Diabetes Management Helped Significantly by Peer-Support

A study recently published in the Annals of Internal Medicine revealed that patients suffering from diabetes benefit from peer-support programs. CNN Health brought the study to our attention.

The new findings indicate that phone calls between peers with diabetes are effective in improving patient blood sugar control. Phone calls between peers also offer an alternative to conventional nurse-care programs, which may not provide enough face-to-face meeting time to be efficient.

Michele Heisler, lead researcher of the study and associate professor of Medicine and Health Behavior and Health Education at University of Michigan, told CNN that she believes support and encouragement are crucial.

We know that many, many people with diabetes know what they are supposed to be doing taking medications, starting insulin if oral medications alone no longer work well enough, following diet plans, maintaining physical activity, monitoring disease status and symptoms but [patients] find it too difficult to do well. They also may know what they are supposed to do but not how to do it, Heisler told CNN. Many people need more self-management support than over-extended health care systems can provide.

Heislers team reviewed 244 male patients with uncontrolled diabetes who had consistently high blood sugar levels for three months before the study began. The researchers assigned half the men to a peer-support regimen and the other half to a traditional nurse-care program.

Those in the nurse-care group attended an educational session and were assigned a nurse-care manager. For the peer-support group, researchers first prepared the patients by training them on peer communication. In a group setting, the patients spoke to each other about their goals to control their blood sugar. Then the men were paired off with other patients similar in age and were asked to make phone calls to each other once a week to provide mutual support. We explicitly wanted to test whether patients who were having self-management challenges and did not have good control of their diabetes might be better motivated themselves if given the opportunity to both help and receive help from another participant facing similar self-management challenges and who also had poor control, Heisler told CNN. Patients know a lot about living with their condition and strategies they have developed so have a lot to share with others also struggling. To evaluate the value of the peer-support and nurse-care approaches, researchers measured patients hemoglobin A1c levels, blood pressure, changes in insulin therapy, and faithfulness to oral therapy routines. Patients in the peer support group self-managed their disease more effectively and ended up with lower hemoglobin Alc levels than those in the nurse-care program. The findings demonstrate the value of peer-support between sufferers of diseases that require management.
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