Aalaa Maryam, Sanjari Mahnaz, Aghaei Meybodi Hamid Reza, Amini Mohammad Reza, Qorbani Mostafa, Adibi Hossien, Mehrdad Neda
Diabetes Research Center, Endocrinology and Metabolism Clinical Science Institute, Tehran University of Medical Sciences, Tehran, Iran.
Endocrinology and Metabolism Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical Sciences, Tehran. Iran.
Int J Community Based Nurs Midwifery. 2017 Apr;5(2):153-164.
Diabetes Education by Peer Coaching is a strategy which helps the patients with diabetes in the field of behavioral and emotional problems. However, the results of studies in this field in other countries could not be generalized in our context. So, the current study aimed to examine the effectiveness of Diabetes Education by Peer Coaching on Diabetes Management.
Outcome variables for patients and peer coaches are measured at baseline and in3,6 and 12 months. The primary outcome consisted of Fasting Blood Sugar (FBS) and HbA1c. Secondary outcomes included Blood Pressure (BP), Body Mass Index (BMI,) Waist-Hip Ratio (WHR), Lipid Profile, diabetes self-care activities, diabetes-related quality of life, depression, and Social Capital levels.Initial analyses compared the frequency of baseline levels of outcome and other variables using a simple Chi-square test, t-test and the Mann-Whitney- U test. Sequential measurements in each group were evaluated by two-way analysis of variance. If significant differences in baseline characteristics were found, analyses were repeated adjusting for these differences using ANOVA and logistic regression for multivariate analyses. Additional analyses were conducted to look for the evidence of effect modification by pre-specified subgroups.
The fact is that self-control and self-efficacy in diabetes management and treatment of diabetes could be important components. It seems that this research in this special setting with cultural differences would provide more evidence about peer-coaching model. It seems that if the peer-coaching model improves learning situations between patients with diabetes by offering one-on-one Diabetes Self Management Education, it could be an interactive approach to diabetic education. IRCT201501128175N3.
同伴辅导糖尿病教育是一种在行为和情感问题领域帮助糖尿病患者的策略。然而，其他国家在该领域的研究结果在我们的背景下无法推广。因此，本研究旨在检验同伴辅导糖尿病教育对糖尿病管理的有效性。
在基线以及3个月、6个月和12个月时测量患者和同伴辅导员的结果变量。主要结果包括空腹血糖（FBS）和糖化血红蛋白（HbA1c）。次要结果包括血压（BP）、体重指数（BMI）、腰臀比（WHR）、血脂谱、糖尿病自我护理活动、糖尿病相关生活质量、抑郁和社会资本水平。初始分析使用简单的卡方检验、t检验和曼-惠特尼U检验比较结果和其他变量基线水平的频率。每组的连续测量通过双向方差分析进行评估。如果发现基线特征存在显著差异，则使用方差分析和逻辑回归对这些差异进行调整后重复分析以进行多变量分析。还进行了额外的分析以寻找预先指定亚组的效应修正证据。
事实上，糖尿病管理中的自我控制和自我效能以及糖尿病治疗可能是重要组成部分。在这种具有文化差异的特殊环境中的这项研究似乎将提供更多关于同伴辅导模式的证据。如果同伴辅导模式通过提供一对一的糖尿病自我管理教育改善糖尿病患者之间的学习情况，那么它可能是一种糖尿病教育的互动方法。IRCT201501128175N3。
