Peer Support in Health Care and Prevention: Cultural, Organizational, and Dissemination Issues

Fisher, Edwin B.; Coufal, Muchieh Maggy; Parada, Humberto; Robinette, Jennifer B.; Tang, Patrick Y.; Urlaub, Diana M.; Castillo, Claudia G.; Guzman-Corrales, Laura; Hino, Sayaka; Hunter, Jaimie C.; Katz, Ariana; Symes, Yael; Worley, Heidi; Xu, Cuirong

doi:10.1146/annurev-publhealth-032013-182450

Cited by 104 publications

(103 citation statements)

References 97 publications

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“…The accumulated stress of continuously being faced with cumulative losses and difficult dynamics can all have profound effects on professional coping abilities (Showalter, 2010;Waskiewich et al, 2012). Without interventions aimed at the opportunity for managing difficult emotions post death of a resident, UCPs are left struggling in silence regarding their interpretation and/or meaning concerning their reactions to the death of residents (Funk, Waskiewich, & Stajduhar, 2013-2014.…”

Section: Disenfranchised Griefmentioning

confidence: 99%

“…Based on this perspective, a peer debriefing intervention could assist UCPs through their grief, and also assist in the development of a plan to manage and support each other. Peer support programs are best delivered when they are unique and address contextual issues such as limitations on time, social stigma and culture, as well as support of management (Fisher et al, 2014). Based on the above concepts, further literature was explored to develop and support a process that could be used as part of a peer intervention.…”

Section: Peer Support Debriefing As An Intervention To Mitigate Disenmentioning

confidence: 99%

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Developing and Implementing Peer-Led Intervention to Support Staff in Long-Term Care Homes Manage Grief

et al. 2016

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Front-line staff in long-term care (LTC) homes often form strong emotional bonds with residents. When residents die, staffs’ grief often goes unattended, and may result in disenfranchised grief. The aim of this article is to develop, implement, and assess the benefits of a peer-led debriefing intervention to help staff manage their grief and provide LTC homes an organizational approach to support them. This research was nested within a 5-year participatory action research to develop and implement palliative care programs within four LTC homes in Canada. Data specific to this debriefing intervention included questionnaires from six peer debriefers, field observations of six debriefings, and qualitative interviews with 23 staff participants. An original peer-led debriefing intervention (INNPUT) for LTC home staff was developed and implemented. Data revealed that the intervention offered staff an opportunity to express grief in a safe context with others, an opportunity for closure and acknowledgment. The INNPUT intervention benefits staff and offers an innovative, sustainable, easy to use strategy for LTC homes.

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Section: Disenfranchised Griefmentioning

confidence: 99%

Section: Peer Support Debriefing As An Intervention To Mitigate Disenmentioning

confidence: 99%

Developing and Implementing Peer-Led Intervention to Support Staff in Long-Term Care Homes Manage Grief

et al. 2016

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“…The intervention considered the 4 key functions of peer support: assistance with diabetes management in daily living such as problem-solving barriers to medication use; social/ emotional support such as how to communicate effectively with family members about one's needs; linkages to health care such as knowing where to go to obtain specialty services; and ongoing support over time. 24,26 Recruitment of Peer Leaders Peer leader recruitment was based on volunteerism research, which suggests that volunteers may be more motivated and more satisfied with their volunteer experience if they became involved to better them-selves. 27 Thus, despite the collectivistic nature of the Latino community, 28 recruitment materials were framed as an opportunity to develop new skills and network as peer leaders.…”

Section: Interventionmentioning

confidence: 99%

Puentes hacia una mejor vida (Bridges to a Better Life): Outcome of a Diabetes Control Peer Support Intervention

