What is the effect of peer support on diabetes outcomes in adults? A systematic review
- PMID: 22804713
- DOI: 10.1111/j.1464-5491.2012.03749.x
What is the effect of peer support on diabetes outcomes in adults? A systematic review
Abstract
Aim: There is increasing interest in the role that peers may play to support positive health behaviours in diabetes, but there is limited evidence to inform policy and practice. The aim of this study was to systematically review evidence of the impact and effectiveness of peer support in adults living with diabetes.
Methods: We searched the Cochrane Library, MEDLINE, PubMed, EMBASE and CINHAL for the period 1966-2011, together with reference lists of articles for eligible studies. Data were synthesized in a narrative review.
Results: Twenty-five studies, including fourteen randomized, controlled or comparative trials, met the inclusion criteria. There was considerable heterogeneity in the design, setting, outcomes and measurement tools. Peer support was associated with statistically significant improvements in glycaemic control (three out of 14 trials), blood pressure (one out of four trials), cholesterol (one out of six trials), BMI/weight (two out of seven trials), physical activity (two out of five trials), self-efficacy (two out of three trials), depression (four out of six trials) and perceived social support (two out of two trials). No consistent pattern of effect related to any model of peer support emerged.
Conclusions: Peer support appears to benefit some adults living with diabetes, but the evidence is too limited and inconsistent to support firm recommendations. There remains a need for further well-designed evaluations of its effectiveness and impact. Key questions remain over its suitability to the needs of particular individuals, populations and settings, how best to implement its specific components and the sustainability of its effects.
© 2012 The Authors. Diabetic Medicine © 2012 Diabetes UK.
Similar articles
-
Behavioral Counseling to Promote a Healthful Diet and Physical Activity for Cardiovascular Disease Prevention in Adults Without Known Cardiovascular Disease Risk Factors: Updated Systematic Review for the U.S. Preventive Services Task Force [Internet].Rockville (MD): Agency for Healthcare Research and Quality (US); 2017 Jul. Report No.: 15-05222-EF-1. Rockville (MD): Agency for Healthcare Research and Quality (US); 2017 Jul. Report No.: 15-05222-EF-1. PMID: 29364620 Free Books & Documents. Review.
-
Behavioral Counseling to Promote a Healthy Lifestyle for Cardiovascular Disease Prevention in Persons With Cardiovascular Risk Factors: An Updated Systematic Evidence Review for the U.S. Preventive Services Task Force [Internet].Rockville (MD): Agency for Healthcare Research and Quality (US); 2014 Aug. Report No.: 13-05179-EF-1. Rockville (MD): Agency for Healthcare Research and Quality (US); 2014 Aug. Report No.: 13-05179-EF-1. PMID: 25232633 Free Books & Documents. Review.
-
Behavioral and Pharmacotherapy Weight Loss Interventions to Prevent Obesity-Related Morbidity and Mortality in Adults: An Updated Systematic Review for the U.S. Preventive Services Task Force [Internet].Rockville (MD): Agency for Healthcare Research and Quality (US); 2018 Sep. Report No.: 18-05239-EF-1. Rockville (MD): Agency for Healthcare Research and Quality (US); 2018 Sep. Report No.: 18-05239-EF-1. PMID: 30354042 Free Books & Documents. Review.
-
The effectiveness of peer support on self-efficacy and quality of life in adults with type 2 diabetes: A systematic review and meta-analysis.J Adv Nurs. 2019 Apr;75(4):711-722. doi: 10.1111/jan.13870. Epub 2018 Nov 12. J Adv Nurs. 2019. PMID: 30289552
-
Epidemiology of depression and diabetes: a systematic review.J Affect Disord. 2012 Oct;142 Suppl:S8-21. doi: 10.1016/S0165-0327(12)70004-6. J Affect Disord. 2012. PMID: 23062861 Review.
Cited by
-
Older adults using social support to improve self-care (OASIS): Adaptation, implementation and feasibility of peer support for older adults with T2D in appalachia: A feasibility study protocol.PLoS One. 2024 Mar 18;19(3):e0300196. doi: 10.1371/journal.pone.0300196. eCollection 2024. PLoS One. 2024. PMID: 38498512 Free PMC article.
-
Peer support impact on therapeutic adherence in patients with multiple sclerosis: a mixed-methods pilot trial protocol.BMJ Open. 2023 Dec 30;13(12):e071336. doi: 10.1136/bmjopen-2022-071336. BMJ Open. 2023. PMID: 38159942 Free PMC article.
-
South Asian individuals' experiences on the NHS low-calorie diet programme: a qualitative study in community settings in England.BMJ Open. 2023 Dec 28;13(12):e079939. doi: 10.1136/bmjopen-2023-079939. BMJ Open. 2023. PMID: 38154908 Free PMC article.
-
Clinical impact of an integrated e-health system for diabetes self-management support and shared decision making (POWER2DM): a randomised controlled trial.Diabetologia. 2023 Dec;66(12):2213-2225. doi: 10.1007/s00125-023-06006-2. Epub 2023 Sep 29. Diabetologia. 2023. PMID: 37775611 Free PMC article. Clinical Trial.
-
Evaluating Effects of Virtual Diabetes Group Visits in Community Health Centers During the COVID-19 Pandemic.J Patient Exp. 2023 Sep 7;10:23743735231199822. doi: 10.1177/23743735231199822. eCollection 2023. J Patient Exp. 2023. PMID: 37693188 Free PMC article.
Publication types
MeSH terms
Substances
LinkOut - more resources
Full Text Sources
Medical
Miscellaneous