Intervention Review

Peer support telephone calls for improving health

  1. Jeremy Dale*,
  2. Isabela O Caramlau,
  3. Antje Lindenmeyer,
  4. Susan M Williams

Editorial Group: Cochrane Consumers and Communication Group

Published Online: 8 OCT 2008

Assessed as up-to-date: 29 DEC 2007

DOI: 10.1002/14651858.CD006903.pub2


How to Cite

Dale J, Caramlau IO, Lindenmeyer A, Williams SM. Peer support telephone calls for improving health. Cochrane Database of Systematic Reviews 2008, Issue 4. Art. No.: CD006903. DOI: 10.1002/14651858.CD006903.pub2.

Author Information

  1. Warwick Medical School, University of Warwick, Health Sciences Research Institute, Coventry, Warwickshire, UK

*Jeremy Dale, Health Sciences Research Institute, Warwick Medical School, University of Warwick, Gibbet Hill campus, Coventry, Warwickshire, CV4 7AL, UK. jeremy.dale@warwick.ac.uk.

Publication History

  1. Publication Status: Edited (no change to conclusions)
  2. Published Online: 8 OCT 2008

SEARCH

 

Abstract

  1. Top of page
  2. Abstract
  3. Plain language summary
  4. 摘要
  5. 概要

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.

 

Plain language summary

  1. Top of page
  2. Abstract
  3. Plain language summary
  4. 摘要
  5. 概要

Peer support telephone calls to improve health and health behaviours

Telephone peer support is widely available through helplines but its impact on health outcomes and health-related behaviours is largely unknown. We examined the effects of peer support telephone calls on physical and psychological health and on health behaviours. Seven randomised controlled trials conducted in the USA, UK, Canada and Australia related to a range of conditions and target populations. They provided some evidence of efficacy. Peer support telephone calls may increase mammography screening in women over 40 years, may help patients change their diet and cease smoking after a heart attack; and may help reduce depressive symptoms among mothers with postnatal depression. Findings need to be interpreted cautiously. There is a need for well designed randomised controlled studies to clarify which elements of peer telephone interventions work best to improve health and health-related behaviour.

 

摘要

  1. Top of page
  2. Abstract
  3. Plain language summary
  4. 摘要
  5. 概要

以病友團體的電話支持方式來增進健康

研究背景

病友團體的電話支持方式被廣泛用在健康議題上,但是對它的效果卻不是很清楚。

研究目的

評估病友團體電話支持在生理方面(例如:血壓)、心理方面(例如:憂鬱症狀)、行為健康結果方面(例如:做乳房攝影檢查)以及其他方面的影響。

检索方法

我們搜尋了The Cochrane Library databases (CENTRAL, DARE, CDSR) (2007年第4期); 也搜尋了MEDLINE (OVID) (1966年1月到2007年12月),同時也搜尋了EMBASE (OVID) (1985年1月到2007年12月);以及CINAHL (Athens) (1966到2007年12月),我們沒有對臨床試驗以及論文的文獻資料做語言的設限。

纳入标准

評估病友團體電話支持介入的隨機對照臨床試驗

数据收集与分析

2位評論者分別獨立摘錄數據資料。我們以敘述性並且以表格方式呈現成果。因為各研究間的異質性,所以無法做統合分析(metaanalysis)

主要结果

我們一共納入了7個研究,總共有2492位個案參與其中。我們發現病友團體的電話支持跟乳房X光攝影的篩檢率增加有關,研究開始後,實驗組以及對照組中分別有49%及34%的女性接受乳房攝影(p </ = 0.001)。在其他的研究中我們發現,病友團體的電話支持可以使原本有做乳房攝影的女性持續篩檢(P = 0.029)。我們同時發現在心肌梗塞後病人中,病友團體電話支持的實驗組以及一般常規照護組,分別有54%及44%(P = 0.03)的病人,其飲食在6個月後有改善。但在另1個心肌梗塞後的研究中,並沒有發現2組在自我效度、健康情況以及精神健康結果有任何不同。 病友團體電話支持與產後3個月仍能持續哺餵母乳(P = 0.01)有關。病友團體電話支持能降低產後憂鬱的症狀。而在4週(odds ratio (OR) 6.23 (95% confidence interval (CI) 1.15 to 33.77; P = 0.02))以及8週(OR 6.23 (95% CI 1.40 to 27.84; P = 0.01) 的評估中,我們發現病友團體電話支持的介入明顯降低憂鬱症狀。而在一個針對糖尿病控制不良病人的研究中發現,病友團體電話支持有無對這些患者而言,在自我效度、糖化血色素、膽固醇以及身體質量指數並沒有顯著差異。

作者结论

這篇評論提供一些證據,證明病友團體電話支持可以影響某些與健康有關的議題,但大多數研究的品質並不是很好,所以必須謹慎的解讀研究結果。研究方法的設計中有很多限制,所以研究結果的無法外推應用至一般病患。總體而言,將來需要一個設計嚴謹的隨機對照臨床試驗,來澄清病友團體的電話支持,在增進健康以及與健康有關的行為表現上,在臨床上是否有效並且具有成本效益。

 

概要

  1. Top of page
  2. Abstract
  3. Plain language summary
  4. 摘要
  5. 概要

以病友團體的電話支持方式來增進健康

以病友團體電話支持來增進健康以及健康行為表現:病友團體的電話支持被廣泛應用在諮詢服務,但是它對健康結果的衝擊,以及與健康有關的行為表現還不清楚。我們調查了病友團體電話支持,在生理、心理健康以及健康行為表現的影響。 我們一共納入了7個特定族群及情況的隨機對照臨床試驗,分別在在英國、美國、加拿大及澳洲進行。試驗的結果提供了一些證據,證明病友團體的電話支持可以提升40歲以上婦女乳房攝影的篩檢率;也可能幫助心臟病病患在心臟病發作後,改變他們原本的飲食習慣以及戒煙;也可以減輕生產後母親的憂鬱症狀。但我們仍然需要謹慎的解讀這些研究結果。將來也需要一些設計完善的隨機對照臨床試驗,來澄清病友團體的電話支持中,有哪些因素最能改善健康以及跟健康有關的行為。

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