Skip to content

Peer Support: The Power of Changing Together

Source: Lifestyle in Healthcare Coalition | With contributions from Jeroen Lammers (cardiologist, member Advisory Board Je Leefstijl Als Medicijn) and Lizette Tabak (experience expert)

  • Peer support is support from peers with similar experiences and health goals
  • 75% of participants maintain behavior changes longer with group support
  • Peer support strengthens self-management, improves health outcomes and reduces healthcare pressure
  • It is complementary to professional care, not replacing it
  • Quality criteria: safety, trained facilitators, continuity, scientific foundation

Peer support is support from people who have similar health goals and experiences. Participants share experiences, inspire each other and provide four forms of support:

Type of supportDescription
Emotional supportUnderstanding, recognition and a listening ear from someone who understands
Informational supportTips, advice and practical information from personal experience
Practical supportConcrete help with daily challenges
Appreciative supportAffirmation, encouragement and celebrating successes

Peer support can be informal — through neighbors, friends or partners — or organized within programs. It can take place online or in-person, individually or in groups, adapted to participants’ needs.


“An experienced patient reaches my clients differently than I as a healthcare provider.”Connie Hoek, dietitian

Behavioral scientist Pepijn van Empelen (TNO) explains that peer support is effective because of:

  • Recognition: Peers understand what you’re going through without explanation
  • Equality: No hierarchy as in healthcare provider-patient relationships
  • Social learning: Seeing that others can do it gives confidence that you can too
  • Accountability: Shared responsibility keeps everyone sharp
  • Strengthens personal control and self-management
  • Leads to better health outcomes
  • Reduces low-complexity care questions to the GP
  • Provides emotional support at moments of relapse
  • Reduces pressure on healthcare providers
  • Creates more sustainable care models
  • Increases job satisfaction among professionals
  • Lowers healthcare costs in the long term

Lizette Tabak: “From diagnosis to village coach”

Section titled “Lizette Tabak: “From diagnosis to village coach””

Lizette's story

Lizette Tabak (63) is a medical pedicurist and foot reflex therapist in Someren, Netherlands. Four years ago, she received the diagnosis of type 2 diabetes during a routine check. She was constantly tired, had brain fog, and her blood glucose and blood pressure were dangerously elevated.

Instead of starting medication immediately, she negotiated with her practice nurse to first try lifestyle adjustments herself. The turning point came when she discovered the online support group “Diabetes 2 Doorbreken” (Breaking Through Diabetes 2) from Je Leefstijl Als Medicijn Foundation.

BenefitLizette’s experience
AccessibleThe group is accessible to everyone
Shared experienceMembers discuss similar challenges
Practical tipsMembers answer each other’s questions
Hope and confidenceOthers’ success shows that change is possible
ResilienceSetbacks are seen as temporary, not as failure

From severely sedentary to 10-kilometer running

Section titled “From severely sedentary to 10-kilometer running”

“Starting from severe inactivity in 2019, I gradually built up to running an hour daily. Recently I completed a 10-kilometer run. My cholesterol and blood pressure have stabilized and my blood glucose remains stable — thanks to peer support.”Lizette Tabak

Motivated by her own transformation, Lizette now organizes:

  • Walking groups in her village through the Bas van de Goor Foundation
  • Affordable cooking courses for healthy eating at the community center

Jeroen Lammers: “We underutilize peer support”

Section titled “Jeroen Lammers: “We underutilize peer support””

A cardiologist's perspective

Jeroen Lammers is a cardiologist and lifestyle physician at Elkerliek Hospital and a member of the Advisory Board of Je Leefstijl Als Medicijn Foundation. He advocates for healthcare providers to actively refer patients to peer support.

“In the hospital, we deliver reactive care, but ultimately the patient holds the key themselves. We underutilize peer support due to unfamiliarity, while missing significant opportunities.”dr. Jeroen Lammers, cardiologist

Lammers identifies the lifestyle clinic as crucial for matching patients with suitable initiatives. Peer support groups are often:

  • Accessible — easy to access for everyone
  • Free — no financial barrier
  • In the community — close to home, in familiar surroundings

Healthcare providers have limited time. Peer support offers what they cannot:

  • Continuous support outside consultation hours
  • Emotional support at vulnerable moments
  • Practical tips from people who have experienced it themselves

4. Shared Decision Making: The foundation for person-centered care

Section titled “4. Shared Decision Making: The foundation for person-centered care”

Effective peer support begins with Shared Decision Making — an approach where patient and healthcare provider jointly determine appropriate care.

StepHealthcare provider action
1Communicate available treatment options
2Ask about preferences for involvement
3Discuss all options, including not treating
4Explain pros and cons
5Verify the patient understands
6Explore values and circumstances
7Make a decision together

Dominique Sprengers from the Dutch Patient Federation introduced a simple tool:

  1. What are my options?
  2. What are the pros and cons?
  3. What does this mean for my situation?

John van Loenhout started “Ontmoeten & Wandelen” (Meet & Walk) for the Prostate Cancer Foundation. Prostate cancer patients walk together and share experiences in an informal setting. The program has since expanded to multiple locations beyond Nijmegen.

