Peer Support for Chronic Medical Conditions

Evans, Megan; Daaleman, Timothy P.; Fisher, Edwin B.

doi:10.1007/978-3-030-58660-7_3

Cited by 18 publications

(15 citation statements)

References 46 publications

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“…In addition to completing methodologically rigorous studies examining peer support in this population, it will be important to use more consistent standards for evaluating program effectiveness. The five key functions of peer support in chronic disease prevention and management have been proposed as a useful paradigm for the purpose of peer support program development and evaluation (Evans et al, 2021; Fisher, Ballesteros, et al, 2015). Fundamentally, programs that use more key functions are thought to produce more positive outcomes for individuals with chronic health conditions.…”

Section: Discussionmentioning

confidence: 99%

Clinical application of a peer coaching intervention to enhance self-management for adolescents and young adults with inflammatory bowel disease.

Pollock¹,

Denio²,

Dave³

et al. 2022

Clinical Practice in Pediatric Psychology

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Objective: The purpose of this article is to characterize the current evidence base related to peer support interventions for adolescents and young adults (AYAs) with inflammatory bowel disease (IBD) and to describe a peer support program to enhance self-management for AYAs with IBD through a case study. There is strong theory and compelling evidence suggesting that AYAs with IBD could benefit from and are interested in receiving peer support to enhance self-management; however, literature on peer support interventions for AYAs with IBD is lacking. Methods: This study (a) presents a topical review describing qualitative factors AYAs with IBD would seek in a peer support program as well as existing peer support programs for this population, (b) presents an innovative one-to-one peer support program targeting self-management through a case study, and (c) discusses clinical implications and directions for future research. Results: Peer support offers a promising approach for AYAs with IBD that is feasible and acceptable to patient populations. However, results from the present topical review identified only two studies that examined peer support interventions for AYAs with IBD. The case study demonstrates how a theoretically driven program uses peer support to promote self-management and adaptive behavioral change. Conclusions: The paucity of literature in this area reveals a critical opportunity for future research and clinical programming to improve existing practices by leveraging peer support. We present the application of an innovative mobile-based peer coaching intervention that has the potential to support AYAs with IBD in their self-management. Implications for Impact StatementThe purpose of this article is to present the current evidence base related to peer support for adolescents and young adults (AYAs) with inflammatory bowel disease (IBD) and to describe a peer support program to enhance self-management for AYAs with IBD through a case study. Peer support, such as the one-to-one peer coaching model presented in this article, offers a promising approach for AYAs with IBD that is feasible, developmentally appropriate, and acceptable to McLean D. Pollock https://orcid.org/0000-0002-0076-1198All phases of this study were funded by the Pfizer Independent Grants for Learning & Change, but the funder had no involvement in the study design, data collection, analysis or interpretation, writing of the report, or the decision to submit this article for publication. The authors have indicated that they have no financial relationships relevant to this article to disclose. We thank the peer coaches for their work on this project, as well as the patients who participated in this program.

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Section: Discussionmentioning

confidence: 99%

Clinical application of a peer coaching intervention to enhance self-management for adolescents and young adults with inflammatory bowel disease.

Pollock¹,

Denio²,

Dave³

et al. 2022

Clinical Practice in Pediatric Psychology

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“…The complementarity of peer support and digital health reflects a 2017 systematic review of "technology-enabled diabetes self-management" that found that the most effective interventions (a) connected people with diabetes with their healthcare teams using two-way communication, (b) analyzed participant-generated health data, (c) tailored education, and (d) individualized feedback (18). These features share much with five key functions of peer support, outlined in Table 5, that Peers for Progress has noted as a template for standardization and dissemination (45,51,52). Indeed, Table 5 documents how digital health and live peer support complement the contributions of each to these five key functions.…”

Section: Discussionmentioning

confidence: 99%

Complementarity of Digital Health and Peer Support: “This Is What’s Coming”

Tang

Duni

Peeples

et al. 2021

Front. Clin. Diabetes Healthc.

