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Peer support to decrease diabetes-related distress in patients with type 2 diabetes mellitus: design of a randomised
Lianne de Vries1, Amber Awa van der Heijden, Esther van 't Riet
1Department of General Practice and Elderly Care Medicine, VU University Medical Center, Amsterdam, The Netherlands. li.devries@vumc.nl.
Peer support programs can help manage type 2 diabetes mellitus distress. This study designs a theoretically-grounded group intervention to evaluate its effectiveness in reducing diabetes-related distress.
Area of Science:
- Clinical Psychology
- Behavioral Medicine
- Endocrinology
Background:
- Type 2 diabetes mellitus (T2DM) patients struggle with self-management, leading to significant diabetes-related distress.
- Peer support offers a promising avenue for distress reduction, leveraging shared experiences and mutual motivation.
- Existing evidence for peer support interventions in T2DM is inconsistent due to weak theoretical underpinnings.
Purpose of the Study:
- To design and evaluate a theoretically-grounded, group-based peer support program for T2DM patients.
- To assess the intervention's effectiveness in reducing diabetes-related distress.
- To explore impacts on self-management, well-being, and quality of life.
Main Methods:
- A parallel-group randomized controlled trial comparing a six-session peer support intervention with an educational meeting.
- Recruitment of 152 T2DM patients (3+ years duration, aged 50-70) via general practitioners.
- Intervention development aligned with the Medical Research Council framework, measuring outcomes at baseline, 6, and 12 months post-intervention.
Main Results:
- Primary outcome: reduction in diabetes-related distress.
- Secondary outcomes: improvements in self-management behavior, well-being, and health-related quality of life.
- Process measure: perceived social support.
Conclusions:
- This study will provide insights into the effectiveness of a theoretically-informed peer support intervention for T2DM.
- Findings aim to strengthen the evidence base for peer support in managing patient-reported outcomes.
- The research addresses the need for robust interventions to mitigate diabetes-related distress.
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