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Research ArticleOriginal Research

What Peer Mentoring Adds to Already Good Patient Care: Implementing the Carpeta Roja Peer Mentoring Program in a Well-Resourced Health Care System

Lyndee Knox, Jessica Huff, Deborah Graham, Michelle Henry, America Bracho, Cynthia Henderson and Caroline Emsermann
The Annals of Family Medicine August 2015, 13 (Suppl 1) S59-S65; DOI: https://doi.org/10.1370/afm.1804
Lyndee Knox
1LA Net Community Health Resource and Research Network, Los Angeles, California
PhD
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  • For correspondence: lyndee.knox@gmail.com
Jessica Huff
2Danbury Hospital Department of Medical Education and Research, Danbury, Connecticut
MPH, MS
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Deborah Graham
3DARTNet Institute, Aurora, Colorado
MSPH
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Michelle Henry
4WellMed Medical Management, Inc, San Antonio, Texas
MSN, RN
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America Bracho
5Latino Health Access, Santa Ana, California
MD, MPH
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Cynthia Henderson
4WellMed Medical Management, Inc, San Antonio, Texas
RN, CCM
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Caroline Emsermann
6Department of Family Medicine, University of Colorado School of Medicine, Aurora, Colorado
PhD
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    Figure 1

    Model estimates of average HbA1c by time and group

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    Table 1

    Participation Levels of Intervention Group Members

    Participation LevelNumber (%)
    Eligible and enrolled in the intervention485 (100)
    Low: Completed ≥6 of 8 large group “Diabetes 101” education sessions316 (65)
    Moderate: Also completed ≥1 small group session and individual peer mentor support sessions116 (24)
    High: Also underwent training to become a peer mentor53 (11)
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    Table 2

    Time-by-Group Improvement on Key Health Indicators for Intervention Patients Whose Clinical Data Were available (n = 456) vs Controls

    OutcomeControlInterventionP Value (Time)P Value (Time-by-group)
    Baseline Mean (SE)0–5 months following 8-week session Mean (SE)6–10 months following 8-week session Mean (SE)Baseline Mean (SE)0–5 months following 8-week session Mean (SE)6–10 months following 8-week session Mean (SE)
    Weight171.46 (1.07)170.55 (1.07)169.73 (1.07)171.60 (2.14)170.91 (2.14)169.30 (2.16)<.001.40
    BMI30.53 (0.19)30.37 (0.19)30.24 (0.19)30.45 (0.37)30.32 (0.37)30.04 (0.37)<.001.33
    Systolic132.38 (0.35)131.31 (0.37)129.93 (0.35)132.24 (0.84)131.18 (0.81)130.4 (0.83)<.001.76
    HbA1c6.22 (0.03)6.19 (0.05)6.15 (0.03)6.35 (0.06)6.22 (0.06)6.13 (0.07)<.001.04
    LDL98.88 (0.78)95.60 (0.83)95.22 (0.85)98.05 (1.59)97.7 (1.95)95.35 (2.03)<.001.25
    • BMI = body mass index; HBA1c = glycated hemoglobin; LDL = low density lipoprotein.

    • Note: The table shows repeated measures mixed methods estimates, intervention vs control. Models were adjusted for patient characteristics, propensity, time, patient group, and time by patient group interaction.

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    Table 3

    Diabetes Self-Management in Intervention Participants

    Baseline (N = 485)3 Mo Post Intervention (n = 310)6 Mo Post Intervention (n = 288)P Values (Baseline to 6 Mo)
    Number of days checked blood sugar in last 7 days4.965.675.46.004
    Number of days ate high fat intake in last 7 days3.162.632.62.002
    Number of days ate 5 or more servings of fruit and vegetables in last 7 days4.185.064.99<.001
    Number of days with 30 minutes of physical activity in the last 7 days2.544.023.28<.001
    Number of days checkied feet in last 7 days4.975.615.51.02
    Rating of adherence to diabetes medication regimena0.6570.4760.392<.001
    • ↵a Score varies inversely with adherence.

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The Annals of Family Medicine: 13 (Suppl 1)
The Annals of Family Medicine: 13 (Suppl 1)
Vol. 13, Issue Suppl 1
August 2015
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What Peer Mentoring Adds to Already Good Patient Care: Implementing the Carpeta Roja Peer Mentoring Program in a Well-Resourced Health Care System
Lyndee Knox, Jessica Huff, Deborah Graham, Michelle Henry, America Bracho, Cynthia Henderson, Caroline Emsermann
The Annals of Family Medicine Aug 2015, 13 (Suppl 1) S59-S65; DOI: 10.1370/afm.1804

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What Peer Mentoring Adds to Already Good Patient Care: Implementing the Carpeta Roja Peer Mentoring Program in a Well-Resourced Health Care System
Lyndee Knox, Jessica Huff, Deborah Graham, Michelle Henry, America Bracho, Cynthia Henderson, Caroline Emsermann
The Annals of Family Medicine Aug 2015, 13 (Suppl 1) S59-S65; DOI: 10.1370/afm.1804
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