Peer support of complex health behaviors in prevention and disease management with special reference to diabetes: systematic reviews

Fisher, Edwin B.; Boothroyd, Renée I.; Elstad, Emily A.; Hays, Laura; Henes, Amy; Maslow, Gary R.; Velicer, Clayton

doi:10.1186/s40842-017-0042-3

Cited by 196Diabetes Management and EducationMental Health and Patient InvolvementCommunity Health and Development

Peer support of complex health behaviors in prevention and disease management with special reference to diabetes: systematic reviews

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Fisher, Edwin B., Boothroyd, Renée I., Elstad, Emily A., Hays, Laura, Henes, Amy, Maslow, Gary R., Velicer, Clayton·2017·Clinical Diabetes and Endocrinology

DOI 10.1186/s40842-017-0042-3PMC PMC5471959

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Abstract

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.

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There is growing evidence for the role of community health workers, peer leaders, and lay leaders in providing ongoing support.
“Additionally, there is growing evidence for the role of community health workers (71,72), as well as peer (71)(72)(73)(74)(75)(76) and lay leaders (77), in providing ongoing support.”
From 5. Facilitating Positive Health Behaviors and Well-being to Improve Health Outcomes:Standards of Care in Diabetes—2023 (2023) · cites this paper as [75]

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Authors: Fisher, E. B., Boothroyd, R. I., Elstad, E. A., Hays, L., Henes, A., Maslow, G. R., & Velicer, C.
Affiliations: University of North Carolina at Chapel Hill (US)
American Institutes for Research (US)
Indiana University Indianapolis (US)
RTI International (US)
Duke University (US)
Kaiser Permanente (US)
Corresponding author: Fisher, Edwin B.
ORCID: Fisher, Edwin B.
Henes, Amy
Maslow, Gary R.
Venue: Clinical Diabetes and Endocrinology
Publisher: Springer Science and Business Media LLC
Published: 2017-05-25
Volume: 3
Issue: 1
Pages: 4-4
ISSN: 2055-8260 (ISSN-L)
DOI: 10.1186/s40842-017-0042-3
PMC: PMC5471959
OpenAlex: W2618136378
Cited by: 196
References: 119
Citations by year: 2026: 10 · 2025: 18 · 2024: 16 · 2023: 22 · 2022: 32 · 2021: 40 · 2020: 22 · 2019: 18 · 2018: 17 · 2017: 1
FWCI: 2.31
Type: journal article
Language: en
Open access: gold
doi.org
Licence: cc-by
Locations: Clinical Diabetes and Endocrinology (publishedVersion, cc-by)
PubMed Central (publishedVersion, cc-by)
PubMed (publishedVersion)
Carolina Digital Repository (University of North Carolina at Chapel Hill) (submittedVersion)
DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Funders: Eli Lilly and Company Foundation
Bristol-Myers Squibb Foundation
American Academy of Family Physicians Foundation
Novo Nordisk
Gillings Innoation Laboratory, Gillings School of Global Public Health, University of North Carolina
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 › Community Health and Development
Keywords: peer support, diabetes prevention, diabetes management, HbA1c, glycemic control, disease prevention, intervention effectiveness

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Peer support of complex health behaviors in prevention and disease management with special reference to diabetes: systematic reviews

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