Type 2 diabetes patients educated by other patients perform at least as well as patients trained by professionals

Authors
Gagliardino, Juan Jose; Arrechea, Andrea Viviana; Assad, Daniel; Gagliardino, Gabriel G.; Gonzalez, Lorena; Lucero, Soledad; Rizzuti, Liliana; Zufriategui, Zulma; Clark Jr., Charles
Publication Year
2013
Language
English
Format
article
Status
Published version
Description
Background: Diabetes education can improve the quality of care of people with diabetes, but many organizations are not equipped to manage its implementation. Involving people with diabetes in the education process can overcome the problem. Thus, we compared clinical, metabolic and psychological outcomes in people with type 2 diabetes 1 year after attending a structured diabetes education programme implemented by professional educators versus the same programme implemented by trained peers with diabetes that also provided ongoing peer support. Methods: People with type 2 diabetes (25–75 years) were randomly assigned to attend a 4-week structured diabetes education course delivered by professional educators (control) or previously trained peers (peer). Peers also received continuing psychological support, including examples on how to apply diabetes knowledge in daily life via weekly peer cellular phone calls and bimonthly face-to-face interviews in small groups (ten patients), using a structured questionnaire related to the patient's clinical, metabolic and psychological progress. Identical outcome data from both groups were used for follow-up. Results: Both groups had a comparable positive effect on clinical, metabolic and psychological indicators immediately following the programme. Over the following year, peer-educated subjects had lower A1C and systolic blood pressure and showed higher adherence to physical activity and better control of hypoglycaemic episodes. Conclusion: The non-inferiority of the peer outcomes and the mentioned improvements in this group suggest that volunteer trained peer educators and ongoing support can be successful. This approach provides an effective alternative method of education, especially in areas with limited availability of professionals and economic resources.
Fil: Gagliardino, Juan Jose. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Cientifico Tecnológico La Plata. Centro de Endocrinologia Experimental y Aplicada (i); Argentina
Fil: Arrechea, Andrea Viviana. Centro para la Educación Terapéutica "Bernardo A. Houssay"; Argentina
Fil: Assad, Daniel. Centro para la Educación Terapéutica "Bernardo A. Houssay"; Argentina
Fil: Gagliardino, Gabriel G.. Centro para la Educación Terapéutica "Bernardo A. Houssay"; Argentina
Fil: Gonzalez, Lorena. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Cientifico Tecnológico La Plata. Centro de Endocrinologia Experimental y Aplicada (i); Argentina
Fil: Lucero, Soledad. Centro para la Educación Terapéutica "Bernardo A. Houssay"; Argentina
Fil: Rizzuti, Liliana. Centro para la Educación Terapéutica "Bernardo A. Houssay"; Argentina
Fil: Zufriategui, Zulma. Centro para la Educación Terapéutica "Bernardo A. Houssay"; Argentina
Fil: Clark Jr., Charles. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Cientifico Tecnológico La Plata. Centro de Endocrinologia Experimental y Aplicada (i); Argentina
Subject
Peer support
Diabetes education
Type 2 diabetes management
Quality of care
Patient satisfaction
Psychological impact
Endocrinología y Metabolismo
Medicina Clínica
CIENCIAS MÉDICAS Y DE LA SALUD
Access level
Restricted access
License
https://creativecommons.org/licenses/by-nc-sa/2.5/ar/
Repository
CONICET Digital (CONICET)
Institution
Consejo Nacional de Investigaciones Científicas y Técnicas
OAI Identifier
oai:ri.conicet.gov.ar:11336/5289