Hispanic Diabetes Peer Facilitator Training Needs and Connections to Hispanics With Type 2 Diabetes
Abstract
Introduction: There is a gap in the literature on the role of Hispanic peer facilitators (PFs) in online peer-support communities for Hispanics with diabetes. This paper explores bilingual Hispanic PFs’ training experiences and their perspectives on their role in a continuous glucose monitoring and online peer support intervention for people with type 2 diabetes. Methods: We conducted semi-structured interviews with five PFs. A three-stage triangulation of qualitative data using inductive and deductive reasoning was used for the data analysis. Results: We grouped emerging themes into three categories: (a) technical and practical training needs and experiences, (b) building connections through shared diabetes experience, and (c) challenges and benefits of being a PF, such as helplessness, to further support participants and find motivation for their diabetes management. Conclusion: Successful peer facilitation requires more than technical knowledge. PFs need additional communication skills and psychosocial training on diabetes distress, anxiety, and depression. PFs may derive personal benefits in managing their own diabetes and making positive lifestyle changes from participating in an online peer support community.
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References
American Diabetes Association (2018). Lifestyle management: Standards of medical care in diabetes-2018. Diabetes Care, 41(Suppl 1), S38–S50. https://doi.org/10.2337/dc18-S004
Avilés-Santa M. L., Hsu L. L., Arredondo M., Menke A., Werner E., Thyagarajan B., Heiss G., Teng Y., Schneiderman N., Giachello A. L., Gallo L. C., Talavera G. A., Cowie C. C. (2016). Differences in hemoglobin A1c between Hispanics/Latinos and non-Hispanic Whites: An analysis of the Hispanic community health study/study of Latinos and the 2007–2012 national health and nutrition examination survey. Diabetes Care, 39(6), 1010–1017. https://doi.org/10.2337/dc15-2579
Beck J., Greenwood D. A., Blanton L., Bollinger S. T., Butcher M. K., Condon J. E., Cypress M., Faulkner P., Fischl A. H., Francis T., Kolb L. E., Lavin-Tompkins J. M., MacLeod J., Maryniuk M., Mensing C., Orzeck E. A., Pope D. D., Pulizzi J. L., Reed A. A., … Wang J. (2021). 2017 National standards for diabetes self-management education and support. The Science of Diabetes Self-Management and Care, 47(1), 14–29. https://doi.org/10.1177/0145721720987926
Center for Disease Control (2022a). CDC 2022 National Diabetes Statistics Report. Retrieved July 19 from https://nationaldppcsc.cdc.gov/s/article/CDC-2022-National-Diabetes-Statistics-Report.
Center for Disease Control (2022b). Hispanic or Latino People and Type 2 Diabetes. Retrieved July 19 from https://www.cdc.gov/diabetes/library/features/hispanic-diabetes.html.
Davis R. E., Lee S., Johnson T. P., Rothschild S. K. (2019). Measuring the elusive construct of personalismo among Mexican American, Puerto Rican, and Cuban American adults. Hispanic Journal of Behavioral Sciences, 41(1), 103–121. https://doi.org/10.1177/0739986318822535
Fereday J., Muir-Cochrane E. (2006). Demonstrating rigor using thematic analysis: A hybrid approach of inductive and deductive coding and theme development. International Journal of Qualitative Methods, 5(1), 80–92. https://doi.org/10.1177/160940690600500107
Fox S. (2011). Peer-to-peer Healthcare 2011. Pew Research Center.
