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        ORIGINAL RESEARCH

        Intervention Mapping as a Guide for the Development of a Diabetes Peer Support Intervention in Rural Alabama

        This figure depicts the role of peer advisors in diabetes management using the chronic care model. The peer advisor is placed centrally in the figure to emphasize her role, which is to serve as a link between the patient and the health care team. By providing assistance and support, the peer advisor facilitates productive interactions between the patient and the health care team, thereby changing behaviors and improving diabetes outcomes.

        Figure 1. Role of peer advisors in diabetes management — assist, support, and link — in the context of the chronic care model. Abbreviations: A1c, hemoglobin A1c; BP, blood pressure; LDL, low-density lipoprotein cholesterol.

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        ? Medicating Variables Self-Care Behaviors Primary Outcomes
        Patient
        • Patient empowerment
        • Diabetes self-efficacy
        • Facilitators (in social support)
        • Structural barriers/impediments
        • Diabetes knowledge
        • Dietary modification
        • Physical activity
        • Weight loss
        • Medication adherence
        • Clinic follow-up
        • Stress management
        • Changes in A1c levels
        • Changes in BP levels
        • Changes in LDL levels
        • Changes in quality of life

        Figure 2. Development of peer support intervention: mediating variables, self-care behaviors, and primary outcomes. Abbreviations: A1c, hemoglobin A1c; BP, blood pressure; LDL,  low-density lipoprotein cholesterol.

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