title: The New Zealand experience in peer support interventions among people with diabetes.
abstract: BACKGROUND
  Peer-to-peer support has the potential to assist people with diabetes, or at risk of diabetes.
  
  
  OBJECTIVE
  To review the development of diabetes peer support initiatives in New Zealand.
  
  
  METHODS
  A systematic review of diabetes peer support publications from New Zealand, supplemented by unpublished records from Diabetes New Zealand (DNZ, the national diabetes patient organization) and the two major regional initiatives in South Auckland and Waikato.
  
  
  RESULTS
  DNZ, which has 40 societies and 71 diabetes support groups, delivers a range of services to members and non-members. The membership is mainly older European New Zealanders with diabetes, with some Maori and associated societies for Pacific and Youth. While demand exists, no quantitative evaluation of health impact by these organizations has been undertaken. Other peer support groups have developed in South Auckland and Northland. Common themes that emerge relate to leadership, organization and balancing the different needs of people with diabetes at different stages (e.g. newly diagnosed versus others) and with different personal needs. In South Auckland and the Waikato, lay educators have been trained to provide 1:1 and group sessions for people with, or at high risk of, diabetes. A range of training, management, funding and organizational barriers existed in the implementation of these lay educator programmes. Conclusions. Peer-to-peer support and education programmes in diabetes have been considered useful in New Zealand. Knowledge regarding training, management and organization is nearing a level, which would allow formal evaluation of a strategy for both the prevention of diabetes and in supporting people with diabetes.
authors.affiliation: Institute of Metabolic Science, Cambridge University Hospitals NHS Foundation Trust, UK. dsworkster@gmail.com <dsworkster@gmail.com>
authors.forename: D
authors.initials: D
authors.lastname: Simmons
authors.forename: Ja
authors.initials: J
authors.lastname: Voyle
authors.forename: Elaine
authors.initials: E
authors.lastname: Rush
authors.forename: Murray
authors.initials: M
authors.lastname: Dear
mesh_terms: D003153:Community Health Services / Q000458:organization & administration*; D003924:Diabetes Mellitus, Type 2 / Q000523:psychology* / Q000628:therapy; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D009520:New Zealand; D010353:Patient Education as Topic; D010379:Peer Group; D012657:Self-Help Groups / Q000458:organization & administration*