Benefits of 12-month peer support for diabetes self management sustained at 18 months
Authors' conclusion
Relative to the fundamentally progressive nature of diabetes, it is striking that improvements associated with PS were generally sustained after program support ended.
Study context
- Population
- Adults with T2D recruited from 9 Community Health Centers; mean age 68.00 (SD 7.55) years, 43.07 % male, mean diabetes duration 11.79 (SD 7.34) years
- Participants
- 1,284 adults9 Community Health Centers (CHCs)
- Exposure
- Baseline vs 12 and 18 months after 12-month peer support program
- Outcome
- HbA1c
- Follow-up
- 18 months
Methodological detailsmulticentre, linear mixed model analyses controlling for confounders, Peer Leader program supported through CHCs with trainings and consultations from baseline to 12 months
- Multicentre
- Linear mixed model analyses controlling for confounders
- Peer Leader program supported through CHCs with trainings and consultations from baseline to 12 months
Main finding
As reported in the abstract
HbA1c (least square mean) · baseline to 18 months
HbA1c improved significantly, all participants: baseline to 18 months
7.62 % (SE 0.06 %) to 7.53 % (SE 0.06 %)
HbA1c improved significantly, those ≥8 % at baseline: baseline to 18 months
9.25 % (SE 0.09 %) to 8.52 % (SE 0.11 %)
Observational data: associations, not effects.
Further findings
SBP, DBP, PHQ-8, diabetes distress · across 18 months
- Parallel improvements among all for SBP, DBP, PHQ-8 and diabetes distress, and among those elevated at baseline for all outcomes
EQ-5D · baseline to 18 months
- Significant but modest increase
Sustainability between 12 and 18 months
- No significant reversals except for LDL-C
Subgroups by age, diabetes duration and gender
- Patterns similar across age, diabetes duration and gender
Original publication
Benefits of 12-month peer support for diabetes self management sustained at 18 months. Diabetes Res Clin Pract. Published 7 February 2024. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →