Clayton Velicer, MPH
For a long time, promotoras have helped improve access to healthcare and self-management of chronic diseases. See our previous coverage of the great work done by promotoras in mental health, improving mother’s dietary intake and improving hypertension outcomes.
In this week’s blog we highlight a recent article by Athena Philis-Tsimikas that examined the effectiveness of the Dulce Mothers program, a promotora intervention designed to lower diabetes and cardiovascular risk in Latinas following gestational diabetes.
All women with a history of gestational diabetes mellitus have a sevenfold higher likelihood of future type 2 diabetes and also have a higher risk for developing cardiovascular disease (CVD) compared to mothers that do not have gestational diabetes. Latinas, in particular, are at higher risk for both gestational diabetes and type 2 diabetes compared to non-Latino whites.
Training and Intervention
The Dulce Mothers intervention adopted the…
Clayton Velicer, MPH
Two strengths of the peer support model are 1) flexibility for adaptation to different communities or settings and 2) modularity, which offers the ability to build peer support on top of existing programs to create more effective, multi-level interventions. In the United States, the Diabetes Prevention Program (DPP) has been adapted to incorporate peer support in a variety of settings and populations.
According to the American Diabetes Association website, the DPP has 8 key features, which includes individual case managers or lifestyle coaches, frequent contact, a core curriculum that teaches behavioral self-management, and clinical support.
The role of the case manager or lifestyle coach can be adapted for peer health coaches. When Peers for Progress grantee Tricia Tang incorporated peer support into the DPP in a church-based setting, she found the adaptation feasible and enhanced the potential to improve health outcomes for high-risk African…
Patrick Tang is the newest member of the Peers for Progress Program Development Center. He will be contributing to blogs, newsletters and Peers for Progress publications. In this blog, Pat shares his first experiences in the field of peer support while working on program development for diabetes self-management in Nanjing, China.
One year ago, I traveled to Nanjing, China to work on a peer support pilot program for diabetes self-management. Under the direction of Dr. Zilin Sun and the support of the award-winning diabetes education team at Zhongda Hospital, we designed a training curriculum for peer leaders, developed Mandarin language train-the-trainer guides, and adapted process and outcome evaluation tools for the peer support program. The culmination to the summer was a weekend retreat during which we successfully trained 11 peer leaders to provide the four core functions of peer support: provide assistance in daily management, offer social and emotional support, link…