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Family Practice Advance Access published online on March 17, 2009

Family Practice, doi:10.1093/fampra/cmp003
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Published by Oxford University Press 2009.

Different models to mobilize peer support to improve diabetes self-management and clinical outcomes: evidence, logistics, evaluation considerations and needs for future research

Michele Heisler

Veterans Affairs Center for Clinical Practice Management Research, VA Ann Arbor Healthcare System, PO Box 130170, 11H, Ann Arbor, MI, USA

E-mail: mheisler{at}umich.edu

Received 10 August 2008; Accepted 31 December 2008.


   Abstract

Much of diabetes care needs to be carried out by patients between office visits with their health care providers. Yet, many patients face difficulties carrying out these tasks. In addition, many adults with diabetes cannot count on effective support from their families and friends to help them with their self-management. Peer support programmes are a promising approach to enhance social and emotional support, assist patients in daily management and living with diabetes and promote linkages to clinical care. This background paper provides a brief overview of different approaches to mobilize peer support for diabetes self-management support, discusses evidence to date on the effectiveness of each of these models, highlights logistical and evaluation issues for each model and concludes with a discussion of directions for future research in this area.

Keywords. Chronic disease, diabetes, peer support, self-management.


Heisler M. Different models to mobilize peer support to improve diabetes self-management and clinical outcomes: evidence, logistics, evaluation considerations and needs for future research. Family Practice 2009; Pages 1–10 of 10.


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