Examining the effectiveness of a peer-led education programme for Type 2 diabetes and cardiovascular disease in a Bangladeshi population

Diabet Med. 2009 Jan;26(1):40-4. doi: 10.1111/j.1464-5491.2008.02639.x.

Abstract

Aims: The aim of this study was to assess an adapted version of the X-PERT Programme for Type 2 diabetes within a Bangladeshi population.

Methods: Bangladeshi adults, living in the UK, with Type 2 diabetes participated in a diabetes educational session based on an adapted version of the X-PERT Programme. Participants attended a session, led by a trained peer educator and carried out in Sylheti. All participants who registered on the course were telephoned or visited in person the day before the course as a reminder.

Results: Registration to attend the course was excellent. However, actual attendance rates were 58% (42/72) out of those registered. Once participants attended, overall they enjoyed attending the sessions and felt they benefited as they understood more about how to better self-manage their condition. Those aspects of the sessions that were most enjoyed were group discussions and interactive posters to explain diabetes. Participants requested a home-based exercise guide, which was developed by the research team. The study was underpowered to show behaviour change, but did demonstrate a trend to improvement in self-care activities. All participants reported recommending the course to others.

Conclusions: There was an excellent response in terms of registration for the course. However, the time to attend the course appeared to be a barrier to participants. Nevertheless, for those attending the course, responses were very positive. The amended X-PERT Programme could be used as a component of a package to improve outcome and self-management for people with diabetes in the Bangladeshi community.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Bangladesh / ethnology
  • Diabetes Mellitus, Type 2 / psychology
  • Diabetes Mellitus, Type 2 / therapy*
  • Diabetic Angiopathies / psychology
  • Diabetic Angiopathies / therapy*
  • Female
  • Humans
  • Male
  • Patient Education as Topic / methods*
  • Patient-Centered Care / methods
  • Peer Group
  • Self Care / methods*
  • Surveys and Questionnaires