Chen Wen-Chun, Lin Chiu-Chu, Kuo Chia-Chi, Wu Chia-Chen, Liu Tz-Jie, Chen Mei-Tsu
Department of Community Medicine, St. Martin De Porres Hospital, Chiayi, Taiwan.
School of Nursing, Kaohsiung Medical University, Kaohsiung, Taiwan.
J Multidiscip Healthc. 2021 Jan 7;14:33-44. doi: 10.2147/JMDH.S286186. eCollection 2021.
To improve the quality of peer leader training, this study developed a theory-based self-management training program for older adult peer leaders with diabetes and assessed its feasibility.
Current self-management programs are designed mainly to be implemented by healthcare professionals, but healthcare staff may not fully perceive the needs and obstacles of older adults in disease management due to a lack of similar illness experience. To target this problem, peer leaders with successful self-management experiences, similar cultural backgrounds and languages, and related illness experiences are trained to guide and mentor peer patients in self-management programs.
This study was conducted in two stages. In stage 1, a peer leader training program was developed based on experiential learning theory as the framework and self-regulation theory as the activity design strategy. In stage 2, program feasibility was assessed via participants' feedback toward the training program by three indicators: attendance, future willingness to lead the peer-led self-management program, and leadership skills evaluated by a peer leader training assessment tool.
In this study, peer leaders demonstrated good leadership skills by expressing active willingness to lead self-management programs in the community. Peer leaders' feedback indicated that the program's training content was helpful in preparing peer leaders to guide older adults in learning self-management skills and in improving the abilities and confidence of peer leaders in mentoring self-management.
Findings in this study showed that peer leader training can impact the effectiveness and success of self-management in older adults with diabetes. Even in a small-scale study, the impact was evident, which demonstrated the feasibility of the program. More large-scale studies on the effectiveness of various peer leader training programs in diverse disciplines are recommended.
ClinicalTrials.gov Identifier: NCT04298424 (the Peer-Led Self-Management Program).
为提高同伴领袖培训质量，本研究为患有糖尿病的老年同伴领袖开发了一个基于理论的自我管理培训项目，并评估其可行性。
当前的自我管理项目主要设计为由医疗保健专业人员实施，但由于缺乏类似疾病经历，医护人员可能无法充分认识到老年人在疾病管理中的需求和障碍。针对这一问题，具有成功自我管理经验、相似文化背景和语言以及相关疾病经历的同伴领袖接受培训，以在自我管理项目中指导和辅导同伴患者。
本研究分两个阶段进行。在第一阶段，以体验式学习理论为框架、自我调节理论为活动设计策略，开发了一个同伴领袖培训项目。在第二阶段，通过参与者对培训项目的反馈，从三个指标评估项目可行性：出勤率、未来领导同伴主导的自我管理项目的意愿，以及由同伴领袖培训评估工具评估的领导技能。
在本研究中，同伴领袖通过表达积极领导社区自我管理项目的意愿，展示出良好的领导技能。同伴领袖的反馈表明，该项目的培训内容有助于让同伴领袖做好准备，指导老年人学习自我管理技能，并提高同伴领袖在辅导自我管理方面的能力和信心。
本研究结果表明，同伴领袖培训可影响糖尿病老年患者自我管理的效果和成功率。即使在小规模研究中，这种影响也很明显，这证明了该项目的可行性。建议开展更多关于各种同伴领袖培训项目在不同学科中有效性的大规模研究。
ClinicalTrials.gov标识符：NCT04298424（同伴主导的自我管理项目）
