Effect of peer support on diabetes distress: a cluster randomized controlled trial

• DOI: 10.1111/dme.13625
• Publication Date: 2018-03-25T13:54:43Z
• Authors: C. Ju; R. Shi; L. Yao; X. Ye; M. Jia; J. Han; T. Yang; Q. Lu; H. Jin; X. Cai; S. Yuan; B. Xie; X. Yu; M. M. Coufal; E. B. Fisher; Z. Sun
• Keywords: Peer Support; Peer education

To investigate whether peer support would reduce diabetes distress and improve glycaemic control when added to usual education among adults with Type 2 in China.We conducted a cluster randomized trial involving 400 from eight communities Nanjing. All participants received for an average of h each month physicians, certified educators, dieticians, psychologists podiatric nurses. Peer was led by trained leaders included knowledge- skills-sharing at least once month, as well peer-to-peer communication. The primary outcome measured using the Diabetes Distress Scale 12 months. Secondary outcomes fasting plasma glucose, 2-h postprandial glucose HbA1c concentration. Outcome data were collected all baseline, 6 months months.From 2012 2013, there 200 study arm baseline. Compared arm, had greater reductions regimen-related (1.4 ± 0.6 vs 1.2 0.4; P=0.004) total (1.3 0.4 0.3; P=0.038) At months, scores emotional burden (1.2 0.3 1.4 0.6; P=0.002), physician-related (1.1 1.3 P=0.001) P=0.002) significantly lower than arm. Fasting levels (7.5 1.95 8.0 2.2; P=0.044) (7.0 2.3 7.6 1.5; P=0.008).Beyond benefits education, effective reducing mellitus. (Clinical Trials Registry no: NCT02119572).