Can a community-based peer-led diabetic self-management programme be effective: 12-week evaluation.

AIMS AND OBJECTIVES

To evaluate a self-management programme collaborating with communities and mobilising peer leaders for patients with diabetes in mainland China.

BACKGROUND

The rapidly increasing diabetic epidemic is an overwhelming burden in China. Diabetic self-management programmes that are both effective and feasible despite health resource shortages should be developed and evaluated.

DESIGN

Quasi-experimental.

METHODS

In total, 181 patients with diabetes completed the study (89 in the experimental group and 92 in the control group). Diabetic instruction and peer-led group activities were two major parts of the programme. Outcome variables, including self-efficacy, social support, self-management behaviours and quality of life, were measured. Participants' perceptions towards the programme were also collected. anova/ancova and content analysis were used for data analysis.

RESULTS

Social support, self-efficacy and self-management behaviours significantly improved during the study period. Although quality of life did not change significantly, the participants provided positive feedback for the programme.

CONCLUSIONS

The effectiveness of this programme was partially verified. The delivery mode, through trained peer leaders and collaboration with communities, appeared to be feasible. Using a cluster randomised controlled design with full cost-effectiveness analysis would provide a more rigorous examination for this programme.

RELEVANCE TO CLINICAL PRACTICE

This study adds to the growing evidence of the importance of self-efficacy and social support as a mechanism for achieving behavioural change. This programme appears to be promising in promoting diabetic self-management in China and may be applied to individuals with other chronic diseases and dwelling in other regions.