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COMPAR-EU RCTs Web
Cardiovascular risk outcome and program evaluation of a cluster randomised controlled trial of a community-based, lay peer led program for people with diabetes
See more Setting of implementation: Primary care centers (GPs) Professionals delivering the intervention: Dietician/nutritionist, Educator Targeted self-management behaviours: Condition-specific behaviours, Eating behaviours, Medication use and adherence, Physical activity /exercise
Components
Individual sessions
A single person receives the self-management support. Examples: self-guided actions (without the participation of any other person) during a clinical visit or within the context of a support or educational session
Face-to-face
Self-management support delivered in a face-to-face encounter between the providers and patients and/or caregivers.
See more Setting of implementation: Community-based care Professionals delivering the intervention: Peer Targeted self-management behaviours: Asking for professional help or emergency care when needed, Communication with healthcare and/or social care providers, Condition-specific behaviours, Early recognition of symptoms, Eating behaviours, Medication use and adherence, Physical activity /exercise, Self-monitoring, Social roles
Components
Education (E)
Monitoring techniques (MT)
Action-based behavioural change techniques (AB)
Emotional-based change techniques (EB)
Social support (SS)
Peers (P)
Peers (P)
The intervention is carried out by peers, people who have experienced living with the same disease or by lay people living in your community. Rather than involving just health professionals or educators, the intervention involves one or more peers who take on a role in the teaching and/or providing information about the intervention.
Examples: Training and teaching activities provided by peers to guide people with a related health care concern, to adopt a new behaviour that would facilitate healthy outcomes.
In group
Two or more patients or caregivers receive a self-management intervention. Group interventions are normally organized for efficiency purposes or to facilitate learning and knowledge exchange among peers (people living with the same health condition). For example, peer-led education group to enhance physical activity in obese individuals.
Face-to-face
Self-management support delivered in a face-to-face encounter between the providers and patients and/or caregivers.
Outcomes measured in the study
Outcome | Measure | Tool |
---|---|---|
Blood-pressure | Systolic pressure | N/A |
Blood-pressure | Diastolic pressure | N/A |
HbA1C | Glycated hemoglobin (HbA1c) | N/A |
Lipid profile | Total cholesterol | N/A |
Lipid profile | LDL-Cholesterol | N/A |
Lipid profile | HDL-Cholesterol (mmol) | N/A |
Lipid profile | Triglycerides | N/A |
Weight (management) | Weight (Kgs/lbs) | N/A |
Weight (management) | BMI - Body Mass Index | N/A |
Weight (management) | Waist size | N/A |
Patient characteristics
Number of co-morbidities: N/A
Tool: N/A
Risk of Bias of this study
Outcome | Random sequence generation | Allocation concealment | Blinding performance | Blinding detection objective outcomes assessment | Attrition incomplete outcome | Incorrect statistical methods | Recruitment bias | Selective outcome reporting |
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Blood-pressure - Systolic pressure | ||||||||
Blood-pressure - Diastolic pressure | ||||||||
HbA1C - Glycated hemoglobin (HbA1c) | ||||||||
Lipid profile - LDL-Cholesterol | ||||||||
Lipid profile - Triglycerides | ||||||||
Lipid profile - HDL-Cholesterol (mmol) | ||||||||
Lipid profile - Total cholesterol | ||||||||
Weight (management) - BMI - Body Mass Index | ||||||||
Weight (management) - Weight (Kgs/lbs) | ||||||||
Weight (management) - Waist size |
Other publications associated with this study
Learn more about the intervention: Monitoring, action-based and emotional-based behavioural techniques and social support lead by peers delivered in groups
Summary of findings | |
RCTs that also analysed this type of intervention | |
Related cost-effectiveness analysis |
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To learn more about the cost-effectiveness of self-management interventions check our section on the topic: Cost-effectiveness
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Related contextual analysis |
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To learn more about the contextual factors that can facilitate or hinder the implementation of a self-management intervention check our section on the topic: Contextual factors
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