In-Person and Technology-Mediated Peer Support in Diabetes Care: A Systematic Review of Reviews and Gap Analysis.

IF 3.9 Q1 Health Professions Diabetes Educator Pub Date : 2020-06-01 Epub Date: 2020-04-23 DOI:10.1177/0145721720913275

Michelle L Litchman, Tamara K Oser, Lisa Hodgson, Mark Heyman, Heather R Walker, Phyllisa Deroze, Joanne Rinker, Hope Warshaw

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引用次数: 23

Abstract

Purpose: The purpose of this study is to report a systematic review of reviews of evidence and gaps focused on in-person and technology-mediated diabetes peer support and its impact on clinical, behavioral, and psychosocial outcomes.

Methods: We conducted a systematic review of reviews in accordance with the Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) guidelines. Reviews published in English from December 1978 through December 2018 examining clinical, behavioral, and psychosocial outcomes were included. The search yielded 167 reviews that were examined for inclusion/exclusion criteria.

Results: Nine systematic reviews and meta-analyses meeting criteria were included. Findings suggest peer support interventions can have a positive impact on clinical (A1C, blood pressure, cholesterol, weight), behavioral (diabetes knowledge, being active, healthy eating, medication management, self-management, self-efficacy, empowerment), and psychosocial (social support, health and diabetes distress, depression, quality of life) outcomes. Research gaps exist related to understanding the effects of emerging technology-mediated peer support modalities and the effects of peer support on gestational diabetes.

Conclusion: Many clinical, behavioral, and psychosocial benefits related to in-person and technology-mediated peer support exist. Diabetes care and education specialists should incorporate and recommend peer support resources for people with diabetes.

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糖尿病护理中面对面和技术介导的同伴支持:综述和差距分析的系统综述。

目的:本研究的目的是对亲身和技术介导的糖尿病同伴支持及其对临床、行为和社会心理结局的影响的证据和差距进行系统回顾。方法:我们按照系统评价和荟萃分析的首选报告项目(PRISMA)指南对综述进行了系统评价。纳入了1978年12月至2018年12月期间发表的英文综述，检查了临床、行为和社会心理结果。搜索产生了167篇评论，并对其纳入/排除标准进行了检查。结果:纳入了9项符合标准的系统评价和荟萃分析。研究结果表明，同伴支持干预可以对临床(糖化血红蛋白、血压、胆固醇、体重)、行为(糖尿病知识、积极活动、健康饮食、药物管理、自我管理、自我效能、赋权)和社会心理(社会支持、健康和糖尿病困扰、抑郁、生活质量)结果产生积极影响。在理解新兴技术介导的同伴支持模式的影响以及同伴支持对妊娠糖尿病的影响方面存在研究空白。结论:许多临床、行为和社会心理方面的益处与面对面和技术介导的同伴支持有关。糖尿病护理和教育专家应该为糖尿病患者整合并推荐同伴支持资源。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Diabetes Educator 医学-内分泌学与代谢

CiteScore

4.00

自引率

0.00%

发文量

审稿时长

6-12 weeks

期刊介绍： The Diabetes Educator (TDE) is the official journal of the American Association of Diabetes Educators (AADE). It is a peer-reviewed journal intended to serve as a reference source for the science and art of diabetes management. TDE publishes original articles that relate to aspects of patient care and education, clinical practice and/or research, and the multidisciplinary profession of diabetes education as represented by nurses, dietitians, physicians, pharmacists, mental health professionals, podiatrists, and exercise physiologists.