Effects of Providing Peer Support on Diabetes Management in People With Type 2 Diabetes

Yin, Junmei; Wong, Rosa S.; Au, Shimen; Chung, Harriet; Lau, Mason M. C.; Lin, Laihar; Tsang, Chiu-Chi; Lau, Kam-Piu; Ozaki, Risa; So, Wing-yee; Ko, G. T. C.; Luk, Andrea; Yeung, Roseanne O.; Chan, Juliana C.N.

doi:10.1370/afm.1853

Cited by 67 publications

(65 citation statements)

References 37 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The PL retention rate, which was reported in five studies, ranged from 56% to 88% . Across all studies, 83.4% of participants completed the study (54.8%‐96.7%).…”

Section: Resultsmentioning

confidence: 94%

See 1 more Smart Citation

Peer support interventions in type 2 diabetes: Review of components and process outcomes

Afshar

Tang

Askari

et al. 2019

Journal of Diabetes

View full text Add to dashboard Cite

Background This review seeks to identify (a) the various components and process outcomes of type 2 diabetes peer support (PS) interventions and (b) the measures implemented to monitor intervention fidelity and evaluate outcomes in these studies. Methods The MEDLINE, PubMed, EMBASE (Excerpta Medica Database), CENTRAL (Cochrane Central Register of Controlled Trials), CINAHL (Cumulative Index to Nursing and Allied Health Literature), and PsycINFO databases were searched from inception to May 2019. Two reviewers independently screened and extracted data from eligible articles via the Template for Intervention Description and Replication (TIDieR) checklist (why, what, who provided, how, where, when and how much, tailoring, modifications, and how well). Results Twenty‐three trials were included. The total number of participants was 7178. Most interventions were in primary care. Although face‐to‐face was the most common modality of contact, rates of contact were highest for telephone. Potential peer leaders (PLs) were identified primarily through recommendations from health professionals, based on their communication skills, glycosylated hemoglobin (HbA1c), and coaching interest. PLs were mostly female, university educated, and had a long history of diabetes (≥ 10 years). PL training varied significantly in length and content; the two most frequent topics were communication skills and diabetes knowledge. Although several studies implemented methods to evaluate “intervention fidelity,” only few rigorously assessed the two key components of fidelity, “adherence” and “competence,” through audio‐ and video‐taping or direct observations. Conclusions The impact of PS on participants' health outcomes is well investigated; however, the implementation and evaluation strategies vary significantly across these studies. In the present review, we define the various components of PS interventions and propose suggestions for enhancing the implementation and evaluation of future PS models.

show abstract

“…The PL retention rate, which was reported in five studies, ranged from 56% to 88% . Across all studies, 83.4% of participants completed the study (54.8%‐96.7%).…”

Section: Resultsmentioning

confidence: 94%

“…While participant outcomes were discussed across all studies, only one measured the health outcomes in PLs . Sixteen studies showed significant participant improvements in at least one of the clinical, psychosocial, self‐care behavior, patient activation, or self‐efficacy outcomes.…”

Section: Resultsmentioning

confidence: 99%

Peer support interventions in type 2 diabetes: Review of components and process outcomes

Afshar

Tang

Askari

et al. 2019

Journal of Diabetes

View full text Add to dashboard Cite

show abstract

“…This finding suggests that social capital that is represented by friends and community self-help groups is a large determining factor in the percentage of controlled older adult diabetics that were found in our study compared with those reported nationally. In this regard, it has been shown that community self-help groups are an option for the prevention and control of diabetes mellitus (31)(32)(33), which should be recognized and promoted by the National System of Health.…”

Section: Discussionmentioning

confidence: 99%

Relationship between social support networks and diabetes control and its impact on the quality of life in older community-dwelling Mexicans

