Ling-Na Kong1,2, Ping Hu2, Li Yang3, Dan Cui3. 1. School of Nursing, Chongqing Medical University, Chongqing, China. 2. The first Affiliated Hospital of Chongqing Medical University, Chongqing, China. 3. School of Nursing, Harbin Medical University, Harbin, China.
Abstract
BACKGROUND: Peer support has been suggested as a promising approach for diabetes management. No conclusive evidence exists on the effects of peer support on self-efficacy and quality of life in adults with type 2 diabetes. OBJECTIVE: To assess the effectiveness of peer support on self-efficacy and the quality of life in adults with type 2 diabetes. DESIGN: A systematic review and meta-analysis of randomized controlled studies. DATA SOURCES: We searched PubMed, Embase, Cochrane Central Register of Controlled Trials and Allied Health Literature database guide for relevant literatures from inception to 30 September 2017. REVIEW METHODS: The review was conducted according to the guidelines of Cochrane Collaboration. The outcomes were self-efficacy and quality of life. The standardized mean difference and 95% confidence intervals were calculated for pooled results. RESULTS: A total of 15 studies met the inclusion criteria. The pooled results revealed that peer support did not significantly improve self-efficacy and quality of life in adults with type 2 diabetes, but significantly improved self-efficacy and quality of life in studies with intervention duration ≤6 months. There was no evidence of publication bias. CONCLUSION: Peer support intervention did not lead to better effects on the improvement in self-efficacy and quality of life among adults with type 2 diabetes. However, peer support with intervention duration not more than 6 months had positive effects on self-efficacy and quality of life. More high-quality studies with large sample size are needed to support or counter the results.
BACKGROUND: Peer support has been suggested as a promising approach for diabetes management. No conclusive evidence exists on the effects of peer support on self-efficacy and quality of life in adults with type 2 diabetes. OBJECTIVE: To assess the effectiveness of peer support on self-efficacy and the quality of life in adults with type 2 diabetes. DESIGN: A systematic review and meta-analysis of randomized controlled studies. DATA SOURCES: We searched PubMed, Embase, Cochrane Central Register of Controlled Trials and Allied Health Literature database guide for relevant literatures from inception to 30 September 2017. REVIEW METHODS: The review was conducted according to the guidelines of Cochrane Collaboration. The outcomes were self-efficacy and quality of life. The standardized mean difference and 95% confidence intervals were calculated for pooled results. RESULTS: A total of 15 studies met the inclusion criteria. The pooled results revealed that peer support did not significantly improve self-efficacy and quality of life in adults with type 2 diabetes, but significantly improved self-efficacy and quality of life in studies with intervention duration ≤6 months. There was no evidence of publication bias. CONCLUSION: Peer support intervention did not lead to better effects on the improvement in self-efficacy and quality of life among adults with type 2 diabetes. However, peer support with intervention duration not more than 6 months had positive effects on self-efficacy and quality of life. More high-quality studies with large sample size are needed to support or counter the results.
Authors: Ronald Kiguba; Helen Byomire Ndagije; Victoria Nambasa; Cordelia Katureebe; Henry Zakumumpa; Stella Maris Nanyonga; Jacquellyn Nambi Ssanyu; Phil Tregunno; Kendal Harrison; Corinne S Merle; Marie-Eve Raguenaud; Freddy Eric Kitutu Journal: BMJ Open Date: 2022-05-19 Impact factor: 3.006
Authors: Hawa Camara; Ye Zhang; Lise Lafferty; Andrew J Vallely; Rebecca Guy; Angela Kelly-Hanku Journal: BMC Public Health Date: 2021-08-04 Impact factor: 3.295