Research ers noted small improvements in body mass index immediately after the intervention was provided and at six months , along with improved weight post intervention .
Diabetes knowledge and self efficacy improved immediately following receipt of the intervention , and knowledge also at six months .
The intervention did not improve blood pressure .
Evidence is insufficient to show whether type 2 diabetes self management interventions for people with severe mental illness are effective in improving outcomes .
BACKGROUND People with severe mental illness are twice as likely to develop type 2 diabetes as those without severe mental illness .
Treatment guidelines for type 2 diabetes recommend that structured education should be integrated into routine care and should be offered to all .
However , for people with severe mental illness , physical health may be a low priority , and motivation to change may be limited .
These additional challenges mean that the findings reported in previous systematic review s of diabetes self management interventions may not be generalised to those with severe mental illness , and that tailored approaches to effective diabetes education may be required for this population .
OBJECTIVES To assess the effects of diabetes self management interventions specifically tailored for people with type 2 diabetes and severe mental illness .
Peer Support for Achieving Independence in Diabetes (Peer-AID): design, methods and baseline characteristics of a randomized controlled trial of community health worker assisted diabetes self-management support.
BACKGROUND & OBJECTIVES Community health workers ( CHWs ) may be an important mechanism to provide diabetes self-management to disadvantaged population s. We describe the design and baseline results of a trial evaluating a home-based CHW intervention . METHODS & RESEARCH DESIGN Peer Support for Achieving Independence in Diabetes ( Peer-AID ) is a r and omized , controlled trial evaluating a home-based CHW-delivered diabetes self-management intervention versus usual care . The study recruited participants from 3 health systems .  Change in A1c measured at 12 months is the primary outcome . Changes in blood pressure , lipids , health care utilization , health-related quality of life , self-efficacy and diabetes self-management behaviors at 12 months are secondary outcomes . RESULTS A total of 1438 patients were identified by a medical record review as potentially eligible , 445 patients were screened by telephone for eligibility and 287 were r and omized . Groups were comparable at baseline on socio-demographic and clinical characteristics . All participants were low-income and were from diverse racial and ethnic background s. The mean A1c was 8.9 % , mean BMI was above the obese range , and non-adherence to diabetes medications was high . The cohort had high rates of co-morbid disease and low self-reported health status . Although one-third reported no health insurance , the mean number of visits to a physician in the past year was 5.7 . Trial results are pending . CONCLUSIONS Peer-AID recruited and enrolled a diverse group of low income participants with poorly controlled type 2 diabetes and delivered a home-based diabetes self-management program . If effective , replication of the Peer-AID intervention in community based setting s could contribute to improved control of diabetes in vulnerable population
Research ers noted small improvements in body mass index immediately after the intervention was provided and at six months , along with improved weight post intervention .
Diabetes knowledge and self efficacy improved immediately following receipt of the intervention , and knowledge also at six months .
The intervention did not improve blood pressure .
Evidence is insufficient to show whether type 2 diabetes self management interventions for people with severe mental illness are effective in improving outcomes .
BACKGROUND People with severe mental illness are twice as likely to develop type 2 diabetes as those without severe mental illness .
Treatment guidelines for type 2 diabetes recommend that structured education should be integrated into routine care and should be offered to all .
However , for people with severe mental illness , physical health may be a low priority , and motivation to change may be limited .
These additional challenges mean that the findings reported in previous systematic review s of diabetes self management interventions may not be generalised to those with severe mental illness , and that tailored approaches to effective diabetes education may be required for this population .
OBJECTIVES To assess the effects of diabetes self management interventions specifically tailored for people with type 2 diabetes and severe mental illness .