title: [Peer training for patients with diabetes mellitus 2. A quantitative and qualitative evaluation in the Basque Country and Andalusia].
abstract: OBJECTIVE
  To evaluate a peer training strategy for patients with type2 diabetes mellitus, developed in two training programmes in the Basque Country and Andalusia.
  
  
  METHODS
  Quantitative pre- and post-intervention and qualitative evaluation, developed between 2012 and 2014.
  
  
  METHODS
  The Basque Country and Andalusia.
  
  
  METHODS
  A total of 409 patients and trainer-patients, participating in self-management peer training programmes. Intentional sample of 44 patients for the qualitative study.
  
  
  METHODS
  Bivariate analysis and net gains for common variables used in questionnaires in the Basque Country and Andalusia: self-reported health, daily activities, physical activity, use of health services, and self-management. Content analysis of 8 focus groups with patients and trainer-patients, including: coding, categorisation, and triangulation of results.
  
  
  RESULTS
  Peer training has a positive impact on physical activity, the use of health services, and self-management, with some gender differences. The peer-training strategy is considered positive, as it strengthens the patient-health provider relationship, generates group support and self-confidence, and improves the emotional management. Patients identify two areas of potential improvement: access and continuity of training strategies, and more support and recognition from health providers and institutions.
  
  
  CONCLUSIONS
  The positive impact on health and quality of life that this patient peer-training provides, requires the collaboration of health professionals and institutions, which should improve the access, continuity and adaptation to patient needs and expectations.
authors.affiliation: Ciber Epidemiología y Salud Pública, Instituto de Salud Carlos III, Madrid, España. Electronic address: alinadanet@yahoo.es.
authors.forename: Alina
authors.initials: A
authors.lastname: Danet
authors.affiliation: Ciber Epidemiología y Salud Pública, Instituto de Salud Carlos III, Madrid, España; Escuela Andaluza de Salud Pública, Granada, España.
authors.forename: María Ángeles
authors.initials: MÁ
authors.lastname: Prieto Rodríguez
authors.affiliation: Centro de Salud Pasajes San Pedro (OSI Donostialdea), Pasajes San Pedro, Guipúzcoa, España.
authors.forename: Estibaliz
authors.initials: E
authors.lastname: Gamboa Moreno
authors.affiliation: Centro de Salud Pasajes San Pedro (OSI Donostialdea), Pasajes San Pedro, Guipúzcoa, España.
authors.forename: Lourdes
authors.initials: L
authors.lastname: Ochoa de Retana Garcia
authors.affiliation: Ciber Epidemiología y Salud Pública, Instituto de Salud Carlos III, Madrid, España; Escuela Andaluza de Salud Pública, Granada, España.
authors.forename: Joan Carles
authors.initials: JC
authors.lastname: March Cerdà
mesh_terms: D003924:Diabetes Mellitus, Type 2 / Q000628:therapy*; D006801:Humans; D010379:Peer Group; D011788:Quality of Life; D012648:Self Care; D013030:Spain
keywords: Diabetes; Diabetes mellitus; Formación entre iguales; Investigación cualitativa; Investigación cuantitativa; Peer training; Qualitative research; Quantitative research