title: Can a community-based peer-led diabetic self-management programme be effective: 12-week evaluation.
abstract: OBJECTIVE
  To evaluate a self-management programme collaborating with communities and mobilising peer leaders for patients with diabetes in mainland China.
  
  
  BACKGROUND
  The rapidly increasing diabetic epidemic is an overwhelming burden in China. Diabetic self-management programmes that are both effective and feasible despite health resource shortages should be developed and evaluated.
  
  
  METHODS
  Quasi-experimental.
  
  
  METHODS
  In total, 181 patients with diabetes completed the study (89 in the experimental group and 92 in the control group). Diabetic instruction and peer-led group activities were two major parts of the programme. Outcome variables, including self-efficacy, social support, self-management behaviours and quality of life, were measured. Participants' perceptions towards the programme were also collected. anova/ancova and content analysis were used for data analysis.
  
  
  RESULTS
  Social support, self-efficacy and self-management behaviours significantly improved during the study period. Although quality of life did not change significantly, the participants provided positive feedback for the programme.
  
  
  CONCLUSIONS
  The effectiveness of this programme was partially verified. The delivery mode, through trained peer leaders and collaboration with communities, appeared to be feasible. Using a cluster randomised controlled design with full cost-effectiveness analysis would provide a more rigorous examination for this programme.
  
  
  CONCLUSIONS
  This study adds to the growing evidence of the importance of self-efficacy and social support as a mechanism for achieving behavioural change. This programme appears to be promising in promoting diabetic self-management in China and may be applied to individuals with other chronic diseases and dwelling in other regions.
authors.affiliation: School of Medicine, Tongji University, Shanghai, China.
authors.forename: Huixia
authors.initials: H
authors.lastname: Shen
authors.affiliation: School of Medicine, Tongji University, Shanghai, China.
authors.forename: Yanbo
authors.initials: Y
authors.lastname: Wang
authors.affiliation: Faculty of Health, Queensland University of Technology, Brisbane, Qld, Australia.
authors.forename: Helen
authors.initials: H
authors.lastname: Edwards
mesh_terms: D000368:Aged; D000704:Analysis of Variance; D016022:Case-Control Studies; D002681:China; D002908:Chronic Disease; D003924:Diabetes Mellitus, Type 2 / Q000628:therapy*; D005260:Female; D006801:Humans; D008297:Male; D010379:Peer Group; D015397:Program Evaluation; D011788:Quality of Life; D012648:Self Care / Q000191:economics / Q000379:methods*; D020377:Self Efficacy; D012944:Social Support
keywords: community; diabetes; peer; self-management