Accelerating Best Practices in Peer Support Around the World

Program Development Guide

Ongoing Follow up and Support

Ongoing Follow up and Support

Sustaining behavior change requires ongoing follow-up and support, which should be integrated in the design of peer support interventions as well as the educational, clinical and community resources.

Adapted from the lessons learned generated from the Diabetes Initiative of the Robert Wood Johnson Foundation, key features of ongoing follow-up and support for peer support programs include:


  • Personal: Ongoing relationships with peer supporters and members of the care team help individuals maintain positive self-care behaviors
  • Available on-demand: Support is available as needed through flexible formats and frequencies such as monthly breakfast clubs, parties to which family and friends are invited, and community health fairs.
  • Proactive: Regular contacts (e.g., phone calls, meetings) to individuals are low demand and can be initiated by peer supporters and/or staff.
  • Inclusive of community resources: By creating partnerships with non-health partners (e.g., churches, beauty salons), a program can provide resources that enhance participants’ social support (e.g., class for family and friends).
  • Available via a variety of program options: Offering various opportunities to increase patient participation and engagement (e.g., individual contact with peer supporters, support groups, exercise classes) helps individuals thrive in a program.


Diabetes Initiative’s Overview Presentation on Ongoing Follow up and Support This presentation provides an overview with examples of the key features of ongoing follow up and support for diabetes care.
Diabetes Initiative’s Issue brief: Ongoing Follow up and support This issue brief summarizes the key features of ongoing follow up and support for diabetes care as well as lessons learned from the Diabetes Initiative grantees. Peer support by community health workers have been recognized as an important component.
Ongoing Follow-Up and Support for Chronic Disease Care Management in the Robert Wood Johnson Foundation Diabetes Initiative by Fisher et al This paper in the Diabetes Educator has identified approaches to providing ongoing follow-up and support for diabetes self-management based on the experience of 14 self-management projects of the Diabetes Initiative.


© 2015 | Peers for Progress

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