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

Autores
Gagliardino, Juan Jose; Arrechea, Andrea Viviana; Assad, Daniel; Gagliardino, Gabriel G.; Gonzalez, Lorena; Lucero, Soledad; Rizzuti, Liliana; Zufriategui, Zulma; Clark Jr., Charles
Año de publicación
2013
Idioma
inglés
Tipo de recurso
artículo
Estado
versión publicada
Descripción
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
Materia
Peer Support
Diabetes Education
Type 2 Diabetes Management
Quality of Care
Patient Satisfaction
Psychological Impact
Nivel de accesibilidad
acceso abierto
Condiciones de uso
https://creativecommons.org/licenses/by-nc-sa/2.5/ar/
Repositorio
CONICET Digital (CONICET)
Institución
Consejo Nacional de Investigaciones Científicas y Técnicas
OAI Identificador
oai:ri.conicet.gov.ar:11336/5289
Acceder
id CONICETDig_3fa94da5f2d30b425cfb9f03a781a6ff
oai_identifier_str oai:ri.conicet.gov.ar:11336/5289
network_acronym_str CONICETDig
repository_id_str 3498
network_name_str CONICET Digital (CONICET)
spelling Type 2 diabetes patients educated by other patients perform at least as well as patients trained by professionalsGagliardino, Juan JoseArrechea, Andrea VivianaAssad, DanielGagliardino, Gabriel G.Gonzalez, LorenaLucero, SoledadRizzuti, LilianaZufriategui, ZulmaClark Jr., CharlesPeer SupportDiabetes EducationType 2 Diabetes ManagementQuality of CarePatient SatisfactionPsychological Impacthttps://purl.org/becyt/ford/3.2https://purl.org/becyt/ford/3Background: 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); ArgentinaFil: Arrechea, Andrea Viviana. Centro para la Educación Terapéutica "Bernardo A. Houssay"; ArgentinaFil: Assad, Daniel. Centro para la Educación Terapéutica "Bernardo A. Houssay"; ArgentinaFil: Gagliardino, Gabriel G.. Centro para la Educación Terapéutica "Bernardo A. Houssay"; ArgentinaFil: Gonzalez, Lorena. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Cientifico Tecnológico La Plata. Centro de Endocrinologia Experimental y Aplicada (i); ArgentinaFil: Lucero, Soledad. Centro para la Educación Terapéutica "Bernardo A. Houssay"; ArgentinaFil: Rizzuti, Liliana. Centro para la Educación Terapéutica "Bernardo A. Houssay"; ArgentinaFil: Zufriategui, Zulma. Centro para la Educación Terapéutica "Bernardo A. Houssay"; ArgentinaFil: Clark Jr., Charles. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Cientifico Tecnológico La Plata. Centro de Endocrinologia Experimental y Aplicada (i); ArgentinaWiley2013-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttp://purl.org/coar/resource_type/c_6501info:ar-repo/semantics/articuloapplication/pdfapplication/pdfhttp://hdl.handle.net/11336/5289Gagliardino, Juan Jose; Arrechea, Andrea Viviana; Assad, Daniel; Gagliardino, Gabriel G.; Gonzalez, Lorena; et al.; Type 2 diabetes patients educated by other patients perform at least as well as patients trained by professionals; Wiley; Diabetes/metabolism Research and Reviews; 29; 2; 1-2013; 152-1601520-7560enginfo:eu-repo/semantics/altIdentifier/url/http://onlinelibrary.wiley.com/doi/10.1002/dmrr.2368/abstractinfo:eu-repo/semantics/altIdentifier/doi/info:eu-repo/semantics/altIdentifier/doi/10.1002/dmrr.2368info:eu-repo/semantics/openAccesshttps://creativecommons.org/licenses/by-nc-sa/2.5/ar/reponame:CONICET Digital (CONICET)instname:Consejo Nacional de Investigaciones Científicas y Técnicas2025-09-03T10:11:22Zoai:ri.conicet.gov.ar:11336/5289instacron:CONICETInstitucionalhttp://ri.conicet.gov.ar/Organismo científico-tecnológicoNo correspondehttp://ri.conicet.gov.ar/oai/requestdasensio@conicet.gov.ar; lcarlino@conicet.gov.arArgentinaNo correspondeNo correspondeNo correspondeopendoar:34982025-09-03 10:11:22.311CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicasfalse
dc.title.none.fl_str_mv Type 2 diabetes patients educated by other patients perform at least as well as patients trained by professionals
title Type 2 diabetes patients educated by other patients perform at least as well as patients trained by professionals
spellingShingle Type 2 diabetes patients educated by other patients perform at least as well as patients trained by professionals
Gagliardino, Juan Jose
Peer Support
Diabetes Education
Type 2 Diabetes Management
Quality of Care
Patient Satisfaction
Psychological Impact
title_short Type 2 diabetes patients educated by other patients perform at least as well as patients trained by professionals
title_full Type 2 diabetes patients educated by other patients perform at least as well as patients trained by professionals
title_fullStr Type 2 diabetes patients educated by other patients perform at least as well as patients trained by professionals
title_full_unstemmed Type 2 diabetes patients educated by other patients perform at least as well as patients trained by professionals
title_sort Type 2 diabetes patients educated by other patients perform at least as well as patients trained by professionals
dc.creator.none.fl_str_mv Gagliardino, Juan Jose
Arrechea, Andrea Viviana
Assad, Daniel
Gagliardino, Gabriel G.
