Accelerating Best Practices in Peer Support Around the World

RCT

1.17.17

Cardiovascular risk outcome and program evaluation of a cluster RCT of a community-based, lay peer led program for people with diabetes

BMC Public Health. 2016 Aug 24;16(1):864. [Pubmed Abstract]

Cardiovascular risk outcome and program evaluation of a cluster randomised controlled trial of a community-based, lay peer led program for people with diabetes
Riddell MA, Dunbar JA, Absetz P, Wolfe R, Li H, Brand M, Aziz Z, Oldenburg B; Australasian Peers for Progress Diabetes Project Investigators

Background
The 2013 Global Burden of Disease Study demonstrated the increasing burden of diabetes and the challenge it poses to the health systems of all countries. The chronic and complex nature of diabetes requires active self-management by patients in addition to clinical management in order to achieve optimal glycaemic control and appropriate use of available clinical services. This study is an evaluation of a “real world” peer support program aimed at improving the control and management of type 2 diabetes (T2DM) in Australia.

Methods
The trial used a randomised cluster design with a peer support intervention and…

2.24.16

How to Achieve Better Effect of Peer Support Among Adults w/Type 2 Diabetes: A Meta-Analysis of RCTs

Patient Educ Couns. 2016 Feb;99(2):186-97. [Pubmed Abstract]

How to achieve better effect of peer support among adults with type 2 diabetes: A meta-analysis of randomized clinical trials.
Zhang X, Yang S, Sun K, Fisher EB, Sun X

Objectives
To study the effects of peer support on glycemic control and examine effects of different providers and types of support, intervention duration and effect duration.

Methods
A meta-analysis of randomized control trials (RCTs) of peer support intervention for patients with type 2 diabetes (T2DM) from beginning to November 3rd, 2014.

Results
Twenty RCTs (n = 4494) were included. In general, peer support intervention (I2 = 49.5%) had significantly positive effect on glycemic control of T2DM with pooled effect on HbA1c of −0.16%, 95% CI −0.25 to −0.007% (−1.7 mmol/mol, P < 0.001). Peer-partner-intervention and Community-health-worker-intervention had much better results of glycemic control. Home-visit-intervention and…

6.10.15

Effectiveness of Peer Support for Improving Glycaemic Control in Patients with Type 2 diabetes: Meta-Analysis of RCTs

BMC Public Health. 2015 May 6;15(1):471. [Pubmed Abstract]

Effectiveness of Peer Support for Improving Glycaemic Control in Patients with Type 2 Diabetes: A Meta-analysis of Randomized Controlled Trials
Qi L, Liu Q, Qi X, Wu N, Tang W, Xiong H

Background
To assess the effects of peer support at improving glycemic control in patients with type 2 diabetes.

Methods
Relevant electronic databases were sought for this investigation up to Dec 2014. Randomized controlled trials involving patients with type 2 diabetes that evaluated the effect of peer support on glycated hemoglobin (HbA1c) concentrations were included. The pooled mean differences (MD) between intervention and control groups with 95% confidence interval (CI) were calculated using random-effects model. The Cochrane Collaboration’s tool was used to assess the risk of bias.

Results
Thirteen randomized controlled trials met the inclusion criteria. Peer support resulted in a significant reduction in HbA1c (MD -0.57…

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