Division of Endocrinology, Department of Medicine, University of British Columbia, Vancouver, British Columbia, Canada.
Faculty of Medicine, University of British Columbia, Vancouver, British Columbia, Canada.
Can J Diabetes. 2022 Aug;46(6):553-560. doi: 10.1016/j.jcjd.2022.01.001. Epub 2022 Jan 19.
The sociodemographic and personality profiles of effective peer leaders in the context of diabetes self-management interventions are poorly understood. In this study, we explored the demographic and personality characteristics of peer leaders participating in a 12-month, telephone-based type 2 diabetes self-management intervention.
We used a sequential explanatory mixed-methods research design and recruited 52 peer leaders. Thirty-seven peer leaders had at least 1 participant complete both the baseline and the 12-month assessments. Eligible peer leader candidates were English-speaking adults (≥21 years of age) with diabetes and a self-reported glycated hemoglobin (A1C) level of ≤8% who had access to a phone and transportation and were willing to attend a 30-hour training program. Peer leaders completed a self-report survey assessing sociodemographic characteristics and a Mini-International Personality Item Pool scale measuring the "Big 5" personality traits. After the intervention, 17 peer leaders participated in semistructured interviews on their program experience. We categorized peer leaders as effective if their participants sustained or improved their A1C and diabetes distress (DD) scores from baseline to 12 months, and as ineffective if their participants worsened on any of these parameters.
Our cohort scored highest on agreeableness and lowest on neuroticism. Twenty peer leaders were considered effective, most of whom were male, married, employed and educated. They also had significantly lower mean DD levels (p=0.02) and a higher extroversion score (p=0.03) at baseline.
Extroversion emerged as the best personality predictor of peer leader effectiveness. These results, in combination with interview responses, were used to produce a peer leader selection model.
在糖尿病自我管理干预中，有效同伴领导者的社会人口统计学和人格特征仍知之甚少。在这项研究中，我们探讨了参加为期 12 个月的基于电话的 2 型糖尿病自我管理干预的同伴领导者的人口统计学和人格特征。
我们采用了顺序解释性混合方法研究设计，招募了 52 名同伴领导者。有 37 名同伴领导者至少有 1 名参与者完成了基线和 12 个月的评估。合格的同伴领导候选人必须是会说英语的成年人（≥21 岁），患有糖尿病，自我报告的糖化血红蛋白（A1C）水平≤8%，并且有电话和交通工具的使用权限，并愿意参加为期 30 小时的培训计划。同伴领导者完成了一份自我报告调查，评估社会人口统计学特征和 Mini-International Personality Item Pool 量表，以衡量“五大”人格特质。干预结束后，17 名同伴领导者参加了关于其项目经验的半结构化访谈。如果参与者的 A1C 和糖尿病困扰（DD）评分从基线到 12 个月保持或改善，则将同伴领导者归类为有效，如果参与者在任何这些参数上恶化，则将其归类为无效。
我们的队列在宜人性上得分最高，在神经质上得分最低。有 20 名同伴领导者被认为是有效的，他们中的大多数是男性、已婚、有工作和受过教育的。他们在基线时的 DD 水平显著较低（p=0.02），外向得分较高（p=0.03）。
外向性成为同伴领导者有效性的最佳人格预测指标。这些结果，结合访谈的回应，被用来制作一个同伴领导者选拔模型。