Gonzalez, Lorena
Lucero, Soledad
Rizzuti, Liliana
Zufriategui, Zulma
Clark Jr., Charles
author Gagliardino, Juan Jose
author_facet Gagliardino, Juan Jose
Arrechea, Andrea Viviana
Assad, Daniel
Gagliardino, Gabriel G.
Gonzalez, Lorena
Lucero, Soledad
Rizzuti, Liliana
Zufriategui, Zulma
Clark Jr., Charles
author_role author
author2 Arrechea, Andrea Viviana
Assad, Daniel
Gagliardino, Gabriel G.
Gonzalez, Lorena
Lucero, Soledad
Rizzuti, Liliana
Zufriategui, Zulma
Clark Jr., Charles
author2_role author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv Peer Support
Diabetes Education
Type 2 Diabetes Management
Quality of Care
Patient Satisfaction
Psychological Impact
topic Peer Support
Diabetes Education
Type 2 Diabetes Management
Quality of Care
Patient Satisfaction
Psychological Impact
purl_subject.fl_str_mv https://purl.org/becyt/ford/3.2
https://purl.org/becyt/ford/3
dc.description.none.fl_txt_mv 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
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.
publishDate 2013
dc.date.none.fl_str_mv 2013-01
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
http://purl.org/coar/resource_type/c_6501
info:ar-repo/semantics/articulo
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv http://hdl.handle.net/11336/5289
Gagliardino, Juan Jose; Arrechea, Andrea Viviana; Assad, Daniel; Gagliardino, Gabriel G.; Gonzalez, Lorena; et al.; Type 2 diabetes patients educated by other patients perform at least as well as patients trained by professionals; Wiley; Diabetes/metabolism Research and Reviews; 29; 2; 1-2013; 152-160
1520-7560
url http://hdl.handle.net/11336/5289
identifier_str_mv Gagliardino, Juan Jose; Arrechea, Andrea Viviana; Assad, Daniel; Gagliardino, Gabriel G.; Gonzalez, Lorena; et al.; Type 2 diabetes patients educated by other patients perform at least as well as patients trained by professionals; Wiley; Diabetes/metabolism Research and Reviews; 29; 2; 1-2013; 152-160
1520-7560
dc.language.none.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv info:eu-repo/semantics/altIdentifier/url/http://onlinelibrary.wiley.com/doi/10.1002/dmrr.2368/abstract
info:eu-repo/semantics/altIdentifier/doi/
info:eu-repo/semantics/altIdentifier/doi/10.1002/dmrr.2368
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
https://creativecommons.org/licenses/by-nc-sa/2.5/ar/
eu_rights_str_mv openAccess
rights_invalid_str_mv https://creativecommons.org/licenses/by-nc-sa/2.5/ar/
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv Wiley
publisher.none.fl_str_mv Wiley
dc.source.none.fl_str_mv reponame:CONICET Digital (CONICET)
instname:Consejo Nacional de Investigaciones Científicas y Técnicas
reponame_str CONICET Digital (CONICET)
collection CONICET Digital (CONICET)
instname_str Consejo Nacional de Investigaciones Científicas y Técnicas
repository.name.fl_str_mv CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicas
repository.mail.fl_str_mv dasensio@conicet.gov.ar; lcarlino@conicet.gov.ar
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score 13.13397

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