Ayala

Ibarra

Cherrington

et al. 2015

The Annals of Family Medicine

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PURPOSE Peer support can promote diabetes control, yet research on feasible and effective peer support models is lacking. This randomized controlled trial tested a volunteer-based model of peer support for diabetes control.METHODS Thirty-four volunteer peer leaders were recruited and trained to provide support to 5 to 8 patients each through telephone contact, in-person, individual, and group support. Planned dose was 8 contacts, preferably in the first 6 months. Patients with uncontrolled diabetes were randomly sampled from the medical records of 3 community clinics. After a baseline interview and medical records review to obtain baseline values for the primary outcome, HbA 1c , 336 patient participants were randomly assigned to a 12-month peer support intervention or usual care. The assessment protocol was repeated at 6 and 12 months after baseline. RESULTSThirty peer leaders delivered an average of 4 contacts each per assigned participant (range 1-24). Despite the lack of intervention fidelity, the intervention was effective at reducing glycated hemoglobin (HbA 1c ) among intervention as compared with usual care participants (P=0.05). Similar trends were observed in frequency of meeting fruit and vegetable guidelines (P =0.09), a secondary outcome. Counterintuitively, usual care participants reported checking their feet more days out of 7 than intervention participants (P =0.03).CONCLUSIONS Given the modest changes we observed, combined with other evidence for peer support to promote diabetes control, additional research is needed on how to modify the system of care to increase the level of peer support delivered by volunteers.Ann Fam Med 2015;13(Suppl_1):S9-S17. doi: 10.1370/afm.1807. States (9.3% in 2012). 1 Rates are higher among Mexican-Americans (13.9%), among those who live near the US-Mexico border (14.7% on the US side, for instance) 2 and among residents of rural areas. INTRODUCTION D iabetes is prevalent in the United3 Health care use remains low in rural border communities, 4,5 and health care is underused for managing diabetes. 6,7 Research is needed on how to promote glycemic control in rural border communities.Controlling diabetes requires engaging in healthy behaviors such as exercise, self-monitoring, controlling symptoms, and using medication and health care properly. 8 An educator, potentially a peer leader, 9,10 can help persons with diabetes develop the necessary skills to make these behaviors part of their daily lives. In Latino and other racial/ethnic and low-income communities, community health workers (CHWs) often serve as educators and peer leaders, facilitating access to health care, training in selfmanagement behaviors, and providing emotional support. 9,[11][12][13][14][15][16][17][18][19] CHWs are typically members of the communities they serve and have direct or indirect experience with the health issue of interest.11 Most CHW interventions with Latinos to promote diabetes control have involved paid CHWs serving in various roles within a health care system or a community-...

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“…50,51 In the United States, peer support programs, primarily involving CHWs, have been organized on three predominant fiscal models:…”

Section: Fiscal Models For Supporting Peer Supportmentioning

confidence: 99%

“…12 This legislative interest in peer support is a reflection of its efficacy, [13][14][15][16][17][18] particularly its cost-effectiveness and success in reaching the "hardly reached"-at-risk groups that preventive service and care management programs often fail to engage. 19 Despite the face validity of peer support and its growing evidence base, the incorporation of peer support programs into medical homes is still developmental. 20,21 This article introduces the peer support model and outlines approaches to the functional integration of this resource into medical homes.…”

mentioning

confidence: 99%

Enriching Patient-Centered Medical Homes Through Peer Support

Daaleman

Fisher

2015

The Annals of Family Medicine

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Peer supporters are recognized by various designations-community health workers, promotores de salud, lay health advisers-and are community members who work for pay or as volunteers in association with health care systems or nonprofit community organizations and often share ethnicity, language, and socioeconomic status with the mentees that they serve. Although emerging evidence demonstrates the efficacy of peer support at the community level, the adoption and implementation of this resource into patient-centered medical homes (PCMHs) is still under development. To accelerate that integration, this article addresses three major elements of peer support interventions: the functions and features of peer support, a framework and programmatic strategies for implementation, and fiscal models that would support the sustained viability of peer support programs within PCMHs.Key functions of peer support include assistance in daily management of healthrelated behaviors, social and emotional support, linkage to clinical care, and longitudinal or ongoing support. An organizational model of innovation implementation provides a useful framework for determining how to implement and evaluate peer support programs in PCMHs. Programmatic strategies that can be useful in developing peer support programs within PCMHs include peer coaching or mentoring, group self-management training, and programs designed around the telephone and information technology. Fiscal models for peer support programs include linkages with hospital or health care systems, service-or community-based nonprofit organizations, and partnerships between health care systems and community groups. Peer support promises to enrich PCMHs by activating patients in their self-care, providing culturally sensitive outreach, and opening the way for partnerships with community-based organizations.

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Peer Support in Health Care and Prevention: Cultural, Organizational, and Dissemination Issues

Cited by 104 publications

References 97 publications

Developing and Implementing Peer-Led Intervention to Support Staff in Long-Term Care Homes Manage Grief

Developing and Implementing Peer-Led Intervention to Support Staff in Long-Term Care Homes Manage Grief

Puentes hacia una mejor vida (Bridges to a Better Life): Outcome of a Diabetes Control Peer Support Intervention

Enriching Patient-Centered Medical Homes Through Peer Support

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