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A diabetes peer support intervention: Patient experiences using the Mmogo-method®.

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Peer support significantly improved self-management for type 2 diabetes patients. Community health workers were key, fostering positive lifestyle changes and boosting confidence.

Keywords:
Mmogo-method®South Africapatient experiencespeer supporttype 2 diabetes

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Area of Science:

  • Endocrinology
  • Public Health
  • Behavioral Science

Background:

  • Self-management is crucial for type 2 diabetes care, involving diet, exercise, and treatment adherence.
  • Barriers like lack of support can hinder diabetes self-management.
  • Peer support emerges as a promising strategy to enhance diabetes self-management.

Purpose of the Study:

  • To explore the experiences of adults with type 2 diabetes in a peer support intervention.
  • To inform the development of practical methods for diabetes self-management and control.

Main Methods:

  • A qualitative study using the Mmogo-method® visual-based narrative enquiry.
  • Twelve Sesotho-speaking women (51-84 years) with type 2 diabetes participated.
  • Thematic analysis was conducted on triangulated data from audio recordings, photographs, and field notes.

Main Results:

  • Participants found the peer support intervention highly valuable.
  • Community health workers were identified as a critical support source.
  • Key themes included positive lifestyle changes, continuous support, and enhanced confidence and connectedness.

Conclusions:

  • Peer support for type 2 diabetes is a valued intervention.
  • Patients reported positive experiences and strong connections with community health workers.
  • Community health workers are well-positioned within the healthcare system to deliver this support.