Peer supporters for cardiac patients with diabetes: a randomized controlled trial

Wu, C. -J. (Jo), Chang, A. M., Courtney, M. and Kostner, K. (2012) Peer supporters for cardiac patients with diabetes: a randomized controlled trial. International Nursing Review, 59 3: 345-352. doi:10.1111/j.1466-7657.2012.00998.x


Author Wu, C. -J. (Jo)
Chang, A. M.
Courtney, M.
Kostner, K.
Title Peer supporters for cardiac patients with diabetes: a randomized controlled trial
Journal name International Nursing Review   Check publisher's open access policy
ISSN 0020-8132
1466-7657
Publication date 2012-09
Sub-type Article (original research)
DOI 10.1111/j.1466-7657.2012.00998.x
Volume 59
Issue 3
Start page 345
End page 352
Total pages 8
Place of publication West Sussex, United Kingdom
Publisher Wiley-Blackwell Publishing
Collection year 2013
Language eng
Formatted abstract
Aims: To determine whether incorporation of patient peer supporters in a Cardiac-Diabetes Self-Management Program (Peer-CDSMP) led to greater improvement in self-efficacy, knowledge and self-management behaviour in the intervention group compared to a control group.
Background
: Promoting improved self-management for those with diabetes and a cardiac condition is enhanced by raising motivation and providing a model. Peer support from former patients who are able to successfully manage similar conditions could enhance patient motivation to achieve better health outcomes and provide a model of how such management can be achieved. While studies on peer support have demonstrated the potential of peers in promoting self-management, none have examined the impact on patients with two co-morbidities.
Methods:
A randomized controlled trial was used to develop and evaluate the effectiveness of the Peer-CDSMP from August 2009 to December 2010. Thirty cardiac patients with type 2 diabetes were recruited. The study commenced in an acute hospital, follow-up at participants' homes in Brisbane, Australia.
Results: While both the control and intervention groups had improved self-care behaviour, self-efficacy and knowledge, the improvement in knowledge was significantly greater for the intervention group.
Conclusions
: Significant improvement in knowledge was achieved for the intervention group. Absence of significant improvements in self-efficacy and self-care behaviour represents an inconclusive effect; further studies with larger sample sizes are recommended
Keyword Cardiac Disease
Diabetes
Peers
Randomized Control Trials
Self Management Program
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2013 Collection
School of Medicine Publications
 
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