Chronic Illness Alliance, Surrey Hills, Victoria, Australia.
La Trobe University, Melbourne, Victoria, Australia.
Qual Health Res. 2021 Jan;31(2):218-227. doi: 10.1177/1049732320964173. Epub 2020 Oct 19.
A literature review was undertaken in 2019 to review research into the effectiveness of peer support in chronic disease self-management. As with an earlier literature review, we found the results disappointing due to poor reporting and poor research design. Lack of information on training of peer supporters, unrealistically short timeframes to produce changes in health behaviors, and lack of any theoretical underpinning of the research design contributed to rating randomized controlled trials as poor to medium quality evidence. At the same time, systematic reviews consider peer support as effective, arguing that improved research design and evaluation would demonstrate this. This article discusses the need to examine more closely the contribution of peer support to chronic disease care as well as considering how research methods might more closely reflect that contribution and provide better evidence of the value of peer support to both participants and the health system.
2019 年进行了文献回顾，以综述同伴支持在慢性病自我管理中的有效性研究。与早期的文献回顾一样，由于报告质量差和研究设计不佳，我们发现结果令人失望。缺乏关于同伴支持者培训的信息、在健康行为改变方面设定不切实际的短期时间框架，以及研究设计缺乏任何理论基础，这些都导致随机对照试验的评分被评为低质量到中等质量的证据。与此同时，系统评价认为同伴支持是有效的，并认为改进研究设计和评估将证明这一点。本文讨论了需要更仔细地研究同伴支持对慢性病护理的贡献，同时考虑如何使研究方法更能反映这种贡献，并为参与者和卫生系统提供更好的证据，证明同伴支持的价值。
