Peer support of complex health behaviors in prevention and disease management with special reference to diabetes: systematic reviews
| Autor: | Laura M. Hays, Clayton Velicer, Emily A. Elstad, Edwin B. Fisher, Renée I. Boothroyd, Amy Lyn Henes, Gary Maslow |
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| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
Psychological intervention 030209 endocrinology & metabolism Review Article Peer support lcsh:Diseases of the endocrine glands. Clinical endocrinology Social support 03 medical and health sciences 0302 clinical medicine Diabetes mellitus Disease management Health care medicine 030212 general & internal medicine Disease management (health) lcsh:RC648-665 Community health workers business.industry Prevention General Medicine medicine.disease Harm Systematic review Family medicine business Clinical psychology |
| Zdroj: | Clinical Diabetes and Endocrinology Clinical Diabetes and Endocrinology, Vol 3, Iss 1, Pp 1-23 (2017) |
| ISSN: | 2055-8260 |
| DOI: | 10.1186/s40842-017-0042-3 |
| Popis: | Objectives Examine Peer Support (PS) for complex, sustained health behaviors in prevention or disease management with emphasis on diabetes prevention and management. Data sources and eligibility PS was defined as emotional, motivational and practical assistance provided by nonprofessionals for complex health behaviors. Initial review examined 65 studies drawn from 1442 abstracts identified through PubMed, published 1/1/2000–7/15/2011. From this search, 24 reviews were also identified. Extension of the search in diabetes identified 30 studies published 1/1/2000–12/31/2015. Results In initial review, 54 of all 65 studies (83.1%) reported significant impacts of PS, 40 (61.5%) reporting between-group differences and another 14 (21.5%) reporting significant within-group changes. Across 19 of 24 reviews providing quantifiable findings, a median of 64.5% of studies reviewed reported significant effects of PS. In extended review of diabetes, 26 of all 30 studies (86.7%) reported significant impacts of PS, 17 (56.7%) reporting between-group differences and another nine (30.0%) reporting significant within-group changes. Among 19 of these 30 reporting HbA1c data, average reduction was 0.76 points. Studies that did not find effects of PS included other sources of support, implementation or methodological problems, lack of acceptance of interventions, poor fit to recipient needs, and possible harm of unmoderated PS. Conclusions Across diverse settings, including under-resourced countries and health care systems, PS is effective in improving complex health behaviors in disease prevention and management including in diabetes. Electronic supplementary material The online version of this article (doi:10.1186/s40842-017-0042-3) contains supplementary material, which is available to authorized users. |
| Databáze: | OpenAIRE |
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