{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T19:11:22Z","timestamp":1782846682167,"version":"3.54.5"},"reference-count":0,"publisher":"American Diabetes Association","license":[{"start":{"date-parts":[[2025,3,31]],"date-time":"2025-03-31T00:00:00Z","timestamp":1743379200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.diabetesjournals.org\/journals\/pages\/license"}],"funder":[{"DOI":"10.13039\/100011421","name":"Sanofi China","doi-asserted-by":"crossref","id":[{"id":"10.13039\/100011421","id-type":"DOI","asserted-by":"crossref"}]},{"name":"China Scholarship Council Grant"},{"name":"Shanghai Municipal Health Commission Grant","award":["JKKPYC-2022-12"],"award-info":[{"award-number":["JKKPYC-2022-12"]}]},{"name":"UNC-Michigan Peer Support Core of the Michigan Center for Diabetes Translational Research","award":["P30 DK092926"],"award-info":[{"award-number":["P30 DK092926"]}]},{"DOI":"10.13039\/501100012232","name":"National Key Clinical Specialty Discipline Construction Program of China","doi-asserted-by":"publisher","award":["Z155080000004"],"award-info":[{"award-number":["Z155080000004"]}],"id":[{"id":"10.13039\/501100012232","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Shanghai Key Discipline of Public Health","award":["GWVI-11.1-20"],"award-info":[{"award-number":["GWVI-11.1-20"]}]},{"DOI":"10.13039\/501100012151","name":"Sanming Project of Medicine in Shenzen Municipality","doi-asserted-by":"publisher","award":["SZSM202311019"],"award-info":[{"award-number":["SZSM202311019"]}],"id":[{"id":"10.13039\/501100012151","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Shanghai Municipal Grant","award":["2022ZZ01002"],"award-info":[{"award-number":["2022ZZ01002"]}]},{"name":"The Merck"},{"DOI":"10.13039\/100001547","name":"China Medical Board","doi-asserted-by":"publisher","award":["24-559"],"award-info":[{"award-number":["24-559"]}],"id":[{"id":"10.13039\/100001547","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["diabetesjournals.org"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec>\n                  <jats:title>OBJECTIVE<\/jats:title>\n                  <jats:p>To evaluate the effectiveness of community-based peer support for diabetes self-management with HbA1c and other clinical and psychosocial outcomes over 24 months.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>RESEARCH DESIGN AND METHODS<\/jats:title>\n                  <jats:p>This study used an intervention comparison design with 12 intervention communities and 4 comparison communities matched according to location in urban or suburban areas. A community organization approach was used to integrate standardization of key messages and patient education protocols, along with adaptation and innovation among multiple community partners. The primary outcome was HbA1c; secondary outcomes included BMI, fasting plasma glucose (FPG), systolic and diastolic blood pressure, LDL cholesterol (LDL-C), depressive symptoms (PHQ-8), diabetes distress, and general quality of life (EQ-5D).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>RESULTS<\/jats:title>\n                  <jats:p>The analyses included 967 participants completing both the baseline and follow-up assessment. Intervention communities versus comparison communities were older (mean age 66.43 vs. 63.45 years), included more women (57.1% vs. 45.5%), and had longer diabetes duration (mean 7.95 vs. 6.40 years). Significant improvements were found for HbA1c (7.42% [58 mmol\/mol] vs. 7.95% [63 mmol\/mol]), BMI (25.31 vs. 25.94 kg\/m2), FPG (7.91 vs. 8.59 mmol\/L), and depressive symptoms (PHQ-8 score 1.39 vs. 1.41), favoring intervention communities, after adjusting for baseline values of outcome measures and confounders (P \u2264 0.028). No interactions were found with age (&amp;lt;65 vs. \u226565 years). Men showed modestly greater diastolic blood pressure reduction, and women showed a minor increase of LDL-C in intervention communities. These analyses by age or sex and sensitivity analyses with missing data imputation supported the robustness of findings.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>CONCLUSIONS<\/jats:title>\n                  <jats:p>Culturally adapted and appropriate community-based peer support for diabetes management may improve clinical and psychosocial outcomes at 24 months among people with diabetes.