Impact of community based peer support in type 2 diabetes: a cluster randomised controlled trial of individual and/or group approaches

PloS One
David SimmonsJonathan Graffy

Abstract

Diabetes peer support, where one person with diabetes helps guide and support others, has been proposed as a way to improve diabetes management. We have tested whether different diabetes peer support strategies can improve metabolic and/or psychological outcomes. People with type 2 diabetes (n = 1,299) were invited to participate as either 'peer' or 'peer support facilitator' (PSF) in a 2x2 factorial randomised cluster controlled trial across rural communities (130 clusters) in England. Peer support was delivered over 8-12 months by trained PSFs, supported by monthly meetings with a diabetes educator. Primary end point was HbA1c. Secondary outcomes included quality of life, diabetes distress, blood pressure, waist, total cholesterol and weight. Outcome assessors and investigators were masked to arm allocation. Main factors were 1:1 or group intervention. Analysis was by intention-to-treat adjusting for baseline. The 4 arms were well matched (Group n = 330, 1:1(individual) n = 325, combined n = 322, control n = 322); 1035 (79·7%) completed the mid-point postal questionnaire and 1064 (81·9%) had a final HbA1c. A limitation was that although 92.6% PSFs and peers were in telephone contact, only 61.4% of intervention participants at...Continue Reading

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Citations

Nov 13, 2015·Journal of the American College of Cardiology·Emilia Gómez-PardoValentin Fuster
Nov 11, 2016·Journal of Diabetes Research·Emma WilkinsonGurch Randhawa
Mar 27, 2018·Diabetic Medicine : a Journal of the British Diabetic Association·D YuD Simmons
Sep 12, 2015·Health Affairs·Edwin B FisherDiana Urlaub
Aug 10, 2017·Journal of Clinical Nursing·Tricia K GatlinMichael Johnson
Feb 20, 2018·BMC Public Health·Zahra AzizUNKNOWN Australasian Peers for Progress Diabetes Project Investigators
Oct 23, 2019·Journal of Diabetes·Rowshanak AfsharDiana Sherifali
Jan 11, 2018·The Journal of Clinical Endocrinology and Metabolism·Dahai YuDavid Simmons
Aug 26, 2016·BMC Public Health·M A RiddellUNKNOWN Australasian Peers for Progress Diabetes Project Investigators
Apr 3, 2019·International Journal of Environmental Research and Public Health·Catherine DearieKate A McBride
Jul 10, 2019·Health Expectations : an International Journal of Public Participation in Health Care and Health Policy·Janet HarrisMarit Graue
Sep 28, 2017·The Cochrane Database of Systematic Reviews·Boon How ChewGuy Ehm Rutten
Feb 6, 2020·Journal of Public Health Policy·Rachael P BehlerNasim S Sabounchi
Feb 20, 2021·Health SA = SA Gesondheid·Melanie A Pienaar, Marianne Reid

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Clinical Trials Mentioned

ISRCTN66963621

Software Mentioned

nlme
SPSS
RAPSID
R

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