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The effect of peer support in diabetes self-management education on glycemic control in patients with type 2 diabetes: a systematic review and meta-analysis
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Akhmad Azmiardi, Bhisma Murti, Ratih Puspita Febrinasari, Didik Gunawan Tamtomo
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Epidemiol Health. 2021;43:e2021090. Published online October 22, 2021
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DOI: https://doi.org/10.4178/epih.e2021090
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Abstract
OBJECTIVES
Diabetes self-management education (DSME) programs are a strategy to maintain healthy behaviors. Nevertheless, limited evidence has been reported from systematic evaluations of the effects of DSME integrated with peer support on glycemic control. This study aimed to review the effectiveness of DSME interventions integrated with peer support on glycemic control in patients with type 2 diabetes.
METHODS A systematic search was carried out in electronic databases, including PubMed, Cochrane Library, ProQuest, SpringerLink, ScienceDirect, Scopus, and Google Scholar, for English-language articles published from 2005 until 2020. The effect size was estimated as the standard mean difference (SMD). The Cochrane Collaboration’s Risk of Bias tool was employed to assess the risk of bias.
RESULTS Twelve studies were included in this study. DSME integrated with peer support effectively reduced glycated hemoglobin A1c (HbA1c) levels, with a statistically significant effect (SMD, -0.41; 95% confidence interval [CI], -0.69 to -0.13; p<0.001). Programs with a sample size <100 (SMD, -0.45; 95% CI, -0.79 to -0.11; p=0.009), duration of intervention ≤6 months (SMD, -0.52; 95% CI, -0.96 to -0.07; p=0.020), baseline HbA1c <8.5% (SMD, -0.42; 95% CI, -0.77 to -0.07; p=0.020), delivery by group (SMD, -0.28; 95% CI, -0.51 to -0.06; p=0.010), and high frequency of contact (SMD, -0.29; 95% CI, -0.48 to -0.10; p=0.003) had statistically significant effects on reducing HbA1c levels in patients with type 2 diabetes.
CONCLUSIONS DSME integrated with peer support effectively enhances glycemic control in patients with type 2 diabetes. Programs with smaller participants groups, shorter interventions, weekly meetings, and closer group sessions improved glycemic control in patients with type 2 diabetes.
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Summary
Key Message
We reviewed and assessed the quality of the twelve articles included in this systematic review and meta-analysis. The findings of this review show that peer support integrated with diabetes self-management education programs can significantly enhance glycemic control in type 2 diabetes patients. Peer support is a critical component of a successful diabetes self-management programme in patients with type 2 diabetes. interventions programme with smaller groups, shorter durations, lower HbA1c baseline levels, group sessions, and high frequencies of sessions significantly enhanced glycemic control.
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Citations
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Priyadharshini Narayanan, Sahitya R. Kothapalli, Harmonie B. Strohl, Linda L. Hill
AJPM Focus.2025; 4(1): 100279. CrossRef - Impact of Diabetes Self-Management Education on A1C Levels Among Black/African Americans: A Systematic Review
Hilda M. Okeyo, Martha Biddle, Lovoria B. Williams
The Science of Diabetes Self-Management and Care.2024; 50(1): 87. CrossRef - The effects of diabetes clubs on peer-support, disclosure of diabetes status, and sources of information regarding diabetes management: results of a pilot-intervention in rural Vietnam
D.W. Meyrowitsch, N.-A. Thi Dang, T.V. Phong, J. Nielsen, J. Søndergaard, N.D. Cuong, H. Le Minh, T.K.D. Vu, I.C. Bygbjerg, T.M. Gammeltoft, N.D. Thanh
