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Randomized Controlled Trial
. 2014 Jul;38(2):361-9.
doi: 10.1016/j.cct.2014.06.011. Epub 2014 Jun 21.

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

Karin Nelson  1 , Nathan Drain  2 , June Robinson  2 , Janet Kapp  2 , Paul Hebert  3 , Leslie Taylor  4 , Julie Silverman  5 , Meghan Kiefer  5 , Dan Lessler  6 , James Krieger  7
Affiliations
Randomized Controlled Trial

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

Karin Nelson et al. Contemp Clin Trials. 2014 Jul.

Abstract

Background & objectives: 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.

Methods & research design: 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. Changes 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.

Results: A total of 1438 patients were identified by a 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.

Conclusions: 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.

Keywords: Community health workers; Diabetes self-management.

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Figures

Figure 1
Figure 1
Peer-AID recruitment patient flow
See this image and copyright information in PMC

References

    1. Funnell MM, Brown TL, Childs BP, Haas LB, Hosey GM, Jensen B, Maryniuk M, Peyrot M, Piette JD, Reader D, et al. National standards for diabetes self-management education. Diabetes Care. 2012;35(Suppl 1):S101–108. - PMC - PubMed
    1. Nelson KM, Chapko MK, Reiber G, Boyko EJ. The association between health insurance coverage and diabetes care; data from the 2000 Behavioral Risk Factor Surveillance System. Health Serv Res. 2005;40(2):361–372. - PMC - PubMed
    1. Pearson J, Mensing C, Anderson R. Medicare reimbursement and diabetes self-management training: national survey results. Diabetes Educ. 2004;30(6):914, 916, 918. - PubMed
    1. Shaw K, Killeen M, Sullivan E, Bowman P. Disparities in Diabetes Self-management Education for Uninsured and Underinsured Adults. The Diabetes Educator. 2011;37(6):813–819. - PubMed
    1. Peek ME, Cargill A, Huang ES. Diabetes health disparities: a systematic review of health care interventions. Med Care Res Rev. 2007;64(5 Suppl):101S–156S. - PMC - PubMed

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