Shrikant Patil|Todd Ruppar|Richelle J. Koopman|Erik Lindbloom|Steven Elliott|David R. Mehr|Vicki S. Conn
Peer Support Interventions for Adults With Diabetes: A Meta-Analysis of Hemoglobin A1c Outcomes
University of Missouri|University of Missouri|University of Missouri|University of Missouri|University of Missouri|University of Missouri|University of Missouri
h3purposeh3 peer support intervention trials shown varying effects glycemic control aimed estimate effect peer support interventions delivered people affected diabetes disease caregiver hemoglobin asub1csub hbasub1csub levels adults h3methodsh3 searched multiple databases 1960 november 2015 including ovid medline cochrane central register controlled trials cinahl scopus included randomized controlled trials rcts adults diabetes receiving peer support interventions compared otherwise similar care seventeen 205 retrieved studies eligible inclusion quality assessed cochrane risk bias tool calculated standardized mean difference smd change hbasub1csub level baseline groups using random effects model subgroup analyses predefined h3resultsh3 seventeen studies 3 cluster rcts 14 rcts 4715 participants showed improvement pooled hbasub1csub level smd 0121 95 ci 00260217 ipi 01 isup2sup 6066 peer support intervention group compared control group difference translated improvement hbasub1csub level 024 95 ci 005043 peer support interventions showed hbasub1csub improvement 048 95 ci 025070 ipi lt001 isup2sup 1712 subset studies predominantly hispanic participants 053 95 ci 032073 ipi lt001 isup2sup 924 subset studies predominantly minority participants clinically relevant sensitivity analysis excluding cluster rcts overall effect size changed little h3conclusionsh3 peer support interventions diabetes overall achieved statistically significant minor improvement hbasub1csub levels interventions may however particularly effective improving glycemic control people minority groups especially hispanic ethnicity