Effects of a Self-efficacy Theory–Based Training Program for Peers of Patients with Type 2 Diabetes

• Tanimura Chika

  School of Health Science, Faculty of Medicine, Tottori University, Yonago 683-8503, Japan

• Aoto Haruka

  School of Health Science, Faculty of Medicine, Tottori University, Yonago 683-8503, Japan

• Kobayashi Nobuyuki

  Arid Land Research Center, Tottori University, Tottori 680-0001, Japan

• Majbauddin Abir

  Arid Land Research Center, Tottori University, Tottori 680-0001, Japan

• Morita Tetsuji

  Department of Rehabilitation Daisen Rehabilitation Hospital, Hoki-cho 689-4102, Japan

• Otani Shinji

  International Platform for Dryland Research and Education, Tottori University, Tottori 680-0001, Japan

• Inoue Kazuoki

  Department of Community-based Family Medicine, Faculty of Medicine, Tottori University, Yonago 683-8503, Japan

• Tokushima Yasuko

  School of Health Science, Faculty of Medicine, Tottori University, Yonago 683-8503, Japan

• Fukada Mika

  School of Health Science, Faculty of Medicine, Tottori University, Yonago 683-8503, Japan

• Hanaki Keiichi

  School of Health Science, Faculty of Medicine, Tottori University, Yonago 683-8503, Japan

• Sakai Chieko

  School of Health Science, Faculty of Medicine, Tottori University, Yonago 683-8503, Japan

• Okura Tsuyoshi

  Division of Cardiovascular Medicine, Endocrinology and Metabolism, Department of Internal Medicine, Faculty of Medicine, Tottori University, Yonago 683-8503, Japan

• Kageyama Seiji

  Division of Virology, Faculty of Medicine, Tottori University, Yonago 683-8503, Japan

• Kurozawa Youichi

  Division of Health Administration and Promotion, Faculty of Medicine, Tottori University, Yonago 683-8503, Japan

• Flores Reynaldo

  Mayor Juan R. Sanchez Memorial Health Center, Municipality of Pateros, Metro Manila, Philippines

• Raymundo Ronaldo

  Municipal Health Office, Municipality of Pateros, Metro Manila, Philippines

Abstract

Background Training peer leaders to deliver patient education is expected to be a low-cost approach to providing healthcare in urban-poor areas affected by a shortage of healthcare professionals. The purpose of this study was to examine the effects of a training program on the self-efficacy and knowledge of peer leaders with type 2 diabetes. Methods A single-group longitudinal survey with baseline, intervention, and follow-up periods was conducted at a diabetes clinic in a small municipality in Metro Manila, Philippines. The intervention, a self-efficacy theory–based training program for peer-leaders of diabetic patients conducted in August 2017, comprised hands-on learning, demonstrations, quizzes, role-playing, group sharing, physical exercise, and a buffet lunch. The primary outcome was participants’ self-efficacy for management of their diabetes. Secondary outcomes were participants’ knowledge of diabetes and levels of emotional distress, motivation, and confidence for guiding their peers, satisfaction with the training program, hemoglobin A1c, and quality of life. Results At 12 and 18 months after the intervention, participants’ knowledge of diabetes was significantly increased compared with baseline (both P < 0.05). At earlier time points, an increasing, but not significant, trend was observed. The change in knowledge of diabetes from baseline to 18 months after intervention tended to be positively correlated with the change in self-efficacy (r = 0.594, P = 0.054). No significant differences were observed for any of the other outcomes, although the descriptive statistics showed an increasing trend for all of the outcomes except motivation. Conclusion The training program significantly improved participants’ knowledge of diabetes at 12 and 18 months after the training programs compared with baseline. A positive correlation between the changes in the levels of knowledge and self-efficacy suggested that the observed improvement of self-efficacy was facilitated by the improvement of knowledge of diabetes.

Journal

• Yonago Acta Medica

  Yonago Acta Medica 63 (4), 282-293, 2020

  Tottori University Medical Press

Keywords

• knowledge
• patient education
• peer influence
• self-efficacy
• type 2 diabetes

Details

• CRID: 1391412326420103552
• NII Article ID: 130007942207
• NII Book ID: AA00892882
• DOI: 10.33160/yam.2020.11.006
• ISSN: 13468049
• ISSN: 05135710
• Web Site: https://repository.lib.tottori-u.ac.jp/records/4748
• Web Site: https://www.jstage.jst.go.jp/article/yam/63/4/63_2020.11.006/_pdf
• Web Site: https://search.jamas.or.jp/link/ui/2021233689
• Text Lang: en
• Data Source:
  • JaLC
  • IRDB
  • Crossref
  • CiNii Articles
  • KAKEN
• Abstract License Flag: Disallowed