Home-based diabetes self-management coaching delivered by paraprofessionals: A randomized controlled trial. Issue 3 (1st October 2016)

• Record Type: Journal Article
• Authors: Pauley, Tim; Gargaro, Judith; Chenard, Glen; Cavanagh, Helen; McKay, Sandra M.
• Is Part Of: Home health care services quarterly. Volume 35:Issue 3/4(2016)
• Page Start: 137
• Page End: 154
• Publication Date: 2016-10-01
• Subjects: Diabetes mellitus -- home care services -- insulin -- paraprofessional -- self-management coaching; Home care services -- Periodicals; Home care services -- United States -- Periodicals; Home Care Services -- Periodicals; 362.14
• DOI: 10.1080/01621424.2016.1264339
• Languages: English
• ISSNs: 0162-1424

Abstract

ABSTRACT: This study evaluated paraprofessional-led diabetes self-management coaching (DSMC) among 94 clients with type 2 diabetes recruited from a Community Care Access Centre in Ontario, Canada. Subjects were randomized to standard care or standard care plus coaching. Measures included the Diabetes Self-Efficacy Scale (DSES), Insulin Management Diabetes Self-Efficacy Scale (IMDSES), and Hospital Anxiety and Depression Scale (HADS). Both groups showed improvement in DSES (6.6 + 1.5 vs. 7.2 + 1.5, p < .001) and IMDSES (113.5 + 20.6 vs. 125.7 + 22.3, p < .001); there were no between-groups differences. There were no between-groups differences in anxiety (p > .05 for all) or depression scores (p > .05 for all), or anxiety (p > .05 for all) or depression (p > .05 for all) categories at baseline, postintervention, or follow-up. While all subjects demonstrated significant improvements in self-efficacy measures, there is no evidence to support paraprofessional-led DSMC as an intervention which conveys additional benefits over standard care.