"I help you, and you help me": facilitated telephone peer support among patients with diabetes.
The feasibility and acceptability of using an Interactive Voice Response (IVR)-based platform to facilitate peer support among older adults with diabetes was evaluated.



Diabetes patients with poor glycemic control receiving care at a Veterans' Affairs medical center completed a baseline survey, received rudimentary training, and were matched based on their diabetes-related self-management needs. They were asked to contact their partner weekly using the toll-free IVR calling line. At the completion of the 6-week period, participants completed follow-up surveys and brief telephone interviews.



Forty of 76 patients screened for eligibility by telephone agreed to participate, and 38 completed the 6-week intervention (50% of eligible patients). More than 80% of the pairs spoke at least once a week for 2 of the 6 weeks of the intervention. A total of 79% of the participants reported that the IVR system was easy to use, and 90% stated that they would be more satisfied with their health care if this type of peer support service were available. Of the participants, 70% found the calls helpful in managing diabetes symptoms, 73% reported that their partner helped them improve their self-care, and 70% stated that they helped their partner do things to stay healthy. There were significant improvements in participants' reported diabetes self-care self-efficacy between baseline and follow-up assessments (P < .01). Qualitative assessments suggested that participants found meaning and positive reinforcement for their own self-care through supporting their partner's efforts to manage diabetes.



An IVR peer support intervention is feasible, acceptable to patients, and may have positive effects on patients' diabetes self-management and health outcomes that warrant more rigorous evaluation in a randomized trial.
Heisler
Michele
M
The Veterans Affairs Center for Practice Management & Outcomes Research, VA Ann Arbor Healthcare System, Ann Arbor, Michigan; the Department of Internal Medicine, Michigan Diabetes Research and Training Center; and The University of Michigan School of Medicine, Ann Arbor
Piette
John D
JD
The Veterans Affairs Center for Practice Management & Outcomes Research, VA Ann Arbor Healthcare System, Ann Arbor, Michigan; the Department of Internal Medicine, Michigan Diabetes Research and Training Center; and The University of Michigan School of Medicine, Ann Arbor
D000368:Aged; D003920:Diabetes Mellitus / Q000534:rehabilitation*; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D008875:Middle Aged; D010379:Peer Group; D012919:Social Behavior; D012944:Social Support; D012959:Socioeconomic Factors; D013689:Telephone