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The effectiveness of peer support on self-efficacy and self-management in people with type 2 diabetes: A meta-analysis

Journal

PATIENT EDUCATION AND COUNSELING
Volume 104, Issue 4, Pages 760-769

Publisher

ELSEVIER IRELAND LTD
DOI: 10.1016/j.pec.2020.11.011

Keywords

Peer support; Type 2 diabetes; Self-efficacy; Self-management; Meta-analysis

Funding

  1. Chinese Henan Provincial Education Department Project [18B310001]
  2. Chinese Henan province Social Science Planning and Decision-making Consulting Project [2018BJC38]
  3. Innovation and Quality Improvement of Postgraduate Education in Henan University [SYL19060141]
  4. Henan Province Teacher Education Curriculum and Reform Project [2016-JSJYZD-003]

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Peer support significantly improved self-efficacy and self-management in individuals with type 2 diabetes, with no significant effect on distress. Further studies are needed to verify the validity of the results.
Objectives: This study aims to investigate the effectiveness of peer support on self-efficacy and self-management in people with type 2 diabetes. Methods: Eight databases were utilized for selecting eligible studies that were published from inception to Jan., 2020. The eligible studies were screened, extracted and then the methodological quality was evaluated independently by two researchers. RevMan version 5.3 software and Stata version 14.0 software were utilized for the meta-analysis. Results: Seventeen studies were included in the meta-analysis. Compared with the control group, peer support significantly improved self-efficacy [SMD = 0.41, 95 % CI = (0.20, 0.62), p = 0.0001] and self-management [SMD = 1.21, 95 % CI = (0.58, 1.84), p = 0.0002] in people with type 2 diabetes, but had no significant effect on distress (p = 0.34). Conclusions: Peer support significantly improved self-efficacy and self-management, but there was no clear evidence that peer support improved distress in people with type 2 diabetes. More studies are needed to further verify the validity of the results. Practice implications: This meta-analysis suggested that peer support should be considered as a complementary treatment for patients with type 2 diabetes. Medical staff can encourage the use of peer support in the teaching content of patients with type 2 diabetes to improve their self-efficacy and self-management. (C) 2020 Elsevier B.V. All rights reserved.

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