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Systematic review of peer education intervention programmes among individuals with type 2 diabetes

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  • Tricia K Gatlin
  • Reimund Serafica
  • Michael Johnson

Abstract

Aims and objectives To systematically review published randomised controlled trials of peer education interventions among adults with type 2 diabetes. Background Systematic reviews have shown mixed results for peer support interventions to improve diabetes self‐management. Given the effectiveness of diabetes education by healthcare professionals, peer education interventions may be a useful alternative approach. This review addressed that gap. Design Systematic review. Method A systematic search of published randomised controlled trials between 2006–2016 was conducted using the keywords diabetes, type 2 diabetes, randomised controlled trials, self‐management, peer education and peer support. The methodological quality of each study was assessed using the Jadad scale. Results Seven studies were included in the final review, and the Jadad scores ranged from 8–10 of a possible 13 points. There was no consistent design, setting, or outcome measurement among the studies. There were two types of peer education interventions compared to traditional diabetes education: face‐to‐face or a combination of face‐to‐face and telephone/texting. The most common clinical outcome measure was HbA1c. Two of six studies showed statistically significant improvement in HbA1c between intervention and control groups. An increase in diabetes knowledge was also statistically significant in two of five studies. Conclusion Peer education could be successful in improving clinical outcomes. No evidence was found indicating that healthcare provider education was superior in regard to clinical knowledge or behavioural or psychological outcome measures than peer education. HbA1c was statistically significantly lower in some peer education groups compared to control groups. Relevance to Clinical Practice There is evidence that peer education can be useful in achieving positive clinical outcomes such as decreasing HbA1c levels and increasing diabetes knowledge. A certified diabetes educator or a trained healthcare professional should not be overlooked though when using peer educators.

Suggested Citation

  • Tricia K Gatlin & Reimund Serafica & Michael Johnson, 2017. "Systematic review of peer education intervention programmes among individuals with type 2 diabetes," Journal of Clinical Nursing, John Wiley & Sons, vol. 26(23-24), pages 4212-4222, December.
    • Handle: RePEc:wly:jocnur:v:26:y:2017:i:23-24:p:4212-4222
    DOI: 10.1111/jocn.13991
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    References listed on IDEAS

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    1. Carol Brownson & Michele Heisler, 2009. "The Role of Peer Support in Diabetes Care and Self-Management," The Patient: Patient-Centered Outcomes Research, Springer;International Academy of Health Preference Research, vol. 2(1), pages 5-17, March.
    2. Wilson, W. & Pratt, C., 1987. "The impact of diabetes education and peer support upon weight and glycemic control of elderly persons with noninsulin dependent diabetes mellitus (NIDDM)," American Journal of Public Health, American Public Health Association, vol. 77(5), pages 634-635.
    3. Sokol, R. & Fisher, E., 2016. "Peer Support for the Hardly Reached: A Systematic Review," American Journal of Public Health, American Public Health Association, vol. 106(7), pages 1-8.
    4. Sokol, R. & Fisher, E., 2016. "Peer support for the hardly reached: A systematic review," American Journal of Public Health, American Public Health Association, vol. 106(7), pages 1-8.
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    1. Anna Price & Siân de Bell & Naomi Shaw & Alison Bethel & Rob Anderson & Jo Thompson Coon, 2022. "What is the volume, diversity and nature of recent, robust evidence for the use of peer support in health and social care? An evidence and gap map," Campbell Systematic Reviews, John Wiley & Sons, vol. 18(3), September.
    2. Zhihong Chen & Chaochuang Zhang & Guanhua Fan, 2020. "Interrelationship between Interpersonal Interaction Intensity and Health Self-Efficacy in People with Diabetes or Prediabetes on Online Diabetes Social Platforms: An In-Depth Survey in China," IJERPH, MDPI, vol. 17(15), pages 1-21, July.
    3. Mullard, Jordan C.R. & Kawalek, Jessica & Parkin, Amy & Rayner, Clare & Mir, Ghazala & Sivan, Manoj & Greenhalgh, Trisha, 2023. "Towards evidence-based and inclusive models of peer support for long covid: A hermeneutic systematic review," Social Science & Medicine, Elsevier, vol. 320(C).
    4. Keith James Topping, 2022. "Peer Education and Peer Counselling for Health and Well-Being: A Review of Reviews," IJERPH, MDPI, vol. 19(10), pages 1-19, May.
    5. Meng-Jung Wen & Martha Maurer & Luke Schwerer & Nassim Sarkarati & Ugboaku Maryann Egbujor & Jenna Nordin & Sharon D. Williams & Yao Liu & Olayinka O. Shiyanbola, 2022. "Perspectives on a Novel Culturally Tailored Diabetes Self-Management Program for African Americans: A Qualitative Study of Healthcare Professionals and Organizational Leaders," IJERPH, MDPI, vol. 19(19), pages 1-15, October.

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