Evidence mapPaperPMID 34696569Full record

SynthesisEpidemiology and health2021

The effect of peer support in diabetes self-management education on glycemic control in patients with type 2 diabetes: a systematic review and meta-analysis.

Akhmad Azmiardi, Bhisma Murti, Ratih Puspita Febrinasari, Didik Gunawan Tamtomo

2 registry-linked trialsAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Epidemiology and health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 38 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 6 pooled it
field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07145983 nacompletednot on this mapstarted 2024, after this paper: background citation

Peer Support Intervention Effect on Medication Adherence, Self-care and Knowledge Among Patients With Diabetes: A Randomized Control Trial

TypeinterventionalSponsorAddis Ababa UniversityRan2024 to 2025Enrolled120ConditionsPeer Influence, Medication Adherence, Self CareArmsStructured Diabetes Education on medication Adherence and self care
NCT07499375 nacompletednot on this mapstarted 2024, after this paper: background citation

Effect of a Peer Support Intervention on Glycemic Control and Economic Burden Among Patients With Diabetes on Follow-up at a Tertiary Hospital: A Randomized Controlled Trial

TypeinterventionalSponsorAddis Ababa UniversityRan2024 to 2025Enrolled100ConditionsPeer Support InterventionArmsPeer led educational intervention program
3 · Its place in the literature

Who cites it

38 citing papers in PubMed, 6 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Akhmad AzmiardiDoctoral Program on Public Health, Universitas Sebelas Maret, Surakarta, Indonesia.
Bhisma MurtiDoctoral Program on Public Health, Universitas Sebelas Maret, Surakarta, Indonesia.
Ratih Puspita FebrinasariDepartment of Pharmacology, Faculty of Medicine, Universitas Sebelas Maret, Surakarta, Indonesia.
Didik Gunawan TamtomoDoctoral Program on Public Health, Universitas Sebelas Maret, Surakarta, Indonesia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesDiabetes self-management education (DSME) programs are a strategy to maintain healthy behaviors. Nevertheless, limited evidence has been reported from systematic evaluations of the effects of DSME integrated with peer support on glycemic control. This study aimed to review the effectiveness of DSME interventions integrated with peer support on glycemic control in patients with type 2 diabetes.

methodsA systematic search was carried out in electronic databases, including PubMed, Cochrane Library, ProQuest, SpringerLink, ScienceDirect, Scopus, and Google Scholar, for English-language articles published from 2005 until 2020. The effect size was estimated as the standard mean difference (SMD). The Cochrane Collaboration's Risk of Bias tool was employed to assess the risk of bias.

resultsTwelve studies were included in this study. DSME integrated with peer support effectively reduced glycated hemoglobin A1c (HbA1c) levels, with a statistically significant effect (SMD, -0.41; 95% confidence interval [CI], -0.69 to -0.13; p<0.001). Programs with a sample size <100 (SMD, -0.45; 95% CI, -0.79 to -0.11; p=0.009), duration of intervention ≤6 months (SMD, -0.52; 95% CI, -0.96 to -0.07; p=0.020), baseline HbA1c <8.5% (SMD, -0.42; 95% CI, -0.77 to -0.07; p=0.020), delivery by group (SMD, -0.28; 95% CI, -0.51 to -0.06; p=0.010), and high frequency of contact (SMD, -0.29; 95% CI, -0.48 to -0.10; p=0.003) had statistically significant effects on reducing HbA1c levels in patients with type 2 diabetes.

conclusionsDSME integrated with peer support effectively enhances glycemic control in patients with type 2 diabetes. Programs with smaller participants groups, shorter interventions, weekly meetings, and closer group sessions improved glycemic control in patients with type 2 diabetes.

Indexed as

Diabetes Mellitus, Type 2Self-ManagementGlycated HemoglobinGlycemic ControlHealth BehaviorHumansGlycated HemoglobinMeta-analysisPeer supportRandomized controlled trialType 2 diabetes

Identifiers

PMID34696569
PMCPMC8920738

What Socratic holds

Textmetadata
LicenceCC BY
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.