In self-management training for health education, do peer instructors add value to the outcomes of SM intervention in comparaison to nurse-led interventions ?
Peer instructors= patients teaching fellow patients
Self-assessment and self-management are related constructs and self-assessment is rarely done well.
The Six Beliefs Model can be an outstanding source of information about oneself and identifies individual beliefs about Self, Others, the Divine, the Past, Current Reality, and the Future (Caldwell, 2012 Moral Leadership: A Transformative Model for Tomorrow;s Leaders, Businexx Expert Press.)
The concept of the Comparator and Identity Theory (Burke & Stets, 2009) can also be a powerful tool for Leader self-assessment. (See the attached preprint chapter from Anderson & Caldwell (2018) Humility as Enlightened Leadership, NOVA Publishing).
CC
To quantify the efficacity of self-management training, we should compare the situation before and after training based on knowledge accumulation and behavior change.
This is a question we asked nearly thirty years ago for arthritis. In short people with professional instructors learned more and people with peer instructors changed behavior more.
One of the key ways to enhance SE is from modeling and trained peers act as excellent models.
Thank you Dr Lorig. Can you suggest some articles highlighting this subject ? Thank you !
Very important question Dr Lorig. I think the value of peer educators may be dependent on the setting and the cultural groups involved. There are groups of patients who may prefer education from peers compared to health professionals. In such cases, peer education may be effective.
We are working on a study at the moment to answer this question. I'll follow-up once published.
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