Peer Support Intervention’s Impact on Glycemic Control Among Type 2 Diabetes Mellitus Patients

Dita Hanna Febriani


Several models have been developed to provide support for patient self-management to control their blood glucose. Peer support intervention believed to bring positive impact on glycemic control in patient with type 2 diabetes mellitus. The aim of this review was to identify the effect of several peer support interventions on glycemic control among adult with type 2 diabetes mellitus. An integrative search was conducted in electronic databased Pub Med, CINALH, and Cochrane. The inclusion criteria of studies included were employed peer support intervention, randomized control trial in patient with type 2 diabetes mellitus, glycemic control as outcome, English language, published in last 10 years, and available in free full text. Seven studies met the inclusion criteria and included in the further analysis. Five studies reported peer support intervention found statistically significant to improve glycemic control through decreasing HbA1c level. Short term peer support intervention provide potential benefit on glycemic control.


type 2 diabetes mellitus; peer support intervention; glycemic control

Full Text:



ADA. Standards of Medical Care in diabetes — 2020. 2020;43(January). Available from:

Diabetes Federation International. IDF Diabetes Atlas Ninth edition 2019 [Internet]. International Diabetes Federation. 2019. 1 p. Available from:

Shaw JE, Sicree RA, Zimmet PZ. and Clinical Practice Global estimates of the prevalence of diabetes for 2010 and 2030. Diabetes Res Clin Pract. 2010;87:4–14.

Garber AJ, Abrahamson MJ, Barzilay JI, Blonde L, Bloomgarden ZT, Bush A, et al. NIH Public Access Task Force on the New Comprehensive Diabetes Algorithm. 2014;19(3).

Brunisholz KD, Briot P, Hamilton S, Joy EA, Lomax M, Barton N, et al. Diabetes self-management education improves quality of care and clinical outcomes determined by a diabetes bundle measure. J Multidiscip Healthc. 2014;533–42.

Essien O, Otu A, Umoh V, Enang O, Hicks JP, Walley J. Glycaemic Control in Diabetes Compared to Conventional Education : A Randomised Controlled Trial in a Nigerian Tertiary Care Hospital. PLoS One. 2017;4:1–12.

Hailu FB, Moen A, Hjortdahl P. Diabetes Self-Management Education ( DSME ) – Effect on Knowledge , Self-Care Behavior , and Self- Ef fi cacy Among Type 2 Diabetes Patients in Ethiopia : A Controlled Clinical Trial. Diabetes, Metab Syndr Obes Targets Ther. 2019;

Kohler PO, Yeary KHK, Bursac Z, Narcisse M, Felix HC, Rowland B, et al. Comparative Effectiveness and Maintenance of Diabetes Self- Management Education Interventions for Marshallese Patients With Type 2 Diabetes : A Randomized Controlled Trial. Diabetes Care. 2019;42(May):849–58.

Thom DH, Hessler D, Vore D De, Chen E, Bodenheimer TA. Impact of Peer Health Coaching on Glyce- mic Control in Low-Income Patients With. Ann Fam Med. 2013;137–44.

Qi L, Liu Q, Qi X, Wu N, Tang W, Xiong H. Effectiveness of peer support for improving glycaemic control in patients with type 2 diabetes : a meta-analysis of randomized controlled trials. BMC Public Health. 2015;

Brownson CA, Heisler M. The Role of Peer Support in Diabetes Care and Self-Management The Role of Peer Support in Diabetes Care and Self-Management. Patient Patient-Centered Outcomes Res. 2009;

Chime OH, Arinze-onyia SU, Obionu CN. Do peer support groups have an effect on medication adherence ? A study among people living with HIV / AIDS in Enugu. Sage. 2018;

Hu Z, Qin L, Xu H. Association between diabetes-specific health literacy and health-related quality of life among elderly individuals with pre-diabetes in rural Hunan Province , China : a cross- sectional study. BMJ Open. 2019;1–10.

Spencer MS, Kieffer EC, Sinco B, Piatt G, Palmisano G, Hawkins J, et al. Outcomes at 18 Months From a Community Health Worker and Peer Leader Diabetes Self-Management Program for Latino Adults. Diabetes Care. 2018;41(July):1414–22.

Tang TS. Peer-Led, Empowerment-Based Approach to Self-Man- agement Efforts in Diabetes (PLEASED): A Randomized Controlled Trial in an African American Community. Ann Fam Med. 2015;27–35.

Moskowitz D, Thom DH, Hessler D, Ghorob A, Bodenheimer T. Peer Coaching to Improve Diabetes Self-Management : Which Patients Benefit Most ? J Gen Intern Med. 2013;938–42.

Philis-Tsimikas A, Fortmann A, Lleva-Ocana L, Walker C, Gallo LC. Peer-Led Diabetes Education Programs in High-Risk Mexican Americans With Standard Approaches. Diabetes Care. 2011;34.

Deng K, Ren Y, Luo Z, Du K, Zhang X, Zhang Q. Peer Support Training Improved the Glycemic Control , Insulin Management , and Diabetic Behaviors of Patients with Type 2 Diabetes in Rural Communities of Central China : A Randomized Controlled Trial. Med Sci Monit. 2016;267–75.

Johansson T, Keller S, Winkler H, Ostermann T, Weitgasser R, Sönnichsen AC. Effectiveness of a Peer Support Programme versus Usual Care in Disease Management of Diabetes Mellitus Type 2 regarding Improvement of Metabolic Control : A Cluster-Randomised Controlled Trial. J Diabetes Res. 2016;2016.

Debussche X, Balcou-debussche M, Huiart L, Sidibe AT, Ferdynus C. Structured peer-led diabetes self- management and support in a low-income country : The ST2EP randomised controlled trial in Mali. PLoS One. 2018;2:1–13.

Mamo Y, Bekele F, Nigussie T, Zewudie A. Determinants of poor glycemic control among adult patients with type 2 diabetes mellitus in Jimma University Medical Center , Jimma zone , south west Ethiopia : a case control study. BMC Endrocine Disord. 2019;1–11.

Fasil A, Biadgo B, Abebe M. Glycemic control and diabetes complications among diabetes mellitus patients attending at University of Gondar Hospital , Northwest Ethiopia. Diabetes, Metab Syndr Obes Targets Ther. 2019;75–83.

Zoungas S, Chalmers J, Ninomiya T, Li Q. Association of HbA 1c levels with vascular complications and death in patients with type 2 diabetes : evidence of glycaemic thresholds. Diabetologia. 2012;636–43.

Ramanathan RS. Correlation of duration , hypertension and glycemic control with microvascular complications of diabetes mellitus at a tertiary care hospital. Integr Mol Med. 2017;4(1):1–4.



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