The Effect of Peer Education on Diabetes Self-Efficacy in Patients with Type 2 Diabetes: A Randomized Clinical Trial

Authors

  • Mohammad Khavasi1 1- Dept. of Nursing, Abadan University of Medical Sciences, Abadan, Iran.
  • Daryadokht Masroor2 2- Dept. of Medical Surgical Nursing, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran.
  • Shokoh Varai3 3- Dept. of Medical Surgical Nursing, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran.
  • Koroush Joudaki4 4- Dept. of Anesthesia, School of Allied Medical Sciences, Qom University of Medical Sciences, Qom, Iran.
  • Masoud Rezaei5 5- Dept. of Medical Surgical Nursing, School of Nursing and Midwifery, Army University of Medical Sciences, Tehran, Iran.
  • Babak Rastegari Mehr6 6- Dept. of Nursing, Abadan School of Medical Sciences, Abadan, Iran.
  • Morteza Shamsizadeh7 7- Dept. of Medical Surgical Nursing, School of Nursing and Midwifery, Hamadan University of Medical Sciences, Hamadan, Iran

DOI:

https://doi.org/10.22100/jkh.v11i2.1359

Keywords:

Peer education, Self-efficacy, Type II diabetes

Abstract

Introduction: Pay attention to the psychological aspects of diabetic patints, especially self-efficacy, important and can be very usefull in the process of treatment of them. Peer education has many effects in facilitating and creating an environment atmosfere. This study was conducted to evaluate the effect of peer education on diabetes self-efficacy.

Methods: In this randomized control trial study, 70 diabetic patients who were in Firoozgar hospital in Tehran were recruited using the convenience sampling method. The patients were assigned randomly into two control and intervention groups. Patients in the intervention group were trained by peers during the two sessions, but the patients in the control group received only routine education. Data were collected by demographic questionnaire and diabetes management self-efficacy scale. Patients self efficacy were measured before the education and 2 months after the intervention. Descriptive and inferential statistics were used to analyze data by SPSS.

Results: Mean diabetic self efficacy in both groups had no statistically significant difference in days of hospitalization (P: 0.2). Also differences in mean diabetic self efficacy between the groups two months after the intervention were statistically significant (P<0.001).

Conclusion: Peer education to patients who are hospitalized, can increase diabetic self efficacy. Therefore, it is recommended that, this educational approach used in ward.

References

Hamdy O, Colberg SR. The diabetes breakthrough: based on a scientifically proven plan to lose weight and cut medications. Unitaed State of America: Harlequin;2014.

de Mutsert R, Sun Q, Willett WC, Hu FB, van Dam RM. Overweight in early adulthood, adult weight change, and risk of type 2 diabetes, cardiovascular diseases, and certain cancers in men: a cohort study. Am J Epidemiol 2014;179:1353-65. doi: 10.1093/aje/kwu052.

Naderimagham S, Niknami S, Abolhassani F, Hajizadeh E, Montazeri A. Development and psychometric properties of a new social support scale for self-care in middle-aged patients with type II diabetes (S4-MAD). BMC Public Health 2012;12:1035. doi: 10.1186/1471-2458-12-1035.

Klautzer L, Becker J, Mattke S. The curse of wealth–Middle Eastern countries need to address the rapidly rising burden of diabetes. Int J Health Policy Manag 2014;2:109-14.

Ghaderpanahi M, Fakhrzadeh H, Sharifi F, Badamchizade Z, Mirarefin M, Ebrahim RP, et al. Association of physical activity with risk of type 2 diabetes. Iranian J Public Health 2011;40:86-93.

Borhani F, Ranjbar A, Abbaszadeh A. The effect of telenursing (cellphone software) on a1c hemoglobin in patients with type 2 diabetes mellitus. Annals of Military and Health Sciences Research 2013;11:130-7.[Persian].

Masror Rudsari D, Ashrafi Z, Parsa Yekta Z, Haghani H. Evaluation of quality of life of type ii diabetic patients referring to tehran imam khomeini hospital in the summer of 2012. Journal of Knowledge & Health 2015;10:58-63.

Wu S-FV, Tung HH, Liang SY, Lee MC, Yu NC. Differences in the perceptions of self-care, health education barriers and educational needs between diabetes patients and nurses. Contemp Nurse 2014;46:187-96. doi: 10.5172/conu.2014.46.2.187.

Mohebi S, Azadbakht L, Feizi A, Sharifirad G, Kargar M. Structural role of perceived benefits and barriers to self-care in patients with diabetes. J Educ Health Promot 2013;2:12-9. doi: 10.4103/2277-9531.

Gao J, Wang J, Zheng P, Haardörfer R, Kegler MC, Zhu Y, et al. Effects of self-care, self-efficacy, social support on glycemic control in adults with type 2 diabetes. BMC Fam Pract 2013;14:66. doi: 10.1186/1471-2296-14-66.

