Older Adults Using Social Support to Improve Self-Care: Adaptation, Implementation, and Feasibility of Peer Support for Older Adults With T2DM in Appalachia.
Brittany L Smalls
Summary
The goal of this clinical trial is to compare the effects of peer coaching models in older adults with unmanaged type two diabetes. The main questions it aims to answer are: * Are peer coaching models effective at promoting Type 2 Diabetes Mellitus self-management? * If effective, which facets of the peer model are most effective? Peer coaches will * Undergo peer coach training. * Reach out to peer participants on a weekly/biweekly time frame to discuss self-management and goal setting. * Retain records of contact, topics discussed, and general notes on interactions. Researchers will compare differences in the frequency of contact, as well as how peer coaches were matched to peer participants to see if efficacy of the intervention is altered between groups.
Description
The Older Adults using Social Support to Improve Self-Care (OASIS) intervention is an asset-based approach, utilizing the unique social structure existing in Kentucky's rural Appalachian communities to address self-care behaviors as they relate to Type 2 Diabetes Mellitus (T2DM) management. The intervention will be composed of two groups: peer coaches who have managed T2DM (HbA1c \< 7.5%), and peer participants who have unmanaged T2DM (HbA1c\> 7.5%). Peer coaches will undergo training prior to intervention initiation to develop coaching skills. Peer participants will be linked to a peer coach…
Eligibility
- Age range
- 55+ years
- Sex
- All
- Healthy volunteers
- No
Inclusion Criteria: * Age greater than or equal to 55 years * Resident in Rural Kentucky * Positive diagnosis of Type 2 Diabetes Mellitus * HbA1c less than 7.5 for peer coaches * Passing score on cognitive assessment administered by study personnel * English Speaking Exclusion Criteria: * Age less than 55 years * Not a resident of a Rural Kentucky county * Cognitive Impairment * Non-English Speaking
Interventions
- BehavioralPeer Coaching - Peer Participants A
Peer participants in group A will self select a peer coach and will be contacted weekly by peer coaches.
- BehavioralPeer Coaching - Peer Participants B
Peer participants in group B will self select a peer coach and will be contacted bi-weekly by peer coaches.
- BehavioralPeer Coaching - Peer Participants C
Peer participants in group C will be matched with a peer coach and will be contacted weekly by peer coaches.
- BehavioralPeer Coaching - Peer Participants D
Peer participants in group D will be matched with a peer coach and will be contacted bi-weekly by peer coaches.
Locations (2)
- Barren River Area Development DistrictBowling Green, Kentucky
- UK HealthCareHazard, Kentucky