the feasibility, viability and effectiveness of peer coaches

PEER COACHING FOR EFFECTIVE DIABETES MANAGEMENT

Patrick McGowan, University of Victoria, pmcgowan@uvic.ca

Frances Hensen, Fraser Health, Frances.Hensen@fraserhealth.ca

There is nothing to disclose

The Diabetes Coach Study A pilot on peer coaching Collaboration between U of Vic and the 11 Diabetes Health Education Centres in the Fraser Health Region - Recruit and train 100 Diabetes Coaches - Diabetes Educators recruit 150 subjects - Coach is paired with subject - 30 minute weekly phone call for 6 months

- Quantitative and qualitative methodology - Community Advisory Committee 2014-16 THE LAWSON FOUNDATION The role and effectiveness of diabetes coaches in BC.

Questions 1) Is recruiting and training peer coaches feasible and viable?

2) Will persons with type 2 diabetes accept a peer coach?

3) Will diabetes educators recruit and refer clients to the program?

4) Will a peer coach intervention bring about improved diabetes

outcomes for clients and coaches?

5) How does the process of peer coaching help clients?

Project Status – December 1, 2016

Participants

• who called about getting a coach 316

• referred by Diabetes Educators 200

• completed baseline questionnaires 157

• paired with a coach 134

Coaches

• interested in becoming a coach 220

• three-day coach training workshops 15

• completed coach training 114

Participant/Coach Pairings

• completed 108

• in progress 28

Analysis of change

Baseline

6 months

12 months

A baseline to 6-month analysis was conducted with 100 clients and

found improvement in:

A1C (-12%)

Activation (+20%)

Self-reported health (+8%),

Depression (-38%),

Diabetes self-efficacy (+28%),

Communication with physician (+19%)

Diabetes empowerment (+21%).

The full baseline, 6 and 12 month analysis will be conducted as

soon as the 12-month questionnaires have been collected and the

data entered.

Still to do…

Medication Adherence

Health Literacy

Self-reported ER visits in last 6 months

Self-reported hospital nights in last 6 months

Gender

Age

Years of education

Number of conditions

Lessons

1. Six months is too long

2. It’s not the medical information

3. Applicable to other chronic conditions

4. Coaches benefit as well

5. Coach / participant match

6. Dissemination potential

7. Augments medical care / place in continuity of care

Future of Peer Coaching?

A provincial peer health coaching program for

persons with chronic health conditions