Peer-based behavioural strategies to improve chronic disease self-management and clinical outcomes: evidence, logistics, evaluation considerations and needs for future research
Peer-based behavioural strategies to improve chronic disease self-management and clinical outcomes: evidence, logistics, evaluation considerations and needs for future research
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DOI：
10.1093/fampra/cmp027
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发表时间：
2010-06-01
期刊：
影响因子：
2.2
通讯作者：
Funnell, Martha Mitchell
中科院分区：
文献类型：
--
作者：
Funnell, Martha Mitchell
玛莎·米切尔·芬内尔以同伴为基础的行为策略，以改善慢性病自我管理和临床结果：证据，物流，评估考虑因素和未来研究的需求。2010年家庭实践;二十七日：i17-i22.对诸如糖尿病的慢性疾病的诊断通常会引起强烈的情绪，并且常常伴随着需要改变生活方式行为，诸如饮食、锻炼、药物管理以及监测临床和代谢参数。因此，诊断不仅影响到被诊断者，而且影响到家庭成员。慢性病在很大程度上是自我管理的，大约99%的护理成为患者及其家人或其他参与其疾病日常管理的人的责任。虽然代谢控制和慢性并发症等结果的责任与医疗保健团队共同承担，但患者的日常决策和行为显然对其未来的健康和福祉有很大影响。虽然糖尿病自我管理教育是必不可少的，但通常不足以让患者维持行为并科普终身糖尿病。同行已被提议作为一种方法，用于协助患者处理糖尿病的行为和情感成分，并提供持续的自我管理supports.This本文首先介绍了有效的糖尿病行为策略，基于多项研究和/或荟萃分析，然后提供了他们使用的例子，由同行或在同行为基础的计划在糖尿病。使用MEDLINE（R）和Cinahl数据库进行了全面检索。关键检索词包括同伴导师，同伴领导者，同伴教育者，非专业卫生工作者和社区卫生工作者。明确确定同龄人使用的行为策略的研究也包括在内。
Martha Mitchell Funnell. Peer-based behavioural strategies to improve chronic disease self-management and clinical outcomes: evidence, logistics, evaluation considerations, and needs for future research. Family Practice 2010; 27: i17-i22.The diagnosis of a chronic disease such as diabetes generally evokes strong emotions and often brings with it the need to make changes in lifestyle behaviours, such as diet, exercise, medication management and monitoring clinical and metabolic parameters. The diagnosis thus affects not only the person diagnosed but also the family members. Chronic illnesses are largely self-managed with similar to 99% of the care becoming the responsibility of patients and their families or others involved in the daily management of their illnesses. While the responsibility for outcomes, such as metabolic control and chronic complications, are shared with the health care team, the daily decisions and behaviours adopted by patients clearly have a strong influence on their future health and well-being. While diabetes self-management education is essential, it is generally not sufficient for patients to sustain behaviours and cope with a lifetime of diabetes. Peers have been proposed as one method for assisting patients to deal with the behavioural and affective components of diabetes and to provide ongoing self-management support.This paper first describes effective behavioural strategies in diabetes, based on multiple studies and/or meta-analyses, and then provides examples of their use by peers or in peer-based programmes in diabetes. A comprehensive search using the MEDLINE(R) and Cinahl databases was conducted. Key search terms included peer mentors, peer leaders, peer educators, lay health workers and community health workers. Studies that clearly identified behavioural strategies used by peers were included.