{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T22:58:15Z","timestamp":1791673095064,"version":"4.3.4"},"reference-count":15,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2015,2,21]],"date-time":"2015-02-21T00:00:00Z","timestamp":1424476800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"Peers for Progress program of the American Association of Family Physicians Foundation supported by the Eli Lilly and Company Foundation, lnc."}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Diabet. Med."],"published-print":{"date-parts":[[2015,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aims<\/jats:title><jats:p>To examine the effectiveness of a community\u2010based multilevel peer support intervention in addition to usual diabetes care on improving glycaemic levels, blood pressure and lipids in patients with Type 2 diabetes in Yaound\u00e9, Cameroon.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A total of 96 subjects with poorly controlled Type 2 diabetes (intervention group) and 96 age\u2010 and sex\u2010matched controls were recruited and followed up over 6\u00a0months. The intervention subjects underwent a peer support intervention through peer\u2010led group meetings, personal encounters and telephone calls. Both intervention subjects and controls continued their usual clinical care. HbA<jats:sub>1c<\/jats:sub>, blood pressure, blood lipids and self\u2010care behaviours were measured at 0 and 6\u00a0months.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>There was significant reduction in HbA<jats:sub>1c<\/jats:sub> in the intervention group [\u201333\u00a0mmol\/mol (\u20133.0%)] compared with controls [\u201314\u00a0mmol\/mol (\u20131.3%)]; <jats:italic>P<\/jats:italic>\u00a0&lt;\u00a00.001. Peer support also led to significant reductions in fasting blood sugar (\u20130.83\u00a0g\/l <jats:italic>P<\/jats:italic>\u00a0&lt;\u00a00.001), cholesterol (\u20130.54\u00a0g\/l <jats:italic>P<\/jats:italic>\u00a0&lt;\u00a00.001), <jats:styled-content style=\"fixed-case\">HDL<\/jats:styled-content> (\u20130.09\u00a0g\/l, <jats:italic>P<\/jats:italic>\u00a0&lt;\u00a00.001), <jats:styled-content style=\"fixed-case\">BMI<\/jats:styled-content> (\u20132.71\u00a0kg\/m\u00b2 <jats:italic>P<\/jats:italic>\u00a0&lt;\u00a00.001) and diastolic pressure (\u20136.77\u00a0mmHg, <jats:italic>P<\/jats:italic>\u00a0&lt;\u00a00.001) over the 6\u2010month period. Also, diabetes self\u2010care behaviours in the intervention group improved significantly over the 6\u00a0months of peer support.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Community\u2010based peer support, in addition to usual care, significantly improved metabolic control in patients with uncontrolled Type\u00a02 diabetes in Yaound\u00e9, Cameroon. This could provide a model for optimizing diabetes care and control in other settings with limited healthcare and financial resources.<\/jats:p><\/jats:sec>","DOI":"10.1111\/dme.12720","type":"journal-article","created":{"date-parts":[[2015,2,7]],"date-time":"2015-02-07T13:22:45Z","timestamp":1423315365000},"page":"886-889","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":46,"title":["Community\u2010based peer support significantly improves metabolic control in people with Type 2 diabetes in Yaound\u00e9, Cameroon"],"prefix":"10.1111","volume":"32","author":[{"given":"F. K.","family":"Assah","sequence":"first","affiliation":[{"name":"Health of Populations in Transition Research Group Yaound\u00e9 Cameroon"},{"name":"Department of Public Health Faculty of Medicine and Biomedical Sciences Yaound\u00e9 Cameroon"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"E. N.","family":"Atanga","sequence":"additional","affiliation":[{"name":"Health of Populations in Transition Research Group Yaound\u00e9 Cameroon"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S.","family":"Enoru","sequence":"additional","affiliation":[{"name":"Health of Populations in Transition Research Group Yaound\u00e9 Cameroon"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"E.","family":"Sobngwi","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine University of Yaound\u00e9 1 Yaound\u00e9 Cameroon"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J. C.","family":"Mbanya","sequence":"additional","affiliation":[{"name":"Health of Populations in Transition Research Group Yaound\u00e9 Cameroon"},{"name":"Department of Internal Medicine University of Yaound\u00e9 1 Yaound\u00e9 Cameroon"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2015,2,21]]},"reference":[{"key":"e_1_2_8_2_1","volume-title":"IDF Diabetes Atlas","author":"International Diabetes Federation","year":"2011"},{"key":"e_1_2_8_3_1","volume-title":"Country Estimate Table 2011","author":"International Diabetes Federation","year":"2011"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.2337\/diacare.23.7.943"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-5491.2005.01644.x"},{"key":"e_1_2_8_6_1","article-title":"Peer\u2010support care models for patients with diabetes","author":"Heisler M","year":"2011","journal-title":"Forum"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1089\/10872910252806135"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.2011.0914"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12529-014-9412-8"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1177\/0145721712444617"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199309303291401"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.321.7258.405"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1177\/0145721708325886"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1093\/fampra\/cmp085"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc10-2081"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-156-6-201203200-00004"}],"container-title":["Diabetic Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fdme.12720","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/dme.12720","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,23]],"date-time":"2023-09-23T18:43:43Z","timestamp":1695494623000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/dme.12720"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,2,21]]},"references-count":15,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2015,7]]}},"alternative-id":["10.1111\/dme.12720"],"URL":"https:\/\/doi.org\/10.1111\/dme.12720","archive":["Portico"],"relation":{},"ISSN":["0742-3071","1464-5491"],"issn-type":[{"value":"0742-3071","type":"print"},{"value":"1464-5491","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,2,21]]},"assertion":[{"value":"2015-02-04","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2015-02-21","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}