A qualitative investigation of peer advice in the context of diabetes management

Abstract

ABSTRACT Background: Existing research has revealed diabetes patients often talk to one another regarding disease management. However, previous studies have not fully examined the content of advice provided. Thus, the purpose of this project was to investigate peer advice in the context of diabetes management to identify peer support strategies that could facilitate everyday disease management. Method: To answer the research questions posed, thirty interviews were completed in the Midwest and Southern regions of the United States. Participants (N = 30), who all self-identified as African American, ranged from 41 to 89 years of age (M = 58; SD: 11.23). Researchers engaged in theoretical thematic analysis utilizing components of Social Cognitive Theory (SCT) and the Integrated Theory of Advice Giving. Data analysis involved several reviews of the interview transcripts to ensure accuracy in the results presented. Results: Analysis of interview transcripts revealed three peer advice themes. The first theme emphasized strict patient adherence to physician advice. The second theme stressed the importance of regularly engaging in disease management tasks to ensure long-term disease management. The third theme underscored the influence of personal accountability on the enactment of diabetes management behaviors. Conclusion: Results support further application of SCT and the Integrated Model of Advice Giving to gain a better understanding of peer advice in the context of diabetes management in African American research samples. Research results also imply authoritative communication may be frequently utilized to gain patient adherence.