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. 2024 Dec 31;4(12):e0004071. doi: 10.1371/journal.pgph.0004071

Table 2. Summary of the volunteers and the interventions.

Study Volunteer Description Training Intervention
Chan 2014 [49]
Yeung 2018 [56]
Peers: people with A1c < 8.0%. Time commitment: 32 hours
Content: Tutorials, case sharing, reflections, role playing, games, and activities. Focused on mindset, empathic listening, questioning skills, and counselling skills. Addressed factors that could influence blood glucose level (e.g. diet, exercise), self-monitoring of blood glucose, sick day management, foot care, emotional support, resources for information, and clinical care.
Materials: Tutorial notes, reference materials
Ongoing supports: NA
Assessment: Pre- and post-training evaluation of diabetes knowledge and psychological-behavioural measures
Length of intervention: 12 months
Time commitment: 2-hour face-to-face session, 15 minutes ≥ 12 phone calls
Volunteer role: NA
Patients per volunteer: 10
Volunteer-patient matching: NA
Materials: Resource booklet, checklist for calls
Mode: Telephone
Stipend amount: US $500
Heisler 2019 [47] Peers: people with a history of poor glycemic control (A1c ≥ 8.0%), but whose most recent A1c was < 8.0% Time commitment: 2 hours (base training), 1 hour (iDecide training), 1.5 hour/month (follow-up meetings)
Content: Motivational Interviewing-based communication skills (open-ended questions, rolling with resistance, eliciting ’change-talk’, and goal-setting and ’action planning’)
Materials: iDecide (personally tailored diabetes medication decision aid) on iPads
Ongoing supports: Monthly meetings with other peers to check-in and provide booster follow-up training
Assessment: Self-assessment and random observation of phone calls by the study team
Length of intervention: 6 months
Time commitment: 2-hour face-to-face session, ≥ 1 phone call/week
Volunteer role: During the initial face-to-face session, peers and patients identified a behavioural goal and an action plan and generated a list of questions and concerns for health care providers. During follow-up phone calls, peers and patients brainstormed solutions to barriers and set new goals and action steps
Patients per volunteer: 1–5
Volunteer-patient matching: NA
Materials: Diabetes medication guides, iDecide
Mode: Face-to-face, telephone
Stipend amount: NA
Hsu 2021 [48] Community health workers: four people selected from the community. Time commitment: 4 hours
Content: Periodontal disease and care, teaching and communication skills
Materials: Training manual containing goals and contents of each lesson
Ongoing supports: CHWs could contact research staff for support in the month prior to the intervention
Assessment: Community health worker certification test
Length of intervention: 1 month
Time commitment: 30 minutes x 4 face-to-face lessons
Volunteer role: Peers taught patients about effective toothbrushing methods and tools
Patients per volunteer: NA
Volunteer-patient matching: NA
Materials: Slide presentations, toothbrushing tools
Mode: Face-to-face
Stipend amount: US $70 per patient
Long 2020 [50] Peers: patients with a history of poor glycemic control, but whose most recent A1c was ≤ 7.5% OR previous study mentees (with no A1c restriction). Time commitment: 1 hour
Content: Mentee’s story/motivations (to help set realistic goals and provide support), dealing with failure in an accepting manner, role-playing exercises, and sample questions
Materials: NA
Ongoing supports: Staff contacted peers 1 time/month to check in and provide training reinforcements
Assessment: NA
Length of intervention: 6 months
Time commitment: ≥ 1 phone call/week
Volunteer role: NA
Patients per volunteer: 1
Volunteer-patient matching: Based on age, race/ethnicity, sex, and insulin use.
Materials: NA
Mode: Telephone
Stipend amount: US $20 per month for each month peers attempted to contact their assigned mentee
Sampson 2021 [51] Peers: people with T2DM. Time commitment: 14–17.5 hours
Content: Impact of physical activity, diet, pre-diabetes, and lifestyle on T2DM. Also role-playing exercises
Materials: NA
Ongoing supports: NA
Assessment: A mock call where the senior research associate assumed the role of trial participant to test peers in specific situation
Length of intervention: 46 months
Time commitment: ≥ 18 phone calls.
