Peer Support for Diabetes Management in the Shanghai Integration Model Developed Community Capacity to Combat COVID-19

Background: Previous research has identified that people with type 2 diabetes (T2D) within the Hispanic community would benefit from an online peer support community (OPSC) and continuous glucose monitoring (CGM) data to facilitate diabetes self-management. Methods: A mixed-methods feasibility study enrolled Hispanic, Spanish-speaking adults with T2D, not on insulin. Participants were provided with CGM and access to an OPSC for 12 weeks. Feasibility was assessed by number of eligible participants who enrolled, attrition, quantity of CGM data, validated clinical measures of self-efficacy, quality of life and adverse events. Engagement in the OPSC was measured using objective metrics on the online platform. Qualitative interviews were conducted upon conclusion of the intervention to assess feasibility, acceptability, participant satisfaction, and key recommendations for improvement. Results: Of 46 participants screened, 39 were eligible and 26 completed the study. Participants significantly improved self-efficacy scores. Posts in the OPSC related to goal setting had the highest engagement followed by mid-week and end of week check-in posts respectively. Participant interviews described challenges accessing the OPSC platform as a barrier to engagement. Despite this, all participants were satisfied with the intervention. Key recommendations for improvement included providing greater variety of and individualized education and the use of a peer support platform that is easily accessible. Conclusions: The CGM + OPSC intervention tailored to the Hispanic community with T2D was feasible, acceptable and satisfactory and improved participant self-efficacy for diabetes management which may lead to improved clinical outcomes.

Download Full-text

Cross-cultural and international adaptation of peer support for diabetes management

Family Practice ◽

10.1093/fampra/cmp013 ◽

2009 ◽

Vol 27 (suppl 1) ◽

pp. i6-i16 ◽

Cited By ~ 54

Author(s):

E. B. Fisher ◽

J. A. Earp ◽

S. Maman ◽

A. Zolotor

Keyword(s):

Peer Support ◽

Diabetes Management ◽

Cross Cultural

Download Full-text

Peer Support for Diabetes Management in Primary Care and Community Settings in Anhui Province, China

The Annals of Family Medicine ◽

10.1370/afm.1799 ◽

2015 ◽

Vol 13 (Suppl_1) ◽

pp. S50-S58 ◽

Cited By ~ 25

Author(s):

X. Zhong ◽

Z. Wang ◽

E. B. Fisher ◽

C. Tanasugarn

Keyword(s):

Primary Care ◽

Peer Support ◽

Diabetes Management ◽

Anhui Province ◽

Community Settings

Download Full-text

Supplemental Material for Perceived Peer Support and Diabetes Management From Adolescence Into Early Emerging Adulthood

Health Psychology ◽

10.1037/hea0000662.supp ◽

2018 ◽

Keyword(s):

Emerging Adulthood ◽

Peer Support ◽

Diabetes Management

Download Full-text

Peer Support To Enhance The Shanghai Integration Model Of Diabetes Care: Dissemination To 12 Communities

Case Medical Research ◽

10.31525/ct1-nct03958838 ◽

2019 ◽

Author(s):

Keyword(s):

Peer Support ◽

Diabetes Care ◽

Integration Model

Download Full-text

876-P: Peer Support in Primary Care through the Shanghai Integration Model

Diabetes ◽

10.2337/db19-876-p ◽

2019 ◽

Vol 68 (Supplement 1) ◽

pp. 876-P

Author(s):

PATRICK Y. TANG ◽

YUEXING LIU ◽

MUCHIEH M. COUFAL ◽

YIQING QIAN ◽

CHUN CAI ◽

...

Keyword(s):

Primary Care ◽

Peer Support ◽

Integration Model

Download Full-text

Complementarity of Digital Health and Peer Support: “This Is What’s Coming”

Frontiers in Clinical Diabetes and Healthcare ◽

10.3389/fcdhc.2021.646963 ◽

2021 ◽

Vol 2 ◽

Author(s):

Patrick Y. Tang ◽

Janet Duni ◽

Malinda M. Peeples ◽

Sarah D. Kowitt ◽

Nivedita L. Bhushan ◽

...

