Peer support: time to tap the (largely) untapped
DOI:
https://doi.org/10.1002/edn.237Keywords:
peer support, barriers, diabetes, mental health, quality of lifeAbstract
AbstractThere is growing evidence that the physical and mental health of people with, or at risk of, diabetes can benefit from support from a person with diabetes: known as diabetes peer support. Peer support involves the social and emotional help that supplements the assistance provided by health professionals and others in the life of the person with diabetes. By sharing, discussing, finding and facilitating the ways that can improve diabetes and overcome barriers to care and self-care, metabolic control and wellbeing can improve. Linking peer support to clinical care is thought to strengthen its effectiveness. Peer support complements diabetes education and facilitates implementation of the knowledge gained.
There are a range of different ways in which peer support can be provided. Peer support might arise from a casual discussion with another person with diabetes or within a more structured programme. The degree of training can vary from life with diabetes in the casual encounter, to group leadership, to paraprofessional training including motivational interviewing and a range of educational and management skills. The media for delivery varies from face-to-face, telephone and online approaches.
At a time of a growing diabetes epidemic, peer support could well be a key strategy in supporting those with and at risk of diabetes, reducing downstream demands on health services while improving quality of life. If this turns out to be the case, every neighbourhood, village and clinic should have one or more peer coaches to support diabetes prevention and diabetes management.
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References
Hicks D. The diabetes nurse: What's in a name? J Diabetes Nurs 2009;13:124.
Davies M, et al. Evaluation of a hospital dia-betes specialist nursing service: a random-ized controlled trial. Diabet Med 2001; 18:301–7.
Hicks D, et al. Audit of the effectiveness of nurse consultant led intermediate diabetes care services in England. Pract Diabetes 2012;29:54–7.
Cheng MH. Juliana Chan — helping patients live with diabetes. Lancet 2010;375:2212.
Hoey LM, et al. Systematic review of peer-support programs for people with cancer. Patient Educ Glum 2008;70:315–37.
Heisler M. Different models to mobilize peer support to improve chronic disease management and clinical outcomes: Evidence, logistics, evaluation considerations, and needs for future research. Fam Pract 2010; 27 (Suppl 1): i23–i32.
Simmons D, et al. What is the idea behind peer to peer support in diabetes? Diabetes Management 2013;3: 61–70.
Baksi AK, et al. Peer advisers compared with specialist health profes-sionals in delivering a training programme on self-management to people with diabetes: a randomized controlled trial. Diabet Med 2008;25:1076–82.
Simmons D, et al. The Coventry Diabetes Study: Prevalence of diabetesand impaired glucose tolerance in Europids and Asians. Q J Med 1991;81:1021–30.
Simmons D, et al. Prevalence of diabetes in a predominantly Asian community: preliminary findings of the Coventry diabetes study. BMJ 1989;298:18–21.
Simmons D, et al. Prevalence of diabetes in different regional and religious South Asian communities in Coventry. Diabet Med 1992; 9:428–31.
Simmons D, Powell MJ. Metabolic and clinical characteristics of South Asians and Europeans in Coventry. Diabet Med 1993;10:751–8.
Simmons D. The effect of a city-wide mass media campaign on the public awareness of diabetes. Diabet Med 1993;10:295.
Simmons D. Diabetes self help facilitated by local diabetes research: The Coventry Asian Diabetes Support Group. Diabet Med 1992; 9:866–9.
Simmons D, et al. Knowledge of diabetes in Asians and Europeans with and without diabetes: the Coventry Diabetes Study. Diabet Med 1991;8:651–6.
Simmons D. Indigenous Health and Trust: Hard to win, easy to lose. RACP News 2011;31:11–3.
Joshy G, Simmons D. The epidemiology of diabetes in New Zealand: Revisit to a changing landscape. NZMed J2006;119:U1999.
Simmons D, et al. Personal barriers to diabetes care: lessons from a mul-tiethnic community in New Zealand. Diabet Med 1998;15:958–64.
Wilson P, Simmons D. The development of community orientated rec-ommendations for diabetes care in South Auckland. South Auckland Diabetes Planning Group. NZ Med J1994;107:456–9.
Simmons D, et al. The New Zealand Experience in Peer Support Interventions. Fam Pract 2010;27 (Suppl 1) :i 53–61.
Howes P. Preventing the Human Time Bomb: Geographies of Diabetes Education in New Zealand. Master of Arts thesis, Dept of Geography, University of Canterbury, 2004.
Tregonning PB, et al. A community diabetes educator course for the unemployed in South Auckland, New Zealand. Diabetes Educ 2001; 27:94–100.
Fleming C, et al. Ethnic differences in the perception of a video devel-oped for a multiethnic diabetes prevention programme in South Auckland, New Zealand. Diabet Med 1995;12:701–7.
Simmons D, et al. Tale of two churches: differential impact of a church-based diabetes control programme among Pacific Islands peo-ple in New Zealand. Diabet Med 2004;21:122–8.
Simmons D. Impact of an integrated approach to diabetes care at the Rumbalara Aboriginal Health Service. Intern Med J2003;33:581–5.
Simmons D, et al. Development and piloting of a community health worker-based intervention for the prevention of diabetes among New Zealand Maori in Te Wai o Rona: Diabetes Prevention Strategy. Public Health Nutr 2008;11:1318–25.
Simmons D. Whatever happened to Te Wai o Rona: Diabetes Prevention Strategy? Diabetes: The magazine of Diabetes New Zealand 2010; 22;1:12.
Murray NJ, et al. A motivational peer support program for type 2 dia-betes prevention delivered by people with type 2 diabetes: the UEA-IFG feasibility study. Diabetes Educ 2012;38:366–76.
World Health Organization. Peer Support Programmes in Diabetes: Report of a WHO Consultation 5–7 November 2007. Geneva: World Health Organization, 2008.
Boothroyd RI, Fisher EB. Development of the Peers for Progress Program following the WHO Consultation. Fam Pract 2010:27(Suppl 1) :i62–i68.
Thom DH, et al. Impact of peer health coaching on glycemic control in low-income patients with diabetes: a randomized controlled trial. Ann Fam Med 2013;11:137–44.
Dale JR, et al. What is the effect of peer support on diabetes outcomes in adults? A systematic review. Diabet Med 2012;29:1361–77.
Simmons D, et al. Testing a peer support intervention for people with type 2 diabetes: a pilot for a randomised controlled trial. BMC Fam Pract 2013; 14:5. DOI: 10.1186/1471-2296-14-5.
Hawe P, et al. How far 'out of control' should a randomised con-trolled trial be? BMJ2004;328:1561–3.
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