Evidence map›Paper›PMID 26304977›Full record

Trial reportAnnals of family medicine2015

Puentes hacia una mejor vida (Bridges to a Better Life): Outcome of a Diabetes Control Peer Support Intervention.

Guadalupe X Ayala, Leticia Ibarra, Andrea L Cherrington, Humberto Parada, Lucy Horton, Ming Ji, John P Elder

2 registry-linked trialsAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Annals of family medicine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 30 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 6 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02193984 naunknown statusnot on this map

Alliance to Control Diabetes

TypeinterventionalSponsorSan Diego State UniversityRan2009 to 2017Enrolled336ConditionsDiabetes MellitusArmsPeer support
NCT03294265 naunknown statusnot on this mapstarted 2016, after this paper: background citation

A Peer Support Program to Enhance Treatment Adherence in Patients With Type 2 Diabetes Mellitus

TypeinterventionalSponsorInstituto Nacional de Ciencias Medicas y Nutricion Salvador ZubiranRan2016 to 2018Enrolled500ConditionsType 2 Diabetes MellitusArmsPeer support sessions, Reminders
3 · Its place in the literature

Who cites it

30 citing papers in PubMed, 6 syntheses or guidelines pooled it.

  1. Effects of Multilevel and Multidomain Interventions on Glycemic Control in U.S. Hispanic Populations.International journal of environmental research and public health · 2025
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  16. Impact of Delivering a Healthy Lifestyle Intervention:Journal of health science & education · 2023
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  18. Predictors and Effects of Participation in Peer Support: A Prospective Structural Equation Modeling Analysis.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2022
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Guadalupe X AyalaSan Diego State University College of Health and Human Services and Institute for Behavioral and Community Health, San Diego State University Research Foundation, San Diego, California ayala@mail.sdsu.edu.
Leticia IbarraClínicas de Salud del Pueblo, Inc, Brawley, California.
Andrea L CherringtonDepartment of Medicine, School of Medicine, University of Alabama at Birmingham, Birmingham, Alabama.
Humberto ParadaUniversity of North Carolina at Chapel Hill.
Lucy HortonInstitute for Behavioral and Community Health, San Diego State University Research Foundation, San Diego, California.
Ming JiUniversity of South Florida College of Nursing, Tampa, Florida.
John P ElderSan Diego State University College of Health and Human Services and Institute for Behavioral and Community Health, San Diego State University Research Foundation, San Diego, California.

Funding

University of Alabama at Birmingham's Diabetes Research CenterP30DK079626 · NIDDK · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI Kirk Michael Habegger · 2013 to 2026
$19.5M
NIDDK NIH HHS P30 DK079626
6 · The paper itself

Abstract

purposePeer support can promote diabetes control, yet research on feasible and effective peer support models is lacking. This randomized controlled trial tested a volunteer-based model of peer support for diabetes control.

methodsThirty-four volunteer peer leaders were recruited and trained to provide support to 5 to 8 patients each through telephone contact, in-person, individual, and group support. Planned dose was 8 contacts, preferably in the first 6 months. Patients with uncontrolled diabetes were randomly sampled from the medical records of 3 community clinics. After a baseline interview and medical records review to obtain baseline values for the primary outcome, HbA1c, 336 patient participants were randomly assigned to a 12-month peer support intervention or usual care. The assessment protocol was repeated at 6 and 12 months after baseline.

resultsThirty peer leaders delivered an average of 4 contacts each per assigned participant (range 1-24). Despite the lack of intervention fidelity, the intervention was effective at reducing glycated hemoglobin (HbA1c) among intervention as compared with usual care participants (P=0.05). Similar trends were observed in frequency of meeting fruit and vegetable guidelines (P =0.09), a secondary outcome. Counterintuitively, usual care participants reported checking their feet more days out of 7 than intervention participants (P =0.03).

conclusionsGiven the modest changes we observed, combined with other evidence for peer support to promote diabetes control, additional research is needed on how to modify the system of care to increase the level of peer support delivered by volunteers.

Indexed as

Disease ManagementSocial SupportAdultAgedCounselingDiabetes MellitusDiet, DiabeticFemaleGlycated HemoglobinHumansMaleMexican AmericansMiddle AgedPatient ComplianceSelf CareTelephoneGlycated Hemoglobinhemoglobin A1c protein, humandiabetes controlHispanic Americanspeer support

Identifiers

PMID26304977
PMCPMC4648133

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.