The effectiveness of peer support on self‐efficacy and quality of life in adults with type 2 diabetes: A systematic review and meta‐analysis. (12th November 2018)

• Record Type: Journal Article
• Authors: Kong, Ling‐Na; Hu, Ping; Yang, Li; Cui, Dan
• Is Part Of: Journal of advanced nursing. Volume 75:Number 4(2019)
• Page Start: 711
• Page End: 722
• Publication Date: 2018-11-12
• Subjects: adults -- effectiveness -- meta‐analysis -- nursing -- peer support -- quality of life -- self‐efficacy -- self‐management -- systematic review -- type 2 diabetes; Nursing -- Periodicals; 610.7305
• DOI: 10.1111/jan.13870
• Languages: English
• ISSNs: 0309-2402

Abstract

Abstract: Background: Peer support has been suggested as a promising approach for diabetes management. No conclusive evidence exists on the effects of peer support on self‐efficacy and quality of life in adults with type 2 diabetes. Objective: To assess the effectiveness of peer support on self‐efficacy and the quality of life in adults with type 2 diabetes. Design: A systematic review and meta‐analysis of randomized controlled studies. Data sources: We searched PubMed, Embase, Cochrane Central Register of Controlled Trials and Allied Health Literature database guide for relevant literatures from inception to 30 September 2017. Review methods: The review was conducted according to the guidelines of Cochrane Collaboration. The outcomes were self‐efficacy and quality of life. The standardized mean difference and 95% confidence intervals were calculated for pooled results. Results: A total of 15 studies met the inclusion criteria. The pooled results revealed that peer support did not significantly improve self‐efficacy and quality of life in adults with type 2 diabetes, but significantly improved self‐efficacy and quality of life in studies with intervention duration ≤6 months. There was no evidence of publication bias. Conclusion: Peer support intervention did not lead to better effects on the improvement in self‐efficacy and quality of life among adults with type 2 diabetes. However, peer support with intervention duration not more than 6 months had positive effects on self‐efficacy and quality of life. More high‐quality studies with large sample size are needed to support or counter the results.