Enhancing care transitions intervention with peer support to improve outcomes among older adults with co-occurring clinical depression: a pilot study

Conner, Kyaien O.; Gum, Amber M.; Schonfeld, Lawrence; Kosyluk, Kristin; Anderson, Erica; Baker-Douglan, Jamie; Beckstead, Jason W.; Meng, Hongdao; Brown, Charlotte; Reynolds, Charles F.

doi:10.1080/01621424.2021.1967249

Cited by 5 publications

(15 citation statements)

References 31 publications

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“…The hypothesis that "peer support" has a significant impact on the attitude, usage intention, actual use, and EWB of older adults in participating in IBMS has been well supported. There were three significant factors to consider when analyzing the observed variable of peer support: firstly, in terms of technology use, this study was similar to many studies related to "peer assistance" and proved its promoting role in behavioral decision making in the older adults [15,16]. As important sources of social support for older adults, peer groups, such as friends, colleagues, and neighbors, are often used as an alternative to the "intergenerational support" of their children.…”

Section: Discussionsupporting

confidence: 70%

“…In terms of function, peer groups have a significant role in the development of individual behavior and has certain positive effects on individuals such as guidance, constraint, cohesion, motivation, and adjustment. Peer support includes information support, emotional support, and other support obtained from peer groups with similar experiences or whose members are under the same pressure or situation so as to help solve existing or potential problems [15,16].…”

Section: Effect Of Peer Support On Older Adultsmentioning

confidence: 99%

“…External support is often regarded as an important factor for older adults to accept new technologies. Previous studies on support for older adults to participate in internet services mainly focused on the study of "digital feedback" from their children and other family members, while a growing number of studies show that peer groups play an important role in the behavior decision making of older adults [13][14][15][16]. The older adults peer group is a spontaneous population, and the members of the group are roughly of the same age and social status.…”

Section: Introductionmentioning

confidence: 99%

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Internet-Based Medical Service Use and Eudaimonic Well-Being of Urban Older Adults: A Peer Support and Technology Acceptance Model

Shen

Yang

et al. 2021

IJERPH

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Currently, internet services are developing rapidly, and the relationship between specific types of internet services and the well-being of older adults is still unclear. This study took a total of 353 urban older adults aged 60 years and above as research objects to explore the impact of the use behavior toward internet-based medical services (IBMS) on their well-being through an online questionnaire. This study integrated well-being theory and peer support theory, constructed an extended structural equation model of technology acceptance based on the technology acceptance model (TAM), and analyzed the variable path relationship. The results confirm the proposed model: older adults improved their eudaimonic well-being through using IBMS; perceived usefulness significantly affected the older adults’ attitudes towards IBMS; perceived ease of use significantly affected the use of IBMS through mediation; peer support significantly affected older adults’ attitudes, willingness, actual use, and well-being in the process. This study proposes that facilitating IBMS use for older adults in the development and design of internet technology programs should be considered in order to provide them with benefits. Moreover, paying attention to peer support among older adults plays an important role in the acceptance of new technologies and improving their well-being. The “peer support” of this study expanded and contributed to the research on the impact on older adults’ well-being and the construction of a technology acceptance model. The peer support in this study extended the influence factor of eudaimonic well-being and contributed to the further development of the TAM.

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Section: Discussionsupporting

confidence: 70%

Section: Effect Of Peer Support On Older Adultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Internet-Based Medical Service Use and Eudaimonic Well-Being of Urban Older Adults: A Peer Support and Technology Acceptance Model

Shen

Yang

et al. 2021

IJERPH

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“…Feldman et al's study found that although intervention did not have any effect on the reduction of systolic blood pressure (SBP), the Black minority patients had more reduction tendency in SBP than the Hispanic patients (Feldman et al, 2020). Conner et al's study stated that Enhanced Care Transitions Intervention improved Hispanic participants' quality of life, decreased African American and Hispanic patients' perception of devaluation and discrimination, however, had no effect on their perceived symptoms (Conner et al, 2021). Additionally, it was reported that a transitional care programme had an important effect on increasing patients' primary care services use (Ohuabunwa et al, 2013).…”

Section: Resultsmentioning

confidence: 99%

“…Ethnic minority older adults' characteristics could affect how they may benefit from transitional care programmes as well as their ethnic identity (Chen et al, 2015). Older people from ethnic minorities had a generally poorer physical health status (Rayan et al, 2014), comorbidities and higher illness severity compared with older White patients (Chase et al, 2020; Chen et al, 2015; Conner et al, 2021). Additionally, ethnic minority older patients' cultural characteristics such as health locus of control and family collectivism were closely related to a high readmission rate (Rayan‐Gharra et al, 2019).…”

