The University of Dublin | Trinity College -- Ollscoil Átha Cliath | Coláiste na Tríonóide
Trinity's Access to Research Archive
Home :: Log In :: Submit :: Alerts ::

TARA >
School of Medicine >
Public Health & Primary Care >
Public Health & Primary Care (Scholarly Publications) >

Please use this identifier to cite or link to this item: http://hdl.handle.net/2262/19480

Title: Peer support in type 2 diabetes: a randomised controlled trial in primary care with parallel economic and qualitative analyses: pilot study and protocol
Author: O'DOWD, THOMAS
PAUL, GILLIAN
SMITH, SUSAN
O'DOWD, THOMAS
O'KELLY, FERGUS DESMOND
PAUL, GILLIAN
SMITH, SUSAN
Sponsor: Health Research Board
Author's Homepage: http://people.tcd.ie/susmith
http://people.tcd.ie/todowd
Keywords: Type 2 diabetes
Peer support
Issue Date: 2007
2007
Publisher: BioMed Central
Citation: Gillian M Paul, Susan M Smith, David L Whitford, Eamon O'Shea, Fergus O'Kelly and Tom O'Dowd, Peer support in type 2 diabetes: a randomised controlled trial in primary care with parallel economic and qualitative analyses: pilot study and protocol, Biomed Central Family Practice, 8, 45, 2007
Series/Report no.: 8
45
Biomed Central Family Practice
Abstract: Background Diabetes is a chronic illness, which requires the individual to assume responsibility for their own care with the aim of maintaining glucose and blood pressure levels as close to normal as possible. Traditionally self-management training for diabetes has been delivered in a didactic manner. In recent times alternatives to the traditional delivery of diabetes care have been investigated, for example, the concept of peer support which emphasises patient rather than professional domination. This paper describes the pilot study and protocol for a study that aims to evaluate the effectiveness of a peer support intervention for people with type 2 diabetes in a primary care setting. Methods/Design A pilot study was conducted to access the feasibility of a randomized controlled trial of a peer support intervention. We used the MRC Framework for the evaluation of complex interventions. Elements of the intervention were defined and the study protocol was finalized. In this cluster randomised controlled trial twenty general practices are assigned to control and intervention groups. Each practice compiles a diabetes register and randomly selects 21 patients. All practices implement a standardised diabetes care system. In the intervention group all practices recruit three peer supporters. The peer supporters are trained to conduct nine group meetings in their general practice over a period of two years. Each meeting has a structured component. The primary outcomes are blood pressure, total cholesterol, HBA1c and the Diabetes Well-being score. In addition to biophysical, psychosocial, economic and health service utilization data peer supporter activity and qualitative data are collected. Discussion Peer support is a complex intervention and evaluating such an intervention presents challenges to researchers. This study will evaluate whether a peer support programme for patients with type 2 diabetes improves biophysical and psychosocial outcomes and whether it is an acceptable, cost effective intervention in the primary care setting.
Description: PUBLISHED
URI: http://www.biomedcentral.com/content/pdf/1471-2296-8-45.pdf
http://hdl.handle.net/2262/19480
http://www.biomedcentral.com/content/pdf/1471-2296-8-45.pdf
Appears in Collections:Public Health & Primary Care (Scholarly Publications)

Files in This Item:

File Description SizeFormat
Peer support in type 2 diabetes.pdfpublisher pdf333.31 kBAdobe PDFView/Open


This item is protected by original copyright


Please note: There is a known bug in some browsers that causes an error when a user tries to view large pdf file within the browser window. If you receive the message "The file is damaged and could not be repaired", please try one of the solutions linked below based on the browser you are using.

Items in TARA are protected by copyright, with all rights reserved, unless otherwise indicated.

 

Valid XHTML 1.0! DSpace Software Copyright © 2002-2010  Duraspace - Feedback