Public Health.2024; 228: 171. CrossRef - Effect of peer support interventions in patients with type 2 diabetes: A systematic review
Chen Chen, Yuan Zhou, Jia-Yi Xu, Hai-Yan Song, Xu-Wen Yin, Ze-Juan Gu
Patient Education and Counseling.2024; 122: 108172. CrossRef - Prioritizing Patient Experiences in the Management of Diabetes and Its Complications: An Endocrine Society Position Statement
Rita R Kalyani, Myriam Z Allende-Vigo, Kellie J Antinori-Lent, Kelly L Close, Sandeep R Das, Phyllisa Deroze, Steven V Edelman, Nuha A El Sayed, David Kerr, Joshua J Neumiller, Anna Norton
The Journal of Clinical Endocrinology & Metabolism.2024; 109(5): 1155. CrossRef - Self-help friendliness and cooperation with self-help groups among rehabilitation clinics in Germany (KoReS): a mixed-methods study protocol
Elâ Ziegler, Thea Bartzsch, Alf Trojan, Nicole Usko, Ines Krahn, Sabine Bütow, Christopher Kofahl
BMJ Open.2024; 14(3): e083489. CrossRef - Peer support for adults with type 2 diabetes starting continuous glucose monitoring—An exploratory randomised controlled trial
Nanna Lind, Merete Bechmann Christensen, Dorte Lindqvist Hansen, Ingrid Willaing, Kirsten Nørgaard
Diabetic Medicine.2024;[Epub] CrossRef - Implementing (and evaluating) peer support with people living with noncommunicable diseases in humanitarian settings
Benjamin Schmid, Carla Njeim, Lavanya Vijayasingham, Leah Anku Sanga, Rima Kighsro Naimi, Fouad M. Fouad, Chaza Akik, Carla Zmeter, Sigiriya Aebischer Perone, Lars Bruun Larsen, Jytte Roswall, Éimhín Ansbro, Pablo Perel
Journal of Migration and Health.2024; 9: 100229. CrossRef - Recent Findings on the Effectiveness of Peer Support for Patients with Type 2 Diabetes
James J. Werner, Kelsey Ufholz, Prashant Yamajala
Current Cardiovascular Risk Reports.2024; 18(5): 65. CrossRef - Peer support for people living with hepatitis B virus—A foundation for treatment expansion
Louise O. Downs, Kenneth Kabagambe, Sarah Williams, Elizabeth Waddilove, Marion Delphin, Sheila F. Lumley, Richard Ndungutse, Beatrice Kimono, Robert Newton, Joy Ko, Emily Martyn, Jessica Carter, Agnieszka Kemper, Fernando Monteiro, Sive O'Regan, Julian S
Journal of Viral Hepatitis.2024; 31(8): 490. CrossRef - A qualitative study on inner experience of self-management behavior among elderly patients with type 2 diabetes in rural areas
Zi-chen Zhang, Qiu-hui Du, Hong-hong Jia, Yu-min Li, Yu-qin Liu, Shao-bo Li
BMC Public Health.2024;[Epub] CrossRef - Does type 2 diabetes duration influence the effectiveness of an aerobic exercise intervention: Results from the INTENSITY study
Amy M. Thomson, Brittany V. Rioux, Travis J. Hrubeniuk, Danielle R. Bouchard, Martin Sénéchal, Hidetaka Hamasaki
PLOS ONE.2024; 19(6): e0304341. CrossRef - Therapeutic patient education programs on diabetes in sub-Saharan Africa: A systematic review
Omomene Iwelomen, Jean Toniolo, Pierre-Marie Preux, Pascale Beloni, Francis Xavier Kasujja
PLOS ONE.2024; 19(6): e0299526. CrossRef - Patient-centered care in diabetes care-concepts, relationships and practice
Tsung-Tai Chen, Wei-Chih Su, Mei-I Liu
World Journal of Diabetes.2024; 15(7): 1417. CrossRef - Effectiveness of a health literacy intervention to improve diabetes outcomes in rural family medicine clinics: a randomized pragmatic trial
Laura M. Curtis, Terry C. Davis, Connie L. Arnold, Jennifer M. Gan, Jean C. McSweeney, Scott Hur, Mary J. Kwasny, Michael S. Wolf, Kristie Hadden
Health Literacy and Communication Open.2024;[Epub] CrossRef - Challenges in Insulin Therapy: Perspectives of Malaysian Diabetes Educators
Nur Shazwaniza Yahya, Zamzaliza Abdul Mulud, Ahmad Zamir Che Daud, Fauziah Ahmad
The Open Nursing Journal.2024;[Epub] CrossRef - Effectiveness of Multilevel and Multidomain Interventions to Improve Glycemic Control in U.S. Racial and Ethnic Minority Populations: A Systematic Review and Meta-analysis
Eli M. Falk, Erin M. Staab, Amber N. Deckard, Sofia I. Uranga, Nikita C. Thomas, Wen Wan, Andrew J. Karter, Elbert S. Huang, Monica E. Peek, Neda Laiteerapong
