Training peers to provide ongoing diabetes self-management support (DSMS): results from a pilot study.

Training peers to provide ongoing diabetes self-management support (DSMS): results from a pilot study.
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DOI:
10.1016/j.pec.2010.12.013
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发表时间:
2011-11
影响因子:
3.5
通讯作者:
Heisler M
Heisler M
中科院分区:
医学2区
文献类型:
--
作者:
Tang TS;Funnell MM;Gillard M;Nwankwo R;Heisler M

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本研究确定了培训糖尿病成人患者进行糖尿病自我管理支持(DSMS)干预的可行性,检查了参与者是否能够达到成功毕业所需的标准,并评估了同伴领导者培训(PLT)计划的感知效果和满意度。我们招募了9名患有糖尿病的非洲裔美国成年人,进行了为期12周的46小时PLT试点计划。该计划利用多种教学方法,审查关键的糖尿病教育内容领域,并提供沟通,促进和行为改变技能培训。参与者被给予三次尝试,以达到预先建立的能力标准,糖尿病知识,授权为基础的促进,积极倾听和自我效能。在第一次尝试时,75%,75%,63%和75%分别通过了糖尿病知识,基于授权的促进,积极倾听和自我效能。第一次尝试没有通过的参与者在第二次尝试中通过。参与者对课程长度、内容和技能发展之间的平衡以及领导支持活动的准备工作非常满意。研究结果表明,它是可行的,以必要的知识和技能,以促进DSMS的干预措施,培训和毕业的同行领导人。通过适当的培训,同伴支持可能是将灾害管理和安全管理干预措施转化和维持到社区环境中的一个可行模式。
This study determined the feasibility of training adults with diabetes to lead diabetes self-management support (DSMS) interventions, examined whether participants can achieve the criteria required for successful graduation, and assessed perceived efficacy of and satisfaction with the peer leader training (PLT) program. We recruited nine African-American adults with diabetes for a 46-hour PLT pilot program conducted over 12 weeks. The program utilized multiple instructional methods, reviewed key diabetes education content areas, and provided communication, facilitation, and behavior change skills training. Participants were given three attempts to achieve the pre-established competency criteria for diabetes knowledge, empowerment-based facilitation, active listening, and self-efficacy. On the first attempt 75%, 75%, 63%, and 75% passed diabetes knowledge, empowerment-based facilitation, active listening, and self-efficacy, respectively. Those participants who did not pass on first attempt passed on the second attempt. Participants were highly satisfied with the program length, balance between content and skills development, and preparation for leading support activities. Findings suggest that it is feasible to train and graduate peer leaders with the necessary knowledge and skills to facilitate DSMS interventions. With proper training, peer support may be a viable model for translating and sustaining DSMS interventions into community-based settings.
DOI: 10.2337/dc09-s087
发表时间: 2009-01
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影响因子: 16.2
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发表时间: 1998-05-01
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发表时间: 2010-06-01
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期刊: DIABETES EDUCATOR
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发表时间: 1998-03-01
影响因子: 2.9
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