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KMID : 1143420180110280917
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Public Health Weekly Report
2018 Volume.11 No. 28 p.917 ~ p.922
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Effectiveness of a peer support program to improve glycemic control in patients with type 2 diabetes: a rapid systematic review
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Park Hyung-Jun
Yoon Jae-Moon
Oh Seung-Won
Cho Be-Long
Lee Gyeong-Sil
Song Geum-Ju
Jang Ju-Hyun
Lee Jung-Youl
Lee Kang-Hee
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Abstract
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Self-management of type 2 diabetes, including lifestyle modification and self-monitoring of glycemic status and medications, is important to improve glycemic control. However, the number of diabetes specialists and educators to provide knowledge on self-management is insufficient within the community setting of South Korea. Growing body of evidence suggests that peer support programs could be the second-best option. We investigated the effectiveness of peer support in improving glycemic control in patients with type 2 diabetes.
We conducted a two-step rapid systematic review. In the first step, we searched for systematic reviews in an electronic
database in september 2017. Subsequently, we searched for randomized controlled trials (RCTs) published after the
identified systematic reviews. The primary outcome was glycated hemoglobin (HbA1c) level, and secondary outcomes were variables related to self-management of type 2 diabetes. Fourteen RCTs met the inclusion criteria. There were no Korean studies. Peer support was effective in reducing HbA1c level (weighted MD -0.24 [95% CI: -0.46 to -0.02]). Peer support programs of both individual and group interventions showed a significant reduction in HbA1c levels (weighted MD -0.51 [95% CI: -0.94 to -0.09]) compared to programs of either the individual or group intervention. Programs performed more than two times per month showed a significant reduction in HbA1c levels (weighted MD -0.40 [95% CI: -0.72 to -0.08]) compared to programs performed less than two times per month. Peer support had a significant effect on HbA1c levels in patients with type 2 diabetes. However, the heterogeneity of included studies was high.
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KEYWORD
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Peer support, Review, Meta-analysis, Diabetes mellitus, Self-management
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