TY - JOUR
T1 - Effects of telephone-based peer support in patients with type 2 diabetes mellitus receiving integrated care: a randomized clinical trial
AU - Chan, Juliana C N
AU - Sui, Yi
AU - Oldenburg, Brian Federick
AU - Zhang, Yuying
AU - Chung, Harriet Hau-Yee
AU - Goggins, William B
AU - Au, Shimen
AU - Brown, Nicola S
AU - Ozaki, Risa
AU - Wong, Rebecca Yee-Man
AU - Ko, Gary T C
AU - Fisher, Edwin B
PY - 2014
Y1 - 2014
N2 - IMPORTANCE In type 2 diabetes mellitus (T2DM), team management using protocols with regular feedback improves clinical outcomes, although suboptimal self-management and psychological distress remain significant challenges. OBJECTIVE To investigate if frequent contacts through a telephone-based peer support program (Peer Support, Empowerment, and Remote Communication Linked by Information Technology [PEARL]) would improve cardiometabolic risk and health outcomes by enhancing psychological well-being and self-care in patients receiving integrated care implemented through a web-based multicomponent quality improvement program (JADE [Joint Asia Diabetes Evaluation]). DESIGN, SETTING, AND PARTICIPANTS Between 2009 and 2010, 628 of 2766 Hong Kong Chinese patients with T2DM from 3 publicly funded hospital-based diabetes centers were randomized to the JADE + PEARL (n=312) or JADE (n=316) groups, with comprehensive assessment at 0 and 12 months. INTERVENTIONS Thirty-three motivated patients with well-controlled T2DM received 32 hours of training (four 8-hour workshops) to become peer supporters, with 10 patients assigned to each. Peer supporters called their peers at least 12 times, guided by a checklist. MAIN OUTCOMES AND MEASURES Changes in hemoglobin A1c (HbA1c) level (primary), proportions of patients with attained treatment targets (HbA 1c
AB - IMPORTANCE In type 2 diabetes mellitus (T2DM), team management using protocols with regular feedback improves clinical outcomes, although suboptimal self-management and psychological distress remain significant challenges. OBJECTIVE To investigate if frequent contacts through a telephone-based peer support program (Peer Support, Empowerment, and Remote Communication Linked by Information Technology [PEARL]) would improve cardiometabolic risk and health outcomes by enhancing psychological well-being and self-care in patients receiving integrated care implemented through a web-based multicomponent quality improvement program (JADE [Joint Asia Diabetes Evaluation]). DESIGN, SETTING, AND PARTICIPANTS Between 2009 and 2010, 628 of 2766 Hong Kong Chinese patients with T2DM from 3 publicly funded hospital-based diabetes centers were randomized to the JADE + PEARL (n=312) or JADE (n=316) groups, with comprehensive assessment at 0 and 12 months. INTERVENTIONS Thirty-three motivated patients with well-controlled T2DM received 32 hours of training (four 8-hour workshops) to become peer supporters, with 10 patients assigned to each. Peer supporters called their peers at least 12 times, guided by a checklist. MAIN OUTCOMES AND MEASURES Changes in hemoglobin A1c (HbA1c) level (primary), proportions of patients with attained treatment targets (HbA 1c
UR - http://archinte.jamanetwork.com/article.aspx?articleid=1863924
U2 - 10.1001/jamainternmed.2014.655
DO - 10.1001/jamainternmed.2014.655
M3 - Article
SN - 2168-6106
VL - 174
SP - 972
EP - 981
JO - JAMA Internal Medicine
JF - JAMA Internal Medicine
IS - 6
ER -
