Cross-cultural and international adaptation of peer support for diabetes management
Cross-cultural and international adaptation of peer support for diabetes management
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DOI：
10.1093/fampra/cmp013
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发表时间：
2010-06-01
期刊：
影响因子：
2.2
通讯作者：
Zolotor, Adam
中科院分区：
文献类型：
--
作者：
Fisher, Edwin B.;Earp, Jo Anne;Zolotor, Adam
Fisher EB、Earp JA、Maman S 和 Zolotor A。糖尿病管理同伴支持的跨文化和国际适应性。家庭实践2010； 27：i6-i16。同伴支持可以改善全世界数百万糖尿病患者的自我管理。国际上促进同伴支持的一个主要挑战是要根据人口、文化、卫生系统和特定环境的其他特征进行调整，同时确保与同伴支持所需的标准一致。罗伯特·伍德·约翰逊基金会糖尿病倡议采用了一项应对这一挑战的策略。自我管理的关键功能 自我管理的资源和支持已被确定。然后鼓励各个项目以在其环境中可行的方式并响应其服务对象的需求和观点来实施这些资源和支持。将其扩展到同伴支持，三个关键功能是（i）在日常生活中帮助管理和生活糖尿病； (ii) 社会和情感支持以及 (iii) 与临床护理的联系。可以通过强调这些关键功能，然后鼓励当地在解决这些问题的具体方式上进行差异化来推进国际推广。同样，对多个单独计划中同伴支持的总体效益的评估可能取决于对关键职能实施情况的衡量、参与者收到这些职能的报告以及共同终点。促进同伴支持面临的挑战包括将同伴融入医疗保健系统中、协调同伴与家庭和其他社交网络、保持同伴支持者及其帮助者的参与以及防止培训、质量改进和专业精神扭曲同伴支持的基本好处。
Fisher EB, Earp JA, Maman S and Zolotor A. Cross-cultural and international adaptation of peer support for diabetes management. Family Practice 2010; 27: i6-i16.Peer support may improve self-management among the millions of people with diabetes around the world. A major challenge to international promotion of peer support is allowing for tailoring to population, cultural, health system and other features of specific settings, while also ensuring congruence with standards for what peer support entails. One strategy to address this challenge was used in the Robert Wood Johnson Foundation Diabetes Initiative. Key functions of self-management Resources and Supports for Self-Management were identified. Individual programmes were then encouraged to implement these resources and support in ways that were feasible in their settings and responsive to the needs and perspectives of those they serve. Extending this to peer support, three Key functions are (i) assistance in managing and living with diabetes in daily life; (ii) social and emotional support and (iii) linkage to clinical care. International promotion may be advanced by emphasizing these key functions and then encouraging local variation in the specific ways they are addressed. Similarly, evaluation of the general benefits of peer support across several individual programmes may rest on measurement of implementation of the key functions, participants' reports of receipt of them and common end points. Challenges to promoting peer support include integrating peers amidst others in the health care system, harmonizing peers with family and other social networks, maintaining the engagement of peer supporters and those they assist and preventing training, quality improvement and professionalism from distorting the fundamental benefits of support from a peer.