Effect of Peer Education on Self-management and Psychological Status in Type 2 Diabetes Patients with Emotional Disorders

Overview

Journal J Diabetes Investig

Specialty Endocrinology

Date 2015 Jul 30

PMID 26221528

Citations 16

Authors

Yan Liu

Ying Han

Jieli Shi

Ruixia Li

Sufen Li

Nana Jin

Yong Gu

Honglei Guo

Affiliations

Soon will be listed here.

Abstract

Aims/introduction: The purpose of the present study was to assess the effect of peer education in type 2 diabetes patients with emotional disorders on the metabolic index and psychological status.

Materials And Methods: Educators use psychological scales to screen type 2 diabetes patients with emotional disorders. Participants were divided into usual and peer education groups. Both groups received usual diabetes education. Peer leaders were recruited to provide support with the peer education group for 6 months. The metabolic index, diabetes knowledge, self-management, diabetes-related distress, emotional status and quality of life were compared at the end of the study.

Results: A total of 127 patients participated in the study. There were 20 peer leaders engaged in the study as volunteers for peer education. All participants completed the study and fulfilled the scales. Improvements in the peer education group were significant compared with the usual education group with respect to anxiety (49.0 ± 9.65 vs 54.0 ± 8.48), depression (51.3 ± 7.97 vs 55.8 ± 7.52), diabetes knowledge (18.8 ± 2.46 vs 16.3 ± 2.08), distress (2.67 ± 0.55 vs 3.02 ± 0.56), self-management (66.5 ± 4.26 vs 62.4 ± 5.88) and quality of life (-1.98 ± 0.82 vs -2.50 ± 0.71), whereas no significant difference existed with respect to the metabolic index.

Conclusions: Peer education, providing more attention to diabetes patients with emotional disorders, is a preferred model for delivering care.

Citing Articles

Effect of nutritional promotion intervention on dietary adherence among type II diabetes patients in North Shoa Zone Amhara Region: quasi-experimental study.

Eshete A, Lambebo A, Mohammed S, Shewasinad S, Assefa Y J Health Popul Nutr. 2023; 42(1):49.

PMID: 37254151 PMC: 10228076. DOI: 10.1186/s41043-023-00393-3.

What is the volume, diversity and nature of recent, robust evidence for the use of peer support in health and social care? An evidence and gap map.

Price A, de Bell S, Shaw N, Bethel A, Anderson R, Thompson Coon J Campbell Syst Rev. 2023; 18(3):e1264.

PMID: 36909883 PMC: 9316011. DOI: 10.1002/cl2.1264.

Community-based lifestyle intervention improves metabolic syndrome and related markers among Kenyan adults.

Okube O, Kimani S, Mirie W J Diabetes Metab Disord. 2022; 21(1):607-621.

PMID: 35673420 PMC: 9167372. DOI: 10.1007/s40200-022-01023-1.

Effectiveness and implementation outcomes for peer-delivered mental health interventions in low- and middle-income countries: a mixed-methods systematic review.

Triece P, Massazza A, Fuhr D Soc Psychiatry Psychiatr Epidemiol. 2022; 57(9):1731-1747.

PMID: 35484436 DOI: 10.1007/s00127-022-02294-y.

The Impact of a Community Pharmacy Diabetes Self-Management Education Program on Diabetes Distress.

Machen M, Borden H, Hohmeier K J Pharm Technol. 2021; 35(1):3-10.

PMID: 34861019 PMC: 6313264. DOI: 10.1177/8755122518805429.

References

Yang J, Li S, Zheng Y . Predictors of depression in Chinese community-dwelling people with type 2 diabetes. J Clin Nurs. 2009; 18(9):1295-304. DOI: 10.1111/j.1365-2702.2008.02703.x. View

Jiang Y, Shiu R, Chuang L, Lin B . Is the development of a diabetes care system important for quality care? An analysis in Taiwan. J Diabetes Investig. 2014; 2(2):79-81. PMC: 4015544. DOI: 10.1111/j.2040-1124.2011.00110.x. View

Riddell M, Renwick C, Wolfe R, Colgan S, Dunbar J, Hagger V . Cluster randomized controlled trial of a peer support program for people with diabetes: study protocol for the Australasian Peers for Progress study. BMC Public Health. 2012; 12:843. PMC: 3519788. DOI: 10.1186/1471-2458-12-843. View

Lorig K, Ritter P, Villa F, Armas J . Community-based peer-led diabetes self-management: a randomized trial. Diabetes Educ. 2009; 35(4):641-51. DOI: 10.1177/0145721709335006. View