Mendoza-Núñez¹,

Flores-Bello²,

Correa-Muñoz³

et al. 2016

Nutr Hosp

View full text Add to dashboard Cite

Relationship between social support networks and diabetes control and its impact on the quality of life in older community-dwelling Mexicans ResumenObjetivo: determinar la relación entre las redes de apoyo social y control de la diabetes, y su impacto en la calidad de vida en adultos mayores mexicanos. Métodos: se llevó a cabo un estudio transversal en una muestra de 182 adultos mayores diabéticos que estaban participando en grupos comunitarios de autocuidado y ayuda mutua en la Ciudad de México durante más de un año. Todos eran independientes y tenían diagnóstico médico de diabetes mellitus sin complicaciones durante un año o más. Medimos parámetros bioquímicos, incluyendo hemoglobina glucosilada (HbA1c), y antropométricos, las redes de apoyo social para adultos mayores (RAS-mayores) y calidad de vida percibida. Se consideró como diabetes mellitus descontrolada cuando los pacientes tenían HbA1c (%) ≥ 8. Resultados: se encontró que el 65% (118/182) de los diabéticos participantes estaban controlados. Se observó una puntuación media signifi cativamente mayor en la escala RAS-mayores en la subescala de apoyo social extra-familiar en el grupo de diabéticos controlados en comparación con el grupo de descontrolados (57 ± 25 vs. 49 ± 30, p < 0,05). Asimismo, la puntuación media de satisfacción de las redes de apoyo social fue signifi cativamente mayor en el grupo de diabéticos controlados (51 ± 21 frente a 42 ± 22, p = 0,01). Del mismo modo, en el análisis de la calidad de vida, se observó que el 81% de los diabéticos controlados percibe una calidad de vida alta en comparación con el 19% del grupo de diabéticos descontrolados (p < 0,001). Conclusiones: nuestros resultados sugieren que las redes de apoyo social extra-familiar, en particular los grupos de autoayuda de la comunidad, representan un capital social relevante por el control de la diabetes mellitus de las personas mayores de la comunidad. AbstractObjective: To determine the relationship between social support networks and diabetes control and its impact on quality of life in older community-dwelling Mexicans. Methods: A cross-sectional study was carried out on a convenience sample of 182 older diabetic people who were active participants in community self-care and mutual help groups in Mexico City for more than one year. All were independents and had medical diagnostics determining that they had diabetes without complications for one year or more. We measured biochemical and anthropometric parameters, social support networks for older people (SSN-Older) and perceived quality of life. Patients with uncontrolled diabetes mellitus had HbA1c (%) ≥ 8. Results: It was found that 65% (118/182) of the elderly diabetics in the study were controlled. We observed a signifi cantly higher average score in the SSN-Older scale on the extra-familial support subscale in the controlled diabetic group compared with the uncontrolled group (57 ± 25 vs. 49 ± 30, p < 0.05). Additionally, the average satisfaction score, as observed from SSN-Older scale data, was signifi cantly high...

show abstract

“…Key findings curated by Peers for Progress and reported by papers in this supplement [35][36][37][38][39][40][41] help to guide these efforts.…”

Section: Scaling Upmentioning

confidence: 99%

Contributions of Peer Support to Health, Health Care, and Prevention: Papers from Peers for Progress

Fisher

Ayala

Ibarra

et al. 2015

The Annals of Family Medicine

View full text Add to dashboard Cite

SUBSTANTIAL evidence documents the benefits of peer support provided by community health workers, lay health advisors, promotores de salud, and others. The papers in this supplement, all supported by the Peers for Progress program of the American Academy of Family Physicians Foundation, contribute to the growing body of literature addressing the efficacy, effectiveness, feasibility, reach, sustainability, and adoption of peer support for diabetes self-management. They and additional papers supported by Peers for Progress contribute to understanding how peer support can be implemented in real world settings. Topics include examination of the peers who provide peer support, reaching the hardly reached, success factors in peer support interventions, proactive approaches, attention to emotions, peer support in behavioral health, dissemination models and their application in China, peer support in the patient-centered medical home, research challenges, and policy implications.

show abstract

Effects of Providing Peer Support on Diabetes Management in People With Type 2 Diabetes

Abstract: PURPOSEWe examined the effects of participating in a "train-the-trainer" program and being a peer supporter on metabolic and cognitive/psychological/ behavioral parameters in Chinese patients with type 2 diabetes.

Cited by 67 publications

References 37 publications

Peer support interventions in type 2 diabetes: Review of components and process outcomes

Peer support interventions in type 2 diabetes: Review of components and process outcomes

Relationship between social support networks and diabetes control and its impact on the quality of life in older community-dwelling Mexicans

Contributions of Peer Support to Health, Health Care, and Prevention: Papers from Peers for Progress

Contact Info

Product

Resources

About