I help you, and you help me - Facilitated telephone peer support among patients with diabetes
I help you, and you help me - Facilitated telephone peer support among patients with diabetes
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DOI：
10.1177/0145721705283247
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发表时间：
2005-11-01
影响因子：
3.9
通讯作者：
Piette, JD
中科院分区：
文献类型：
--
作者：
Heisler, M;Piette, JD
PurposeThe的可行性和可接受性，使用交互式语音应答（IVR）为基础的平台，以促进老年人糖尿病患者之间的同伴支持evaluated.MethodsDiabetes血糖控制不良接受护理的退伍军人事务部医疗中心完成了基线调查，接受了基本的培训，并匹配基于他们的糖尿病相关的自我管理需求。他们被要求每周使用免费IVR电话线联系他们的伴侣。在6周的时间内完成，参与者完成了后续调查和简短的电话interviews.ResultsForty的76例患者通过电话筛选的资格同意参加，38个完成了6周的干预（50%的合格患者）。超过80%的人在干预的6周中有2周每周至少交谈一次。共有79%的参与者报告说，IVR系统易于使用，90%的人表示，如果有这种类型的同伴支持服务，他们会对自己的医疗保健更满意。在参与者中，70%的人发现这些电话有助于控制糖尿病症状，73%的人报告说他们的伴侣帮助他们改善了自我保健，70%的人表示他们帮助他们的伴侣做一些事情来保持健康。参与者报告的糖尿病自我护理自我效能在基线和随访评估之间有显着改善（P <0.01）。定性评估表明，参与者发现的意义和积极的强化，为自己的自我保健，通过支持他们的合作伙伴的努力，管理diabetes.ConclusionsA IVR同行支持干预是可行的，患者可以接受的，并可能对患者的糖尿病自我管理和健康结果，值得更严格的评估在随机试验中产生积极的影响。
PurposeThe feasibility and acceptability of using an Interactive Voice Response (IVR)-based platform to facilitate peer support among older adults with diabetes was evaluated.MethodsDiabetes patients with poor glycemic control receiving care at a Veterans' Affairs medical center completed a baseline survey, received rudimentary training, and were matched based on their diabetes-related self-management needs. They were asked to contact their partner weekly using the toll-free IVR calling line. At the completion of the 6-week period, participants completed follow-up surveys and brief telephone interviews.ResultsForty of 76 patients screened for eligibility by telephone agreed to participate, and 38 completed the 6-week intervention (50% of eligible patients). More than 80% of the pairs spoke at least once a week for 2 of the 6 weeks of the intervention. A total of 79% of the participants reported that the IVR system was easy to use, and 90% stated that they would be more satisfied with their health care if this type of peer support service were available. Of the participants, 70% found the calls helpful in managing diabetes symptoms, 73% reported that their partner helped them improve their self-care, and 70% stated that they helped their partner do things to stay healthy. There were significant improvements in participants' reported diabetes self-care self-efficacy between baseline and follow-up assessments (P < .01). Qualitative assessments suggested that participants found meaning and positive reinforcement for their own self-care through supporting their partner's efforts to manage diabetes.ConclusionsAn IVR peer support intervention is feasible, acceptable to patients, and may have positive effects on patients' diabetes self-management and health outcomes that warrant more rigorous evaluation in a randomized trial.