Findings from the RAPSID (Randomised Controlled Trial of Peers Support in Type 2 Diabetes) Pilot Study

Bunn, C. , Graffy, J., Donald, S., Robins, P., Paddison, C., Ward, C. and Simmons, D. (2011) Findings from the RAPSID (Randomised Controlled Trial of Peers Support in Type 2 Diabetes) Pilot Study. In: Diabetes UK Annual Professional Conference, London, UK, 30 Mar - 1 Apr 2011, p. 182. (doi: 10.1111/j.1464-5491.2011.03233_2.x)

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Aims: To test the processes for a 2 by 2 design randomised controlled trial of group or individual peer support for Type 2 diabetes. Methods: The intervention was informed by formative evaluation using semi-structured interviews with health professionals and community groups providing peer support and involved individual, group or combined peer support. Invitations to participate were mailed from four general practices (one control) and included a survey of barriers to care. Evaluation methods included ethnographic observation, semi-structured interviews and questionnaires at baseline and post-intervention. Results: Sufficient patientswere recruited to pilot the intervention (26 participants, six peer supporters). In all, 235 of 1,101 barrier surveys were completed, with the commonest reported barriers being lack of symptoms (60.1 per cent), others needing to knowmore about diabetes (33.1 per cent) and family members not helping (27.8 per cent). Diabetes knowledge amongst participants was lower than anticipated and peer supporters wanted a diabetes education update before their training for the support role. They particularly valued support from the research nurse in the early stages of delivering the support intervention. Participants and peer supporters wanted to continue meeting after completion of the 2-month pilot. Conclusion: This study has demonstrated that the intervention is deliverable and acceptable to people with diabetes. The identified barriers to care emphasised the importance of taking diabetes seriously when asymptomatic, and the need to enlist support from family members and others to aid self-management. These findings have prompted revisions to the intervention protocol which will be tested in the main trial.

Item Type:Conference Proceedings
Additional Information:Special Issue of Diabetic Medicine, v 28 issue S1: Abstracts of Diabetes UK Annual Professional Conference 2011, International Convention Centre (ICC) London ExCeL, 30 March - 1 April 2011
Glasgow Author(s) Enlighten ID:Bunn, Dr Christopher
Authors: Bunn, C., Graffy, J., Donald, S., Robins, P., Paddison, C., Ward, C., and Simmons, D.
Subjects:H Social Sciences > HM Sociology
R Medicine > RA Public aspects of medicine
R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
College/School:College of Medical Veterinary and Life Sciences > School of Health & Wellbeing > Social Scientists working in Health and Wellbeing
College of Social Sciences
Journal Name:Diabetic Medicine
ISSN (Online):1464-5491
Published Online:04 April 2011

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