@article{oai:repository.lib.tottori-u.ac.jp:00004748, author = {谷村, 千華 and Tanimura, Chika and 青戸, 春香 and Aoto, Haruka and 小林, 伸行 and 森田, 鉄二 and 大谷, 眞二 and Otani, Shinji and 井上, 和興 and Inoue, Kazuoki and 徳嶋, 靖子 and Tokushima, Yasuko and 深田, 美香 and Fukada, Mika and 花木, 啓一 and Hanaki, Keiichi and 酒井, 知恵子 and Sakai, Chieko and 大倉, 毅 and Okura, Tsuyoshi and 景山, 誠二 and Kageyama, Seiji and 黒沢, 洋一 and Kurozawa, Youichi and Kobayashi, Nobuyuki and Majbauddin, Abir and Morita, Tetsuji and Flores, Reynaldo and Raymundo, Ronaldo}, issue = {4}, journal = {Yonago Acta Medica, Yonago Acta Medica}, month = {Nov}, note = {[Background] Training peer leaders to deliver patient education is expected to be a low-cost approach to providing healthcare in urban-poor areas affected by a shortage of healthcare professionals. The purpose of this study was to examine the effects of a training program on the self-efficacy and knowledge of peer leaders with type 2 diabetes. [Methods] A single-group longitudinal survey with baseline, intervention, and follow-up periods was conducted at a diabetes clinic in a small municipality in Metro Manila, Philippines. The intervention, a self-efficacy theory-based training program for peer-leaders of diabetic patients conducted in August 2017, comprised hands-on learning, demonstrations, quizzes, role-playing, group sharing, physical exercise, and a buffet lunch. The primary outcome was participants’ self-efficacy for management of their diabetes. Secondary outcomes were participants’ knowledge of diabetes and levels of emotional distress, motivation, and confidence for guiding their peers, satisfaction with the training program, hemoglobin A1c, and quality of life. [Results] At 12 and 18 months after the intervention, participants’ knowledge of diabetes was significantly increased compared with baseline (both P < 0.05). At earlier time points, an increasing, but not significant, trend was observed. The change in knowledge of diabetes from baseline to 18 months after intervention tended to be positively correlated with the change in self-efficacy (r = 0.594, P = 0.054). No significant differences were observed for any of the other outcomes, although the descriptive statistics showed an increasing trend for all of the outcomes except motivation. [Conclusion] The training program significantly improved participants’ knowledge of diabetes at 12 and 18 months after the training programs compared with baseline. A positive correlation between the changes in the levels of knowledge and self-efficacy suggested that the observed improvement of self-efficacy was facilitated by the improvement of knowledge of diabetes.}, pages = {282--293}, title = {Effects of a Self-efficacy Theory-Based Training Program for Peers of Patients with Type 2 Diabetes}, volume = {63}, year = {2020}, yomi = {タニムラ, チカ and アオト, ハルカ and コバヤシ, ノブユキ and モリタ, テツジ and オオタニ, シンジ and イノウエ, カズオキ and トクシマ, ヤスコ and フカダ, ミカ and ハナキ, ケイイチ and サカイ, チエコ and オオクラ, ツヨシ and カゲヤマ, セイジ and クロザワ, ヨウイチ and コバヤシ, ノブユキ and モリタ, テツジ} }