A preliminary study on the effects of the Peer-Led Self-Management (PLSM) program on self-efficacy,self-management,and physiological measures in older adults with diabetes: A block randomized controlled trial |
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| Affiliation: | 1. Department of Community Medicine, St. Martin De Porres Hospital, Chiayi, Taiwan;2. School of Nursing, Kaohsiung Medical University, Kaohsiung, Taiwan;3. Department of Nursing, Chang Gung University of Science and Technology, Chiayi Campus, Taiwan;4. Emergency Department, Chi-Mei Medical Center, Tainan, Taiwan;5. Department of Nursing, Chang Jung Christian University, Tainan, Taiwan;6. Department of Renal Care, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan;7. Department of Medical Research, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan;8. School of Nursing, Fooyin University, Kaohsiung, Taiwan;1. Department of Psychology, Federal University of São Carlos, São Carlos, Brazil;2. Faculty of Nursing, University of Alberta, Edmonton, AB, Canada;3. Ages University Center, Bahia, Brazil;4. Faculty of Medicine of Itajubá-Afya Group, Itajubá, MG, Brazil;5. Faculty of Medicine of Itajubá-Afya Group, 255, Rennó Júnior Avenue, 368, Itajubá, MG, 37502-138, Brazil.;1. PhD student, School of Nursing, College of Medicine, Chang Gung University, Taoyuan, Taiwan; Lecturer, Department of Gerontology and Health Care Management, Chang Gung University of Science and Technology, Taoyuan, Taiwan; Geriatric and Long-Term Care Research Center, Chang Gung University of Science and Technology, Taoyuan, Taiwan;2. Associate Professor, Department of Gerontology and Health Care Management, Chang Gung University of Science and Technology, Taoyuan, Taiwan; Associate Researcher, Department of Nursing, Taoyuan Chang Gung Memorial Hospital, Taoyuan, Taiwan;3. Associate Professor & Visiting Staff, Department of Neurology, Chang Gung Memorial Hospital, Taoyuan, Taiwan; Director, Dementia Center, Chang Gung Memorial Hospital, Taoyuan, Taiwan;4. Associate professor, Attending, Department of Neurology, New Taipei Municipal Tu Cheng Hospital, Chang Gung Memorial Hospital and Chang Gung University, New Taipei City, Taiwan; Adjunct Associate Professor, Taipei Medical University Shuang Ho Hospital, Graduate Institute of Humanities in Medicine and Research Center for Brain and Consciousness, Taipei, Taiwan;5. Secretary General, Taiwan Alzheimer''s Disease Association, Taipei, Taiwan;6. Lambda Beta Chapter-At-Large, Distinguished Professor, School of Nursing, College of Medicine, Chang Gung University, Taoyuan, Taiwan; Professor and Group Project Leader, Healthy Aging Research Center, Chang Gung University, Taoyuan, Taiwan; Professor, Department of Gerontology and Health Care Management Chang Gung University of Science and Technology;1. Department of Public Health, The University of Texas at San Antonio, United States;2. School of Nursing, UT Health San Antonio, United States;3. Department of Kinesiology, The University of Texas at San Antonio, United States;4. College for Health, Community and Policy, The University of Texas at San Antonio, United States;5. Dreeben School of Education, University of the Incarnate Word, United States;6. Glenn Biggs Institute for Alzheimer''s & Neurodegenerative Diseases, UT Health San Antonio, United States;1. AGSF, President of the American Geriatrics Society, USA;1. Medical Division, Novartis Pharma K.K., Tokyo, Japan;2. Department of Cardiovascular Medicine, Hokkaido University Graduate School of Medicine, Hokkaido, Japan;3. Real World Evidence, Cardio renal metabolic, Novartis Pharma AG, Basel, Switzerland;4. Adelphi Real World, Bollington, UK |
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| Abstract: | This study explored the effects and feasibility of the peer-led self-management (PLSM) program for older adults with diabetes. Twenty-eight participants from 10 communities in southern Taiwan were randomly allocated to experimental and control groups. Those in the experimental group were enrolled in a 4-week PLSM program; those in the control group received a self-management manual and continued their usual clinical care. Improvement in outcomes (self-efficacy, self-management, physiological measures) over time in both groups were evaluated. After PLSM intervention, self-efficacy and self-management had improved; body weight and body mass index measures of the experimental group at post-test 1 and post-test 2 were significantly lower than those of the control group (p < .001); HbA1c, total cholesterol, and triglycerides at post-test 2 were also significantly better (p < .001; p = .03; p = .02). We discuss preliminary benefits and feasibility of the PLSM program. |
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