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Diabetes self-management education: acceptability of using trained lay educators.

P K Mandalia1, M A Stone2, M J Davies3

  • 1Leicester Diabetes Centre, University Hospitals of Leicester, Leicester General Hospital, Leicester, UK.

Postgraduate Medical Journal
|September 27, 2014
PubMed
Summary

Lay educators are acceptable for delivering type 2 diabetes education, supporting healthcare capacity and cost-efficiency. Patient and educator views were explored in this qualitative study.

Keywords:
DIABETES & ENDOCRINOLOGYEDUCATION & TRAINING (see Medical Education & Training)

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Area of Science:

  • Healthcare education
  • Chronic disease management
  • Qualitative research

Background:

  • Lay people can enhance healthcare capacity and cost-efficiency for chronic condition education.
  • This qualitative substudy is part of a larger equivalence trial (2008-2011).

Purpose of the Study:

  • To explore patient and educator perceptions of using lay people to deliver type 2 diabetes education.
  • To understand factors influencing the acceptability of lay educators in diabetes education.
  • To complement quantitative findings from the main trial.

Main Methods:

  • 27 telephone interviews were conducted with patients, lay educators, and healthcare professional educators.
  • Purposive sampling ensured diverse stakeholder representation.
  • Thematic analysis using the constant comparative approach and Framework methodology was applied.

Main Results:

  • Lay educators were generally found to be acceptable to both patients and educators.
  • Perceived knowledge differences between lay and healthcare professional educators did not affect acceptability or perceived effectiveness.
  • Concerns included lay educators transferring personal issues and the time commitment for healthcare professional mentorship.

Conclusions:

  • Positive perceptions of lay educators align with positive quantitative trial findings.
  • Acceptability is crucial for implementing this lay educator model.
  • Training for lay educators should address identified concerns to ensure successful implementation.