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PurposeThis study examined integration of peer support and a Food and Drug Administration-cleared, diabetes management app (DMA) in diabetes self-management support as a scalable model for those with type 2 diabetes mellitus (T2DM).MethodsTwo lay health Coaches delivered telephone-based self-management support to adults (N = 43) with T2DM recruited through a primary group practice. Those eligible were offered no-cost access to DMA for the entire 6-month study. Coaches introduced DMA and contacted individuals by phone and text with frequency dependent on participant needs/preferences. DMA supported monitoring of blood glucose, carbohydrate intake, and medication use, as well as messaging personalized to participants’ medication regimens. Clinical data were extracted from DMA, electronic medical records, and Coaches’ records. Structured interviews of 12 participants, 2 Coaches, and 5 project staff were analyzed using deductive pre-identified codes (regarding adoptability, patterns of use, value added, complementarity, and sustainability) utilizing standard procedures for qualitative analysis.ResultsOf the 43 participants, 38 (88.4%) enrolled in DMA. In general, participants used both DMA and lay health coaches, averaging 144.14 DMA entries (structured, e.g., medications, and free form, e.g., “ate at a restaurant” and “stressed”) and 5.86 coach contacts over the 6-month intervention. Correlation between DMA entries and coach contacts (r = .613, p < 0.001) was consistent with complementarity as were participants’ and coaches’ observations that (a) DMA facilitated recognition of patterns and provided reminders and suggestions to achieve self-management plans, whereas (b) coaching provided motivation and addressed challenges that emerged. Mean hemoglobin A1c (A1c) declined from 9.93% to 8.86% (p < 0.001), with no pattern of coaching or DMA use significantly related to reductions. Staff identified resources to coordinate coach/DMA interventions as a major sustainability challenge.ConclusionsDMA and peer support for diabetes management are compatible and complementary. Additional practice integration research is needed for adoption and scale-up.

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“…Namun, setelah diberikan peer support group, kedua kelompok menunjukkan perbedaan pada wellbeing (p = 0.000). Perbedaan ini didasarkan dalam peer support group ada 5 fungsi utama yang ditekankan antara lain turut merasakan, bantuan dalam manajemen aktifitas seharihari, mempromosikan perawatan penyakit, meng-atasi emosi negatif, dan dukungan berkelanjutan (Fisher et al, 2015;Evans, 2021).…”

Section: Metode Penelitianunclassified

Peer Support Group terhadap Well-Being Pasien Hipertensi Usia Dewasa Muda

Rangga

Irman

Wijayanti

2022

JI-KES

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Penyakit hipertensi pada usia dewasa muda tiap tahun mengalami peningkatan. Selain itu, banyak permasalahan yang ditemui seperti penurunan kontrol pengobatan, defisit perawatan diri dan buruknya kualitas hidup yang disebabkan oleh rendahnya well-being. Meningkatkan well-being dibutuhkan intervensi yang tepat. Peer support group dipilih karena berfokus pada hubungan individu, adanya pertukaran informasi serta pengalaman. Tujuan penelitian untuk menjelaskan pengaruh peer support group terhadap well-being pasien hipertensi usia dewasa muda. Jenis penelitian menggunakan quasi-experiment dengan rancangan pre post test control group design. Populasi dalam penelitian ini berjumlah 176 orang. Sampling yang digunakan purposive sampling. Besar sampel sebanyak 80 orang dan dibagi ke dalam 2 kelompok (masing-masing kelompok sebanyak 40 orang). Penelitian dilaksanakan pada bulan Oktober-November 2021 di Puskesmas Koting Propinsi Nusa Tenggara Timur. Instrumen untuk mengukur well-being menggunakan Indonesian Well-being Scale (IWS). Analisis data menggunakan paired t test dan independent sample t-test. Hasil penelitian menunjukkan ada pengaruh peer support group terhadap well-being (p=0,000). Sebelum diberikan peer support group, kedua kelompok tidak menunjukkan perbedaan (p = 0,631). Namun, setelah diberikan peer support group, kedua kelompok menunjukkan perbedaan (p = 0,000). Peer support group terbukti dapat meningkatkan well-being, untuk itu Puskesmas dapat membuat program promosi kesehatan dengan mengintegrasikan peer support group dalam layanan kesehatan.

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Peer Support for Chronic Medical Conditions

Cited by 18 publications

References 46 publications

Clinical application of a peer coaching intervention to enhance self-management for adolescents and young adults with inflammatory bowel disease.

Clinical application of a peer coaching intervention to enhance self-management for adolescents and young adults with inflammatory bowel disease.

Complementarity of Digital Health and Peer Support: “This Is What’s Coming”

Peer Support Group terhadap Well-Being Pasien Hipertensi Usia Dewasa Muda

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