Cinar AB, Schou L. The role of self‐efficacy in health coaching and health education for patients with type 2 diabetes. Int Dent J 2014;64:155-63. doi: 10.1111/idj.12093.

Chen SR, Chien YP, Kang CM, Jeng C, Chang WY. Comparing self‐efficacy and self‐care behaviours between outpatients with comorbid schizophrenia and type 2 diabetes and outpatients with only type 2 diabetes. Journal of Psychiatric and Mental Health Nursing 2013;21:414-22.

Herbert LJ, Monaghan M, Cogen F, Streisand R. The impact of parents' sleep quality and hypoglycemia worry on diabetes self-efficacy. Behav Sleep Med 2014;13:308-23. doi: 10.1080/15402002.2014.898303.

Mohebi S, Azadbakht L, Feizi A, Sharifirad G, Kargar M. Review the key role of self-efficacy in diabetes care. J Educ Health Promot 2013;2:36. doi: 10.4103/2277-9531.115827.

Alipour A, Zare H, Poursharifi H, Sheibani KA, Ardekani MA. The Intermediary Role of Self-Efficacy in Relation with Stress, Glycosylated Haemoglobin and Health-Related Quality of Life in Patients with Type2 Diabetes. Iran J Public Health 2012;41:76-80.

Bandura A. Social cognitive theory: An agentic perspective. Annu Rev Psychol 2001;52:1-26.

Fisher L, Hessler D, Masharani U, Strycker L. Impact of baseline patient characteristics on interventions to reduce diabetes distress: the role of personal conscientiousness and diabetes self‐efficacy. Diabet Med 2014;31:739-46. doi: 10.1111/dme.12403.

Moniei R. Development of distance education in higher education, opportunities and challenges. Rahyaft 2004;31:43-52.[Persian].

Shahriari M, Jalalvandi F, Yousefi H, Tavkol K, Saneei H. The effect of a self-care program on the quality of life of patients with permanent pacemaker. Iranian Journal of Medical Education. 2005;5:45-52.

Webel AR, Okonsky J, Trompeta J, Holzemer WL. A systematic review of the effectiveness of peer-based interventions on health-related behaviors in adults. Am J Public Health 2010;100:247-53. doi: 10.2105/AJPH.2008.149419.

Cartagena RG, Veugelers PJ, Kipp W, Magigav K, Laing LM. Effectiveness of an HIV prevention program for secondary school students in Mongolia. J Adolesc Health 2006;39:925.e9-16.

Dehghani A, Kermanshahi S, Memarian R, Hojjati H, Shamsizadeh M. The effect of peer-led education on depression of multiple sclerosis patients. Iranian Journal of Psychiatric Nursing 2013;1:63-71.[Persian].

Bijl Jvd, Poelgeest‐Eeltink Av, Shortridge‐Baggett L. The psychometric properties of the diabetes management self‐efficacy scale for patients with type 2 diabetes mellitus. J Adv Nurs 1999;30:352-9.

McDowell J, Courtney M, Edwards H, Shortridge‐Baggett L. Validation of the Australian/English version of the diabetes management self‐efficacy scale. Int J Nurs Pract 2005;11:177-84.

Kara M, Van Der Bijl JJ, Shortridge-Baggett LM, Astı T, Erguney S. Cross-cultural adaptation of the diabetes management self-efficacy scale for patients with type 2 diabetes mellitus: Scale development. Int J Nurs Stud 2006;43:611-21.

Vivienne Wu SF, Courtney M, Edwards H, McDowell J, Shortridge-Baggett LM, Chang PJ. Development and validation of the chinese version of the diabetes management self-efficacy scale. Int J Nurs Stud 2008;45:534-42.

Haghayegh A, Ghasemi N, Neshardoost Ht, Kajbaf Mb, Khanbani M. Psychometric properties of diabetes management. Iranian Journal of Endocrinology and Metabolism 2010;12:111-5.

Nelson K, Drain N, Robinson J, Kapp J, Hebert P, Taylor L, et al. Peer support for achieving independence in diabetes (Peer-AID): design, methods and baseline characteristics of a randomized controlled trial of community health worker assisted diabetes self-management support. Contemporary Clinical Trials 2014;38:361-9.

Eskicioglu P, Halas J, Senechal M, Wood L, McKay E, Villeneuve S, et al. Peer mentoring for type 2 diabetes prevention in first nations children. Pediatrics 2014;133:e1624-31. doi: 10.1542/peds.2013-2621.

Tang T, Sohal P, Garg A. Evaluating a diabetes self‐management support peer leader training programme for the english‐and punjabi‐speaking south‐asian community in vancouver. Diabet Med 2013;30:746-52. doi: 10.1111/dme.12179.

Vorderstrasse AA, Melkus GD, Pan W, Lewinski AA, Johnson CM. Diabetes learning in virtual environments: testing the efficacy of self-management training and support in virtual environments (randomized controlled trial protocol). Nurs Res 2015;64:485-93. doi: 10.1097/NNR.0000000000000128.

