The value of peer support for self‐management of diabetes among veterans in the Empowering Patients In Chronic care intervention
| Autor: | N. Kamdar, Jennifer Arney, Aanand D. Naik, L. Jones, E. Odom, Howard S. Gordon, LeChauncy D. Woodard, C. Brown, Natalie E. Hundt, Lea Kiefer |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Male
Endocrinology Diabetes and Metabolism medicine.medical_treatment education 030209 endocrinology & metabolism Peer support Peer Group Support group 03 medical and health sciences Social support 0302 clinical medicine Endocrinology Quality of life (healthcare) Nursing Health care Internal Medicine Humans Medicine 030212 general & internal medicine Problem Solving Qualitative Research health care economics and organizations Aged Veterans Chronic care Self-management business.industry Self-Management Social Support Mental health Self Efficacy humanities Self Care Diabetes Mellitus Type 2 Patient Participation business |
| Zdroj: | Diabetic Medicine. 37:805-813 |
| ISSN: | 1464-5491 0742-3071 |
| Popis: | AIM To examine the value of peer support in the self-management of diabetes among veterans in an integrated health care system. METHODS We conducted semi-structured in-depth interviews with veterans and clinicians 6 months after their participation in Empowering Patients in Chronic Care (EPIC), a group-based diabetes intervention with a peer-support component. Interviews elicited clinicians' narratives of how peer support unfolded in the groups and veterans' experiences of giving and receiving support from their peers. Data analysis was guided by principles of framework analysis using Heisler's peer-support model. RESULTS Findings support Heisler's peer-support model and provide evidence supporting professional-led group visits with peer exchange. Clinicians and veterans endorsed informational and emotional support received in EPIC groups. Clinicians often referred to EPIC as an open forum or a support group where veterans could both give and receive help. Veterans noted the benefits of shared problem-solving and the support they received. Clinicians and veterans perceived the peer-support component of EPIC as facilitating increased empowerment in terms of self-efficacy, increased perceived social support and increased understanding of self-care. Ultimately, many veterans acknowledged that their participation in EPIC facilitated improved health-related quality of life, improved health behaviours and improved chronic disease control. CONCLUSIONS Findings emphasize the value of peer support in managing chronic illness. Peer-support programmes may address veterans' unique challenges and have the potential to improve physical and mental health. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Plný text