Improving Diabetes Management and Cardiovascular Risk Factors Through Peer-Led Self-management Support Groups in Western Kenya
| Autor: | Jemima H. Kamano, Lawrence Misoi, Jack S. Nyabundi, Sonak D. Pastakia, Charity Wambui, Sabina Atieno, Paul H. Park, Gerald S. Bloomfield, Joseph R. Egger |
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| Rok vydání: | 2015 |
| Předmět: |
Advanced and Specialized Nursing
Gerontology Self-management Errata business.industry Endocrinology Diabetes and Metabolism e-Letters: Observations 1. No poverty 030204 cardiovascular system & hematology Peer support medicine.disease 3. Good health 03 medical and health sciences 0302 clinical medicine Diabetes management Urbanization Diabetes mellitus Health care Internal Medicine Medicine 030212 general & internal medicine business Downstream (petroleum industry) Westernization |
| Zdroj: | Diabetes Care |
| ISSN: | 1935-5548 |
| Popis: | In sub-Saharan Africa, projections anticipate a 110% rise in the number of people with diabetes mellitus (DM) from 19.8 million to 41.5 million by 2035 (1). This growth is attributed primarily to the multiple downstream ramifications of urbanization and westernization. Poor access to medications, finances, transportation, and skilled health care providers trained in DM management is a barrier that contributes to poor outcomes for patients with DM (2). As a result, patients are often forced to rely on self-management without guidance from the formal health care sector. To combat this barrier, diabetes self-management support (DSMS) programs sustain psychosocial support and education by incorporating lay DM patients as peer support group leaders at the community level (3,4). Limited data exist for DSMS outcomes in low- and middle-income countries (LMICs). The imminent rise of DM and the logistical challenges of health delivery in … |
| Databáze: | OpenAIRE |
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