Peer Mentoring for Health Behavior Change: A Systematic Review

Background: Peer mentoring can be a powerful complement to health instruction. Mentoring has been used to change health behaviors and promote sustainable lifestyle patterns in adults and, more recently, among adolescents. Purpose: This article reviews the use of peer mentoring to promote health practices and describes how this approach can be used in school settings. Methods: A systematic review of the literature identified evaluation studies on the effectiveness of peer mentoring for promoting health behavior change is presented. Results: A growing literature supports peer mentoring as an effective approach to health behavior change. Peer mentoring allows for the incorporation of skill-building activities; reinforcement of self-regulation activities; engagement in individual and group activities; and social support to meet personal health goals. Translation to Health Education Practice: With peer mentors, the promotion of health behavior change can be tailored to personal interests, talents, and the contextual environment. Mentoring programs can benefit schools by establishing social networks using positive role models of health behaviors as mentors.

[1]  A. A. D. Alves da Cunha,et al.  Effectiveness of home‐based peer counselling to promote breastfeeding in the northeast of Brazil: A randomized clinical trial , 2005 .

[2]  C. Holloman,et al.  Comparing the Effects of Teen Mentors to Adult Teachers on Child Lifestyle Behaviors and Health Outcomes in Appalachia , 2013, The Journal of school nursing : the official publication of the National Association of School Nurses.

[3]  M. Chesney,et al.  Adherence to isoniazid prophylaxis in the homeless: a randomized controlled trial. , 2000, Archives of internal medicine.

[4]  Guy S. Parcel,et al.  How individuals, environments, and health behaviors interact: Social cognitive theory. , 2008 .

[5]  A. Stoddard,et al.  Promoting breast and cervical cancer screening at the workplace: results from the Woman to Woman Study. , 2001, American journal of public health.

[6]  S. Huttly,et al.  Effect of community-based peer counsellors on exclusive breastfeeding practices in Dhaka, Bangladesh: a randomised controlled trial , 2000, The Lancet.

[7]  Michael J. Karcher.  The Study of Mentoring in the Learning Environment (SMILE): A Randomized Evaluation of the Effectiveness of School-based Mentoring , 2008, Prevention Science.

[8]  J. Hackman,et al.  A randomized, controlled trial of interventions to improve adherence to isoniazid therapy to prevent tuberculosis in injection drug users. , 2001, The American journal of medicine.

[9]  L. LoSciuto,et al.  The Mentoring Factor: Evaluation of the Across Ages' Intergenerational Approach to Drug Abuse Prevention , 1999 .

[10]  J. Simoni,et al.  A randomized controlled trial of a peer support intervention targeting antiretroviral medication adherence and depressive symptomatology in HIV-positive men and women. , 2007, Health psychology : official journal of the Division of Health Psychology, American Psychological Association.

[11]  A. Giuliano,et al.  The Impact of a Promotora on Increasing Routine Chronic Disease Prevention among Women Aged 40 and Older at the U.S.-Mexico Border , 2004, Health education & behavior : the official publication of the Society for Public Health Education.

[12]  Penny M. Ayers,et al.  YouthFriends: Outcomes from a School-Based Mentoring Program , 2005, Journal of Primary Prevention.

[13]  A. Anderson,et al.  A randomized trial assessing the efficacy of peer counseling on exclusive breastfeeding in a predominantly Latina low-income community. , 2005, Archives of pediatrics & adolescent medicine.

[14]  Tom Baranowski,et al.  How individuals, environments, and health behavior interact : Social learning theory , 1990 .

[15]  R. Pérez‐Escamilla,et al.  Effectiveness of breastfeeding peer counseling in a low-income, predominantly Latina population: a randomized controlled trial. , 2004, Archives of pediatrics & adolescent medicine.

[16]  David L. DuBois,et al.  Youth Mentoring: Theory, Research, and Practice. , 2005 .

[17]  J. Rankin,et al.  The effect of a programme of organised and supervised peer support on the initiation and duration of breastfeeding: a randomised trial. , 2006, The British journal of general practice : the journal of the Royal College of General Practitioners.

[18]  David L. DuBois,et al.  GirlPOWER! Strengthening mentoring relationships through a structured, gender-specific program. , 2010, New directions for youth development.