Volunteer role: Peers and patients discussed progress, goal achievement, action planning, and barriers to coping
Patients per volunteer: ≤ 7
Volunteer-patient matching: NA
Materials: NA
Mode: Telephone
Stipend amount: £350
Sazlina 2015 [52] Peers: older adults (≥ 60 years) with successfully managed T2DM who lived in the same community as participants. Time commitment: 2 days
Content: Interactive discussions, simulations, and role-plays to improve peers’ ability to provide support through telephone and face-to-face contacts
Materials: NA
Ongoing supports: Two fortnightly and two monthly debriefing meetings over the 12-week intervention
Assessment: Assessments by the research team at monthly clinic visits with their peers
Length of intervention: 3 months
Time commitment: 3 face-to-face meetings, 3 phone calls
Volunteer role: Peers and patients discussed barriers and motivations, and peers encouraged patients to become empowered to increase their physical activity to self-manage their diabetes
Patients per volunteer: 3–5
Volunteer-patient matching: NA
Materials: NA
Mode: Face-to-face, telephone
Stipend amount: NA
Siminerio 2013 [53] Peers: patients who had previously attended diabetes self-management education selected based on their communication skills and willingness to participate (no A1c restriction). Time commitment: 2–3 hours
Content: Information about active listening, empowerment, and behavioural approaches. Also role-playing exercises to practice skills
Materials: NA
Ongoing supports: Peers could contact a Certified Diabetes Educator or their Primary Care Provider
Assessment: Human subject modules of the associated universities
Length of intervention: 6 months
Time commitment: ≥ 5 phone calls
Volunteer role: Peers and patients engaged in a patient-centred discussion regarding the patient’s behavioural goal and barriers to achieving their goal
Patients per volunteer: NA
Volunteer-patient matching: NA
Materials: Telephone scripts, behavioural goal forms
Mode: Telephone
Stipend amount: NA
Sreedevi 2017 [54] Peers: three people with T2DM (RPG < 250 mg/dL) selected from the community based on their adherence to treatment, and capacity to be a successful mentor. Time commitment: 2 days
Content: A physician explained diabetes, glycaemic control, and medications and their synergies with physical activity. A nutritionist explained the nutritional aspects of diabetes. A psychologist provided training in communication skills, empathy, and confidentiality
Materials: Training manual (based on peers for progress handbook)
Ongoing supports: NA
Assessment: NA
Length of intervention: 3 months
Time commitment: 45–60 minutes x 1 face-to-face meeting/week, 1 phone call/week
Volunteer role: During the initial session, peers collected treatment details and went over the functions of peer support. During follow-up sessions, peers and patients discussed diet, exercise, medication, emotional stress, diabetes symptoms, foot care, and more. During the final sessions, the peer conducted a final process assessment
Patients per volunteer: 13–14
Volunteer-patient matching: NA
Materials: Diary (for patients)
Mode: Face-to-face, telephone
Stipend amount: NA
Tang 2022 [55] Peers: patients with A1c < 8.0%. Time commitment: 30 hours
Content: Knowledge, skills, and strategies to address (1) assistance in daily self-management, (2) social and emotional support, and (3) linkage to clinical care. In particular, skills in motivating and empowering patients, active listening, goal-setting and action planning, and problem solving
Materials: NA
Ongoing supports: NA
Assessments: Formative and summative assessments of five domains: diabetes-related knowledge, empowerment-based facilitation, active listening, goal-setting, and perceived self-efficacy. Also ’spot check’ phone calls made by the research team to peers
Length of intervention: 12 months
Time commitment: 1 face-to-face meeting, 29 phone calls
Volunteer role: Peers and patients discussed challenges, feelings and questions about self-management, solved problems, and set goals and develop action plans
Patients per volunteer: NA
Volunteer-patient matching: Based on gender and geographical proximity.
Materials: NA
Mode: Face-to-face, telephone
Stipend amount: CAD $400 following training, then $20 per participant per month [86]

Abbreviations: CHW = Community Health Worker; NA = Not Available; T2DM = Type 2 Diabetes Mellitus