of social network features in web applications but also because of increasing popularity of ehealth add-ons and tools which are becoming increasingly integrated with complementary solutions. We also identified some unexplored potential of medical applications in the field of disease prevention.

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“…For example, self-help and mutual help groups reduced the disempowering consequences of strokes (Oiwah 1997), and membership of support groups was associated with diabetes patients more effectively managing their symptoms and blood sugar levels (Fisher et al 2012).…”

Section: Effects Of Self-help Support Groups and Assistive Technologymentioning

confidence: 99%

Developing a model of disability that focuses on the actions of disabled people

Levitt

2017

Disability & Society

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Disabled people, writers on disability and disability activists stress the importance of disabled people being included in all aspects of society. I argue that a major omission from this inclusiveness is that no current model of disability focuses on the impact of the actions of disabled people on disability. Disabled people are not passive bystanders, powerless to reduce the restrictions of disability. On the contrary, we are central to actively limiting its constraints. I develop a model of disability, called 'active' , which focuses on the effects on disability of the individual and collective actions of disabled people. I describe published findings which indicate that engaging in self-help, using support groups and deploying assistive technology can all reduce the limitations of disability. Recent increases in the number of disability support groups and developments in assistive technology have substantially augmented the potential for disabled people to combat the effects of disability. Points of interest• This article develops the active model of disability, which focuses on the impact of the actions of disabled people on disability.• These actions encompass both individual activity (e.g. self-help) and collective activity (e.g. disability activism). • This model is timely, as the recent increase in the availability of self-help information and support groups has substantially boosted the potential for disabled people to limit the constraints of their own disabilities.• This article presents published findings that engaging in self-help, using support groups and deploying assistive technology have all reduced the effects of disability. • It examines the limited role of disabled people in current models of disability and compares the active model with other models. • Moreover, it argues that both the active and social models can motivate research that improves disabled people's lives (emancipatory research).• Finally, it contends that the understanding of the complexities of disability can be facilitated, by using multiple, complementary models.

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Peer Support For Self-Management Of Diabetes Improved Outcomes In International Settings

Cited by 243 publications

References 18 publications

Peer Coaches to Improve Diabetes Outcomes in Rural Alabama: A Cluster Randomized Trial

Peer Coaches to Improve Diabetes Outcomes in Rural Alabama: A Cluster Randomized Trial

Assessment and Comparison of Functionalities of Telemedical Applications

Developing a model of disability that focuses on the actions of disabled people

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