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Peer support and social networking interventions in diabetes self-management in Kenya and Uganda: A scoping review

BACKGROUND: Diabetes mellitus is a growing worldwide health challenge especially in sub-Saharan Africa. While the use and effectiveness of diabetes self-management interventions is well documented in high-income countries, little information exists in sub-Saharan Africa. Therefore, this study attemp...

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Autores principales: Otanga, Habil, Semujju, Brian, Mwaniki, Lynn, Aungo, Justus
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9512220/
https://www.ncbi.nlm.nih.gov/pubmed/36155494
http://dx.doi.org/10.1371/journal.pone.0273722
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author Otanga, Habil
Semujju, Brian
Mwaniki, Lynn
Aungo, Justus
author_facet Otanga, Habil
Semujju, Brian
Mwaniki, Lynn
Aungo, Justus
author_sort Otanga, Habil
collection PubMed
description BACKGROUND: Diabetes mellitus is a growing worldwide health challenge especially in sub-Saharan Africa. While the use and effectiveness of diabetes self-management interventions is well documented in high-income countries, little information exists in sub-Saharan Africa. Therefore, this study attempted to synthesize information in the literature on the use and efficacy of peer support and social networking in diabetes self-management in Kenya and Uganda. OBJECTIVE: The purpose of this scoping review is to summarize research on the extent of use and efficacy of peer support and social networking interventions in diabetes self-management in Kenya and Uganda. DESIGN: We searched PubMed, ScienceDirect and Cochrane Library databases for articles reporting peer support and social networking interventions in Kenya and Uganda published in English between 2000 and September 2021. Key words encapsulated three major themes: peer support, social networking and self-management. Hand searches were also conducted to select eligible papers. Data was extracted using a form prepared and piloted in line with PRISMA-ScR guidelines. RESULTS: Thirteen peer reviewed articles were selected for analysis. Eleven studies reported peer support interventions while two focused on social networks in diabetes self-management. Peer support and social networking interventions incorporated microfinance and group medical visits, diabetes self-management education, telephone support and Medication Adherence Clubs. Most interventions were delivered by multidisciplinary teams comprising nurses and other professionals, peer educators, peer leaders and community health workers. Most interventions were effective and led to improvements in HbA1c and blood pressure, eating behaviors and physical activity and social support. CONCLUSIONS: The limited studies available show that peer support and social networking interventions have mixed results on health and other outcomes. Importantly, most studies reported significant improvements in clinical outcomes. Further research is needed on the nature and mechanisms through which peer support and social network characteristics affect health outcomes.
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spelling pubmed-95122202022-09-27 Peer support and social networking interventions in diabetes self-management in Kenya and Uganda: A scoping review Otanga, Habil Semujju, Brian Mwaniki, Lynn Aungo, Justus PLoS One Research Article BACKGROUND: Diabetes mellitus is a growing worldwide health challenge especially in sub-Saharan Africa. While the use and effectiveness of diabetes self-management interventions is well documented in high-income countries, little information exists in sub-Saharan Africa. Therefore, this study attempted to synthesize information in the literature on the use and efficacy of peer support and social networking in diabetes self-management in Kenya and Uganda. OBJECTIVE: The purpose of this scoping review is to summarize research on the extent of use and efficacy of peer support and social networking interventions in diabetes self-management in Kenya and Uganda. DESIGN: We searched PubMed, ScienceDirect and Cochrane Library databases for articles reporting peer support and social networking interventions in Kenya and Uganda published in English between 2000 and September 2021. Key words encapsulated three major themes: peer support, social networking and self-management. Hand searches were also conducted to select eligible papers. Data was extracted using a form prepared and piloted in line with PRISMA-ScR guidelines. RESULTS: Thirteen peer reviewed articles were selected for analysis. Eleven studies reported peer support interventions while two focused on social networks in diabetes self-management. Peer support and social networking interventions incorporated microfinance and group medical visits, diabetes self-management education, telephone support and Medication Adherence Clubs. Most interventions were delivered by multidisciplinary teams comprising nurses and other professionals, peer educators, peer leaders and community health workers. Most interventions were effective and led to improvements in HbA1c and blood pressure, eating behaviors and physical activity and social support. CONCLUSIONS: The limited studies available show that peer support and social networking interventions have mixed results on health and other outcomes. Importantly, most studies reported significant improvements in clinical outcomes. Further research is needed on the nature and mechanisms through which peer support and social network characteristics affect health outcomes. Public Library of Science 2022-09-26 /pmc/articles/PMC9512220/ /pubmed/36155494 http://dx.doi.org/10.1371/journal.pone.0273722 Text en © 2022 Otanga et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Otanga, Habil
Semujju, Brian
Mwaniki, Lynn
Aungo, Justus
Peer support and social networking interventions in diabetes self-management in Kenya and Uganda: A scoping review
title Peer support and social networking interventions in diabetes self-management in Kenya and Uganda: A scoping review
title_full Peer support and social networking interventions in diabetes self-management in Kenya and Uganda: A scoping review
title_fullStr Peer support and social networking interventions in diabetes self-management in Kenya and Uganda: A scoping review
title_full_unstemmed Peer support and social networking interventions in diabetes self-management in Kenya and Uganda: A scoping review
title_short Peer support and social networking interventions in diabetes self-management in Kenya and Uganda: A scoping review
title_sort peer support and social networking interventions in diabetes self-management in kenya and uganda: a scoping review
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9512220/
https://www.ncbi.nlm.nih.gov/pubmed/36155494
http://dx.doi.org/10.1371/journal.pone.0273722
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