Zhong X, Wang Z, Fisher EB, Tanasugarn C. Peer support for diabetes management in primary care and community settings in Anhui Province, China. Ann Fam Med 2015;13:S50-8. doi: 10.1370/afm.1799.

Rashidi K, Safavi M, Yahyavi S, Farahani H. The effect of the peers’ support on self efficacy level type II diabetic patients. Scientific Journal of Hamadan Nursing & Midwifery Faculty 2016; 23:15-26.[Persian].

Sulaiman N, Hadj E, Hussein A, Young D. Peer-supported diabetes prevention program for turkish- and arabic-speaking communities in Australia. ISRN Family Medicine 2013;2013:1-6. doi:10.5402/2013/735359.

Van der Wulp I, de Leeuw JR, Gorter KJ, Rutten GE. Effectiveness of peer‐led self‐management coaching for patients recently diagnosed with Type 2 diabetes mellitus in primary care: a randomized controlled trial. Diabet Med 2012;29:e390-7. doi: 10.1111/j.1464-5491.2012.03629.x.

Devilly GJ, Sorbello L, Eccleston L, Ward T. Prison-based peer-education schemes. Aggression and Violent Behavior 2005;10:219-40.

Varaei S, Shamsizadeh M, Cheraghi MA, Talebi M, Dehghani A, Abbasi A. Effects of a peer education on cardiac self-efficacy and readmissions in patients undergoing coronary artery bypass graft surgery: a randomized-controlled trial. Nursing in Critical Care 2014;21:136-44.doi: 10.1111/nicc.12118.

Robinson JS, Burkhalter BR, Rasmussen B, Sugiono R. Low-cost on-the-job peer training of nurses improved immunization coverage in Indonesia. Bull World Health Organ 2001;79:150-8.

Uitewaal P, Bruijnzeels M, de Hoop T, Hoes A, Thomas S. Feasibility of diabetes peer education for Turkish type 2 diabetes patients in Dutch general practice. Patient Education and Counseling 2004;53:359-63.

Varaei S, Cheraghi M, Seyedfatemi N, Talebi M, Dehghani A, Shamsizadeh M. The Effect of peer education on anxiety in patients candidated for coronary artery bypass graft surgery, A randomized control trial. Journal of Nursing Education 2013;2:28-37.

Seymour JE, Almack K, Kennedy S, Froggatt K. Peer education for advance care planning: volunteers’ perspectives on training and community engagement activities. Health Expect 2013;16:43-55. doi: 10.1111/j.1369-7625.2011.00688.x.

Van Rompay KKA, Madhivanan P, Rafiq M, Krupp K, Chakrapani V, Selvam D. Empowering the people: Development of an HIV peer education model for low literacy rural communities in India. Human Resour Health 2008;6:6. doi: 10.1186/1478-4491-6-6.

Eskicioglu P, Halas J, Sénéchal M, Wood L, McKay E, Villeneuve S, et al. Peer mentoring for type 2 diabetes prevention in first nations children. Pediatrics 2014;133:e1624-3. doi: 10.1542/peds.2013-2621.

Chan JC, Sui Y, Oldenburg B, Zhang Y, Chung HH, Goggins W, et al. Effects of telephone-based peer support in patients with type 2 diabetes mellitus receiving integrated care: a randomized clinical trial. JAMA Internal Medicine 2014;174:972-81.

De Bruin W, Dijkkamp E, Post E, Van Brakel W. Combining peer-led self-care interventions for people affected by leprosy or diabetes in leprosy-endemic countries. What do health care professionals think? Lepr Rev 2013;84:266-82.

Rogers EA, Hessler DM, Bodenheimer TS, Ghorob A, Vittinghoff E, Thom DH. Diabetes peer coaching do “better patients” make better coaches? Diabetes Educ 2014;40:107-15. doi: 10.1177/0145721713513178.

Goldman ML, Ghorob A, Eyre SL, Bodenheimer T. How do peer coaches improve diabetes care for low-income patients? a qualitative analysis. Diabetes Educ 2013;39:800-10. doi: 10.1177/014572171 3505779.

Aswathy S, Unnikrishnan AG, Kalra S, Leelamoni K. Peer support as a strategy for effective management of diabetes in India. Indian J Endocrinol Metab 2013;17:5-7. doi: 10.4103/2230-8210.107790.

Parent N, Fortin F. A randomized, controlled trial of vicarious experience through peer support for male first-time cardiac surgery patients: impact on anxiety, self-efficacy expectation, and self-reported activity. Heart Lung 2000;29:389-400.

Published

2016-03-15

Issue

Section

Original Article(s)

How to Cite

The Effect of Peer Education on Diabetes Self-Efficacy in Patients with Type 2 Diabetes: A Randomized Clinical Trial. (2016). Knowledge and Health in Basic Medical Sciences, 11(2), Page:67-74. https://doi.org/10.22100/jkh.v11i2.1359

Most read articles by the same author(s)

<< < 4 5 6 7 8 9 10 11 12 13 > >>