The impact of a face-to-face peer-support intervention on adults with type 2 diabetes: a cluster-randomised trial

Pienaar, Melanie; Reid, Marianne; Nel, Mariëtte

doi:10.1080/16089677.2021.1877443

Cited by 3 publications

(2 citation statements)

References 22 publications

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“…However, the diversity in study designs, contexts and type of interventions implemented should be considered in interpreting findings. Put together, these findings support previous literature in sub-Saharan Africa on clinical outcomes of peer interventions [ 25 , 28 , 62 , 63 ].…”

Section: Discussionsupporting

confidence: 89%

Peer support and social networking interventions in diabetes self-management in Kenya and Uganda: A scoping review

et al. 2022

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Background Diabetes mellitus is a growing worldwide health challenge especially in sub-Saharan Africa. While the use and effectiveness of diabetes self-management interventions is well documented in high-income countries, little information exists in sub-Saharan Africa. Therefore, this study attempted to synthesize information in the literature on the use and efficacy of peer support and social networking in diabetes self-management in Kenya and Uganda. Objective The purpose of this scoping review is to summarize research on the extent of use and efficacy of peer support and social networking interventions in diabetes self-management in Kenya and Uganda. Design We searched PubMed, ScienceDirect and Cochrane Library databases for articles reporting peer support and social networking interventions in Kenya and Uganda published in English between 2000 and September 2021. Key words encapsulated three major themes: peer support, social networking and self-management. Hand searches were also conducted to select eligible papers. Data was extracted using a form prepared and piloted in line with PRISMA-ScR guidelines. Results Thirteen peer reviewed articles were selected for analysis. Eleven studies reported peer support interventions while two focused on social networks in diabetes self-management. Peer support and social networking interventions incorporated microfinance and group medical visits, diabetes self-management education, telephone support and Medication Adherence Clubs. Most interventions were delivered by multidisciplinary teams comprising nurses and other professionals, peer educators, peer leaders and community health workers. Most interventions were effective and led to improvements in HbA1c and blood pressure, eating behaviors and physical activity and social support. Conclusions The limited studies available show that peer support and social networking interventions have mixed results on health and other outcomes. Importantly, most studies reported significant improvements in clinical outcomes. Further research is needed on the nature and mechanisms through which peer support and social network characteristics affect health outcomes.

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Section: Discussionsupporting

confidence: 89%

Peer support and social networking interventions in diabetes self-management in Kenya and Uganda: A scoping review

et al. 2022

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“…[2][3][4][5][6][7] In fact, several systematic reviews and meta-analyses have found peer support interventions in diabetes to be associated with improvements in clinical, self-management, and psychological outcomes. 5,[8][9][10][11][12] Peer support models targeting adults with T2D have recruited predominantly from primary care clinics or community health centres, 3,[13][14][15][16][17][18][19] However, it is T2D patients from specialty care settings who are at highest risk and with the greatest need as they are more likely to be newly diagnosed requiring additional support; poorly controlled over a longer period of time, and diagnosed with multiple and complex chronic conditions. For this reason, the specialty care setting may be the point where peer support can have the greatest impact and patients can derive the most benefit.…”

Section: Introductionmentioning

confidence: 99%

From clinic to community: A randomized controlled trial of a peer support model for adults with type 2 diabetes from specialty care settings in British Columbia

et al. 2022

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Aims To examine the impact of a 12‐month peer‐led diabetes self‐management support intervention delivered via telephone amongst adults with type 2 diabetes (T2D) from specialty care settings in British Columbia (BC). Methods One‐hundred ninety‐six adults with T2D were randomly assigned to either a 12‐month Peer‐Led, Empowerment‐based, Approach, to Self‐management Efforts in Diabetes (PLEASED) intervention or a usual care condition. PLEASED involved weekly telephone contacts from a peer leader (PL) in the first 3 months followed by bi‐weekly telephone contacts in the last 9 months. Assessments were conducted at baseline, 3 and 12 months. The primary outcome was HbA1c; secondary outcomes included diabetes distress (DD), ApoB, systolic and diastolic blood pressure (BP), body mass index, waist circumference and depressive symptoms. Results No within or between group changes were observed for HbA1c at 3 or 12 months. However, amongst participants with HbA1c ≥ 69 mmol/mol (8.5%), the PLEASED group significantly lowered their HbA1c at 12 months [−11.7 mmol/mol (−1.07%); 95% CI: −20.7, −2.5 (−1.89, −0.23); p = 0.016] compared to usual care. Amongst secondary outcomes, within‐group improvements in overall DD were found at 3 months (−0.21; 95% CI: −0.35, −0.08; p = 0.002) for the PLEASED group and at 12 months for both groups (PLEASED: −0.35; 95% CI: −0.49, −0.21; p < 0.001 and control: −0.33; 95% CI: −0.47, −0.19; p < 0.001), however, no between‐group differences were observed. The PLEASED group improved systolic BP at 12 months (−5.4 mm Hg; 95% CI: −10.0, −0.8; p = 0.023) compared to usual care. Conclusions Participation in a peer support intervention in diabetes delivered via telephone leads to long‐term improvements in HbA1c amongst high‐risk adults with T2D living in BC. Trial registration: The study was registered on http://clinicaltrials.gov (NT02804620).

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The impact of peer coach-led type 2 diabetes mellitus interventions on glycaemic control and self-management outcomes: A systematic review and meta-analysis

Verma¹,

Gopaldasani²,

Jain³

et al. 2022

Primary Care Diabetes

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The impact of a face-to-face peer-support intervention on adults with type 2 diabetes: a cluster-randomised trial

Cited by 3 publications

References 22 publications

Peer support and social networking interventions in diabetes self-management in Kenya and Uganda: A scoping review

Peer support and social networking interventions in diabetes self-management in Kenya and Uganda: A scoping review

From clinic to community: A randomized controlled trial of a peer support model for adults with type 2 diabetes from specialty care settings in British Columbia

The impact of peer coach-led type 2 diabetes mellitus interventions on glycaemic control and self-management outcomes: A systematic review and meta-analysis

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