Acceptability of using trained lay people to deliver diabetes self-management education

a qualitative investigation using data from patients and educators

PK Mandalia, M Stone, Marian E. Carey, H Daly, R Hale, L Martin Stacey, Nick Taub, Kamlesh Khunti, Timothy Skinner, Laura J. Gray, Simon Heller

    Research output: Contribution to journalMeeting AbstractResearch

    Abstract

    Aims: Quantitative findings from the DESMOND Lay Educator Trial have indicated that patients obtain equivalent benefits from self-management education delivered by one trained lay educator and one healthcare professional educator compared with sessions delivered by two healthcare professional educators. This sub-study aimed to explore, qualitatively, the use of lay educators, particularly in terms of perceived acceptability.

    Methods: Prior to attending their allocated session, patients were blinded to whether their two educators included one lay person. Semi-structured interviews, facilitated by a topic guide, were conducted with a purposive sample of 16 patients who attended a session delivered by a lay/healthcare professional educator team and 11 educators (lay and healthcare professional). Data were analysed thematically using a constant comparative approach including framework charting.

    Results: Analysis suggested that, overall, using lay people to deliver DESMOND education was acceptable to patients and educators. Professional and lay educators generally described good working relationships and enjoyable experiences. A key theme emerged regarding educators’ levels of diabetes knowledge; however, patients were positive about involving lay educators regardless of perceptions about knowledge levels and whether or not they became aware of the composition of their educator team. Peer status and/or empathy were cited as beneficial characteristics of those lay educators with diabetes themselves or in a family member.


    Conclusions: Qualitative findings have supported and helped to explain the positive quantitative trial results. Confirmation of acceptability is likely to influence the feasibility of rollingout the use of lay educators to deliver self-management education and thus increase capacity.
    Original languageEnglish
    Pages (from-to)109-110
    Number of pages2
    JournalDiabetic Medicine
    Volume31
    Issue numberS1
    DOIs
    Publication statusPublished - Mar 2014

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    Mandalia, PK ; Stone, M ; Carey, Marian E. ; Daly, H ; Hale, R ; Stacey, L Martin ; Taub, Nick ; Khunti, Kamlesh ; Skinner, Timothy ; Gray, Laura J. ; Heller, Simon. / Acceptability of using trained lay people to deliver diabetes self-management education : a qualitative investigation using data from patients and educators. In: Diabetic Medicine. 2014 ; Vol. 31, No. S1. pp. 109-110.
    @article{75cbf9f11b504effb0edd53f1a77f3b1,
    title = "Acceptability of using trained lay people to deliver diabetes self-management education: a qualitative investigation using data from patients and educators",
    abstract = "Aims: Quantitative findings from the DESMOND Lay Educator Trial have indicated that patients obtain equivalent benefits from self-management education delivered by one trained lay educator and one healthcare professional educator compared with sessions delivered by two healthcare professional educators. This sub-study aimed to explore, qualitatively, the use of lay educators, particularly in terms of perceived acceptability.Methods: Prior to attending their allocated session, patients were blinded to whether their two educators included one lay person. Semi-structured interviews, facilitated by a topic guide, were conducted with a purposive sample of 16 patients who attended a session delivered by a lay/healthcare professional educator team and 11 educators (lay and healthcare professional). Data were analysed thematically using a constant comparative approach including framework charting.Results: Analysis suggested that, overall, using lay people to deliver DESMOND education was acceptable to patients and educators. Professional and lay educators generally described good working relationships and enjoyable experiences. A key theme emerged regarding educators’ levels of diabetes knowledge; however, patients were positive about involving lay educators regardless of perceptions about knowledge levels and whether or not they became aware of the composition of their educator team. Peer status and/or empathy were cited as beneficial characteristics of those lay educators with diabetes themselves or in a family member.Conclusions: Qualitative findings have supported and helped to explain the positive quantitative trial results. Confirmation of acceptability is likely to influence the feasibility of rollingout the use of lay educators to deliver self-management education and thus increase capacity.",
    author = "PK Mandalia and M Stone and Carey, {Marian E.} and H Daly and R Hale and Stacey, {L Martin} and Nick Taub and Kamlesh Khunti and Timothy Skinner and Gray, {Laura J.} and Simon Heller",
    year = "2014",
    month = "3",
    doi = "10.1111/dme.12378_2",
    language = "English",
    volume = "31",
    pages = "109--110",
    journal = "Diabetic Medicine",
    issn = "0742-3071",
    publisher = "Wiley-Blackwell",
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    }

