Accelerating Best Practices in Peer Support Around the World

diabetes

5.21.20

Peer Support Intervention Improves Pain-Related Outcomes Among Rural Adults With Diabetes and Chronic Pain at 12-Month Follow-Up

J Rural Health. 2020 Mar 2. doi: 10.1111/jrh.12422. [Pubmed Abstract]

Khodneva Y, Richman J, Andreae S, Cherrington A, Safford MM

Purpose
Adults with diabetes mellitus (DM) suffer often from chronic pain, yet evidence-based interventions for comorbid pain and DM are scarce. We tested the effect of a peer-led cognitive behavioral training (CBT) intervention on pain self-efficacy (PSE), pain intensity, and pain-related functional limitations (PRFL) in adults with DM, 1 year after trial initiation.

Methods
The yearlong “Living Healthy” cluster-randomized trial included 230 residents of rural Alabama with DM, who reported pain in the past month; communities were treated as clusters. Intervention participants received a peer-delivered 8-session structured CBT intervention in the context of diabetes self-management; attention control arm participants received a peer-delivered 8-session general health education program. Outcomes included PSE (Arthritis Self-Efficacy Scale, range…

5.21.20

Observational Stepped-Wedge Analysis of a CHW-Led Intervention for Diabetes and Hypertension in Rural Mexico

BMJ Open. 2020 Mar 8;10(3):e034749. [Pubmed Abstract]

Worster DT, Franke MF, Bazúa R, Flores H, García Z, Krupp J, Maza J, Palazuelos L, Rodríguez K, Newman PM, Palazuelos D

Objectives
There is emerging interest and data supporting the effectiveness of community health workers (CHWs) in non-communicable diseases (NCDs) in low/middle-income countries (LMICs). This study aimed to determine whether a CHW-led intervention targeting diabetes and hypertension could improve markers of clinical disease control in rural Mexico.

Design and setting
A prospective observational stepped-wedge study was conducted across seven communities in rural Chiapas, Mexico from March 2014 to April 2018.

Participants
149 adults with hypertension and/or diabetes.

Intervention
This study was conducted in the context of the programmatic roll-out of an accompaniment-based CHW-led intervention designed to complement comprehensive primary care for adults with diabetes and/or hypertension….

4.9.18

Evaluation of a multi-faceted diabetes care program including community-based peer educators in Takeo province, Cambodia, 2007-2013

PLoS One. 2017 Sep 25;12(9):e0181582. [Pubmed Abstract]

Taniguchi D, LoGerfo J, van Pelt M, Mielcarek B, Huster K, Haider M, Thomas B

Introduction
Early detection and treatment for diabetes are essential for reducing disability and death from the disease. Finding effective screening and treatment for individuals living with diabetes in resource-limited countries is a challenge. MoPoTsyo, a Cambodian non-governmental organization, addressed this gap by utilizing a multi-pronged approach with community-based peer educators, access to laboratory procedures, local outpatient medical consultation, and a revolving drug fund. This study evaluated outcomes of MoPoTsyo’s diabetes program in Takeo Province by assessing glycemic and blood pressure outcomes for individuals diagnosed with diabetes over a 24-month follow-up period between 2007-2013.

Methods
This is a retrospective cohort analysis of records without a comparison group. We calculated the mean fasting blood glucose (FBG)…

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