Universität zu Köln

Majjouti, K., Kueppers, L., Thielmann, A., Redaelli, M., Vitinius, F., Funke, C., van der Arend, I, Pilic, L., Hessbruegge, M., Stock, S., Weltermann, B. and Wild, D. (2022). Family doctors' attitudes toward peer support programs for type 2 diabetes and/or coronary artery disease: an exploratory survey among German practitioners. BMC Prim. Care, 23 (1). LONDON: BMC. ISSN 2731-4553

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Abstract

Background Type 2 diabetes (T2D) and coronary artery disease (CAD) are chronic illnesses where adherence to a healthy lifestyle is crucial. If organisational and cultural factors are well managed, Peer support programs (PSP) can improve self-management, quality of life, and health outcomes. In preparation for launching a PSP, we surveyed family doctors (FD) about their attitudes toward such a program and about potential barriers, and facilitators. Methods In March 2020 we surveyed 896 FDs from five university teaching practice networks in North-Rhine Westphalia, Germany, via an anonymous web-based survey. The questionnaire addressed details of PSPs, including suitable patients and FDs'role. Data were analysed using descriptive and inferential statistics; qualitative material underwent content analysis by two researchers. Results A total of 165 FDs responded (response rate: 18.4%), 97% were practice owners. Respondents viewed PSPs positively (T2D: 92.0%, CAD 89.9%), especially for patients with poor self-structuring (82.7%), low motivation (76.3%) and few social contacts (67.6%). On average, FDs were able to identify 4.0 +/- 3.2 patients as potential group leaders. Major facilitators reported included motivation by peers (92.5%), exercise (79.1%), and social contacts (70.1%). Waning interest over time (73.1%) and poor motivation (70.9%) were considered barriers. The majority of FDs would recommend PSPs to their patients (89.5%). They considered such a program a valuable addition to current care (79.7%). The percentage of FDs' who expected long-term benefits for their workload was relatively low (37.6%). Conclusions In an exploratory survey among German FDs on PSPs, respondents viewed PSPs as a valuable add-on for T2D and CAD patients, while not expecting a positive impact on their workload. Communication with FDs on PSPs may need to highlight anticipated implementation outcomes such as benefits of PSPs to the practice.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Majjouti, K. UNSPECIFIED UNSPECIFIED UNSPECIFIED Kueppers, L. UNSPECIFIED UNSPECIFIED UNSPECIFIED Thielmann, A. UNSPECIFIED UNSPECIFIED UNSPECIFIED Redaelli, M. UNSPECIFIED UNSPECIFIED UNSPECIFIED Vitinius, F. UNSPECIFIED UNSPECIFIED UNSPECIFIED Funke, C. UNSPECIFIED UNSPECIFIED UNSPECIFIED van der Arend, I UNSPECIFIED UNSPECIFIED UNSPECIFIED Pilic, L. UNSPECIFIED UNSPECIFIED UNSPECIFIED Hessbruegge, M. UNSPECIFIED UNSPECIFIED UNSPECIFIED Stock, S. UNSPECIFIED UNSPECIFIED UNSPECIFIED Weltermann, B. UNSPECIFIED UNSPECIFIED UNSPECIFIED Wild, D. UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-683745
DOI:	10.1186/s12875-022-01827-3
Journal or Publication Title:	BMC Prim. Care
Volume:	23
Number:	1
Date:	2022
Publisher:	BMC
Place of Publication:	LONDON
ISSN:	2731-4553
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language SELF-MANAGEMENT; LEADERS Multiple languages Primary Health Care; Medicine, General & Internal Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/68374