The Role and Value of Ongoing and Peer Support in Diabetes Care and Education

Warshaw, Hope; Hodgson, Lisa; Heyman, Mark; Oser, Tamara K.; Walker, Heather R.; Deroze, Phyllisa; Rinker, Joanne; Litchman, Michelle L.

doi:10.1177/0145721719882007

Cited by 25 publications

(25 citation statements)

References 34 publications

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“…23 Additionally, peer support via online media is often a preferred way to receive resources. 24,25 The T1D Financial Toolkit is a simple resource that diabetes care and education specialists can utilize to prompt discussions about relevant health insurance and financial challenges emerging adults might face and strategize solutions.…”

Section: Discussionmentioning

confidence: 99%

The Feasibility and Acceptability of a Community-Developed Health Insurance and Financial Toolkit for Emerging Adults With Type 1 Diabetes

Blanchette

Allen

Litchman

2022

The Science of Diabetes Self-Management and Care

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Purpose: The purpose of the study was to assess the feasibility and acceptability of a financial stress and health insurance education toolkit developed by a community advisory board for emerging adults, ages 18 to 25, with type 1 diabetes. Methods: This study is a longitudinal, randomized controlled trial that enrolled 39 emerging adults with type 1 diabetes. Participants randomized to the intervention group were given access to the T1D Financial Toolkit, an online financial and health insurance education toolkit, over 30 days. For the present analysis, feasibility was assessed by enrollment and attrition. Optional, qualitative interviews were conducted upon the conclusion of the intervention to evaluate feasibility, acceptability, satisfaction, and key recommendations for improvement. Results: Of the 39 participants who enrolled, 36 completed the study. The intervention period had 100% completion in both the control and intervention groups. Eleven participants from the intervention group completed interviews. Participants described few challenges accessing the toolkit and were highly satisfied with the intervention aesthetics, display, and content. Key recommendations included integrating more applied problem-solving into the experience of watching the videos. Conclusions: The T1D Financial Toolkit is a financial and health insurance education intervention tailored to emerging adults with type 1 diabetes. This resource is feasible, acceptable, and satisfactory. Diabetes care and education specialists can utilize this tool in practice to provide relevant, developmentally tailored education to emerging adults with type 1 diabetes, prompt applied problem-solving, reduce barriers to self-management, and improve psychosocial outcomes.

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Section: Discussionmentioning

confidence: 99%

The Feasibility and Acceptability of a Community-Developed Health Insurance and Financial Toolkit for Emerging Adults With Type 1 Diabetes

Blanchette

Allen

Litchman

2022

The Science of Diabetes Self-Management and Care

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“…Continuous support featured as another important factor of peer support. The literature acknowledges the physically and emotionally demanding nature of diabetes self-management and the need for continuous support and motivation (Carpenter, DiChiacchio & Barker 2019 ; Warshaw et al 2019 ). Expressions of support may include listening, acceptance (Peers for Progress 2015 ), showing how to do something (Simmons et al 2015 ) or connecting the individual to a health, social or other community resources (Tsolekile et al 2014 ).…”

Section: Discussionmentioning

confidence: 99%

A diabetes peer support intervention: Patient experiences using the Mmogo-method®

Pienaar

Reid

2021

Health SA Gesondheid

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Background Self-management is the backbone of diabetes care. For the patient with type 2 diabetes, this implies making decisions about a healthy diet, regular exercise and taking treatment appropriately. Some patients may experience barriers to the self-management of diabetes, such as lack of support. In this respect, peer support has been identified as a promising strategy in the self-management of diabetes. Aim The study aimed to explore the experiences of adults with type 2 diabetes who took part in a diabetes peer support intervention in the Free State, South Africa. Such information may lead to the development of practical methods for diabetes self-management and control. Methods Twelve purposively sampled Sesotho-speaking women (aged 51–84 years) participated in the Mmogo-method®, a visual-based narrative enquiry. Textual data from audio recordings of discussions, visual data from photographs of constructions and field notes were triangulated and analysed thematically. Results Participants described the peer support intervention as very valuable. They regarded community health workers as an important source of support. Three themes emerged from the intervention: positive lifestyle changes, continuous support, and improved confidence and sense of connectedness. This was a significant finding reported in patients with diabetes, as it will contribute to successfully sustaining effective self-management behaviour. Conclusions Peer support for patients with type 2 diabetes appeared to be a valued intervention, as participants related well to community health workers, who are ideally positioned in the healthcare system to provide the service.

