Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Randomized Controlled Trial
. 2019 Jun;15(2):149-156.
doi: 10.1177/1742395317753884. Epub 2018 Jan 17.

Peer characteristics associated with improved glycemic control in a randomized controlled trial of a reciprocal peer support program for diabetes

Elizabeth Kaselitz  1   2 , Megha Shah  3 , Hwajung Choi  4 , Michele Heisler  1   2   4   5
Affiliations
Randomized Controlled Trial

Peer characteristics associated with improved glycemic control in a randomized controlled trial of a reciprocal peer support program for diabetes

Elizabeth Kaselitz et al. Chronic Illn. 2019 Jun.

Abstract

Objective: In a secondary analysis of a randomized controlled trial of diabetes reciprocal peer support, we examined characteristics of peers associated with improvements in their partner's glycemic control.

Methods: A total of 102 adults with diabetes were randomized to the reciprocal peer support arm (vs. a nurse care management arm). The primary outcome was change in A1c over six months. Intermediate outcomes were insulin initiation and peer engagement. A number of baseline characteristics of peers were hypothesized to influence outcomes for their peer, and concordant characteristics of peer dyads were hypothesized that would influence outcomes for both peer partners.

Results: Improvement in A1c was associated with having a peer older than oneself ( P < .05) or with higher diabetes-related distress ( P < .01). Participants with peers who reported poorer health at baseline had worse glycemic control at follow-up ( P < .01). Hypothesized concordant characteristics were not associated with A1c improvements. Participants whose peers had a more controlled self-regulation style were more likely to initiate insulin ( P < .05).

Discussion: The improved outcomes of peers whose partners were older and reported more diabetes distress at baseline supports the need for further research into the peer characteristics that lead to improved outcomes. This could allow for better matching and more effective partnerships.

Keywords: Peer support; diabetes; peer characteristics; randomized controlled trial; self-management.

PubMed Disclaimer

Conflict of interest statement

Conflict of interest statement

The authors have no conflicts to disclose.

Figures

Figure 1
Figure 1
Hypothesized model: relationship between peer characteristics and change in HbA1c
See this image and copyright information in PMC

Similar articles

See all similar articles

Cited by

See all "Cited by" articles

References

    1. 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;15(1):471. - PMC - PubMed
    1. Tang TS, Funnell MM, Noorulla S, Oh M, Brown MB. Sustaining short-term improvements over the long-term: results from a 2-year diabetes self-management support (DSMS) intervention. Diabetes research and clinical practice. 2012;95(1):85–92. - PMC - PubMed
    1. Heisler M, Vijan S, Makki F, Piette JD. Diabetes control with reciprocal peer support versus nurse care management: a randomized trial. Ann Intern Med. 2010;153(8):507–515. - PMC - PubMed
    1. Fisher EB, Ballesteros J, Bhushan N, et al. Key Features Of Peer Support In Chronic Disease Prevention And Management. Health affairs. 2015;34(9):1523–1530. - PubMed
    1. Long JA, Jahnle EC, Richardson DM, Loewenstein G, Volpp KG. Peer mentoring and financial incentives to improve glucose control in African American veterans: a randomized trial. Ann Intern Med. 2012;156(6):416–424. - PMC - PubMed

Publication types

Substances

LinkOut - more resources