    Mandalia, PK, Stone, M, Carey, ME, Daly, H, Hale, R, Stacey, LM, Taub, N, Khunti, K, Skinner, T, Gray, LJ & Heller, S 2014, 'Acceptability of using trained lay people to deliver diabetes self-management education: a qualitative investigation using data from patients and educators', Diabetic Medicine, vol. 31, no. S1, pp. 109-110. https://doi.org/10.1111/dme.12378_2

    Acceptability of using trained lay people to deliver diabetes self-management education : a qualitative investigation using data from patients and educators. / Mandalia, PK; Stone, M; Carey, Marian E.; Daly, H; Hale, R; Stacey, L Martin; Taub, Nick; Khunti, Kamlesh; Skinner, Timothy; Gray, Laura J.; Heller, Simon.

    In: Diabetic Medicine, Vol. 31, No. S1, 03.2014, p. 109-110.

    Research output: Contribution to journalMeeting AbstractResearch

    TY - JOUR

    T1 - Acceptability of using trained lay people to deliver diabetes self-management education

    T2 - a qualitative investigation using data from patients and educators

    AU - Mandalia, PK

    AU - Stone, M

    AU - Carey, Marian E.

    AU - Daly, H

    AU - Hale, R

    AU - Stacey, L Martin

    AU - Taub, Nick

    AU - Khunti, Kamlesh

    AU - Skinner, Timothy

    AU - Gray, Laura J.

    AU - Heller, Simon

    PY - 2014/3

    Y1 - 2014/3

    N2 - Aims: Quantitative findings from the DESMOND Lay Educator Trial have indicated that patients obtain equivalent benefits from self-management education delivered by one trained lay educator and one healthcare professional educator compared with sessions delivered by two healthcare professional educators. This sub-study aimed to explore, qualitatively, the use of lay educators, particularly in terms of perceived acceptability.Methods: Prior to attending their allocated session, patients were blinded to whether their two educators included one lay person. Semi-structured interviews, facilitated by a topic guide, were conducted with a purposive sample of 16 patients who attended a session delivered by a lay/healthcare professional educator team and 11 educators (lay and healthcare professional). Data were analysed thematically using a constant comparative approach including framework charting.Results: Analysis suggested that, overall, using lay people to deliver DESMOND education was acceptable to patients and educators. Professional and lay educators generally described good working relationships and enjoyable experiences. A key theme emerged regarding educators’ levels of diabetes knowledge; however, patients were positive about involving lay educators regardless of perceptions about knowledge levels and whether or not they became aware of the composition of their educator team. Peer status and/or empathy were cited as beneficial characteristics of those lay educators with diabetes themselves or in a family member.Conclusions: Qualitative findings have supported and helped to explain the positive quantitative trial results. Confirmation of acceptability is likely to influence the feasibility of rollingout the use of lay educators to deliver self-management education and thus increase capacity.

    AB - Aims: Quantitative findings from the DESMOND Lay Educator Trial have indicated that patients obtain equivalent benefits from self-management education delivered by one trained lay educator and one healthcare professional educator compared with sessions delivered by two healthcare professional educators. This sub-study aimed to explore, qualitatively, the use of lay educators, particularly in terms of perceived acceptability.Methods: Prior to attending their allocated session, patients were blinded to whether their two educators included one lay person. Semi-structured interviews, facilitated by a topic guide, were conducted with a purposive sample of 16 patients who attended a session delivered by a lay/healthcare professional educator team and 11 educators (lay and healthcare professional). Data were analysed thematically using a constant comparative approach including framework charting.Results: Analysis suggested that, overall, using lay people to deliver DESMOND education was acceptable to patients and educators. Professional and lay educators generally described good working relationships and enjoyable experiences. A key theme emerged regarding educators’ levels of diabetes knowledge; however, patients were positive about involving lay educators regardless of perceptions about knowledge levels and whether or not they became aware of the composition of their educator team. Peer status and/or empathy were cited as beneficial characteristics of those lay educators with diabetes themselves or in a family member.Conclusions: Qualitative findings have supported and helped to explain the positive quantitative trial results. Confirmation of acceptability is likely to influence the feasibility of rollingout the use of lay educators to deliver self-management education and thus increase capacity.

    U2 - 10.1111/dme.12378_2

    DO - 10.1111/dme.12378_2

    M3 - Meeting Abstract

    VL - 31

    SP - 109

    EP - 110

    JO - Diabetic Medicine

    JF - Diabetic Medicine

    SN - 0742-3071

    IS - S1

    ER -