ArticleAnnals of behavioral medicine : a publication of the Society of Behavioral Medicine2017
Examining the Support Peer Supporters Provide Using Structural Equation Modeling: Nondirective and Directive Support in Diabetes Management.
Article in Annals of behavioral medicine : a publication of the Society of Behavioral Medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled 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.
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
19 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Acceptability of community health worker and peer supported interventions for ethnic minorities with type 2 diabetes: a qualitative systematic review.Frontiers in clinical diabetes and healthcare · 2024Pooled it
- Self-management in face-to-face peer support for adults with type 2 diabetes living in low- or middle-income countries: a systematic review.BMC public health · 2020Pooled it
- Pilot Test of Mopati, a Multi-Level Adherence Intervention for People Living with HIV and Their Treatment Partners in Botswana.International journal of behavioral medicine · 2024Trial
- Directive and nondirective social support in the workplace - is this social support distinction important for subjective health complaints, job satisfaction, and perception of job demands and job control?Scandinavian journal of public health · 2018Trial
- A new taxonomy of social support: Clarifying supportive behaviours and measures.Journal of health psychology · 2026Review
- Feasibility of dyadic peer support to augment a church-based healthy lifestyle programme.Health education journal · 2023Article
- Current evidence for designing self-management support for underserved populations: an integrative review using the example of diabetes.International journal for equity in health · 2023Review
- Dyadic Peer Support to Improve Diet and Physical Activity Among African American Church Members: An Exploratory Study.Journal of religion and health · 2023Article
- Diabetes distress mediates the relationship between depressive symptoms and glycaemic control among adults with type 2 diabetes: Findings from a multi-site diabetes peer support intervention.Diabetic medicine : a journal of the British Diabetic Association · 2023Article
- Article
- 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 · 2022Article
- Social Isolation and Mental Health: The Role of Nondirective and Directive Social Support.Community mental health journal · 2022Article
- Implementation Monitoring of a Promotora-Led, Home-Based Obesity Prevention Pilot Study With Latino Preschool Children and Their Mothers.International quarterly of community health education · 2021Article
- Diabetes-specific friend support in emerging adults with type 1 diabetes: Does satisfaction with support matter?Journal of behavioral medicine · 2021Article
- Community health workers promote perceived social support among Latino men:Journal of migration and health · 2021Article
- Development and evaluation of the Directive and Nondirective Support Scale for Patients with Type 2 Diabetes.International journal of nursing sciences · 2020Article
- Standardization and adaptability for dissemination of telephone peer support for high-risk groups: general evaluation and lessons learned.Translational behavioral medicine · 2020Article
- Outcomes from a Male-to-Male Promotores Intervention in an Emerging Latino Community.Journal of immigrant and minority health · 2020Article
- Differential influences of social support on app use for diabetes self-management - a mixed methods approach.BMC medical informatics and decision making · 2020Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors.
Funding
Abstract
backgroundLittle research has examined the characteristics of peer support. Pertinent to such examination may be characteristics such as the distinction between nondirective support (accepting recipients' feelings and cooperative with their plans) and directive (prescribing "correct" choices and feelings). PURPOSE: In a peer support program for individuals with diabetes, this study examined (a) whether the distinction between nondirective and directive support was reflected in participants' ratings of support provided by peer supporters and (b) how nondirective and directive support were related to depressive symptoms, diabetes distress, and Hemoglobin A1c (HbA1c).
methodsThree hundred fourteen participants with type 2 diabetes provided data on depressive symptoms, diabetes distress, and HbA1c before and after a diabetes management intervention delivered by peer supporters. At post-intervention, participants reported how the support provided by peer supporters was nondirective or directive. Confirmatory factor analysis (CFA), correlation analyses, and structural equation modeling examined the relationships among reports of nondirective and directive support, depressive symptoms, diabetes distress, and measured HbA1c.
resultsCFA confirmed the factor structure distinguishing between nondirective and directive support in participants' reports of support delivered by peer supporters. Controlling for demographic factors, baseline clinical values, and site, structural equation models indicated that at post-intervention, participants' reports of nondirective support were significantly associated with lower, while reports of directive support were significantly associated with greater depressive symptoms, altogether (with control variables) accounting for 51% of the variance in depressive symptoms.
conclusionsPeer supporters' nondirective support was associated with lower, but directive support was associated with greater depressive symptoms.
Indexed as
Identifiers
What OpenQuestion holds
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.