Diabetes Care.2024; 47(9): 1704. CrossRef - Factors associated with disease knowledge and attitude among ambulatory patients with type 2 diabetes – a multicenter study
Akinniyi A. Aje, Titilayo O. Fakeye
BMC Endocrine Disorders.2024;[Epub] CrossRef - Comparative Effects of Diabetes Self‐Management Programs on Type 2 Diabetes Clinical Outcomes: A Systematic Review and Network Meta‐Analysis
Debby Syahru Romadlon, Yu‐Kang Tu, Yang‐Ching Chen, Faizul Hasan, Rudy Kurniawan, Hsiao‐Yean Chiu
Diabetes/Metabolism Research and Reviews.2024;[Epub] CrossRef - A pilot community-based Diabetes Prevention and Management Program for adults with diabetes and prediabetes
Ranjita Misra, Samantha Shawley-Brzoska
Journal of Clinical and Translational Science.2024;[Epub] CrossRef - The current diabetes education experience: Findings of a cross-sectional survey of adults with type 2 diabetes
Kelley M. Baker, Carine M. Nassar, Neelam Baral, Michelle F. Magee
Patient Education and Counseling.2023; 108: 107615. CrossRef - 2023 update on Italian guidelines for the treatment of type 2 diabetes
Edoardo Mannucci, Riccardo Candido, Lina delle Monache, Marco Gallo, Andrea Giaccari, Maria Luisa Masini, Angela Mazzone, Gerardo Medea, Basilio Pintaudi, Giovanni Targher, Marina Trento, Giuseppe Turchetti, Valentina Lorenzoni, Matteo Monami
Acta Diabetologica.2023; 60(8): 1119. CrossRef - Mechanisms Activated in the Interaction between Peer Supporters and Peers: How do the Peer Supporters Perceive and Perform Their Role in an Intervention Targeted Socially Vulnerable People with Type 2 Diabetes: A Realist-Informed Evaluation
Stine Dandanell Garn, Charlotte Glümer, Sarah Fredsted Villadsen, Majken Lillholm Pico, Ulla Christensen, Gianpiero Greco
Health & Social Care in the Community.2023; 2023: 1. CrossRef - Fresh Start: A Comprehensive Pilot Produce Prescription Program to Improve Food Literacy and Glycemic Control in Rural, Uninsured Patients
Lauren R. Sastre, Brandon J. Stroud
American Journal of Lifestyle Medicine.2023;[Epub] CrossRef - Current evidence for designing self-management support for underserved populations: an integrative review using the example of diabetes
Ian Litchfield, Tim Barrett, Julian Hamilton-Shield, Theresa Moore, Parth Narendran, Sabi Redwood, Aidan Searle, Suma Uday, Jess Wheeler, Sheila Greenfield
International Journal for Equity in Health.2023;[Epub] CrossRef - Diabetes care components effectively implemented in the ASEAN health systems: an umbrella review of systematic reviews
Vannarath Te, Sokvy Ma, Ir Por, Wim Van Damme, Edwin Wouters, Josefien van Olmen
BMJ Open.2023; 13(10): e071427. CrossRef - The impact of veteran support and resources for diabetes (iNSPiRED) on diabetes distress: Results from a randomized, parallel-group trial
Mark E. Kunik, Tracy L. Evans, Israel C. Christie, Gala True, Andrea Bradford, Madhuri M. Vasudevan, Natalie E. Hundt
General Hospital Psychiatry.2023; 85: 55. CrossRef - A stepped wedge cluster randomized trial to evaluate the effectiveness of a community leader-driven kit-based diabetes self-management education approach in improving diabetes control and care: study protocol for the DElhi Diabetes INTervention Trial (DED
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Trials.2023;[Epub] CrossRef - Family doctors’ attitudes toward peer support programs for type 2 diabetes and/or coronary artery disease: an exploratory survey among German practitioners
K. Majjouti, L. Küppers, A. Thielmann, M. Redaélli, F. Vitinius, C. Funke, I. van der Arend, L. Pilic, M. Hessbrügge, S. Stock, B. Weltermann, D. Wild
BMC Primary Care.2022;[Epub] CrossRef - 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
Tricia S. Tang, Rowshanak Afshar, Thomas Elliott, Jason Kong, Sabrina Gill
Diabetic Medicine.2022;[Epub] CrossRef
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