Purpose The purpose of this study is to report a systematic review of reviews of evidence and gaps focused on in-person and technology-mediated diabetes peer support and its impact on clinical, behavioral, and psychosocial outcomes. Methods We conducted a systematic review of reviews in accordance with the Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) guidelines. Reviews published in English from December 1978 through December 2018 examining clinical, behavioral, and psychosocial outcomes were included. The search yielded 167 reviews that were examined for inclusion/exclusion criteria. Results Nine systematic reviews and meta-analyses meeting criteria were included. Findings suggest peer support interventions can have a positive impact on clinical (A1C, blood pressure, cholesterol, weight), behavioral (diabetes knowledge, being active, healthy eating, medication management, self-management, self-efficacy, empowerment), and psychosocial (social support, health and diabetes distress, depression, quality of life) outcomes. Research gaps exist related to understanding the effects of emerging technology-mediated peer support modalities and the effects of peer support on gestational diabetes. Conclusion Many clinical, behavioral, and psychosocial benefits related to in-person and technology-mediated peer support exist. Diabetes care and education specialists should incorporate and recommend peer support resources for people with diabetes.

中文翻译：

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糖尿病护理中的面对面和技术介导的同伴支持：评论和差距分析的系统回顾

目的 本研究的目的是报告对证据和差距的系统审查，重点是面对面和技术介导的糖尿病同伴支持及其对临床、行为和社会心理结果的影响。方法 我们根据系统评价和元分析的首选报告项目 (PRISMA) 指南对评价进行了系统评价。包括 1978 年 12 月至 2018 年 12 月以英文发表的审查临床、行为和社会心理结果的评论。搜索产生了 167 条评论，根据纳入/排除标准进行了检查。结果 包括九项符合标准的系统评价和荟萃分析。研究结果表明，同伴支持干预可以对临床（A1C、血压、胆固醇、体重）产生积极影响，行为（糖尿病知识、积极、健康饮食、药物管理、自我管理、自我效能、赋权）和社会心理（社会支持、健康和糖尿病困扰、抑郁、生活质量）结果。在理解新兴技术介导的同伴支持方式的影响以及同伴支持对妊娠糖尿病的影响方面存在研究空白。结论 存在许多与面对面和技术介导的同伴支持相关的临床、行为和社会心理益处。糖尿病护理和教育专家应为糖尿病患者整合并推荐同伴支持资源。在理解新兴技术介导的同伴支持方式的影响以及同伴支持对妊娠糖尿病的影响方面存在研究空白。结论 存在许多与面对面和技术介导的同伴支持相关的临床、行为和社会心理益处。糖尿病护理和教育专家应为糖尿病患者整合并推荐同伴支持资源。在理解新兴技术介导的同伴支持方式的影响以及同伴支持对妊娠糖尿病的影响方面存在研究空白。结论 存在许多与面对面和技术介导的同伴支持相关的临床、行为和社会心理益处。糖尿病护理和教育专家应为糖尿病患者整合并推荐同伴支持资源。