title: Evaluating a diabetes self-management support peer leader training programme for the English- and Punjabi-speaking South-Asian community in Vancouver.
abstract: OBJECTIVE
  The purpose of this single-cohort study was to implement and evaluate a programme that trains peers to deliver a diabetes self-management support programme for South-Asian adults with Type 2 diabetes and to assess the perceived efficacy of and satisfaction with this programme.
  
  
  METHODS
  We recruited eight South-Asian adults who completed a 20-h peer-leader training programme conducted over five sessions (4 h per session). The programme used multiple instructional methods (quizzes, group brainstorming, skill building, group sharing, role-play and facilitation simulation) and provided communication, facilitation, and behaviour change skills training. To graduate, participants were required to achieve the pre-established competency criteria in four training domains: active listening, empowerment-based facilitation, five-step behavioural goal-setting, and self-efficacy. Participants were given three attempts to pass each competency domain.
  
  
  RESULTS
  On the first attempt six (75%), eight (100%), five (63%) and five (63%) participants passed active listening, empowerment-based facilitation, five-step behavioural goal-setting, and self-efficacy, respectively. Those participants who did not pass a competency domain on the first attempt were successful in passing on the second attempt. As a result, all eight participants graduated from the training programme and became peer leaders. Satisfaction ratings for programme length, balance between content and skills development, and preparation for leading support activities were uniformly high. Ratings for the instructional methods ranged between effective and very effective.
  
  
  CONCLUSIONS
  Findings suggest it is feasible to train and graduate peer leaders with the necessary skills to facilitate a diabetes self-management support intervention.
authors.affiliation: Department of Medicine, Faculty of Medicine, University of British Columbia, Vancouver, BC, Canada. tricia.tang@vch.ca
authors.forename: T S
authors.initials: TS
authors.lastname: Tang
authors.forename: P S
authors.initials: PS
authors.lastname: Sohal
authors.forename: A K
authors.initials: AK
authors.lastname: Garg
mesh_terms: D044466:Asian People; D001955:British Columbia; D015331:Cohort Studies; D003150:Community Health Workers / Q000193:education*; D003924:Diabetes Mellitus, Type 2 / Q000208:ethnology / Q000628:therapy*; D005240:Feasibility Studies; D015438:Health Behavior / Q000208:ethnology; D006801:Humans; D007194:India / Q000208:ethnology; D007802:Language; D007857:Leadership; D008875:Middle Aged; D010154:Pakistan / Q000208:ethnology; D010353:Patient Education as Topic; D017060:Patient Satisfaction / Q000208:ethnology; D010379:Peer Group; D010865:Pilot Projects; D012648:Self Care; D012944:Social Support; D014504:Urban Health / Q000208:ethnology