Nelleke Cools, director of Hoofdpijnnet (Headache Network), presented the “Schrijfcafe” (Writing Cafe) — a creative format where migraine patients support each other through writing exercises and shared stories.

The online community of Je Leefstijl Als Medicijn Foundation where thousands of people support each other in reversing type 2 diabetes through lifestyle change.

Diabetes 2 Doorbreken

Online community of Je Leefstijl Als Medicijn with ZWEM accountability and active group facilitation.

More information →


Not all peer support is equal. The whitepaper from the Lifestyle in Healthcare Coalition identifies five quality criteria:

CriterionWhat to look for
Safety & opennessDoes the group respect autonomy and privacy?
Trained facilitatorsAre facilitators trained in group facilitation?
ContinuityIs the organization stable and sustainable?
Scientific foundationIs there evidence for the approach?
Medical advisorIs there access to professional advice?

7. Peer support in practice: tips for healthcare providers

Section titled “7. Peer support in practice: tips for healthcare providers”
  1. Actively ask about interest in peer contact
  2. Know local initiatives in the community
  3. Refer to proven effective programs
  4. Follow up during subsequent consultations
  1. Integrate peer support in the discharge conversation
  2. Collaborate with lifestyle clinics
  3. Share experiences with colleagues about successful referrals
  1. Ask your healthcare provider about peer support options
  2. Search online for groups that fit your situation
  3. Try different formats — online, in-person, walking, etc.
  4. Don’t give up after one try — it takes time to find your place

Download whitepaper

The complete whitepaper “The power of peer support in lifestyle change” with practical tools for healthcare professionals.

Download whitepaper →

Listen to the podcast

Listen to the podcast “The power of peer support” with Lizette Tabak, Pepijn van Empelen, Jeroen Lammers and others.

Spotify → | Apple Podcasts →


Peer support is not a luxury but an essential part of effective lifestyle care. The combination of recognition, equality and continuous support makes the difference between temporary attempts and sustainable behavior change.

“Group support helps maintain motivation during difficult periods; setbacks become recovery moments.”Lizette Tabak

Healthcare providers who actively refer patients to peer support initiatives invest not only in better health outcomes but also in a more sustainable healthcare system.


Join the community

Je Leefstijl Als Medicijn offers one of the most active peer support communities in the Netherlands for people who want to reverse type 2 diabetes. With the online group “Diabetes 2 Doorbreken” and the weekly ZWEM program, you experience the power of peer support.

Both Lizette Tabak (experience expert) and Jeroen Lammers (cardiologist, Advisory Board member) are affiliated with the foundation.


Veelgestelde vragen

What is peer support in lifestyle change?

Peer support is support from peers who have similar health goals and experiences. People share experiences, inspire each other and provide emotional, informational, practical and appreciative support. This can be informal (through neighbors or partners) or organized within programs - online or in-person, individually or in groups.

What are the benefits of peer support?

Peer support strengthens patients' self-management, leads to better health outcomes, improves conversations with healthcare providers and reduces pressure on healthcare by handling low-complexity care questions. Additionally, 75% of participants maintain behavior changes longer than without group support.

How do I recognize a good peer support group?

Look for: safety, openness and respect for autonomy; trained group facilitators; organizational continuity; scientific foundation; and availability of a medical advisor. A good group offers an accessible, equal environment where participants can share their experiences.

Does peer support replace professional care?

No, peer support is complementary to professional care. It supplements what healthcare providers cannot offer due to time constraints: emotional support at vulnerable moments when relapse risk is highest. Peer support is not a side issue but essential for effective care and a powerful prevention tool.

What is ZWEM at Je Leefstijl Als Medicijn?

ZWEM stands for 'Zaterdag Wegen en Meten' (Saturday Weighing and Measuring). Every week, members report their HbA1c values, weight and waist circumference on a digital platform. This collective accountability strengthens commitment to nutrition, exercise, stress management and other health pillars.

How can healthcare providers refer patients to peer support?

Healthcare providers can actively refer patients to local or online peer support groups. Lifestyle clinics play a key role by matching patients with suitable initiatives in the community. Groups are often accessible, free and low-threshold.


Medische Disclaimer: De informatie van Stichting Je Leefstijl Als Medicijn over leefstijl, ziektes en stoornissen mag niet worden opgevat als medisch advies. In geen geval adviseren wij mensen om hun bestaande behandeling te veranderen. We raden mensen met chronische aandoeningen aan om zich over hun behandeling goed door bevoegde medische professionals te laten adviseren.

Medical Disclaimer: The information provided by Stichting Je Leefstijl Als Medicijn regarding lifestyle, diseases, and disorders should not be construed as medical advice. Under no circumstances do we advise people to alter their existing treatment. We recommend that people with chronic conditions seek advice regarding their treatment from qualified medical professionals.