Evidence map›Paper›PMID 41669983›Full record

Trial reportLupus2026

The impact of a peer-mentoring intervention on self-reported flare and disease activity among African American women with Systemic Lupus Erythematosus (SLE).

Edith M Williams, S Yasamin Parvar, Everette Keller, Paul J Nietert, Clara L Dismuke-Greer, Hetlena Johnson, Joni S Williams, Jim Oates

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Lupus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

8 authors.

Edith M WilliamsCenter for Community Health & Prevention and Office of Health Equity Research, University of Rochester Medical Center, Rochester, NY, USA.
S Yasamin ParvarDepartment of Public Health Sciences, University of Rochester School of Medicine and Dentistry, Rochester, NY, USA.ORCID 0000-0002-3027-1843
Everette KellerDepartment of Public Health Sciences, Medical University of South Carolina, Charleston, SC, USA.
Paul J NietertDepartment of Public Health Sciences, Medical University of South Carolina, Charleston, SC, USA.
Clara L Dismuke-GreerHealth Economics Resource Center (HERC), VA Palo Alto Health Care System, Menlo Park, CA, USA.
Hetlena JohnsonLupus Columbia South Carolina, Columbia, SC, USA.
Joni S WilliamsCenter for Advancing Population Science (CAPS), Milwaukee Community Chair in Health Equity Research at the Medical College of Wisconsin, Milwaukee, WI, USA.
Jim OatesMedical Service, Ralph H Johnson VA Medical Center, Charleston, SC, USA.

Funding

Resource CoreP30AR072582 · NIAMS · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI JAMES C OATES · 2017 to 2026
$8.5M
Peer Approaches to Lupus Self-Management (PALS) - Diversity SupplementR01NR017892 · NINR · UNIVERSITY OF ROCHESTER · PI WILLIAMS, EDITH MARIE · 2018 to 2022
$2.5M
NIAMS NIH HHS P30 AR072582NINR NIH HHS R01 NR017892
6 · The paper itself

Abstract

IntroductionSystemic Lupus Erythematosus (SLE) disproportionately affects African American women, who experience higher disease severity and face barriers to accessing supportive care. Peer mentoring offers a culturally tailored approach to improving chronic disease self-management and psychosocial well-being in underserved populations.AimsTo assess the impact of a peer-mentoring interventions on self-reported disease activity, symptom severity, and flare frequency among African American women with SLE.MethodsThis study is a sub-analysis of the Peer Approaches to Lupus Self-Management (PALS) randomized controlled trial. Adult African American female participants with SLE were assigned to an intervention, a social support control group, or served as peer mentors. The intervention group received 12 structured biweekly sessions over 24 weeks, delivered by trained peers using a culturally relevant curriculum. Outcomes were measured at baseline, 3, 6, and 12 months after the intervention using the Systemic Lupus Activity Questionnaire (SLAQ). Linear and cumulative logit mixed models were used to assess longitudinal changes, adjusting for sociodemographic covariates.ResultsThe intervention group reported sustained reductions in symptom severity over time, although not statistically significant. Notably, mentors demonstrated significant improvements in symptom severity at 3 months (mean difference: -2.53; 95% CI: -4.95, -0.11), suggesting reciprocal benefits of peer engagement. Employment and insurance status were consistently associated with lower symptom burden and disease activity.ConclusionThe results of our study support policy initiatives that invest in peer-based self-management interventions, expand insurance access, and address employment barriers shown to influence disease burden in individuals with SLE. Such efforts are critical to reducing health disparities and improving long-term disease outcomes.

Indexed as

Black or African AmericanLupus Erythematosus, SystemicMentoringPeer GroupSelf-ManagementAdultFemaleHumansMentorsMiddle AgedSelf ReportSeverity of Illness IndexSocial SupportSymptom Flare UpAfrican American womendisease activitymentorshipself-managementSystemic Lupus Erythematosus

Identifiers

PMID41669983
PMCPMC12900037

What Socratic holds

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Registered trials

None linked

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.