Evidence map›Paper›PMID 31477164›Full record

Trial reportTrials2019

Using peer education to improve diabetes management and outcomes in a low-income setting: a randomized controlled trial.

Till Seuring, Marthoenis, Sabrina Rhode, Lisa Rogge, Holger Rau, Stéphane Besançon, Hendra Zufry, Hizir Sofyan, Sebastian Vollmer

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Trials, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.3field-weighted citation impact, top 19% of its field
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 24 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Innovative approaches to health promotion for older adults.Journal of education and health promotion · 2025
    Article
  5. Article
  6. "International journal of preventive medicine · 2022
    Article
  7. Article
  8. Article
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

9 authors at 7 institutions in 3 countries.

Till SeuringLeibniz Institute for Prevention Research and Epidemiology - BIPS GmbH, Achterstr. 30, 28359, Bremen, Germany.
MarthoenisJl Tgk Tanoh Abee, Darussalam, Banda Aceh, Prodi Magister Keperawatan Unsyiah, Syiah Kuala University, Banda Aceh, Aceh, 23111, Indonesia.
Sabrina RhodeHeidelberg Institute of Global Health, Heidelberg University, Im Neuenheimer Feld 130.3, 69120, Heidelberg, Germany.
Lisa RoggeLeibniz University of Hannover, Königsworther Platz 1, 30167, Hannover, Germany.
Holger RauUniversity of Göttingen, Platz der Göttinger Sieben 3, 37073, Göttingen, Germany.
Stéphane BesançonSanté Diabète, 17 avenue Malherbe, 38100, Grenoble, France.
Hendra ZufryZoeinal Abidin Hospital, Jl Daud Beureueh, Banda Aceh, Aceh, 23000, Indonesia.
Hizir SofyanJalan Teuku Nyak Arief, Darussalam, Kopelma Darussalam, Syiah Kuala University, Banda Aceh, Aceh, 23111, Indonesia.
Sebastian VollmerCentre for Modern Indian Studies (CeMIS), University of Göttingen, Waldweg 26, Altbau, 37073, Göttingen, Germany. svollmer@uni-goettingen.de.ORCID http://orcid.org/0000-0002-7863-0462
Universitas Syiah Kuala · IDUniversity of Göttingen · DEHeidelberg University · DELeibniz Institute for Prevention Research and Epidemiology - BIPS · DELeibniz University Hannover · DESanté Publique France · FRUniversitas Muhammadiyah Aceh · ID

Funding

International Diabetes Federation BR2-R1-PE1
6 · The paper itself

Abstract

backgroundDiabetes is an important health burden in Indonesia. However, diabetes management and treatment remain poor, with most people with diabetes in Indonesia not achieving the recommended blood glucose levels. Peer education may have particular potential in low-income settings in complementing diabetes care without being a large additional strain on the health system. METHODS/

designThis cluster randomized controlled trial aims to identify the effect of the implementation of peer education for patients with type 2 diabetes on diabetes-related outcomes in Aceh, Indonesia, which will complement the diabetes treatment provided at primary-care health posts (puskesmas). Altogether, 29 puskesmas were recruited in Banda Aceh and Aceh Besar, each of which was randomly assigned to either the control or the intervention group. Then, 534 people with diabetes were identified and recruited through their respective puskesmas. The intervention consists of up to two peer education groups per puskesmas, which are led by previously trained people with diabetes. Peer education sessions are held every month for 18 months, with follow-up data being collected 9 and 18 months after the first peer education session. The main objective is to improve diabetes management and the health behavior of participants receiving peer education to reduce their average blood glucose levels as measured by glycated hemoglobin (HbA1c) levels. Secondary outcomes are the effects of peer education on lipid levels, waist circumference, blood pressure, quality of life, treatment adherence, diabetes knowledge, physical activity, and dietary diversity. Data sources for the measurement of outcomes include patient and health facility surveys and biomarker measurements. An economic evaluation will be conducted to assess the cost-effectiveness of the intervention. DISCUSSION: This trial will contribute to the evidence on the effectiveness and cost-effectiveness of peer education in improving diabetes management in a low-income setting in Indonesia and in other comparable contexts.

trial registrationISRCTN registry, ISRCTN68253014 . Registered on 18 February 2019.

Indexed as

Patient Education as TopicAdultAgedDiabetes Mellitus, Type 2Glycated HemoglobinHumansMiddle AgedOutcome Assessment, Health CarePeer GroupPovertyResearch DesignGlycated Hemoglobinhemoglobin A1c protein, humanCluster randomized controlled trialCost-effectivenessDiabetesIndonesiaNon-communicable diseasesPatient-led educationPeer education

Identifiers

PMID31477164
PMCPMC6719346
OpenAlexW2971870368

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.