Community-Based Peer Support for Diabetes Management: 24-Month Changes Relative to Comparison Communities
Authors' conclusion
Culturally adapted and appropriate community-based peer support for diabetes management may improve clinical and psychosocial outcomes at 24 months among people with diabetes.
Study context
- Population
- People with diabetes in urban or suburban communitiescompleted baseline and follow-up
- Participants
- 967 people
- Comparison
- Community-based peer support vs comparison communities
- Primary endpoint
- HbA1c
- Follow-up
- 24 months
Methodological detailsintervention comparison design, communities matched by urban or suburban location, community organization approach
- Intervention comparison design
- Communities matched by urban or suburban location
- Community organization approach
Primary result
As reported in the abstract
Intervention communities
7.42
% [58 mmol/mol]
Comparison communities
7.95
% [63 mmol/mol]
P ≤ 0.028
Secondary outcomes
BMI · 24 months · favoring intervention communities · adjusted
P ≤ 0.028
FPG · 24 months · favoring intervention communities · adjusted
P ≤ 0.028
| Outcome | Intervention communities | Comparison communities | P value |
|---|---|---|---|
| Depressive symptoms (PHQ-8 score) · 24 monthsFavoring intervention communities · adjusted | 1.39 | 1.41 | P ≤ 0.028 |
Subgroups by age and sex · 24 months
- No interactions with age (<65 vs ≥65 years)
- Men showed modestly greater diastolic BP reduction in intervention communities
- Women showed a minor increase of LDL-C in intervention communities
- Sensitivity analyses with missing data imputation supported robustness of findings
Original publication
Community-Based Peer Support for Diabetes Management: 24-Month Changes Relative to Comparison Communities. Diabetes Care. Published 31 March 2025. doi:10.
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