Testing an analogue game to promote peer support and person-centredness in education for people with diabetes: A realist evaluation.
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ABSTRACT: Aim
To explore the outcomes of testing an analogue game to incorporate person-centredness and peer dialogues in group-based diabetes education targeting people with diabetes.Design
Realist evaluation using quantitative and qualitative methods to explore context, mechanisms and outcomes of the intervention.Methods
In March-July 2019, the game was tested among 76 people with type 2 diabetes and 17 professionals in 19 settings across nine Danish municipalities. Data consisted of game tests, interviews and questionnaires. Data were analysed using systematic text condensation and descriptive statistics.Results
Outcomes of using the game were as follows: (a) a playful atmosphere; (b) active engagement; c) reflections on diabetes-specific experiences; (d) focused dialogues; (e) professionals gaining insight into the needs of participants; and (f) professionals experiencing peer dialogue as important to incorporate into education. Questionnaire responses showed that 92% people with diabetes and 94% professionals found that the game incorporated person-centredness and peer dialogues into education.
SUBMITTER: Stenov V
PROVIDER: S-EPMC8363400 | biostudies-literature |
REPOSITORIES: biostudies-literature
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Project description:BACKGROUND:Obesity rates are disproportionately high among Latinas living in the United States. Few community-based weight management studies have focused on Latina immigrants living in emerging Latino communities. The purpose of this study was to develop and pilot test a theory-based, promotora-delivered, peer support weight loss intervention for Latina immigrants to be administered in a community setting. We employed participatory methods to develop an 8-week program grounded in self-determination theory. Overweight Latina immigrants were recruited to participate in a quasi-experimental pilot study. Data collected pre and post-intervention included height, weight, fasting lipids, glucose, dietary practices, physical activity and depressive symptoms. RESULTS:Twenty-two women completed the intervention. Mean age was 36, mean time in the U.S. was 12 years; the majority was from Mexico. Mean BMI was 33; 68% had a family history of diabetes. The intervention resulted in statistically significant weight loss (mean 2.1 kg, SD 2.6, p?<?0.001); mean change in weight remained significant when compared with that of a historical control group (-2.1 kg vs 1.10 kg, p?<?0.01) but was attenuated at 6 months. Levels of moderate physical activity increased significantly (p?<?0.05) and dietary practices improved (p?<?0.01) and remained significant at 6 months. Notably, depressive symptoms also improved (p?=?<0.001). CONCLUSIONS:This theory-based, promotora-delivered intervention resulted in significant weight loss among a sample of Latina immigrants at 8 weeks. Future studies are needed to test the impact of an extended peer support intervention on long-term weight management. TRIAL REGISTRATION:National Clinical Trials: NCT02344212. Registered 21 January 2015.
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