The patient experience in a virtual peer support group for patients with type 2 diabetes and obesity during the corona virus disease 19 pandemic: interview themes from a pilot study.

IF 2.4 4区 医学 Q1 MEDICINE, GENERAL & INTERNAL
Kelsey E Ufholz, James J Werner, Goutham Rao
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引用次数: 0

Abstract

Background: Type 2 diabetes and obesity are lifelong conditions that require extensive lifestyle modifications. During the corona virus disease 19 (COVID-19) pandemic, in-person medical care was risky. Many patients suffered from isolation and loneliness. One remedy which would address both the need for obesity and diabetes-related self-management and social isolation is peer support groups. There is considerable evidence for the effectiveness of peer-led programs in weight management and in diabetes self-management. No prior study has evaluated the impact of a virtual peer support group for diabetes.

Objectives: To determine the feasibility and acceptability of a virtual peer support group for patients with type 2 diabetes and obesity [body mass index (BMI) > 30 kg/m2].

Methods: Patients at an urban, Midwestern healthcare system enrolled in an 18-month remote (Zoom) (November 2021-May 2023) peer support group. Weekly meetings featured peer discussions on topics related to diabetes self-management. Semi-structured interviews post-intervention underwent independent thematic analysis by two coders until a set of common themes emerged.

Results: All participants expressed satisfaction and enjoyment with the study. The opportunity to connect with peers, increase awareness of the importance of diabetes management behaviors, and learn new skills were cited as meaningful. Many participants lived alone, making the social support offered by the group especially valuable.

Conclusions: A long-term stand-alone virtual diabetes peer support group filled an important social and emotional need among its members, especially among those who were most isolated. To achieve long-term behavioral change and healthier outcomes, the support group may need to be paired with individual counseling.

冠状病毒病19大流行期间2型糖尿病和肥胖患者在虚拟同伴支持小组中的患者体验:来自试点研究的访谈主题
背景:2型糖尿病和肥胖是需要广泛改变生活方式的终身疾病。在2019冠状病毒病(COVID-19)大流行期间,现场医疗服务存在风险。许多病人饱受孤立和孤独之苦。解决肥胖和糖尿病相关的自我管理和社会隔离需要的一种补救办法是同伴支持小组。有相当多的证据表明,同伴领导的项目在体重管理和糖尿病自我管理方面是有效的。之前没有研究评估过虚拟同伴支持小组对糖尿病的影响。目的:探讨2型糖尿病合并肥胖患者[体重指数(BMI) > ~ 30kg /m2]建立虚拟同伴支持小组的可行性和可接受性。方法:中西部城市医疗保健系统的患者参加了一个为期18个月的远程(Zoom)(2021年11月- 2023年5月)同伴支持小组。每周的会议都围绕与糖尿病自我管理相关的主题进行同行讨论。干预后的半结构化访谈由两名编码员进行独立的主题分析,直到出现一组共同主题。结果:所有参与者都对研究表示满意和享受。有机会与同龄人联系,提高对糖尿病管理行为重要性的认识,以及学习新技能被认为是有意义的。许多参与者独自生活,这使得团体提供的社会支持特别有价值。结论:一个长期独立的虚拟糖尿病同伴支持小组满足了其成员的重要社会和情感需求,特别是那些最孤立的人。为了实现长期的行为改变和更健康的结果,支持小组可能需要与个人咨询相结合。
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来源期刊
Family practice
Family practice 医学-医学:内科
CiteScore
4.30
自引率
9.10%
发文量
144
审稿时长
4-8 weeks
期刊介绍: Family Practice is an international journal aimed at practitioners, teachers, and researchers in the fields of family medicine, general practice, and primary care in both developed and developing countries. Family Practice offers its readership an international view of the problems and preoccupations in the field, while providing a medium of instruction and exploration. The journal''s range and content covers such areas as health care delivery, epidemiology, public health, and clinical case studies. The journal aims to be interdisciplinary and contributions from other disciplines of medicine and social science are always welcomed.
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