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Submitted: 19 Dec 2020
Accepted: 08 Sep 2021
ePublished: 30 Mar 2022
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J Educ Community Health. 2022;9: 32-38.
doi: 10.34172/jech.2022.6
  Abstract View: 66
  PDF Download: 64

Health Literacy

Original Article

Effect of Peer Support on Health Literacy in Diabetic Patients With Limited Access to Support Resources in Iran: A Randomized Clinical Trial

Arezoo Shahsavari 1 ORCID logo, Fatemeh Estebsari 2* ORCID logo, Foroozan Atashzadeh-Shoorideh 3 ORCID logo, Mahnaz Ilkhani 4 ORCID logo

1 Research Committee, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran
2 Department of Community Health Nursing, School of Nursing and Midwifery, Shahid Beheshti University of Medical Science, Tehran, Iran
3 Department of Psychiatric Nursing and Management, School of Nursing and Midwifery, Shahid Labbafinezhad Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran
4 Department of Medical Surgical Nursing, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran
*Corresponding Author: *Corresponding author: Fatemeh Estebsari, School of Nursing and Midwifery, in front of Shahid Rajaei Heart Hospital, Niayesh Intersection, Valiasr Street, Tehran, Iran Postal code: 19857443, Phone:+98(21) 88202520, Fax:+98(21) 88655363, Email: , Email: fa_estebsari@yahoo.com

Abstract

Background: Health literacy (HL) is one of the factors influencing the use of health-related information by patients with diabetes. As a social support resource, peers can help improve diabetes knowledge in these patients. The aim of this study was to determine the effect of peer support on HL in patients with type 2 diabetes (T2D) with low support resources.

Methods: This randomized controlled trial was conducted on 80 patients with T2D referring to a diabetes clinic in Aligoudarz. Patients meeting the inclusion criteria were selected by the random sampling method and randomly assigned to two groups of intervention and control each containing 40 cases. The data were collected using the Test of Functional Health literacy in Adults (TOFHLA) at the beginning of the study and after 3 months of educational peer support intervention. Eventually, data were analyzed by the statistical tests of chi-square, Fisher’s exact test, t test, and paired t test.

Results: The results showed that there was no significant difference in the mean (±SD) HL between the two groups before the intervention (53.12±13.86 vs. 56.62±10.34, P=0.204). However, the mean HL in the intervention group represented a significant improvement after 3 months of peer intervention compared to the control group (70.27±9.78 vs. 56.87±10.07, P<0.001).

Conclusion: Overall, peer support was found to be effective in improving the HL of diabetic patients with limited access to support resources. Therefore, it is recommended to use the capacity of peers as a social support resource in diabetes care programs.

Keywords: Peer group, Peer support, Social support, Health literacy, Type 2 diabetes

Please cite this article as follows: Shahsavari A, Estebsari F, Atashzadeh-Shoorideh F, Ilkhani M. Effect of peer support on health literacy in diabetic patients with limited access to support resources in iran: a randomized clinical trial. J Educ Community Health. 2022; 9(1):32-38. doi:10.34172/jech.2022.6
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