Department of Medical Education and the Michigan Diabetes Research and Training Center, University of Michigan Medical School, Ann Arbor, USA.
Patient Educ Couns. 2011 Nov;85(2):160-8. doi: 10.1016/j.pec.2010.12.013. Epub 2011 Feb 2.
This study determined the feasibility of training adults with diabetes to lead diabetes self-management support (DSMS) interventions, examined whether participants can achieve the criteria required for successful graduation, and assessed perceived efficacy of and satisfaction with the peer leader training (PLT) program.
We recruited nine African-American adults with diabetes for a 46-h PLT pilot program conducted over 12 weeks. The program utilized multiple instructional methods, reviewed key diabetes education content areas, and provided communication, facilitation, and behavior change skills training. Participants were given three attempts to achieve the pre-established competency criteria for diabetes knowledge, empowerment-based facilitation, active listening, and self-efficacy.
On the first attempt 75%, 75%, 63%, and 75% passed diabetes knowledge, empowerment-based facilitation, active listening, and self-efficacy, respectively. Those participants who did not pass on first attempt passed on the second attempt. Participants were highly satisfied with the program length, balance between content and skills development, and preparation for leading support activities.
Findings suggest that it is feasible to train and graduate peer leaders with the necessary knowledge and skills to facilitate DSMS interventions.
With proper training, peer support may be a viable model for translating and sustaining DSMS interventions into community-based settings.
本研究旨在确定培训糖尿病患者担任糖尿病自我管理支持（DSMS）干预的可行性，检验参与者是否能够达到成功毕业的标准，并评估同伴领导培训（PLT）计划的有效性和满意度。
我们招募了 9 名非裔美国糖尿病患者参加为期 12 周的 46 小时 PLT 试点计划。该计划采用了多种教学方法，复习了关键的糖尿病教育内容领域，并提供了沟通、促进和行为改变技能培训。参与者有三次机会达到预先设定的糖尿病知识、以赋权为基础的促进、积极倾听和自我效能的能力标准。
第一次尝试时，分别有 75%、75%、63%和 75%的参与者通过了糖尿病知识、以赋权为基础的促进、积极倾听和自我效能的考试。第一次尝试未通过的参与者在第二次尝试时通过了考试。参与者对计划的时长、内容和技能发展的平衡以及为领导支持活动所做的准备非常满意。
研究结果表明，培训和毕业具备必要知识和技能的同伴领导以促进 DSMS 干预是可行的。
经过适当的培训，同伴支持可能是将 DSMS 干预转化为社区环境的可行模式。
