Changping Ju|Ran Shi|Yao Li|X. Ye|Min Jia|Jing Han|Tianming Yang|Qing Lü|Hui Jin|Xue Cai|Suixia Yuan|Bo Xie|Xinguang Yu|Muchieh Maggy Coufal|Edwin B. Fisher|Zilin Sun
Effect of peer support on diabetes distress: a cluster randomized controlled trial
Zhongda Hospital Southeast University|Zhongda Hospital Southeast University|Zhongda Hospital Southeast University|Zhongda Hospital Southeast University|Zhongda Hospital Southeast University|Zhongda Hospital Southeast University|Zhongda Hospital Southeast University|Zhongda Hospital Southeast University|Zhongda Hospital Southeast University|Zhongda Hospital Southeast University|Zhongda Hospital Southeast University|Zhongda Hospital Southeast University|Southeast University|University of North Carolina at Chapel Hill|Zhongda Hospital Southeast University
investigate whether peer support would reduce diabetes distress improve glycaemic control added usual diabetes education among adults type 2 diabetes chinawe conducted cluster randomized trial involving 400 adults type 2 diabetes eight communities nanjing participants received usual education average 2 h month physicians certified diabetes educators dieticians psychologists podiatric nurses peer support led trained peer leaders included diabetes knowledge skillssharing least month well peertopeer communication primary outcome diabetes distress measured using diabetes distress scale 12 months secondary outcomes included fasting plasma glucose 2h postprandial glucose hba1c concentration outcome data collected participants baseline 6 months 12 monthsfrom 2012 2013 200 participants study arm baseline compared usual education arm peer support usual education arm greater reductions regimenrelated distress 14 06 vs 12 04 p0004 total distress 13 04 vs 12 03 p0038 6 months 12 months scores emotional burden 12 03 vs 14 06 p0002 physicianrelated distress 11 03 vs 13 04 p0001 total scores 12 03 vs 13 04 p0002 significantly lower peer support usual education arm usual education arm fasting plasma glucose levels lower peer support usual education arm usual education arm 6 months 75 195 vs 80 22 p0044 12 months 70 23 vs 76 15 p0008beyond benefits usual education peer support effective reducing diabetes distress type 2 diabetes mellitus clinical trials registry nct02119572