142nd APHA Annual Meeting and Exposition

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313588
Demonstrating Peer Support in Diabetes Self-care in Ugandan Adults with Type 2 Diabetes

142nd APHA Annual Meeting and Exposition (November 15 - November 19, 2014): http://www.apha.org/events-and-meetings/annual
Tuesday, November 18, 2014 : 8:45 AM - 9:00 AM

Linda C. Baumann, PhD, ANP- BC, FAAN , School of Nursing, University of Wisconsin-Madison, Madison, WI
Audio (mp3) recording Recorded Presentation (mp4)
Purpose: The purpose of this pre-post quasi-experimental study was to test the feasibility of a peer intervention to improve: 1) diabetes self-care behaviors, 2) glycemic control, 3) social support and emotional well-being, 4) linkages to healthcare providers, and 5) to assess the sustainability of the intervention 18 months later.

Methods: Participants were adults with type 2 diabetes who resided in rural Uganda. Participants (N = 46) attended a one-day diabetes education program and agreed to make weekly contacts over four months with each other by phone or in person to assist with daily management, provide social and emotional support, and encourage appropriate contact with healthcare 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.

Learning Areas:

Conduct evaluation related to programs, research, and other areas of practice
Public health or related nursing

Learning Objectives:
Define -none provided - need to add

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am Professor Emeritus from the University of Wisconsin-Madison School of Nursing and School of Medicine and Public Health. I received a BSN and MS in nursing from the University of Michigan and a PhD in Psychology from the University of Wisconsin-Madison. I was PI on the study being presented and have conducted research on diabetes related self care in low income countries.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.

Back to: 4070.0: Global Health I: Healthy Outcomes in Unlikely Places