the Peer-Led Self-Management Program

NCT04298424 | Unknown DMC

• 1 other identifier: 17B-023
• Study Type: interventional
• Target: 30
• Locations: 1 country
• Sites: 1

Brief Summary

Elderly patients have the deficiency of motivation and confidence in self-management that are mainly influenced by physiological function, social psychology, emotion and low health literacy, resulting in poor self-management and glycemic control. According to the study, elderly patients can learn the skill of self-management more effectively through the peer leaders who have the same culture background, the life experience in disease care and the successful self-management experiences. The Self-Management Program of diabetes for the elderly will be in progress with the peer leadership concept.( the Peer-Led Self-Management Program). The aim of the pilot study was to explore the feasibility and effects of the Peer-Led Self-Management Program (PLSM). This pilot study uses two groups of block randomized controlled trials with pretest and posttest study. The test group will conduct a four-week Peer-Led Self-Management Program and the general outpatient care while the control group will implement the general outpatient care. In this study, the physiological parameters of Diabetes were used to evaluate the difference between the pre-and post-intervention measures.

Conditions

Self-Efficacy; Self-Management; Older Adults; Diabetes

Keywords

Diabetes Mellitus; Older; Self-Efficacy, Self-Management

Outcome Measures

Primary Outcomes (1)

• HbA1C

  Hemoglobin A1c, HbA1c

  Change from Baseline HbA1C at 3 months

Secondary Outcomes (2)

• Self-Management Score

  Change from Baseline Self-Management Score at 3 months

• Self-Efficacy Score

  Change from Baseline Self-Efficacy Score at 3 months

Study Arms (2)

Peer-led

EXPERIMENTAL

The experimental group will conduct a 4-week peer self-management program and receive the original outpatient routine care.

Other: PLSM

No Peer-led

NO INTERVENTION

The control group will only issue a self-management manual and receive the original outpatient routine care.

Interventions

PLSM OTHER

The program was designed for implementation over 4 consecutive weeks, with groups of 6-8 people each attending one 60-90-minute class per week. Peer leaders lead the groups to promote interaction, sharing, and support, and assist in goal setting to address behavior-related health problems, and thereby the development and implementation of strategies to achieve suitable, sustainable, and feasible self-management behavior.

Peer-led

Eligibility Criteria

• Age: 65 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Older Adult (65+)

You may qualify if:

• age ≥ 65 years,older adult peer leaders with diabetes, elementary school or higher level of education,

You may not qualify if:

• People with cognitive impairment, severe diabetes complications

Sponsors & Collaborators

• St. Martin De Porress Hospital: lead

Study Sites (1)

St. Martin De Porres Hospital

Chiayi City, Taiwan

RECRUITING

Related Publications (2)

• Chen WC, Kuo CC, Lin CC, Wu CC. A preliminary study on the effects of the Peer-Led Self-Management (PLSM) program on self-efficacy, self-management, and physiological measures in older adults with diabetes: A block randomized controlled trial. Geriatr Nurs. 2021 Mar-Apr;42(2):386-396. doi: 10.1016/j.gerinurse.2021.01.011. Epub 2021 Feb 20.

  PMID: 33621782 DERIVED

• Chen WC, Lin CC, Kuo CC, Wu CC, Liu TJ, Chen MT. A Theory-Based Self-Management Training Program for Older Adult Peer Leaders with Diabetes: A Feasibility Assessment. J Multidiscip Healthc. 2021 Jan 7;14:33-44. doi: 10.2147/JMDH.S286186. eCollection 2021.

  PMID: 33442261 DERIVED

MeSH Terms

Conditions

Diabetes Mellitus

Condition Hierarchy (Ancestors)

Glucose Metabolism Disorders; Metabolic Diseases; Nutritional and Metabolic Diseases; Endocrine System Diseases

Study Officials

• Wen-Chun Chen, Master

  St. Martin De Porres Hospital

  STUDY CHAIR

Central Study Contacts

Wen-Chun Chen, Chief, Master

CONTACT

+886-5-2756000; shermie@stm.org.tw

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, INVESTIGATOR
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: February 18, 2020
• First Posted: March 6, 2020
• Study Start: February 14, 2020
• Primary Completion: December 31, 2020
• Study Completion: December 31, 2021
• Last Updated: March 6, 2020

Record last verified: 2020-03

Data Sharing

• IPD Sharing: Will share
• Shared Documents: STUDY PROTOCOL
• Time Frame: starting 6 months after publication
• Access Criteria: Email Request

Locations

TW (1)