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Open Access Study protocol

Development and pilot test of a peer-support based Cardiac-Diabetes Self-Management Program: A study protocol

Chiung-Jung Jo Wu1*, Anne M Chang12, Mary Courtney3, Lillie M Shortridge-Baggett4 and Karam Kostner25

Author Affiliations

1 School of Nursing and Midwifery, Institute of Health and Biomedical Innovation, Queensland University of Technology, Victoria Park Road, Kelvin Grove, QLD 4059, Australia

2 Mater Health Services, Brisbane, Australia

3 Health and Social Development, University of British Columbia Okanagan, Kelowna BC V1V 1V7, Canada

4 Department of Graduate Studies, Lienhard School of Nursing, Lienhard Hall 309 Pace University, 861 Bedford Road, Pleasantville, New York 10570-2799, USA

5 School of Medicine, University of Queensland, Australia

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BMC Health Services Research 2011, 11:74  doi:10.1186/1472-6963-11-74

Published: 11 April 2011

Abstract

Background

People with cardiac disease and type 2 diabetes have higher hospital readmission rates (22%) compared to those without diabetes (6%). Self-management is an effective approach to achieve better health outcomes; however there is a lack of specifically designed programs for patients with these dual conditions. This project aims to extend the development and pilot test of a Cardiac-Diabetes Self-Management Program incorporating user-friendly technologies and the preparation of lay personnel to provide follow-up support.

Methods/Design

A randomised controlled trial will be used to explore the feasibility and acceptability of the Cardiac-Diabetes Self-Management Program incorporating DVD case studies and trained peers to provide follow-up support by telephone and text-messaging. A total of 30 cardiac patients with type 2 diabetes will be randomised, either to the usual care group, or to the intervention group. Participants in the intervention group will received the Cardiac-Diabetes Self-Management Program in addition to their usual care. The intervention consists of three face-to-face sessions as well as telephone and text-messaging follow up. The face-to-face sessions will be provided by a trained Research Nurse, commencing in the Coronary Care Unit, and continuing after discharge by trained peers. Peers will follow up patients for up to one month after discharge using text messages and telephone support. Data collection will be conducted at baseline (Time 1) and at one month (Time 2). The primary outcomes include self-efficacy, self-care behaviour and knowledge, measured by well established reliable tools.

Discussion

This paper presents the study protocol of a randomised controlled trial to pilot evaluates a Cardiac-Diabetes Self-Management program, and the feasibility of incorporating peers in the follow-ups. Results of this study will provide directions for using such mode in delivering a self-management program for patients with both cardiac condition and diabetes. Furthermore, it will provide valuable information of refinement of the intervention program.

Trial Registration Number

ACTRN12611000086965