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. 2022 Sep;39(9):e14853.
doi: 10.1111/dme.14853. Epub 2022 Apr 30.

Out of the mouths of Peer Leaders: Perspectives on how to improve a telephone-based peer support intervention in type 2 diabetes

Rowshanak Afshar  1 , Amir S Askari  2 , Rawel Sidhu  2 , Susan Cox  3 , Diana Sherifali  4 , Pat G Camp  5   6 , Tricia S Tang  1
Affiliations

Out of the mouths of Peer Leaders: Perspectives on how to improve a telephone-based peer support intervention in type 2 diabetes

Rowshanak Afshar et al. Diabet Med. 2022 Sep.

Abstract

Objective: To explore the experiences of peer leaders with respect to delivering core components of a 12-month, telephone-based peer support intervention in type 2 diabetes within a tertiary-care setting.

Methods: Seventeen peer leaders were recruited and interviewed. Interviews lasted approximately 20 to 45 min, were audio-taped, and transcribed verbatim. The transcripts were analysed by two team members using the qualitative descriptive approach.

Findings: Peer leaders reported mutually beneficial and reciprocal relationships with participants. They encountered challenges in maintaining regular contact with participants and in motivating them to make lifestyle changes. To improve the programme, peer leaders suggested having more frequent - but shorter - training sessions and reducing the diabetes education component of the training programme. To enhance the intervention fidelity and retention rate, they recommended matching peer leaders to participants on more meaningful variables (e.g. diabetes-related commonalities, personality, life experiences, etc.) beyond just gender, geographic proximity and availability. They also requested more frequent face-to-face contacts with participants (Modality of Contact), and additional ongoing support from the research team.

Conclusion: Peer leaders were satisfied with the intervention design. However, future studies may consider more comprehensive peer leader-matching algorithms and increased opportunities for in-person communication modalities.

Clinicaltrials: gov Identifier: NCT02804620.

Keywords: peer leader; peer support; qualitative research; type 2 diabetes.

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References

REFERENCES

    1. Forouhi NG, Wareham NJ. Epidemiology of diabetes. Medicine. 2014;42(12):698-702. 10.1016/j.mpmed.2014.09.007
    1. https://www.canada.ca/en/public-health/services/chronic-diseases/reports...
    1. Doucet G, Beatty M. The cost of diabetes in Canada: the economic Tsunami. Canad J Diabet. 2010;34(1):27-29. 10.1016/S1499-2671(10)41005-9
    1. Beck J, Greenwood DA, Blanton L, et al. 2017 national standards for diabetes self-management education and support. Diabet Care. 2017;40:1409-1419.
    1. Stetson B, Minges KE, Richardson CR. New directions for diabetes prevention and management in behavioral medicine. J Behav Med. 2017;40(1):127-144. 10.1007/s10865-016-9802-2

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