Systematic ReviewJMIR rehabilitation and assistive technologies2021

Web-Based Peer Support Interventions for Adults Living With Chronic Conditions: Scoping Review.

Saima N Hossain, Susan B Jaglal, John Shepherd and 8 others

PMID 34032572

WHAT IT FOUND

Most web-based peer support programs for chronic conditions lack a clear theoretical basis and are poorly described.

While some randomized trials showed benefits like increased self-efficacy, the evidence is limited to six trials across four conditions, leaving gaps for older adults and other diseases.

Key findings

01Only 12 of the 41 included studies reported an underlying theory or model for the intervention.

02Four of the six randomized controlled trials reported significant improvements in outcomes such as self-efficacy and social participation.

03Participants valued the anonymity of web-based support, which helped reduce perceived stigma.

STILL TO COME

How it was doneWhat they found

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What it does not show

The review excluded studies on primary mental health conditions. Only English-language studies were included, potentially biasing results toward English-speaking countries. The search was limited to a six-year window (2012-2018) due to resource constraints. Many included studies had small sample sizes and weak validity or reliability of measures. Conference abstracts and oral presentations were excluded.

The easy way to misread this

Do not interpret this review as strong evidence that web-based peer support works for your specific patient. The evidence base is small, with only six randomized trials covering four conditions, and most studies lacked a theoretical framework. The findings describe what is known about the characteristics of these programs, not a definitive proof of efficacy.

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The study

Participants
41 studies
Certainty of evidence
Moderate

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    Cite

    Saima N Hossain, Susan B Jaglal, John Shepherd, et al. Web-Based Peer Support Interventions for Adults Living With Chronic Conditions: Scoping Review. JMIR rehabilitation and assistive technologies. 2021.

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