University of Utah College of Nursing, Salt Lake City, Utah and Utah Diabetes and Endocrinology Center, Salt Lake City, Utah.
Department of Family Medicine, University of Colorado School of Medicine, Colorado.
Diabetes Educ. 2020 Jun;46(3):230-241. doi: 10.1177/0145721720913275. Epub 2020 Apr 23.
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.
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.
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.
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.
本研究旨在报告一项系统评价综述，重点关注面对面和技术介导的糖尿病同伴支持及其对临床、行为和心理社会结局的影响的证据和差距。
我们根据系统评价和荟萃分析的首选报告项目（PRISMA）指南进行了系统评价综述。纳入了 1978 年 12 月至 2018 年 12 月期间发表的评估临床、行为和心理社会结局的英语评论。检索到的 167 篇评论被检查了纳入/排除标准。
符合标准的 9 项系统评价和荟萃分析被纳入。研究结果表明，同伴支持干预措施可以对临床（A1C、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）和心理社会（社会支持、健康和糖尿病困扰、抑郁、生活质量）结局产生积极影响。关于了解新兴技术介导的同伴支持模式的效果以及同伴支持对妊娠糖尿病的影响，研究仍存在空白。
面对面和技术介导的同伴支持存在许多与临床、行为和心理社会相关的益处。糖尿病护理和教育专家应将同伴支持资源纳入并推荐给糖尿病患者。
