Effectiveness of peer-based interventions among adolescents with type 1 diabetes: A systematic review
- Forfatter(e)
- Kumoji Ayamsegna, H. N., Bally, J. M. G., Spurr, S., Peacock, S.
- År
- 2025
- Tidsskrift
- Journal of Pediatric Nursing
- Volum
- 86
- Sider
- 90-104
- Kategori(er)
- Livskvalitet og trivselSelvfølelse og selvtillit Somatisk sykdom (inkl. smertetilstander)
- Tiltakstype(r)
- Psykoedukative tiltak (inkl. videobasert modellæring)
- Abstract
BACKGROUND AND PURPOSE
Pediatric type 1 diabetes (T1D) affects adolescents psychologically, socially, and physically necessitating self-management. Stress can arise from difficulties in performing selfcare activities. Peers play an important role in diabetes management and peer-based interventions have shown promise in improving health outcomes. This systematic review (SR) was conducted to assess the effectiveness of peer-based interventions (PBIs) in improving health outcomes among adolescents with T1D and identify future research areas.
METHODS
Joanna Briggs Institute and the PRISMA 2020 checklist for SRs were used as guides to search seven databases, screen, critically appraise, analyze, and synthesize articles.
RESULTS
The primary result was the lack of evidence on the effectiveness of PBIs in adolescents who have T1D. Of the three studies in this SR, two described PBIs that included effective peer interaction and education activities that enhanced learning and retention about diabetes management. These two PBIs resulted in positive clinical (HbA1c control), behavioural (self-care habits), and psychosocial (self-esteem, social support, and knowledge) outcomes. Additionally, a web-based, interactive treatment setting, Sugarsquare, was the only intervention that improved quality of life outcomes. Sugarsquare allowed adolescents with T1D to chat with one another and contact their nurses about everyday T1D management.
IMPLICATIONS AND CONCLUSION
Through completion of this SR we investigated a complex topic area and provided a synthesis of data indicated that PBIs are effective in supporting management of T1D and positive health outcomes. These results can be used by pediatric nurses for enhanced clinical practice and as a foundation to continue research to develop PBIs for adolescents living with T1D and their families.