Scolaris Content Display Scolaris Content Display

Sokongan panggilan telefon rakan sebaya untuk meningkatkan kesihatan

Contraer todo Desplegar todo

Abstract

disponible en

Background

Peer support telephone calls have been used for a wide range of health‐related concerns. However, little is known about their effects.

Objectives

To assess the effects of peer support telephone calls in terms of physical (e.g. blood pressure), psychological (e.g. depressive symptoms), and behavioural health outcomes (e.g. uptake of mammography) and other outcomes.

Search methods

We searched: The Cochrane Library databases (CENTRAL, DARE, CDSR) (issue 4 2007); MEDLINE (OVID) (January 1966 to December 2007); EMBASE (OVID) (January 1985 to December 2007); CINAHL (Athens) (January 1966 to December 2007), trials registers and reference lists of articles, with no language restrictions.

Selection criteria

Randomised controlled trials of peer support interventions delivered by telephone call.

Data collection and analysis

Two review authors independently extracted data. We present results narratively and in tabular format. Meta‐analysis was not possible due to heterogeneity between studies.

Main results

We included seven studies involving 2492 participants.

Peer support telephone calls were associated with an increase in mammography screening, with 49% of women in the intervention group and 34% of women in the control group receiving a mammogram since the start of the intervention (P </ = 0.001). In another study, peer telephone support calls were found to maintain mammography screening uptake for baseline adherent women (P = 0.029).

Peer support telephone calls for post myocardial infarction patients were associated at six months with a change in diet in the intervention and usual care groups of 54% and 44% respectively (P = 0.03). In another study for post myocardial infarction patients there were no significant differences between groups for self‐efficacy, health status and mental health outcomes.

Peer support telephone calls were associated with greater continuation of breastfeeding in mothers at 3 months post partum (P = 0.01).

Peer support telephone calls were associated with reduced depressive symptoms in mothers with postnatal depression (Edinburgh Postnatal Depression Scale (EPDS) > 12). The peer support intervention significantly decreased depressive symptomatology at the 4‐week assessment (odds ratio (OR) 6.23 (95% confidence interval (CI) 1.15 to 33.77; P = 0.02)) and 8‐week assessment (OR 6.23 (95% CI 1.40 to 27.84; P = 0.01).  

One study investigated the use of peer support for patients with poorly controlled diabetes. There were no significant differences between groups for self‐efficacy, HbA1C, cholesterol level and body mass index.

Authors' conclusions

Whilst this review provides some evidence that peer support telephone calls can be effective for certain health‐related concerns, few of the studies were of high quality and so results should be interpreted cautiously. There were many methodological limitations thus limiting the generalisability of findings. Overall, there is a need for further well designed randomised controlled studies to clarify the cost and clinical effectiveness of peer support telephone calls for improvement in health and health‐related behaviour.

Ringkasan bahasa mudah

Sokongan panggilan telefon rakan sebaya untuk memperbaiki kesihatan dan tingkah laku kesihatan

Sokongan telefon rakan sebaya didapati secara meluas melalui talian bantuan tetapi impaknya terhadap hasil kesihatan dan tingkah laku yang berkaitan dengan kesihatan tidak diketahui. Kami meneliti kesan sokongan panggilan telefon rakan sebaya terhadap kesihatan fizikal dan psikologi serta tingkah laku kesihatan. Tujuh kajian rawak terkawal yang dijalankan di AS, UK, Kanada dan Australia berkait dengan pelbagai keadaan dan populasi sasaran. Ia menyediakan beberapa bukti keberkesanan. Sokongan panggilan telefon rakan sebaya boleh meningkatkan pemeriksaan mammografi dalam kalangan wanita lebih daripada 40 tahun, boleh membantu pesakit menukar diet mereka dan berhenti merokok selepas serangan jantung; dan boleh membantu mengurangkan gejala kemurungan dalam kalangan ibu yang mengalami kemurungan postnatal. Penemuan‐penemuan perlu ditafsir dengan berhati‐hati. Terdapat keperluan unutuk kajian rawak terkawal yang bereka bentuk baik bagi memperjelas elemen‐elemen intervensi telefon rakan sebaya yang berkesan untuk memperbaiki kesihatan dan tingkah laku yang berkaitan dengan kesihatan.