PLATINUM Program: A Feasibility Study on a Train-the-trainer Course on Peer Support for People With Type 2 Diabetes

This study has been completed.
Sponsor:
Information provided by (Responsible Party):
Asia Diabetes Foundation
ClinicalTrials.gov Identifier:
NCT01313949
First received: March 7, 2011
Last updated: July 21, 2014
Last verified: July 2014
  Purpose

The investigators hypothesize that a training course to people with diabetes on peer support and empowerment will improve their glycemic parameters, knowledge on diabetes and level of self efficacy. This group of trained patients (peer leaders) should be competent to teach and help other patients with diabetes through peer support and empowerment on better self management of their diabetes.


Condition Intervention
Diabetes
Other: Training program

Study Type: Interventional
Study Design: Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Masking: Open Label
Primary Purpose: Supportive Care
Official Title: Peer Leaders Accelerated Training Initiative to Unleash Potential of Mentorship (PLATINUM) Program: A Feasibility Study on a Train-the-trainer Course on Peer Support for People With Type 2 Diabetes

Resource links provided by NLM:


Further study details as provided by Asia Diabetes Foundation:

Primary Outcome Measures:
  • To assess the effectiveness of the training program in improving glycemic parameters in diabetic patients before and after the training. [ Time Frame: 6 months ] [ Designated as safety issue: No ]
    Metabolic parameters, such as HbA1c, Body Mass Index (BMI), Lipid Profile, etc. will be measured at specific time points before and after the training


Secondary Outcome Measures:
  • To assess the efficacy of the training on the attitudes, behaviours and self-efficacy of the participants as compared to the control patients [ Time Frame: 6 months ] [ Designated as safety issue: No ]
    The psychosocial-behavior assessment will include using the Summary of Diabetes Self- Care Activities (SDSCA), Diabetes Empowerment Scale (DES), Depression Anxiety Stress Scale-21 (DASS21), General Health Questionnaire (GHQ12), Euro Quality of Life (EQ5D) & Patient Health Questionniare (PHQ9).

  • To assess the efficacy of the training in improving the participants' knowledge of diabetes, as compared to the control patients. [ Time Frame: 6 months ] [ Designated as safety issue: No ]
    An evaluation feedback form will be completed by all participants after each workshop


Enrollment: 75
Study Start Date: February 2009
Study Completion Date: August 2011
Primary Completion Date: February 2011 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
No Intervention: Usual Care
A total of 90 patients with diabetes will be recruited. Thirty will be selected for the training course and the other 60 will be compared as controls. These controls will receive their usual diabetes care.
Experimental: Peer leader training

Peer leaders are people with diabetes who had volunteered to undertake an extensive program of training. The purpose of this training is to make them effective in the provision of support and advice to their peers on a one-to-one basis via telecommunication.

These diabetes patients will undergo a 32-hour 'Train the trainer' program (4 workshops, 8-hours each) led by health care experts in nutrition, physical activity, psychology and neuro-linguistic program [NLP] trainer to ensure the adequacy of knowledge and skills of these mentors.

Other: Training program
These diabetes patients will undergo a 32-hour 'Train the trainer' program (4 workshops, 8-hours each) led by health care experts in nutrition, physical activity, psychology and neuro-linguistic program [NLP] trainer to ensure the adequacy of knowledge and skills of these mentors.

Detailed Description:

In our attempt to improve diabetes self care, one important component is the diabetes patients who should have the best incentive to improve their care levels and reduce their complication risk, provided that they are appropriately trained, informed, educated and supported. According to the World Health Organization (WHO) Innovative Care for Chronic Conditions framework, expert patients are recommended to be included in the health care team to make them prepared, motivated and informed decision makers to preserve health and improve clinical outcomes. In a recent report on WHO consultation, peer support interventions are considered to have enormous potentials to make self management an effective component of chronic care.

Peer support is defined as support from a person who has experiential knowledge of a specific behavior or stressor and similar characteristics as the target population. Thus people with common illness experience can share knowledge and experience in a less hierarchical and reciprocal relationship compared to that between patients and health care professionals. A number of programs including health worker-led groups with peer exchange, peer-led face-to-face self management programs, peer coaches and remote peer support have reported encouraging results with short term improvement in metabolic or cognitive-psychological-behavioral dimensions, although these results are often limited by non-sustainability of changes and insufficient reach or adoption of programs by patients or health care workers. In the WHO report, health care experts from various disciplines concluded that whilst peer support is a promising approach for diabetes management, issues regarding methods of organization, types of programs and their integration with other clinical and outreach services remain to be addressed. Of note, there is a paucity of similar data in developing and low income areas which are hit hardest by this epidemic and where peer support program may offer great promise to make diabetes prevention and care program more sustainable and accessible, if implemented and evaluated systematically.

