A Demonstration of Peer Support for Ugandan Adults With Type 2 Diabetes
A Demonstration of Peer Support for Ugandan Adults With Type 2 Diabetes
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DOI：
10.1007/s12529-014-9412-8
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发表时间：
2015-06-01
影响因子：
2.7
通讯作者：
Agatha, Nambuya
中科院分区：
文献类型：
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作者：
Baumann, Linda C.;Frederick, Nakwagala;Agatha, Nambuya
到 2030 年，80% 的糖尿病患者将生活在发展中国家。这项前后准实验研究的目的是测试同伴干预的可行性，以改善以下方面：(1) 糖尿病自我护理行为，(2) 血糖控制，(3) 社会支持和情感健康，(4) 与医疗保健提供者的联系，以及 (5) 评估 18 个月后干预措施的可持续性。参与者是患有糖尿病的成年人居住在乌干达农村的 2 名糖尿病患者。参与者 (n = 46) 参加了为期 1 天的糖尿病教育计划，并同意在 4 个月内每周通过电话或亲自联系，以协助日常管理、提供社交和情感支持，并鼓励与医疗保健提供者进行适当的接触。结果表明糖化血红蛋白 (A1C)、舒张压和饮食行为有所改善。短期同伴支持计划是改善乌干达农村地区糖尿病护理的可行干预措施。参与者被成功招募和保留，他们经历了积极的行为和生理结果。干预措施的要素在干预后持续了 18 个月。
By 2030, 80 % of people with diabetes will be living in developing countries.The purpose of this pre-post quasi-experimental study was to test the feasibility of a peer intervention to improve the following: (1) diabetes self-care behaviors, (2) glycemic control, (3) social support and emotional well-being, (4) linkages to health care providers, and (5) to assess the sustainability of the intervention 18 months later.Participants were adults with type 2 diabetes who resided in rural Uganda. Participants (n = 46) attended a 1-day diabetes education program and agreed to make weekly contacts over 4 months with each other by phone or in person to assist with daily management, provide social and emotional support, and encourage appropriate contact with health care providers.Results indicated improvement in glycosylated hemoglobin (A1C), diastolic blood pressure, and eating behaviors.A short-term peer support program was a feasible intervention to improve diabetes care in rural Uganda. Participants were successfully recruited and retained, and they experienced positive behavioral and physiologic outcomes. Elements of the intervention were sustained 18 months after the intervention.