Diabetes
Conditions
Keywords
Diabetes, Peer Leader Support
Brief summary
PLEASED is a 12-month program that aims to help South Asians with type 2 diabetes improve and sustain diabetes-related health outcomes e.g. glycemic control, quality of life...) achieved from previous short-term diabetes education program. Our goal is to provide a new generation of education and support that can be ongoing, patient-driven, and flexible to the dynamic and evolving conditions of patients' real-word environment and life circumstances.
Detailed description
Diabetes self-management education: In the first three months of PLEASED, patients with type 2 diabetes will participate in 12 weekly sessions: 6 sessions will focus on diabetes education and be delivered by a health professional and 6 sessions will focus on lifestyle change and be delivered by a peer leader. Education sessions will be 2-hours long and be facilitated by nurses, dieticians, and pharmacists. Patients will learn about the diabetes disease process, lifestyle modification, healthy eating, physical activity, medications, monitoring, short- and long- complications, diabetes distress, and coping. Lifestyle change sessions will be 1-hour long and start with 30 minutes of physical activity followed by 30 minutes of goal-setting, action planning, and problem solving. Additional activities such as recipe makeovers and exchanges will also be included. Diabetes self-management support: In the next nine months of the PLEASED program, patients will be invited to attend 32 weekly self-management support sessions (1-hour long) facilitated by a peer leader. The goal of these sessions is to help patients continue making positive lifestyle changes. Each support session will start with 30 minutes of physical activity led by the peer leader followed by a discussion where participants are invited to (1) discuss self-management challenges, (2) share thoughts and feelings about these challenges, (3) ask self-management questions, (4) engage in problem solving, and (5) set self-management goals and design behavioral experiments to achieve those goals. Patients are invited to attend as frequently as they need or as they are able to given other competing life demands. While these sessions focus on lifestyle change and emotional support, participants will be able to obtain responses to medical and clinical questions from 811 or the PLEASED hotline (hosted by dieticians, nurses, and pharmacists). All patients enrolled in the PLEASED program will undergo three free health assessments: at the start of the program, at 3 months, and at 12 months. Health assessments will include measuring glycemic control, ApoB, blood pressure, waist circumference, weight, and body mass index. All patients will also complete a survey assessing quality of life, social support, depression, and self-efficacy.
Interventions
BEHAVIORALPeer Support
The intervention is lifestyle change. First, the peer leaders will be trained how to conduct diabetes self-management education and support sessions. During the first 3 months, all the participants will attend the diabetes self-management education sessions. The participants in the intervention arm will also receive diabetes self-management support sessions as well. In the end of the first 3 months, the intervention group participants will receive weekly support sessions for 9 months.
Sponsors
VGH and UBC Hospital Foundation
University of British Columbia
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
21 Years to No maximum
Healthy volunteers
No
Inclusion criteria
To be eligible to participate as a subject in this study, individuals must 1. Have type 2 diabetes, 2. Be of South Asian background, 3. Live in the Metro Vancouver area, 4. Be at least 21 years old, 5. Have transportation to attend group sessions. To be eligible to participate as a peer leader in this study, individuals must 1. Have diabetes or are a caregiver to someone who has diabetes, 2. Are of South Asian background, 3. Live in the Greater Vancouver area, 4. Are at least 21 years old, 5. Are bilingual in English and Punjabi, 6. Have transportation to attend training, 7. Are able and willing to commit to 6 sessions of training (5 hours each, over a 6 week period)
Exclusion criteria
for both participants and peer leaders include: 1. Serious health conditions 2. Addictions to alcohol or drugs, which would hinder meaningful participation in the study.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Glycemic Control measured by HbA1c | Up to 12 months | To compare a peer support model for diabetes self-management support (DSMS) to usual care on sustaining improvements in glycemic control achieved from short-term diabetes self-management education (DSME). |
Secondary
| Measure | Time frame |
|---|---|
| ApoB (g/L) will be collected using venous puncture blood draw | Up to 12 months |
| Waist circumference (inch) measured by Seca 203 Circumference Measuring Tape | Up to 12 months |
| Body Mass Index (kg/m2) | Up to 12 months |
| Physical activity measured by the actical accelerometer | Up to 12 months |
| Blood pressure (mmHg) measured by Omron BP785 monitor | Up to 12 months |
| Depressive Symptom Severity will be assessed with the PRIME-MD Patient Health Questionnaire (PHQ-9) | Up to 12 months |
| Diabetes-related distress measured by the Diabetes Distress Scale (DDS), a 17-item scale developed by Polonsky and colleagues | Up to 12 months |
| Height measured using a stadiometer | Up to 12 months |
| Weight measured on a high quality, calibrated digital scale, with the participant wearing clothes, but no shoes | Up to 12 months |
| Diabetes-specific Social Support will be assessed using a 4-item perceived social support scale developed by Tang et al. that measures amount of support and satisfaction with support from family, friends and the health care team | Up to 12 months |
Countries
Canada
Outcome results
None listed