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Peer supporters for cardiac patients with diabetes: A randomized controlled trial
Journal article   Peer reviewed

Peer supporters for cardiac patients with diabetes: A randomized controlled trial

Jo Wu, A M Chang, M Courtney and K Kostner
International Nursing Review, Vol.59(3), pp.345-352
2012
url
https://doi.org/10.1111/j.1466-7657.2012.00998.xView
Published Version

Abstract

cardiac disease diabetes peers randomized control trials
Aims: To determine whether incorporation of patient peer supporters in a Cardiac-Diabetes Self-Management Program (Peer-CDSMP) led to greater improvement in self-efficacy, knowledge and self-management behaviour in the intervention group compared to a control group. Background: Promoting improved self-management for those with diabetes and a cardiac condition is enhanced by raising motivation and providing a model. Peer support from former patients who are able to successfully manage similar conditions could enhance patient motivation to achieve better health outcomes and provide a model of how such management can be achieved. While studies on peer support have demonstrated the potential of peers in promoting self-management, none have examined the impact on patients with two co-morbidities. Methods: A randomized controlled trial was used to develop and evaluate the effectiveness of the Peer-CDSMP from August 2009 to December 2010. Thirty cardiac patients with type 2 diabetes were recruited. The study commenced in an acute hospital, follow-up at participants' homes in Brisbane, Australia. Results: While both the control and intervention groups had improved self-care behaviour, self-efficacy and knowledge, the improvement in knowledge was significantly greater for the intervention group. Conclusions: Significant improvement in knowledge was achieved for the intervention group. Absence of significant improvements in self-efficacy and self-care behaviour represents an inconclusive effect; further studies with larger sample sizes are recommended. © 2012 The Authors. International Nursing Review © 2012 International Council of Nurses.

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