Comparing Interventions in Older Unpartnered Adults after Myocardial Infarction

Carroll, Diane L.; Rankin, Sally H.

doi:10.1016/j.ejcnurse.2005.09.001

Cited by 26 publications

(34 citation statements)

References 26 publications

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“…These mentoring interventions were employed in a variety of settings, including communities, 29,30 churches, 31 and rehabilitation centers. 32,33 These same interventions were effective for different populations, including communitywide residents, 29,30 church members, 31 persons recovering from myocardial infarction (heart attack), 32 and persons with chronic diseases. 30,33 In all of these interventions adult peer mentoring was used as a cost-effective way to reach diverse, hard-to-reach populations and found to be an effective approach.…”

Section: Resultsmentioning

confidence: 96%

Peer Mentoring for Health Behavior Change: A Systematic Review

Petosa

Smith²

2014

American Journal of Health Education

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Background: Peer mentoring can be a powerful complement to health instruction. Mentoring has been used to change health behaviors and promote sustainable lifestyle patterns in adults and, more recently, among adolescents. Purpose: This article reviews the use of peer mentoring to promote health practices and describes how this approach can be used in school settings. Methods: A systematic review of the literature identified evaluation studies on the effectiveness of peer mentoring for promoting health behavior change is presented. Results: A growing literature supports peer mentoring as an effective approach to health behavior change. Peer mentoring allows for the incorporation of skill-building activities; reinforcement of self-regulation activities; engagement in individual and group activities; and social support to meet personal health goals. Translation to Health Education Practice: With peer mentors, the promotion of health behavior change can be tailored to personal interests, talents, and the contextual environment. Mentoring programs can benefit schools by establishing social networks using positive role models of health behaviors as mentors.

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Section: Resultsmentioning

confidence: 96%

Peer Mentoring for Health Behavior Change: A Systematic Review

Petosa

Smith²

2014

American Journal of Health Education

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“…These interventions were employed in a variety of settings, and the results were mixed. Three studies reported their outcomes as mean differences between the intervention and control groups, and these scores ranged from −0.095131 to 0.208 34. The overall effect size for this outcome was 0.1578 (95% CI=0.047, 0.269).…”

Section: Resultsmentioning

confidence: 99%

A Systematic Review of the Effectiveness of Peer-Based Interventions on Health-Related Behaviors in Adults

et al. 2010

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We reviewed 25 randomized clinical trials that assessed the effect of peer-based interventions on health-related behaviors in adults. Effect sizes were calculated as odds ratios or standardized mean differences. We grouped most of the studies by 7 measured outcomes, with effect sizes ranging from −0.50 to 2.86. We found that peer-based interventions facilitated important changes in health-related behaviors, including physical activity, smoking, and condom use, with a small-to medium-sized effect. However, the evidence was mixed, possibly because of the heterogeneity we found in methods, dose, and other variables between the studies. Interventions aimed at increasing breastfeeding, medication adherence, women's health screening, and participation in general activities did not produce significant changes.Peer-based interventions have become a common method to effect important health-related behavior changes. 1,2 However, no generally accepted definition of peer or peer-based intervention has been established to date. Peers often share a common culture, language, and knowledge about the problems that their community experiences. 3 Moreover, in the research context, peers must share a health problem (e.g., newly diagnosed tuberculosis) or a potential for change in their health status (e.g., breastfeeding for new mothers). For this review, we defined peer-based interventions as a method of teaching or facilitating health promotion that asks people to share specific health messages with members of their own community. 3 Correspondence can be sent to Dr Allison Webel, Frances Payne Bolton School of Nursing, 10900 Euclid Ave, Cleveland,. Reprints can be ordered at http://www.ajph.org by clicking the "Reprints/Eprints" link. ContributorsA. R. Webel originated the study, completed the analyses, and led the writing. J. Okonsky assisted with the analyses and writing. J. Trompeta assisted with the study and analyses. W. L. Holzemer assisted with the study and supervised all aspects of its implementation. All authors conceptualized ideas, interpreted findings, and reviewed drafts of the article. Human Participant ProtectionNo protocol approval was required because the data were obtained from secondary sources. Over the past 20 years a growing body of literature has examined the efficacy of peer-based interventions to improve health care. These studies have examined a variety of illnesses, conditions, populations, and interventions to determine what can be done at the community level to facilitate positive health care outcomes. In addition, numerous studies have tested new ways to reach minority populations and to decrease health care spending. Outcomes measures in these studies have included improved quality of life, improved self-efficacy, increased selfcare and symptom management, and reduction in harmful behaviors. 1 These studies have concluded that peer-based interventions have the potential to enhance health equity in persons living with disease. 1,3-5 Examples of behaviors targeted include physical activity, 6 ...

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“…However, in two of the studies [30,31], the interventions were delivered by laypersons, not peers. Of the remaining three studies, none included an intervention specifically designed to increase physical activity-one intervention was designed to increase self-efficacy after myocardial infarction [32] and the other two were disease self-management programs [33,34]. Given these limitations, it is impossible to draw any conclusions about the effectiveness of peer-delivered physical activity interventions from the review of Webel et al…”

Section: Peer Mentors and Health Intervention Deliverymentioning

confidence: 99%

Peer-delivered physical activity interventions: an overlooked opportunity for physical activity promotion

Ginis

Nigg

Smith

2013

Behav. Med. Pract. Policy Res.

204

176

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The purpose of this systematic review was to catalogue and synthesize published studies that have examined the effects of peer-delivered physical activity interventions on physical activity behavior. Ten published studies were identified that met the inclusion criteria. The following information was extracted from each study: study design and duration; characteristics of the sample, peers, and interventions; and physical activity outcomes. In all articles reporting within-groups analyses, peer-delivered interventions led to increases in physical activity behavior. When compared to alternatives, peer-delivered interventions were just as effective as professionally delivered interventions and more effective than control conditions for increasing physical activity. Only three studies included measures of social cognitive variables, yielding some evidence that peers may enhance self-efficacy and self-determined forms of motivation. Based on these findings, interventionists are encouraged to include peer mentors in their intervention delivery models. Investigators are encouraged to pursue a more comprehensive understanding of factors that can explain and maximize the impact of peer-delivered activity interventions. KeywordsExercise, Fitness, Peer mentors, Social influence, Social cognitive theory, Self-determination theory BACKGROUND Previous research has shown that regular physical activity (PA) contributes to the prevention of overweight/obesity [1-3], decreases risk for obesity-related illnesses [4,5], and is associated with decreased risk for coronary heart disease [6], hypertension, type 2 diabetes mellitus [1,2], and cancer at several sites [7]. These benefits have also been reported in subpopulations such as older adults [8] and persons with disabilities [9]. Unfortunately, most adults do not perform PA at the recommended level to experience such health benefits [10,11]. Indeed, 39 % of adults are completely sedentary [11], and the rate of inactivity increases with age [8,12] and physical impairment (e.g., [13]).Although health care professionals often hold a role of trusted counselor or health mentor for their

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Comparing Interventions in Older Unpartnered Adults after Myocardial Infarction

Abstract: Although the data did not validate the benefits of these self-efficacy interventions, future efforts at identifying changes in health outcomes may need to use more discrete measurements that are more sensitive to changes in the older unpartnered adult after an MI.

Cited by 26 publications

References 26 publications

Peer Mentoring for Health Behavior Change: A Systematic Review

Peer Mentoring for Health Behavior Change: A Systematic Review

A Systematic Review of the Effectiveness of Peer-Based Interventions on Health-Related Behaviors in Adults

Peer-delivered physical activity interventions: an overlooked opportunity for physical activity promotion

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