Reciprocal Peer Support Promising for Diabetes Care

In study, six-month telephone program resulted in decreases in HbA1c
By Lindsey Marcellin
HealthDay Reporter

TUESDAY, Oct. 19 (HealthDay News) -- Compared to a nurse care management (NCM) system, one-to-one reciprocal peer support (RPS) results in greater improvements in hemoglobin A1c (HbA1c) for patients with diabetes, according to research published in the Oct. 19 issue of the Annals of Internal Medicine.

Michele Heisler, M.D., of the University of Michigan in Ann Arbor, and colleagues conducted a randomized study of 244 male patients with an HbA1c level of greater than 7.5 percent during the six months prior to enrollment. The men were assigned to either a six-month trial of NCM, or were paired with another age-matched peer patient and encouraged to talk weekly about diabetes-related issues. The RPS patients could also participate in optional nurse-facilitated, patient-run group sessions at one, three, and six months.

The researchers found that, in the RPS group, mean HbA1c level decreased from 8.02 to 7.73 percent; the NMS patients had a mean increase from 7.93 to 8.22 percent. For the subgroup of patients having a baseline HbA1c of greater than 8 percent, the mean HbA1c dropped even more significantly in the RPS group, as opposed to a slight increase in the NCM group.

"Although many unanswered questions remain about payment, standards for training laypeople to help others manage disease, and the long-term outcomes of such programs, Heisler and colleagues' study offers additional evidence that we need to move outside of our often-isolated medical practices and partner with the community to improve health outcomes of persons with poorly controlled chronic diseases," write the authors of an accompanying editorial.

Abstract
Full Text (subscription or payment may be required)
Editorial (subscription or payment may be required)

Copyright © 2010 HealthDay. All rights reserved.

Powered by

jQuery UI Accordion - Default functionality

For life-long learning and continuing professional development, come to Lippincott's NursingCenter.

Nursing Jobs Plus
Featured Jobs
Recommended CE Articles

Blunt Chest Trauma
Journal of Trauma Nursing, November/December 2014
Expires: 12/31/2016 CE:2 $21.95


The School Age Child with Congenital Heart Disease
MCN, The American Journal of Maternal/Child Nursing, January/February 2015
Expires: 2/28/2017 CE:2.5 $24.95


Understanding multiple myeloma
Nursing Made Incredibly Easy!, January/February 2015
Expires: 2/28/2017 CE:2 $21.95


More CE Articles

Subscribe to Recommended CE

Recommended Nursing Articles

Comprehensive Care: Looking Beyond the Presenting Problem
Journal of Christian Nursing, January/March 2015
Free access will expire on March 2, 2015.


Pain and Alzheimer dementia: A largely unrecognized problem
Nursing Made Incredibly Easy!, January/February 2015
Free access will expire on February 16, 2015.


Glycemic control in hospitalized patients
Nursing2015 Critical Care, January 2015
Free access will expire on February 16, 2015.


More Recommended Articles

Subscribe to Recommended Articles

Evidence Based Practice Skin Care Network NursingCenter Quick Links What’s Trending Events