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. 2008 Oct 8;2008(4):CD006903.
doi: 10.1002/14651858.CD006903.pub2.

Peer support telephone calls for improving health

Jeremy Dale  1 , Isabela O Caramlau, Antje Lindenmeyer, Susan M Williams
Affiliations

Peer support telephone calls for improving health

Jeremy Dale et al. Cochrane Database Syst Rev. .

Abstract

Background: Peer support telephone calls have been used for a wide range of health-related concerns. However, little is known about their effects.

Objectives: To assess the effects of peer support telephone calls in terms of physical (e.g. blood pressure), psychological (e.g. depressive symptoms), and behavioural health outcomes (e.g. uptake of mammography) and other outcomes.

Search strategy: We searched: The Cochrane Library databases (CENTRAL, DARE, CDSR) (issue 4 2007); MEDLINE (OVID) (January 1966 to December 2007); EMBASE (OVID) (January 1985 to December 2007); CINAHL (Athens) (January 1966 to December 2007), trials registers and reference lists of articles, with no language restrictions.

Selection criteria: Randomised controlled trials of peer support interventions delivered by telephone call.

Data collection and analysis: Two review authors independently extracted data. We present results narratively and in tabular format. Meta-analysis was not possible due to heterogeneity between studies.

Main results: We included seven studies involving 2492 participants.Peer support telephone calls were associated with an increase in mammography screening, with 49% of women in the intervention group and 34% of women in the control group receiving a mammogram since the start of the intervention (P </ = 0.001). In another study, peer telephone support calls were found to maintain mammography screening uptake for baseline adherent women (P = 0.029).Peer support telephone calls for post myocardial infarction patients were associated at six months with a change in diet in the intervention and usual care groups of 54% and 44% respectively (P = 0.03). In another study for post myocardial infarction patients there were no significant differences between groups for self-efficacy, health status and mental health outcomes.Peer support telephone calls were associated with greater continuation of breastfeeding in mothers at 3 months post partum (P = 0.01).Peer support telephone calls were associated with reduced depressive symptoms in mothers with postnatal depression (Edinburgh Postnatal Depression Scale (EPDS) > 12). The peer support intervention significantly decreased depressive symptomatology at the 4-week assessment (odds ratio (OR) 6.23 (95% confidence interval (CI) 1.15 to 33.77; P = 0.02)) and 8-week assessment (OR 6.23 (95% CI 1.40 to 27.84; P = 0.01). One study investigated the use of peer support for patients with poorly controlled diabetes. There were no significant differences between groups for self-efficacy, HbA1C, cholesterol level and body mass index.

Authors' conclusions: Whilst this review provides some evidence that peer support telephone calls can be effective for certain health-related concerns, few of the studies were of high quality and so results should be interpreted cautiously. There were many methodological limitations thus limiting the generalisability of findings. Overall, there is a need for further well designed randomised controlled studies to clarify the cost and clinical effectiveness of peer support telephone calls for improvement in health and health-related behaviour.

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Conflict of interest statement

Jeremy Dale and Isabela Caramlau are authors of the included study Dale 2007. Both are currently undertaking intervention development and piloting of a peer support telephone call intervention for postnatal depression. The data was assessed and extracted by the two other authors (Sue and Antje) to avoid any bias in reporting.

Figures

1
1
Content analysis of the interventions of the RCTs included in this review, highlighting the different aspects of peer support
2
2
Risk of bias summary: review authors' judgements about each methodological quality item for each included study, as reported in the risk of bias table for each study.
See this image and copyright information in PMC

Update of

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