Keyword(s):

Peer Support ◽

Diabetes Management ◽

Digital Health ◽

Scale Up ◽

Value Added ◽

Self Management ◽

Free Form ◽

Primary Group ◽

Management Support ◽

Health Coaches

PurposeThis study examined integration of peer support and a Food and Drug Administration-cleared, diabetes management app (DMA) in diabetes self-management support as a scalable model for those with type 2 diabetes mellitus (T2DM).MethodsTwo lay health Coaches delivered telephone-based self-management support to adults (N = 43) with T2DM recruited through a primary group practice. Those eligible were offered no-cost access to DMA for the entire 6-month study. Coaches introduced DMA and contacted individuals by phone and text with frequency dependent on participant needs/preferences. DMA supported monitoring of blood glucose, carbohydrate intake, and medication use, as well as messaging personalized to participants’ medication regimens. Clinical data were extracted from DMA, electronic medical records, and Coaches’ records. Structured interviews of 12 participants, 2 Coaches, and 5 project staff were analyzed using deductive pre-identified codes (regarding adoptability, patterns of use, value added, complementarity, and sustainability) utilizing standard procedures for qualitative analysis.ResultsOf the 43 participants, 38 (88.4%) enrolled in DMA. In general, participants used both DMA and lay health coaches, averaging 144.14 DMA entries (structured, e.g., medications, and free form, e.g., “ate at a restaurant” and “stressed”) and 5.86 coach contacts over the 6-month intervention. Correlation between DMA entries and coach contacts (r = .613, p < 0.001) was consistent with complementarity as were participants’ and coaches’ observations that (a) DMA facilitated recognition of patterns and provided reminders and suggestions to achieve self-management plans, whereas (b) coaching provided motivation and addressed challenges that emerged. Mean hemoglobin A1c (A1c) declined from 9.93% to 8.86% (p < 0.001), with no pattern of coaching or DMA use significantly related to reductions. Staff identified resources to coordinate coach/DMA interventions as a major sustainability challenge.ConclusionsDMA and peer support for diabetes management are compatible and complementary. Additional practice integration research is needed for adoption and scale-up.

Download Full-text

Effects of Providing Peer Support on Diabetes Management in People With Type 2 Diabetes

The Annals of Family Medicine ◽

10.1370/afm.1853 ◽

2015 ◽

Vol 13 (Suppl_1) ◽

pp. S42-S49 ◽

Cited By ~ 15

Author(s):

J. Yin ◽

R. Wong ◽

S. Au ◽

H. Chung ◽

M. Lau ◽

...

Keyword(s):

Type 2 Diabetes ◽

Peer Support ◽

Diabetes Management

Download Full-text

Peer crowd affiliation, adherence, perceived support, and metabolic control in T1DM youth

Journal of Child Health Care ◽

10.1177/1367493520924875 ◽

2020 ◽

pp. 136749352092487

Author(s):

Katie Fleischman ◽

Anthony A Hains

Keyword(s):

Social Support ◽

Metabolic Control ◽

Peer Support ◽

Positive Relationship ◽

Diabetes Management ◽

Clinic Visit ◽

Perceived Support ◽

Path Coefficients ◽

The Relationship

Youth with type 1 diabetes (T1DM) can face many challenges when adhering to their complex regimen in the context of their peer crowd. The aim of this study was to determine if peer crowd affiliation was associated with adolescents’ adherence behaviors, perceived peer support, and metabolic control. A sample of 128 adolescents with T1DM completed the Peer Crowd Questionnaire, Diabetes Social Support Questionnaire–Friends Version, and Self-Care Inventory–Revised, and HbA1c readings were collected during their clinic visit. Results from this study suggest that adherence behaviors mediated the relationship between Jock peer crowd affiliation and metabolic control. Results also suggested that perceived peer support did not mediate the relationship between peer crowd affiliation and metabolic control through adherence behaviors. When examining the path coefficients for the purposed models, results showed a positive relationship between adherence and metabolic control, and more perceived peer support was related to worse metabolic control. Adolescents who identified mostly with the Jock peer crowd may hold lifestyle values that are consistent with the diabetes regimen which may make their diabetes management easier. In general, adolescents with T1DM may have a more multifaceted aspect of one’s identity and therefore, their peer crowd affiliation is not as salient.

Download Full-text