Simon G, Katon W, Lin E, Ludman E, VonKorff M, Ciechanowski P . Diabetes complications and depression as predictors of health service costs. Gen Hosp Psychiatry. 2005; 27(5):344-51. DOI: 10.1016/j.genhosppsych.2005.04.008. View

Paul G, Keogh K, DEath M, Smith S . Implementing a peer-support intervention for people with type 2 diabetes: a qualitative study. Fam Pract. 2013; 30(5):593-603. DOI: 10.1093/fampra/cmt027. View

Philis-Tsimikas A, Fortmann A, Dharkar-Surber S, Euyoque J, Ruiz M, Schultz J . Dulce Mothers: an intervention to reduce diabetes and cardiovascular risk in Latinas after gestational diabetes. Transl Behav Med. 2014; 4(1):18-25. PMC: 3958598. DOI: 10.1007/s13142-014-0253-4. View

Yang W . Changing characteristics of the type 2 diabetes epidemic of China and other Asian countries. J Diabetes Investig. 2014; 4(3):223-4. PMC: 4015655. DOI: 10.1111/jdi.12057. View

Ting R, Nan H, Yu M, Kong A, Ma R, Wong R . Diabetes-related distress and physical and psychological health in chinese type 2 diabetic patients. Diabetes Care. 2011; 34(5):1094-6. PMC: 3114496. DOI: 10.2337/dc10-1612. View

10.

Polonsky W, Fisher L, Earles J, Dudl R, Lees J, Mullan J . Assessing psychosocial distress in diabetes: development of the diabetes distress scale. Diabetes Care. 2005; 28(3):626-31. DOI: 10.2337/diacare.28.3.626. View

11.

Ashwell S, Bradley C, Stephens J, Witthaus E, Home P . Treatment satisfaction and quality of life with insulin glargine plus insulin lispro compared with NPH insulin plus unmodified human insulin in individuals with type 1 diabetes. Diabetes Care. 2008; 31(6):1112-7. DOI: 10.2337/dc07-1183. View

12.

Hu J, Gruber K, Liu H, Zhao H, Garcia A . Diabetes knowledge among older adults with diabetes in Beijing, China. J Clin Nurs. 2012; 22(1-2):51-60. DOI: 10.1111/j.1365-2702.2012.04273.x. View

13.

Ismail K, Maissi E, Thomas S, Chalder T, Schmidt U, Bartlett J . A randomised controlled trial of cognitive behaviour therapy and motivational interviewing for people with Type 1 diabetes mellitus with persistent sub-optimal glycaemic control: a Diabetes and Psychological Therapies (ADaPT) study. Health Technol Assess. 2010; 14(22):1-101, iii-iv. DOI: 10.3310/hta14220. View

14.

Heisler M, Piette J . "I help you, and you help me": facilitated telephone peer support among patients with diabetes. Diabetes Educ. 2005; 31(6):869-79. DOI: 10.1177/0145721705283247. View

15.

Philis-Tsimikas A, Fortmann A, Lleva-Ocana L, Walker C, Gallo L . Peer-led diabetes education programs in high-risk Mexican Americans improve glycemic control compared with standard approaches: a Project Dulce promotora randomized trial. Diabetes Care. 2011; 34(9):1926-31. PMC: 3161298. DOI: 10.2337/dc10-2081. View

16.

Fisher E, Boothroyd R, Maggy Coufal M, Baumann L, Mbanya J, Rotheram-Borus M . Peer support for self-management of diabetes improved outcomes in international settings. Health Aff (Millwood). 2012; 31(1):130-9. PMC: 4128379. DOI: 10.1377/hlthaff.2011.0914. View

17.

Guo H, Tian X, Li R, Lin J, Jin N, Wu Z . Reward-based, task-setting education strategy on glycemic control and self-management for low-income outpatients with type 2 diabetes. J Diabetes Investig. 2014; 5(4):410-7. PMC: 4210071. DOI: 10.1111/jdi.12152. View

18.

Dennis C . Peer support within a health care context: a concept analysis. Int J Nurs Stud. 2003; 40(3):321-32. DOI: 10.1016/s0020-7489(02)00092-5. View

19.

Ciechanowski P, Katon W, Russo J . Depression and diabetes: impact of depressive symptoms on adherence, function, and costs. Arch Intern Med. 2000; 160(21):3278-85. DOI: 10.1001/archinte.160.21.3278. View

20.

Baksi A, Al-Mrayat M, Hogan D, Whittingstall E, Wilson P, Wex J . Peer advisers compared with specialist health professionals in delivering a training programme on self-management to people with diabetes: a randomized controlled trial. Diabet Med. 2008; 25(9):1076-82. PMC: 2613236. DOI: 10.1111/j.1464-5491.2008.02542.x. View