<\/jats:p>\n               <\/jats:sec>","DOI":"10.2337\/dc24-2748","type":"journal-article","created":{"date-parts":[[2025,3,31]],"date-time":"2025-03-31T17:48:17Z","timestamp":1743443297000},"update-policy":"https:\/\/doi.org\/10.2337\/ada-journal-policies","source":"Crossref","is-referenced-by-count":5,"title":["Community-Based Peer Support for Diabetes Management: 24-Month Changes Relative to Comparison Communities"],"prefix":"10.2337","author":[{"given":"Yuexing","family":"Liu","sequence":"first","affiliation":[{"name":"1Department of Endocrinology and Metabolism, Shanghai Sixth People\u2019s Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai Diabetes Institute, Shanghai Clinical Center for Diabetes, Shanghai Key Clinical Center for Metabolic Disease, Shanghai Research Center for Endocrine and Metabolic Diseases, Shanghai Key Laboratory of Diabetes Mellitus, Shanghai, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chun","family":"Cai","sequence":"additional","affiliation":[{"name":"1Department of Endocrinology and Metabolism, Shanghai Sixth People\u2019s Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai Diabetes Institute, Shanghai Clinical Center for Diabetes, Shanghai Key Clinical Center for Metabolic Disease, Shanghai Research Center for Endocrine and Metabolic Diseases, Shanghai Key Laboratory of Diabetes Mellitus, Shanghai, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jiahe","family":"Tian","sequence":"additional","affiliation":[{"name":"2School of Public Health, Shanghai Jiao Tong University School of Medicine, Shanghai, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Li","family":"Shen","sequence":"additional","affiliation":[{"name":"1Department of Endocrinology and Metabolism, Shanghai Sixth People\u2019s Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai Diabetes Institute, Shanghai Clinical Center for Diabetes, Shanghai Key Clinical Center for Metabolic Disease, Shanghai Research Center for Endocrine and Metabolic Diseases, Shanghai Key Laboratory of Diabetes Mellitus, Shanghai, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patrick Y.","family":"Tang","sequence":"additional","affiliation":[{"name":"3Peers for Progress, Department of Health Behavior, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Muchieh Maggy","family":"Coufal","sequence":"additional","affiliation":[{"name":"4Asian Center for Health Education, Plano, TX"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hongli","family":"Chen","sequence":"additional","affiliation":[{"name":"1Department of Endocrinology and Metabolism, Shanghai Sixth People\u2019s Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai Diabetes Institute, Shanghai Clinical Center for Diabetes, Shanghai Key Clinical Center for Metabolic Disease, Shanghai Research Center for Endocrine and Metabolic Diseases, Shanghai Key Laboratory of Diabetes Mellitus, Shanghai, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Megan S.","family":"Evans","sequence":"additional","affiliation":[{"name":"5Department of Psychiatry, Yale School of Medicine, New Haven, CT"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yiqing","family":"Qian","sequence":"additional","affiliation":[{"name":"6Center for Equity in Aging, Johns Hopkins University School of Nursing, Baltimore, MD"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wenya","family":"Yu","sequence":"additional","affiliation":[{"name":"2School of Public Health, Shanghai Jiao Tong University School of Medicine, Shanghai, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaoyu","family":"Wu","sequence":"additional","affiliation":[{"name":"7Department of Health Promotion, Shanghai Municipal Health Commission, Shanghai, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaobing","family":"Wu","sequence":"additional","affiliation":[{"name":"8Department of Cardio-Cerebrovascular and Diabetes Prevention and Control, Shenzhen Center for Chronic Disease Control, Shenzhen, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Edwin B.","family":"Fisher","sequence":"additional","affiliation":[{"name":"3Peers for Progress, Department of Health Behavior, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Weiping","family":"Jia","sequence":"additional","affiliation":[{"name":"1Department of Endocrinology and Metabolism, Shanghai Sixth People\u2019s Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai Diabetes Institute, Shanghai Clinical Center for Diabetes, Shanghai Key Clinical Center for Metabolic Disease, Shanghai Research Center for Endocrine and Metabolic Diseases, Shanghai Key Laboratory of Diabetes Mellitus, Shanghai, China"},{"name":"9Institute for Proactive Healthcare of Shanghai Jiao Tong University, Shanghai, China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1167","published-online":{"date-parts":[[2025,3,31]]},"container-title":["Diabetes Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/diabetesjournals.org\/care\/article-pdf\/doi\/10.2337\/dc24-2748\/802724\/dc242748.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/diabetesjournals.org\/care\/article-pdf\/doi\/10.2337\/dc24-2748\/802724\/dc242748.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,3,31]],"date-time":"2025-03-31T17:48:28Z","timestamp":1743443308000},"score":1,"resource":{"primary":{"URL":"https:\/\/diabetesjournals.org\/care\/article\/doi\/10.2337\/dc24-2748\/158051\/Community-Based-Peer-Support-for-Diabetes"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,3,31]]},"references-count":0,"URL":"https:\/\/doi.org\/10.2337\/dc24-2748","relation":{},"ISSN":["0149-5992","1935-5548"],"issn-type":[{"value":"0149-5992","type":"print"},{"value":"1935-5548","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,3,31]]},"article-number":"dc242748"}}