Peer Support for Achieving Independence in Diabetes (Peer-AID): design, methods and baseline characteristics of a randomized controlled trial of community health worker assisted diabetes self-management support.
Peer Support for Achieving Independence in Diabetes (Peer-AID): design, methods and baseline characteristics of a randomized controlled trial of community health worker assisted diabetes self-management support.
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DOI：
10.1016/j.cct.2014.06.011
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发表时间：
2014-07
影响因子：
2.2
通讯作者：
Krieger J
中科院分区：
文献类型：
--
作者：
Nelson K;Drain N;Robinson J;Kapp J;Hebert P;Taylor L;Silverman J;Kiefer M;Lessler D;Krieger J
社区卫生工作者（CHWs）可能是一个重要的机制，提供糖尿病自我管理的弱势群体。我们描述的设计和基线结果的试验评估家庭为基础的CHW干预。同伴支持实现糖尿病独立（Peer-AID）是一项随机对照试验，评价了以家庭为基础的CHW提供的糖尿病自我管理干预与常规护理。该研究招募了来自3个卫生系统的参与者。12个月时测量的A1 c变化是主要结局。12个月时血压、血脂、医疗保健利用、健康相关生活质量、自我效能和糖尿病自我管理行为的变化是次要结局。通过病历审查，共确定了1，438例患者可能符合资格，通过电话筛选了445例患者的资格，并对287例患者进行了随机化。各组在基线时的社会人口统计学和临床特征相当。所有参与者都是低收入者，来自不同的种族和民族背景。平均A1 c为8.9%，平均BMI高于肥胖范围，不依从糖尿病药物的比例很高。该队列的共病率较高，自我报告的健康状况较低。尽管三分之一的人没有医疗保险，但过去一年看医生的平均次数为5.7次。审判结果待定。Peer-AID招募并招募了一组不同的低收入参与者，他们患有控制不佳的2型糖尿病，并提供了一个以家庭为基础的糖尿病自我管理计划。如果有效的话，在社区环境中推广同伴援助干预措施可能有助于改善弱势群体的糖尿病控制。
Community health workers (CHWs) may be an important mechanism to provide diabetes self-management to disadvantaged populations. We describe the design and baseline results of a trial evaluating a home-based CHW intervention. Peer Support for Achieving Independence in Diabetes (Peer-AID) is a randomized, controlled trial evaluating a home-based CHW-delivered diabetes self-management intervention versus usual care. The study recruited participants from 3 health systems. Change in A1c measured at 12 months is the primary outcome. Change in blood pressure, lipids, health care utilization, health-related quality of life, self-efficacy and diabetes self-management behaviors at 12 months are secondary outcomes. A total of 1,438 patients were identified by medical record review as potentially eligible, 445 patients were screened by telephone for eligibility and 287 were randomized. Groups were comparable at baseline on socio-demographic and clinical characteristics. All participants were low-income and were from diverse racial and ethnic backgrounds. The mean A1c was 8.9%, mean BMI was above the obese range, and non-adherence to diabetes medications was high. The cohort had high rates of co-morbid disease and low self-reported health status. Although one-third reported no health insurance, the mean number of visits to a physician in the past year was 5.7. Trial results are pending. Peer-AID recruited and enrolled a diverse group of low income participants with poorly controlled type 2 diabetes and delivered a home-based diabetes self-management program. If effective, replication of the Peer-AID intervention in community based settings could contribute to improved control of diabetes in vulnerable populations.
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影响因子：
3.9
作者：
Davis, Kia L.;O'Toole, Mary L.;Fisher, Edwin B.
通讯作者：
Fisher, Edwin B.
影响因子：
5.5
作者：
Brown, H. Shelton, III;Wilson, Kimberly J.;Reininger, Belinda
通讯作者：
Reininger, Belinda
影响因子：
3
作者：
Franks, P;Lubetkin, EI;Tancredi, DJ
通讯作者：
Tancredi, DJ
影响因子：
16.2
作者：
Glasgow, RE;Toobert, DJ;Hampson, SE
通讯作者：
Hampson, SE
影响因子：
--
作者：
Ciechanowski, PS;Katon, WJ;Russo, JE
通讯作者：
Russo, JE