Section: Resultsmentioning

confidence: 99%

Transitional care of older ethnic minority patients: An integrative review

Dolu

Hayter

Serrant

2023

Journal of Advanced Nursing

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AimsTo critically synthesize the empirical literature on practice in transitional care and how to meet the care needs of older ethnic minority populations who discharged from hospital to community.DesignAn integrative literature review integrating empirical studies using the Preferred Reporting Items for Systematic Reviews and Meta‐Analyses guidelines.Data SourcesPubMed, Web of Science, PsycINFO, EBSCO (including CINAHL and MEDLINE) and Scopus were searched for papers published between 2012 and September 2022.Review MethodsFull‐text papers were screened against inclusion and exclusion criteria subsequent to screening titles and abstracts. All included papers were evaluated for methodological quality using the Critical Appraisal Skills Programme Checklists. After extracting findings, themes were created by critically examining and synthesizing of findings.ResultsThe search yielded a total of 1180 studies, 1153 after removing duplicates and 27 papers meeting the inclusion criteria and exclusion criteria were included in the review. The main findings were categorized into four themes: (i) intervention‐related outcomes; (ii) unmet needs of older minority people; (iii) transitional care–related characteristics of older minority people and (iv) challenges for healthcare providers. Findings indicated that the transitional care experience of ethnic minority older populations differed from natives to some extent which revealed unmet needs addressing how to provide culturally appropriate transitional care for this population.ConclusionThis review gave insight into facilitators in the transitional care of ethnic minority older adults. Future transitional care interventions should incorporate needs of ethnic minority population.ImpactThis review highlighted the defined gaps between existing transitional care programmes and transitional care needs of older ethnic minority. Increasing follow‐up completion, evidence defining deeply of ethnic phenomenon in the transitional care process, developing interventions that meet transitional care needs and increasing healthcare providers' cultural competency were featured headlines.No Patient or Public Contribution.

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Impact of veteran‐led peer mentorship on posttraumatic stress disorder

Franco,

Ruffalo,

Curry

et al. 2024

Journal of Traumatic Stress

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Peer mentorship shows promise as a strategy to support veteran mental health. A community–academic partnership involving a veteran‐led nonprofit organization and institutions of higher education evaluated a collaboratively developed peer mentor intervention. We assessed posttraumatic stress disorder (PTSD), postdeployment experiences, social functioning, and psychological strengths at baseline, midpoint, and 12‐week discharge using the PTSD Checklist for DSM‐5 (PCL‐5), Deployment Risk and Resilience Inventory–2, Social Adaptation Self‐evaluation Scale, and Values in Action Survey. Brief weekly check‐in surveys reinforced mentor contact and assessed retention. The sample included 307 veterans who were served by 17 veteran peer mentors. Mixed‐effects linear models found a modest effect for PTSD symptom change, with a mean PCL‐5 score reduction of 4.04 points, 95% CI [−6.44, −1.64], d = 0.44. More symptomatic veterans showed a larger effect, with average reductions of 9.03 points, 95% CI [‐12.11, ‐5.95], d = 0.77. There were no significant findings for other outcome variables. Compared to younger veterans, those aged 32–57 years were less likely to drop out by 6 weeks, aORs = 0.32–0.26. Week‐by‐week hazard of drop‐out was lower with mentors ≥ 35 years old, aHR = 0.62, 95% CI [0.37, 1.05]. Unadjusted survival differed by mentor military branch, p = .028, but the small mentor sample reduced interpretability. Like many community research efforts, this study lacked a control group, limiting the inferences that can be drawn. Continued study of veteran peer mentorship is important as this modality is often viewed as more tolerable than therapy.

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Enhancing care transitions intervention with peer support to improve outcomes among older adults with co-occurring clinical depression: a pilot study

Cited by 5 publications

References 31 publications

Internet-Based Medical Service Use and Eudaimonic Well-Being of Urban Older Adults: A Peer Support and Technology Acceptance Model

Internet-Based Medical Service Use and Eudaimonic Well-Being of Urban Older Adults: A Peer Support and Technology Acceptance Model

Transitional care of older ethnic minority patients: An integrative review

Impact of veteran‐led peer mentorship on posttraumatic stress disorder

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