Diabetes Peer Coaching
Diabetes Peer Coaching
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糖尿病同伴辅导
DOI：
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发表时间：
2014
期刊：
影响因子：
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通讯作者：
D. Thom
中科院分区：
文献类型：
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作者：
Elizabeth A Rogers;D. Hessler;T. Bodenheimer;A. Ghorob;E. Vittinghoff;D. Thom
目的：本研究的目的是在低收入的2型糖尿病患者中确定同伴教练与改善糖尿病控制相关的特征。方法从加利福尼亚州旧金山的6家城市诊所邀请说英语或西班牙语的低收入2型糖尿病患者参加研究。20名参与者接受了培训，并在为期6个月的同伴辅导干预中为109名患者提供了同伴辅导。主要结果是患者糖化血红蛋白(A1C)的平均变化。同伴教练的特征包括年龄、性别、患有糖尿病的年限、糖化血红蛋白、体重指数(BMI)、糖尿病相关痛苦程度、糖尿病自我管理的自我效能和抑郁。结果A1C的改善与教练在糖尿病管理方面的自我效能感较低(P<；.001)、糖尿病相关苦恼程度(P=.01)和抑郁评分(P=.03)较低有关。结论教练员特征与患者改善A1C的成功率有关。“较好的”糖尿病教练自我效能和苦恼水平并没有帮助，事实上，与患者A1C改善较少有关，这表明一些教练对他或她自己的糖尿病的不确定性可能会促进患者改善自我管理。在招聘同行教练时，应该考虑到这些教练的特点。
Purpose The purpose of this study was to identify characteristics of peer coaches associated with improvement in diabetes control among low-income patients with type 2 diabetes. Methods Low-income patients with type 2 diabetes who spoke English or Spanish from 6 urban clinics in San Francisco, California, were invited to participate in the study. Twenty participants received training and provided peer coaching to 109 patients over a 6-month peer coaching intervention. Primary outcome was average change in patient glycosylated hemoglobin (A1C). Characteristics of peer coaches included age, gender, years with diabetes, A1C, body mass index (BMI), levels of diabetes-related distress, self-efficacy in diabetes self-management, and depression. Results Patient improvement in A1C was associated with having a coach with a lower sense of self-efficacy in diabetes management (P < .001), higher level of diabetes-related distress (P = .01), and lower depression score (P = .03). Conclusions Coach characteristics are associated with patient success in improving A1C. “Better” levels of coach diabetes self-efficacy and distress were not helpful and, in fact, were associated with less improvement in patient A1C, suggesting that some coach uncertainty about his or her own diabetes might foster improved patient self-management. These coach characteristics should be considered when recruiting peer coaches.