García A. A., Zuñiga J. A., Lagon C. (2017). A personal touch: The most important strategy for recruiting Latino research participants. Journal of Transcultural Nursing, 28(4), 342–347. https://doi.org/10.1177/1043659616644958
Greenwood D. A., Litchman M. L., Ng A. H., Gee P. M., Young H. M., Ferrer M., Ferrer J., Memering C. E., Eichorst B., Scibilia R., Miller L. M. S. (2019). Development of the intercultural diabetes online community research council: Codesign and social Media processes. Journal of Diabetes Science and Technology, 13(2), 176–186. https://doi.org/10.1177/1932296818818455
Hill-Briggs F., Adler N. E., Berkowitz S. A., Chin M. H., Gary-Webb T. L., Navas-Acien A., Thornton P. L., Haire-Joshu D. (2020). Social determinants of health and diabetes: A scientific review. Diabetes Care, 44(1), 258–279. https://doi.org/10.2337/dci20-0053
Litchman M. L., Ng A., Sanchez-Birkhead A., Allen N. A., Rodriguez-Gonzales B., Iacob E., Greenwood D. A. (2021). Combining CGM and an online peer support community for Hispanic adults with T2D: A feasibility study. Journal of Diabetes Science and Technology, 16(4), 866–873. https://doi.org/10.1177/19322968211032278
Litchman M. L., Walker H. R., Ng A. H., Wawrzynski S. E., Oser S. M., Greenwood D. A., Gee P. M., Lackey M., Oser T. K. (2019). State of the science: A scoping review and gap analysis of diabetes online communities. Journal of Diabetes Science and Technology, 13(3), 466–492. https://doi.org/10.1177/1932296819831042
Ng A. H., Greenwood D. A., Iacob E., Allen N. A., Ferrer M., Rodriguez B., Litchman M. L. (2022). Examining a continuous glucose monitoring plus online peer support community intervention to support Hispanic adults with type 2 diabetes: Protocol for a mixed methods feasibility study. JMIR Research Protocols, 11(2), e31595. https://doi.org/10.2196/31595
Nowell L. S., Norris J. M., White D. E., Moules N. J. (2017). Thematic analysis: Striving to meet the trustworthiness criteria. International Journal of Qualitative Methods, 16(1), 1609406917733847. https://doi.org/10.1177/1609406917733847
Pew Research Center (2021). Social media fact sheet. Retrieved July 12 from https://www.pewresearch.org/internet/fact-sheet/social-media/.
Powers M. A., Bardsley J., Cypress M., Duker P., Funnell M. M., Fischl A. H., Maryniuk M. D., Siminerio L., Vivian E. (2016). Diabetes self-management education and support in type 2 diabetes: A joint position statement of the American Diabetes Association, the American Association of diabetes educators, and the Academy of Nutrition and Dietetics. Clinical Diabetes, 34(2), 70–80. https://doi.org/10.2337/diaclin.34.2.70
Rideout V., Fox S. (2018). Digital health practices, social media use, and mental well-being among teens and young adults in the U.S. Hopelab and Well Being Trust.
Rodriguez-Alcalá M. E., Qin H., Jeanetta S. (2019). The role of acculturation and social capital in access to health care: A meta-study on Hispanics in the US. Journal of Community Health, 44(6), 1224–1252. https://doi.org/10.1007/s10900-019-00692-z
Walker A. F., Addala A., Sheehan E., Lal R., Haller M., Cuttriss N., Filipp S., Baer L., Gurka M., Bernier A., Figg L., Westen S., Hood K., Anez-Zabala C., Frank E., Roque X., Maizel J., Maahs D. (2022). Using peer power to reduce health disparities: Implementation of a diabetes support coach program in federally qualified health centers. Diabetes Spectrum, 35(3), 295–303. https://doi.org/10.2337/dsi22-0004
Yeung J. W. K., Zhang Z., Kim T. Y. (2017). Volunteering and health benefits in general adults: Cumulative effects and forms. BMC Public Health, 18(1), 8. https://doi.org/10.1186/s12889-017-4561-8
Yin J., Wong R., Au S., Chung H., Lau M., Lin L., Tsang C., Lau K., Ozaki R., So W., Ko G., Luk A., Yeung R., Chan J. C. (2015). Effects of providing peer support on diabetes management in people with type 2 diabetes. Annals of Family Medicine, 13(Suppl 1), S42–S49. https://doi.org/10.1370/afm.1853
Yingling L., Allen N. A., Litchman M. L., Colicchio V., Gibson B. S. (2019). An evaluation of digital health tools for diabetes self-management in Hispanic adults: Exploratory study. JMIR Diabetes, 4(3), e12936. https://doi.org/10.2196/12936
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Article first published online: May 23, 2023
Issue published: December 2023
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PubMed: 37221843
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This article was published in Hispanic Health Care International.
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