干旱区生态环境知识资源中心(Arid): Older adults using social support to improve self-care (OASIS): Adaptation, implementation and feasibility of peer support for older adults with T2D in appalachia: A feasibility study protocol

Arid

DOI	10.1371/journal.pone.0300196
	Older adults using social support to improve self-care (OASIS): Adaptation, implementation and feasibility of peer support for older adults with T2D in appalachia: A feasibility study protocol
	Smalls, Brittany L.; Kruse-Diehr, Aaron; Ortz, Courtney L.; Douthitt, Key; McLouth, Christopher; Shelton, Rachel; Taylor, Zoe; Williams, Edith
通讯作者	Smalls, BL
来源期刊	PLOS ONE
ISSN	1932-6203
出版年	2024
卷号	19 期号:3
英文摘要	Introduction The prevalence of type 2 diabetes (T2D) is 17% higher in rural dwellers compared to their urban counterparts, and it increases with age, with an estimated 25% of older adults (>= 65 years) diagnosed. Appropriate self-care is necessary for optimal clinical outcomes. Overall, T2D self-care is consistently poor among the general population but is even worse in rural-dwellers and older adults. In rural Kentucky, up to 23% of adults in Appalachian communities have been diagnosed with T2D and, of those, 26.8% are older adults. To attain optimal clinical outcomes, social environmental factors, including social support, are vital when promoting T2D self-care. Specifically, peer support has shown to be efficacious in improving T2D self-care behaviors and clinical and psychosocial outcomes related to T2D; however, literature also suggests self-selected social support can be obstructive when engaging in healthful activities. Currently available evidence-based interventions (EBIs) using peer support have not been used to prioritize older adults, especially those living in rural communities.Method To address this gap, we conducted formative research with stakeholders, and collaboratively identified an acceptable and feasible peer support EBI-peer health coaching (PHC)-that has resulted in improved clinical and psychosocial T2D-related outcomes among participants who did not reside in rural communities nor were >= 65 years. The goal of the proposed study is to use a 2x2 factorial design to test the adapted PHC components and determine their preliminary effectiveness to promote self-care behaviors and improve glycemic control among older adults living in Appalachian Kentucky. Testing the PHC components of the peer support intervention will be instrumental in promoting care for older adults in Appalachia, as it will allow for a larger scale intervention, which if effective, could be disseminated to community partners in Appalachia.Trial registration This study was registered at www.clinicaltrials.gov (NCT06003634) in August 2023.
类型	Article
语种	英语
开放获取类型	gold, Green Published
收录类别	SCI-E
WOS记录号	WOS:001192194600020
WOS关键词	AFRICAN-AMERICAN WOMEN ; CHRONIC KIDNEY-DISEASE ; GLYCEMIC CONTROL ; DIABETES EDUCATION ; RANDOMIZED-TRIAL ; NATIONAL-HEALTH ; FAMILY SUPPORT ; ADHERENCE ; MANAGEMENT ; IMPACT
WOS类目	Multidisciplinary Sciences
WOS研究方向	Science & Technology - Other Topics
资源类型	期刊论文
条目标识符	http://119.78.100.177/qdio/handle/2XILL650/405184
推荐引用方式 GB/T 7714	Smalls, Brittany L.,Kruse-Diehr, Aaron,Ortz, Courtney L.,et al. Older adults using social support to improve self-care (OASIS): Adaptation, implementation and feasibility of peer support for older adults with T2D in appalachia: A feasibility study protocol[J],2024,19(3).
APA	Smalls, Brittany L..,Kruse-Diehr, Aaron.,Ortz, Courtney L..,Douthitt, Key.,McLouth, Christopher.,...&Williams, Edith.(2024).Older adults using social support to improve self-care (OASIS): Adaptation, implementation and feasibility of peer support for older adults with T2D in appalachia: A feasibility study protocol.PLOS ONE,19(3).
MLA	Smalls, Brittany L.,et al."Older adults using social support to improve self-care (OASIS): Adaptation, implementation and feasibility of peer support for older adults with T2D in appalachia: A feasibility study protocol".PLOS ONE 19.3(2024).