title: Diabetes ongoing sustainable care and treatment (DOST): A strategy for informational deliverance through visual dynamic modules sustained by near peer mentoring.
abstract: BACKGROUND
  The informational continuity for a diabetic patient is of paramount importance. This study on a pilot basis explores the process utility of structured educational modular sessions grounded on the principle of near-peer mentoring.
  
  
  METHODS
  Visual modules were prepared for diabetic patients. These modules were instituted to 25 diabetic patients in logical sequences. In the next phase, 4 persons of these 25 patients were designated as diabetic-diabetes ongoing sustainable care and treatment (DOST). Each diabetic-DOST was clubbed with two patients for modular session and informational deliverance during the next 7 days. Process analysis was performed with "proxy-indicators," namely, monthly glycemic status, knowledge assessment scores, and quality of life. Data were analyzed by interval estimates and through nonparametric analysis.
  
  
  RESULTS
  Nonparametric analysis indicated a significant improvement in glycemic status in terms with fasting blood sugar (W = 78 z = 3.04,P= 0.002), 2 h-postprandial blood sugar (W = 54, z = 2.01,P= 0.035), and in knowledge score (χ2= 19.53, df = 3;P= 0.0002). Quality of life score showed significant improvement in 2 out of 7 domains, namely, satisfaction with treatment ([difference in mean score = 1.40 [1.94 to 0.85]) and symptom botherness (difference in mean score = 0.98 [1.3-0.65]).
  
  
  CONCLUSIONS
  Because of inherent methodological limitations and innate biases, at this juncture no conclusive statement can be drawn. Although, primitive process evidences indicate the promising role of the diabetic-DOST strategy.
authors.affiliation: Department of Community and Family Medicine, AIIMS, Rishikesh, Uttarakhand, India.
authors.forename: Ankur
authors.initials: A
authors.lastname: Joshi
authors.affiliation: Department of Community Medicine, GMC, Bhopal, Madhya Pradesh, India.
authors.forename: Vishwanath
authors.initials: V
authors.lastname: Arutagi
authors.affiliation: Department of Medicine, GMC, Bhopal, Madhya Pradesh, India.
authors.forename: Nitin
authors.initials: N
authors.lastname: Nahar
authors.affiliation: Department of Community Medicine, GMC, Bhopal, Madhya Pradesh, India.
authors.forename: Sharad
authors.initials: S
authors.lastname: Tiwari
authors.affiliation: Department of Community Medicine, GMC, Bhopal, Madhya Pradesh, India.
authors.forename: Daneshwar
authors.initials: D
authors.lastname: Singh
authors.affiliation: Department of Community Medicine, GMC, Bhopal, Madhya Pradesh, India.
authors.forename: Soumitra
authors.initials: S
authors.lastname: Sethia
keywords: Glycemic status; informational continuity; near peer mentoring