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“…The process of sharing one’s experiences and tips on management of a chronic disease may increase self-efficacy. It has been described that peer support for people with T2DM improves clinical and psychological outcomes particularly in minority populations, and may be associated with improvements in lifestyle habits, self-care, and self-efficacy ( 40 – 42 ).…”

Section: Discussionmentioning

confidence: 99%

Shared Medical Appointments and Mindfulness for Type 2 Diabetes—A Mixed-Methods Feasibility Study

Courten

Avard³

et al. 2020

Front. Endocrinol.

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Introduction Type 2 diabetes (T2DM) is a major health concern with significant personal and healthcare system costs. There is growing interest in using shared medical appointments (SMAs) for management of T2DM. We hypothesize that adding mindfulness to SMAs may be beneficial. This study aimed to assess the feasibility and acceptability of SMAs with mindfulness for T2DM within primary care in Australia. Materials and Methods We conducted a single-blind randomized controlled feasibility study of SMAs within primary care for people with T2DM living in Western Sydney, Australia. People with T2DM, age 21 years and over, with HbA1c > 6.5% or fasting glucose >7.00 mmol/L within the past 3 months were eligible to enroll. The intervention group attended six 2-h programmed SMAs (pSMAs) which were held fortnightly. pSMAs included a structured education program and mindfulness component. The control group received usual care from their healthcare providers. We collected quantitative and qualitative data on acceptability as well as glycemic control (glycated hemoglobin and continuous glucose monitoring), lipids, anthropometric measures, blood pressure, self-reported psychological outcomes, quality of life, diet, and physical activity using an ActiGraph accelerometer. Results Over a 2-month period, we enrolled 18 participants (10 females, 8 males) with a mean age of 58 years (standard deviation 9.8). We had 94.4% retention. All participants in the intervention group completed at least four pSMAs. Participants reported that attending pSMAs had been a positive experience that allowed them to accept their diagnosis and empowered them to make changes, which led to beneficial effects including weight loss and better glycemic control. Four pSMA participants found the mindfulness component helpful while two did not. All of the seven participants who contributed to qualitative evaluation reported improved psychosocial wellbeing and found the group setting beneficial. There was a significant difference in total cholesterol levels at 12 weeks between groups (3.86 mmol/L in intervention group vs. 4.15 mmol/L in the control group; p = 0.025) as well as pain intensity levels as measured by the PROMIS-29 (2.11 vs. 2.38; p = 0.034). Conclusion pSMAs are feasible and acceptable to people with T2DM and may result in clinical improvement. A follow-up fully-powered randomized controlled trial is warranted. Clinical Trial Registration Australia and New Zealand Clinical Trial Registry, identifier ACTRN12619000892112.

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The Role and Value of Ongoing and Peer Support in Diabetes Care and Education

Cited by 25 publications

References 34 publications

The Feasibility and Acceptability of a Community-Developed Health Insurance and Financial Toolkit for Emerging Adults With Type 1 Diabetes

The Feasibility and Acceptability of a Community-Developed Health Insurance and Financial Toolkit for Emerging Adults With Type 1 Diabetes

A diabetes peer support intervention: Patient experiences using the Mmogo-method®

Shared Medical Appointments and Mindfulness for Type 2 Diabetes—A Mixed-Methods Feasibility Study

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