[19]  B. Israel,et al.  Social networks and social support. , 2008 .

[20]  Naida Silverthorn,et al.  Natural mentoring relationships and adolescent health: evidence from a national study. , 2005, American journal of public health.

[21]  A. Sanabria,et al.  Randomized controlled trial. , 2005, World journal of surgery.

[22]  S Audrey,et al.  An informal school-based peer-led intervention for smoking prevention in adolescence (ASSIST): a cluster randomised trial , 2008, The Lancet.

[23]  Á. Leite,et al.  Effectiveness of home-based peer counselling to promote breastfeeding in the northeast of Brazil: a randomized clinical trial. , 2005, Acta paediatrica.

[24]  Matthew E. Dupre,et al.  Mentoring as a Drug Prevention Strategy: An Evaluation of Across Ages , 2000 .

[25]  C. Dennis.  Breastfeeding peer support: maternal and volunteer perceptions from a randomized controlled trial. , 2002, Birth.

[26]  S. Lamb,et al.  Can lay-led walking programmes increase physical activity in middle aged adults? A randomised controlled trial , 2002, Journal of epidemiology and community health.

[27]  E. Dornelas,et al.  The Effects of Peer Counseling on Smoking Cessation and Reduction , 2003, Obstetrics and gynecology.

[28]  Laureen H Smith.  Cross-age peer mentoring approach to impact the health outcomes of children and families. , 2011, Journal for Specialists in Pediatric Nursing.

[29]  S. Rankin,et al.  Comparing Interventions in Older Unpartnered Adults after Myocardial Infarction , 2006, European journal of cardiovascular nursing : journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology.

[30]  J. Brooks-Gunn,et al.  What Exactly Is a Youth Development Program? Answers From Research and Practice , 2003 .

[31]  R. Blum,et al.  Reducing the Risk: Connections that Make a Difference in the Lives of Youth. , 1997 .

[32]  R. Dunn,et al.  A two-step intervention of increase mammography among women aged 65 and older. , 1997, American journal of public health.

[33]  A. Rosenblum,et al.  Effects of Peer Mentoring on HIV-Affected Youths' Substance Use Risk and Association with Substance Using Friends , 2005 .

[34]  D. Swendeman,et al.  HIV Prevention Among Sex Workers in India , 2004, Journal of acquired immune deficiency syndromes.

[35]  Carol Carr,et al.  Improving multiple behaviors for colorectal cancer prevention among african american church members. , 2004, Health psychology : official journal of the Division of Health Psychology, American Psychological Association.

[36]  Kim Fromme,et al.  Prevention of heavy drinking and associated negative consequences among mandated and voluntary college students. , 2004, Journal of consulting and clinical psychology.

[37]  J. Sallis,et al.  Evaluation of a university course to promote physical activity: project GRAD. , 1999, Research quarterly for exercise and sport.

[38]  G. Kuperminc,et al.  Integration of Mentoring with other Programs and Services , 2005 .

[39]  Yongming Ding,et al.  Implementation and quantitative evaluation of chronic disease self-management programme in Shanghai, China: randomized controlled trial. , 2003, Bulletin of the World Health Organization.

[40]  K. Lorig,et al.  Hispanic Chronic Disease Self-Management: A Randomized Community-Based Outcome Trial , 2003, Nursing research.

[41]  Wei Wang,et al.  An outcome evaluation of the Sources of Strength suicide prevention program delivered by adolescent peer leaders in high schools. , 2010, American journal of public health.

[42]  K. Emmons,et al.  Peer-delivered smoking counseling for childhood cancer survivors increases rate of cessation: the partnership for health study. , 2005, Journal of clinical oncology : official journal of the American Society of Clinical Oncology.

[43]  Laureen H Smith.  Piloting the use of teen mentors to promote a healthy diet and physical activity among children in Appalachia. , 2011, Journal for specialists in pediatric nursing : JSPN.

[44]  Sylvia Vassileva,et al.  Prevention of HIV and sexually transmitted diseases in high risk social networks of young Roma (Gypsy) men in Bulgaria: randomised controlled trial , 2006, BMJ : British Medical Journal.