An unblinded randomized clinical trial in which women with type 2 diabetes are divided into one of the two following categories:
• Intervention group: diabetic patients who received education through peer coaches.
• Control group: diabetic patients who received routine care includes attending small group class on diabetes, diabetes class or education through national media)
Research population is all women with type 2 diabetes who refer to the municipality clinics in Tehran and (Two clinics depend on endocrinology and metabolism research center and health centers in 22 districts of Tehran) for receiving primary care of diabetes (management and education).
Intervention: all patients according to the type of receiving drugs contacting with a peer for 6 months. Essential information will be obtained at the beginning of the project (pre-intervention) and 3, 6 and 12 months after intervention. Intervention will be continued for 6-month.
All patients in the intervention group, should have two telephone talks with peers, two times face to face meetings and receive three SMS (during one month). If essential they also receive two face-to-face. If necessary, they will have a clinic visit.
Meetings, phone talk or SMS, will be made based on the patient and peer agreement.
All peers should be record every meeting or call history including contact time, contact type, contact duration, and the subject of talk.
Patients will be joint to the peers, according to the gender.
The first meeting takes place by telephone and introduction session between the peer and patient will be held.
Then specific clinical goals, including HbA1c, FBS, lipid profile (LDL, HDL, TG, Cholesterol) and high blood pressure, self-care skills such as using a glucometer and proper strategies during hypoglycemia, taking drugs, changing lifestyle, healthy eating, physical activity and stress will be discussed.
Peers and patients may have talked about family, job or hobbies on holidays. There is not any educational intervention between patient and peer at 6 month to 12 month of the intervention.
They just continue their relationship by telephone talking. at least all information will be recorded and measured at 12 month.
Cluster sampling is done in which Tehran divided into five geographic zones, including north-south-east-west and Center. In each zone 1 area will be selected randomly.
Since each municipality area has different districts, two districts of each area will be considered to select intervention groups and two districts of each area will be considered to select control group. In this way the possibility of contact between members of the two groups will be decreased.