Peer Coaches to Improve Diabetes Outcomes in Rural Alabama: A Cluster Randomized Trial

Author: Safford, M. M. Country/countries: N/A Number of patients participating in the study: 424 This study was focused on patients living with Type 2 Diabetes Mellitus
Intervention analysed in the study: Usual Care Plus Intervention components: UCP
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Setting of implementation: N/A Professionals delivering the intervention: N/A Targeted self-management behaviours: N/A
Intervention analysed in the study: Action-based and emotional-based behavioural techniques and social support, lead by peers Intervention components: E+AB+EB+SS+P
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Setting of implementation: Home-care Professionals delivering the intervention: Peer Targeted self-management behaviours: Condition-specific behaviours, Eating behaviours, Physical activity /exercise, Self-monitoring

Outcomes measured in the study

Outcome Measure Tool
Blood-pressure Systolic pressure N/A
HbA1C Glycated hemoglobin (HbA1c) N/A
Lipid profile LDL-Cholesterol N/A
Patient activation Patient activation level Patient Activation Measure (PAM)
Quality of life Quality of life N/A
Quality of life Psychological distress Diabetes Distress Scale (DDS)
Scheduled care GP visits N/A
Unscheduled care Emergency room visits N/A
Unscheduled care Visits / admissions N/A
Weight (management) BMI - Body Mass Index N/A

Patient characteristics

Age: 60.2 years (+/- a standard deviation of 12.1) Gender: 271 females Time since diagnosis of Type 2 Diabetes Mellitus: N/A Severity of the disease: 7.9 (+/- a standard deviation of 2.0) Multi-morbidity: N/A
  • Number of co-morbidities: N/A

Level of health literacy: N/A
  • Tool: N/A

Socio-economic characteristics: 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
Blood-pressure - Systolic pressure
HbA1C - Glycated hemoglobin (HbA1c)
Lipid profile - LDL-Cholesterol
Weight (management) - BMI - Body Mass Index

Other publications associated with this study

Impact of Peer Support on Acute Care Visits and Hospitalizations for Individuals With Diabetes and Depressive Symptoms: A Cluster-Randomized Controlled Trial Link: 10.2337/dc18-0550 Recruitment of a rural, southern, predominantly African-American population into a diabetes self-management trial Volunteer peer support, diabetes, and depressive symptoms: Results from the ENCOURAGE trial Link: 10.1016/j.jcte.2016.04.002 Challenges of Prolonged Follow-up and Temporal Imbalance in Pragmatic Trials: Analysis of the ENCOURAGE Trial Link: 10.1370/afm.1790