Health professionals, especially diabetes nursing specialists, have been training diabetes patients on the understanding and self-caring of diabetes. However, with the emerging concept and preliminary evidence of success in the role of "peer advisors" in diabetes to lead self care courses for other fellow patients, a train-the-trainer program to develop "expert patients" is essential. On top of factual knowledge on diabetes as a disease, context of this program needs to cover include communication and empowerment skill, basic knowledge on psychology, stress management, social support, empowerment, healthy lifestyle including diet and physical activity.

In the evaluation of the programs, there is a need to define the qualities and roles of the peer supporter, design programs which integrate and complement formal health services, identify optimal mix of modalities of intervention, types and dose response of these interventions and evaluate acceptability and effectiveness of these programs in different cultures. Other evaluation indexes include effects of programs on behavioral changes, knowledge and attitudes, functionality, clinical care as well as their cost effectiveness, reach, implementation-consistency, adoption and maintenance of effects over time.

  Eligibility

Ages Eligible for Study:   18 Years to 75 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Chinese people with type 2 diabetes
  • 18-75 years of age
  • Good glycaemic control (HbA1c <7%) and remain stable in past 1 year
  • Willing to complete the structured training curriculum to prepare themselves as peer leaders
  • Fluent in Cantonese

Exclusion Criteria:

  • Known psychiatric disease
  • Physically handicapped to the degree that communication with others is significantly impaired impaired, such as deafness, paraplegia.
  • Illiterate
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT01313949

Locations
Hong Kong
Diabetes Ambulatory Care Centre, UCH
Kwun Tong, Kowloon, Hong Kong
Kwai Chung out-patient clinic
Kwai Chung, New Territories, Hong Kong
CUHK YCK, Prince of Wales Hospital
Shatin, New Territories, Hong Kong
Diabetes & Endocrine Centre, Prince of Wales Hospital
Shatin, New Territories, Hong Kong
Diabetes Centre, North District Hospital
Sheung Shui, New Territories, Hong Kong
Diabetes Centre, Tung Wah Eastern Hospital
Causeway Bay, Hong Kong
Diabetes Hong Kong
Central, Hong Kong
Diabetes Ambulatory Centre, PYNEH
Chai Wan, Hong Kong
Diabetes Centre, Queen Elizabeth Hospital
Kowloon, Hong Kong
Diabetes Centre, Kwong Wah Hospital
Kowloon, Hong Kong
PMH, Diabetes Care Centre, Princess Margaret Hospital
Kowloon, Hong Kong
Lam Tin Health Clinic
Lam Tin, Hong Kong
Diabetes Centre, Queen Mary Hospital
Pok Fu Lam, Hong Kong
Sai Wan Ho Health Centre
Sai Wan Ho, Hong Kong
Diabetes Centre, Ruttonjee Hospital
Wan Chai, Hong Kong
Sponsors and Collaborators
Asia Diabetes Foundation
Investigators
Principal Investigator: Rebecca Wong Prince of Wales Hospital, Shatin, HK
Principal Investigator: Shimen Au Ruttonjee & Tang Shiu Kin Hospitals, Wan Chai, HK
  More Information

Additional Information:
No publications provided

Responsible Party: Asia Diabetes Foundation
ClinicalTrials.gov Identifier: NCT01313949     History of Changes
Other Study ID Numbers: CRE-2009-087
Study First Received: March 7, 2011
Last Updated: July 21, 2014
Health Authority: Hong Kong: Joint CUHK-NTEC Clinical Research Ethics Committee

Keywords provided by Asia Diabetes Foundation:
Diabetes
Peer Support
Structured Care

Additional relevant MeSH terms:
Diabetes Mellitus
Diabetes Mellitus, Type 2
Glucose Metabolism Disorders
Metabolic Diseases
Endocrine System Diseases

ClinicalTrials.gov processed this record on August 28, 2014