Table 2.
Themes emerging from the included papers from the two identified models of peer support: diabetic patients and community health workers
MODEL 1: DIABETIC PATIENTS | MODEL 2: COMMUNITY HEALTH WORKERS | ||
---|---|---|---|
THEME 1: RECRUITMENT | |||
SUB-THEME: | SUB-THEME: | ||
1. Responsibility | Recruited by healthcare professionals at the clinic or by the research team [30, 31, 35] | ||
2. Origin | From the local community [30, 31, 33–35] | 1. Origin | CHWs from the local community from existing CHW infrastructure [32, 36, 38, 39] |
THEME 2: SELECTION | |||
SUB-THEME: | SUB-THEME: | ||
1. Criteria: | Good glycaemic control [30, 31, 35, 40] | 1. Criteria |
Education levels Some high school education [36, 38]; high school diploma [41]; primary education [41] |
Leadership qualities [30, 33–35, 40] |
Experience Two years of training; healthcare or community experience; subjected to an entrance examination [41] |
||
Achieve pass mark [34] | Achieve pass mark [37, 39] | ||
THEME 3: TRAINING | |||
SUB-THEME: | SUB-THEME: | ||
1. Provision | Health-care specialists [30, 31, 33, 35] | 1. Provision |
Health-care specialists [36, 39] Trainers, trained by research members [38] |
2. Duration |
Three days [30] Four days [34] |
2. Duration |
Initial four-days, followed by two days [36] Initial five days followed by five days [39] Four eight-hour days, followed by four hours per month for six months [38] 10 eight-hour days [32] Initial six hours, two hours follow-up [37] |
3. Content |
Diabetes-specific information [31, 33, 35, 40] Communication skills [30, 31, 34, 35, 40] |
3. Content |
Diabetes-specific information [32, 36–39] Communication skills [32, 36, 38, 39] |
4. Theoretical basis for training |
Socio-constructivist theory [34] Social cognitive theory [35] |
4. Theoretical basis for training | Motivational interviewing principles [36, 38, 39] |
THEME 4: MODE OF PEER INTERVENTION | |||
SUB-THEME: | SUB-THEME: | ||
1. Group interventions | [30, 33, 34, 40] | 1. Group interventions | [36, 37, 39, 41] |
2. Individual interventions | [31, 35] | 2. Individual interventions | [32, 38] |
3. Additional strategy | Telephone [30, 31, 35, 40] | 3. Additional strategy to group intervention | Individual face-to-face [37, 39, 41] |
THEME 5: FREQUENCY OF PEER INTERVENTION | |||
SUB-THEME: | SUB-THEME: | ||
1. Weekly | [30, 31, 33] | 1. Weekly | [32, 39, 41] |
2. Monthly | [30, 34, 35, 40] | 2. Monthly | [36, 38, 41] |
3. Three-monthly | [37, 41] | ||
THEME 6: DURATION OF PEER INTERVENTION | |||
SUB-THEME: | SUB-THEME: | ||
1. Four weeks | Follow-up at three and six months [33] | 1. 40 days | [32] |
2. Three months |
[31] Follow-up at weeks 24 and 35 [35] |
2. Four months | [36, 39, 41] |
3. Six months | [30, 40] | 3. Six months | [37, 38, 41] |
4. 12 months | [34] | 4. 12 months | [41] |
THEME 7: SUPERVISION OF PEERS | |||
SUB-THEME: | SUB-THEME: | ||
1. Audio-recording | Group meetings were recorded and provided to research team for feedback [30] | 1. Evaluation of CHWs | CHWs were evaluated by researcher at health centre and given feedback [36, 38] |
2. Telephone contact | The research team contacted the peer supporters weekly [30] | ||
3. Debriefing meetings | Two fortnightly and two-monthly debriefing meetings [35] | ||
4. Clinic visits | Supervision at the monthly clinic visits, feedback was provided [35] |