Cross-cultural and international adaptation of peer support for diabetes management
Abstract
Peer support may improve self-management among the millions of people with diabetes around the world. A major challenge to international promotion of peer support is allowing for tailoring to population, cultural, health system and other features of specific settings, while also ensuring congruence with standards for what peer support entails. One strategy to address this challenge was used in the Robert Wood Johnson Foundation Diabetes Initiative. Key functions of self-management-Resources and Supports for Self-Management-were identified. Individual programmes were then encouraged to implement these resources and support in ways that were feasible in their settings and responsive to the needs and perspectives of those they serve. Extending this to peer support, three Key functions are (i) assistance in managing and living with diabetes in daily life; (ii) social and emotional support and (iii) linkage to clinical care. International promotion may be advanced by emphasizing these key functions and then encouraging local variation in the specific ways they are addressed. Similarly, evaluation of the general benefits of peer support across several individual programmes may rest on measurement of implementation of the key functions, participants' reports of receipt of them and common end points. Challenges to promoting peer support include integrating peers amidst others in the health care system, harmonizing peers with family and other social networks, maintaining the engagement of peer supporters and those they assist and preventing training, quality improvement and professionalism from distorting the fundamental benefits of support from a peer.
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Strong evidence indicates that cultural translation markedly contributes to the acceptability and effectiveness of mHealth interventions.
“The value of undertaking a cultural translation cannot be underestimated, with strong evidence of its marked contribution to the acceptability and effectiveness of mHealth interventions [24,44,45].”
From Assessing the Cross-Cultural Adaptation and Translation of a Text-Based Mobile Smoking Cessation Program in Samoa (TXTTaofiTapaa): Pilot Study (2018) · cites this paper as [44]
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- Authors
- Fisher, E. B., Earp, J. A., Maman, S., & Zolotor, A.
- Affiliations
- University of North Carolina at Chapel Hill (US)
- Venue
- Family Practice
- Publisher
- Oxford University Press (OUP)
- Published
- 2009-03-10
- Volume
- 27
- Issue
- suppl 1
- Pages
- i6-i16
- ISSN
- 0263-2136 (ISSN-L)
- 1460-2229
- OpenAlex
- W2159870464
- Cited by
- 101
- References
- 71
- Citations by year
- 2026: 1 · 2024: 2 · 2023: 8 · 2022: 2 · 2021: 6 · 2020: 8 · 2019: 6 · 2018: 10 · 2017: 5 · 2016: 7 · 2015: 9 · 2014: 5 · 2013: 10 · 2012: 11
- FWCI
- 5.04
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Family Practice (publishedVersion)
- PubMed (publishedVersion)
- HighWire Press Open Archive (submittedVersion)
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
- Health Sciences › Health Professions › General Health Professions › Mental Health and Patient Involvement
- Health Sciences › Health Professions › General Health Professions › Health Literacy and Information Accessibility
- Keywords
- peer support, diabetes self-management, cross-cultural adaptation (acculturation), international adaptation, socioemotional support, peer supporter training, health system integration, family and social networks
- MeSH terms
- Adaptation, Psychological, Culture, Diabetes Mellitus, Humans, Peer Group, Self Care, Social Support, Program Evaluation
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