47 / 244
with linkage to the health care system in order to meet the
pluralistic needs of patients with diabetes.
References
1. Chan JC, Sui Y, Oldenburg B, Zhang Y, Chung HH, Goggins
W, Au S, Brown N, Ozaki R, Wong RY, Ko GT, Fisher E, for
the Jade and Pearl Project Team. Effects of telephone-based
peer support in patients with type 2 diabetes mellitus
receiving integrated care: A randomized clinical trial.
JAMA
Internal Medicine
. 2014;174:972
–
981.
2. Yin J, Wong R, Au S, Chung H, Lau M, Lin L, Tsang C, Lau K,
Ozaki R, So W, Ko G, Luk A, Yeung R, Chan JC. Effects of
providing peer support on diabetes management in people
with type 2 diabetes.
Annals of Family Medicine
. 2015;13
(Suppl 1):S42
–
49.
S34-3
Experiences of peer support for diabetes in China: from urban
to rural
Zilin SUN
1
.
1
Department of Endocrinology, Zhongda Hospital,
Institute of Diabetes, School of Medicine, Southeast University,
Nanjing, China
China, with 113.9million diabetic patients, is leading theworld
when it comes to the number of patients with the disease.
The challenge forChina isto findwaystohelpdiabeticpeople to
delayandpreventdiabeticcomplications,consequentlysurvive
longer with better quality of life. But the current healthcare
systems are not able to provide sufficient resources to manage
and/or treat such a large number of peoplewith diabetes. Thus,
it is extremely important to develop a low-cost, flexible, and
sustainable diabetes self-management support approaches to
complement the limitations of healthcare professionals.
Peer support, defined as the provision of support from an
individual with experiential knowledge based on sharing of
similar life experiences, has been used in various chronic
diseases (including diabetes) worldwide, with positive clinical
and/or psychological outcomes. It was introduced in China in
2010 and expanded rapidly nationwide.
In the last 5 years, with help from
“
peer for progress
”
(PfP) and
Prof. Fisher from University of North Carolina, we have
organized 5 workshops and trained over 500 physicians and
nurses to develop peer support programs, including peer
leader selecting, training. The trained people have developed
several programs in Beijing, Tianjin, Hefei, Guilin and Nanjing,
and more than 10,000 diabetic patients have received help
from the 500 peer leaders.
In Nanjing, with a cluster randomized controlled trial involv-
ing 400 type 2 diabetic patients from 8 urban communities,
peer support was shown to be superior to conventional
diabetes self-management education in reducing diabetes
distress, improving glycaemic control and providing long-term
health education support. In Guilin and Jiangsu, the rural
cultural specific peer support programwas initiated in 2014. In
Jiangsu, a rural community hospital based, community phy-
sician headed and village doctor joined peer support model
was built recently and the efficacy, acceptability and feasibility
will be tested in 6 sites.
Using Health Information Technology for
Diabetes Care
S37-2
The use of internet health education for prevention of diabetes
in the workplace: From the perspectives of human beings and
living processes
Shu-Chun CHIEN
1
.
1
Graduate School of Nursing, Chiba University,
Chiba, Japan
Information technology (IT) has become a part of our daily life
nowadays. Wearable device products have also spread around
the world. How to best utilize the convenience of IT to grasp
individual patterns of behavior and recognition is still a
developing issue. Wearable devices able to provide numerical
assessments
–
such as heart rate, steps walked or calories
consumed
–
only provide us with daily life outcomes. However,
understanding what an individual thinks, why they do so, and
how they decide upon and pursue their behaviors are crucial
considerations for health care teams to provide effective
approaches. Therefore, as a profession, we need to grasp not
only the outcomes but also the processes of individuals
’
daily
lives.
The general theory of human beings developed by Usui Hiroko
–
one of the founders of the Nursing School at Chiba University,
as well as the founder and president of Miyazaki Prefectural
Nursing University
–
can assist care health teams with
uncovering these processes involved in individuals
’
patterns
of behavior and recognition.
In Usui
’
s
“
Scientific Nursing Theory
”
(
Kagakuteki Kangoron
),
she states,
“
In order to avoid viewing human beings from a
flat, fragmented and linear understanding, we need to move
towards a higher level of abstraction, so as to grasp the essence
of human beings.
”
Usui explains that is essential to recognize
that a human being is a biological living entity but at the
same time a socially constructed living entity framed within
human relationships. In other words, if one does not com-
prehend a human being as a unified entity consisting of these
two dimensions, it cannot be said that one has grasped the full
meaning of what a human being truly is.
Another concept, which Usui inherited from Florence
Nightingale, is
“
Disease as a Reparative Process.
”
Based on
this concept, if we know what living processes cause people to
become ill, then as a profession we can help them to arrange
their living processes so as to prevent recurrences of the
disease and apply this principle to all. This is the nursing
strategy employed by Preventive Medicine.
This presentation will discuss how to apply the general theory
of human beings and the concept of
“
disease as a reparative
process,
”
as formulated by Usui, to analyze individual patterns
of behavior and recognition in two cases of Type 1 and Type 2
diabetic patients. This will be helpful for the prevention of
diabetes in the workplace.
S37-3
The evaluation of patients
’
use of tele-health program
Shih-Te TU
1
.
1
Changhua Christian Hospital, Changhua, Taiwan
Tele-health has always been considered when talking about
caring for people with chronic disease conditions, while some
known limitations made it still not widely adopted for care
delivery today. One of the mostly discussed limitations is that
most people with chronic disease, especially diabetes, are
aged, and using IT products such as smart devices is often
thought as obstacle for them. Also the motivation from people
with diabetes and healthcare providers is usually key metrics
to decide if a tele-health program can continue. The motiv-
ation of the people with diabetes can come from the ease of
access to the tele-health solution, increased awareness on
self-management, or improved outcome. For healthcare
providers, whether the tele-health solution can help the
team deliver care in more efficient way is essential, also a
sustainable model will need to be created to support continu-
ous investment of relevant resource.
A mobile App and web-based management platform are
used to evaluate how people with diabetes will accept to use
a mobile app as tool for blood glucose management and
connected to their healthcare provider team, and the effect-
iveness of such intervention. How to integrate the solution
into a health system
’
s actual practice to maximize the values
for both the healthcare provider team and people with
Speech Abstracts / Diabetes Research and Clinical Practice 120S1 (2016) S1
–
S39
S29