How do you encourage people to take action to move peer support programs forward? For us, it means educating people, showing them concrete benefits, and helping them experience peer support first-hand.
In this newsletter, we share two spotlights from our recent efforts to promote peer support and strengthen links between peer support and health care professionals.
For the first feature, we organized a delegation of peer supporters to participate in the annual meeting of the American Association of Diabetes Educators. In the second, we share our insights from leading training workshops for health care providers in China to nurture the adoption of peer support programs.
Diabetes Education and Support: Two Complementary Halves
This August, Peers for Progress organized a delegation of peer supporters to attend the 2014 American Association of Diabetes Educators (AADE) Conference – the first time that lay health workers have been invited to participate in the AADE meeting.
Generated from our experience at the conference, this report highlights the complementarity of the work performed by peer supporters and diabetes educators by examining similarities in their roles, challenges in practice, and strategies for improvement. [Read more]
Small Wins, Big Success: Nurturing Peer Support Program Adoption in China
Peers for Progress has been working closely with colleagues in China to promote the adoption of peer support for diabetes management. In this ongoing effort, our strategy has been to seek small wins to encourage those working in health care settings to develop and initiate peer support programs. In this spotlight, we share our lessons learned on how to enable others to take action in the face of numerous barriers and constraints. [Read more]
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Webinar - Diabetes Management: Success with Peer Support and Population Health
What happens when peer support is added to the care delivery transformation process at a Federally Qualified Health Center (FQHC)? In this webinar, we will explore benefits and challenges that Alivio Medical Center in Chicago has experienced in the course of implementing population health and care management best practices to improve diabetes self-management behaviors. During the transformation period, Alivio implemented Electronic Health Records (EHR), gained NCQA Patient-Centered Medical Home Recognition, opened a new clinic and transitioned leadership under a new Executive Director.
Incorporating peer support enhanced the efficacy of the care team, increased patient engagement and improved clinical outcomes. The outcomes and lessons learned will be explored during this one-hour webinar by TransforMED and partners Peers for Progress, UNC Gillings School of Global Public Health, Together on Diabetes and The National Council of La Raza.
Tuesday, November 4th, 2pm EDT
[Register for the webinar]
Global Evidence for Peer Support: Humanizing Health Care
Last month, we released a new report, Global Evidence for Peer Support: Humanizing Health Care. The projects that we’ve funded have demonstrated strong evidence that peer support is not only successful at reaching and engaging communities but also feasible, effective and sustainable.
Furthermore, these projects show that peer support is a practical, affordable and popular model for health promotion and chronic disease self-management. Effective and humanizing, peer support can meet present and future health care needs by facilitating the delivery of the right care at the right time at the right cost. [Read more]
CDC Policy Evidence Assessment Report: CHW Policy Components
This Policy Evidence Assessment Report informs stakeholders about the strengths and limitations of the evidence bases for individual components of chronic disease policy interventions. These reports can be used during consideration of policy options to improve chronic disease outcomes, as well as to understand how enacted state laws incorporate evidence-based policy. [Read more]
Frontline Health Workers Coalition Policy Report
In this new report, the Frontline Health Workers Coalition and partners call on stakeholders to create a common definition for CHWs along with an agreed-upon set of core tasks and competencies, using the International Labor Organization definition as a guiding framework. To enhance the quality and availability of data for decision-making, the report also calls for the creation of guidelines for a minimum data set of information on CHWs and the creation of national registries integrated into national human resources information systems to house this minimum data set. [Read more]
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Training At-Risk Youth to Become Diabetes Self-Management Coaches for Family Members
This study evaluated the impact of a school-based health program in which family medicine residents trained healthy at-risk adolescents to become diabetes self-management coaches for family members with diabetes. Program benefits included improvement in diet, increased physical activity, and improved relationship between student coach and family member. Overall, this program suggest that such initiatives can diabetes knowledge and psychosocial assets of at-risk youth, and promote positive health behaviors among at-risk youth and their families. [Abstract]
The Impact of Integrating CHWs into the Patient-Centered Medical Home
This study examined the impact on care delivery from integrating CHWs into PMCHs with predominantly Latino, pediatric asthma patients. More than 750 families of children with asthma received education and support from CHWs. The number of referrals to the care coordination program increased 7-fold. The evidence shows that CHWs can be successfully integrated into the PCMH care team and that they may also impact the identification of high-risk populations for care coordination and delivery of comprehensive care. [Abstract]
A Pilot Evaluation of Arthritis Self-Management Program by Lay Leaders in Patients with Chronic Inflammatory Arthritis in Hong Kong
This paper evaluated the efficacy of a community-based lay-led Arthritis Self-Management Program (ASMP) among patients with chronic inflammatory arthritis and the effectiveness of "shared care collaboration" between hospital and community. The intervention group had significantly less pain, used more cognitive coping methods, and practiced more aerobic exercise. There was also a trend toward improvement in self-efficacy, fatigue, self-rated health, and health distress. [Abstract]
Integrating National CHW Programs into Health Systems: A Systematic Review Identifying Lessons Learned from Low- and Middle-Income Countries
Four programs from Brazil, Ethiopia, India and Pakistan met the inclusion criteria for this review. Factors that facilitated the integration process included the magnitude of countries' human resources for health problems; the perceived relative advantage of national CHWs over training and retaining highly skilled health workers; and the participation of some politicians and community members in program processes. Factors that inhibited the integration process included a rapid scale-up process; resistance from other health workers; discrimination of CHWs based on social, gender and economic status; ineffective incentive structures; inadequate infrastructure and supplies; and hierarchical and parallel communication structures. [Abstract]
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Self-Management for Health in Chronic Conditions (R01)
Deadline: February 5, 2015
Funds: Not limited / Max 5 years
This FOA describes an initiative that focuses on self-management as a mainstream science in order to reduce the burden of chronic illnesses/conditions. Self-management is the ability of the individual, in conjunction with family, community, and healthcare professionals, to manage symptoms, treatments, lifestyle changes, and psychosocial, cultural, and spiritual consequences associated with a chronic illness or condition. [Read more]
Advancing Interventions to Improve Medication Adherence (R21)
Deadline: February 16, 2015
Funds: $275,000 total / 2 years
This FOA encourages applications for research and development of interventions to significantly improve medication adherence in individuals. Applications may target medication adherence in the context of treatment for a single illness or chronic condition (e.g., hypertension), to stave off a disease recurrence (e.g., cancer) or for multiple comorbid conditions (e.g., hypertension, diabetes, alcohol use disorders and HIV/AIDS). [Read more]
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