Published in:
01-06-2015
A Demonstration of Peer Support for Ugandan Adults With Type 2 Diabetes
Authors:
Linda C. Baumann, Nakwagala Frederick, Nankwanga Betty, Ejang Jospehine, Nambuya Agatha
Published in:
International Journal of Behavioral Medicine
|
Issue 3/2015
Login to get access
Abstract
Background
By 2030, 80 % of people with diabetes will be living in developing countries.
Purpose
The purpose of this pre-post quasi-experimental study was to test the feasibility of a peer intervention to improve the following: (1) diabetes self-care behaviors, (2) glycemic control, (3) social support and emotional well-being, (4) linkages to health care providers, and (5) to assess the sustainability of the intervention 18 months later.
Method
Participants were adults with type 2 diabetes who resided in rural Uganda. Participants (n = 46) attended a 1-day diabetes education program and agreed to make weekly contacts over 4 months with each other by phone or in person to assist with daily management, provide social and emotional support, and encourage appropriate contact with health care providers.
Results
Results indicated improvement in glycosylated hemoglobin (A1C), diastolic blood pressure, and eating behaviors.
Conclusions
A short-term peer support program was a feasible intervention to improve diabetes care in rural Uganda. Participants were successfully recruited and retained, and they experienced positive behavioral and physiologic outcomes. Elements of the intervention were sustained 18 months after the intervention.