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Findings indicate that PSWs choose to offer support based upon their own experiences, rejecting formal counselling therapies. This study found that peer-designed interventions do appear to have some merit.

ObjectiveA feasibility study for a randomised controlled trial to assess the acceptability, recruitment, feasibility and effectiveness of a peer support intervention for women with antenatal depression. The key premise of peer support is based upon the trust and empathetic understanding engendered by common experiences. MethodTwenty pregnant women were recruited by their community midwife using the Whooley questionnaire (Howard et al 2018) at between 28-30 weeks' gestation to ascertain their level of mood and general mental health. Women identified as having potential antenatal depression were randomly assigned into a control group (routine care alone which includes contact with a midwife and in some case an obstetric Doctor with access to a GP if required) or intervention group (6-weekly visits from a peer support worker in addition to routine care). Participants from both the control and intervention group, and the Peer Support Workers (PSWs) were then interviewed at the end of the sixweek period. All participants, and the PSW's, were also asked to keep log books during the trial to record their feelings and experiences. The results were then analysed using thematic analysis. ResultsThe analysis of qualitative data from the PSWs, and the participants in the intervention group, suggest the peer support intervention is acceptable, helpful and supportive to both pregnant women and, indeed, the PSWs. The women within the intervention group valued the peer support highly, reporting that being able to speak openly to a PSW meant that feelings of alienation, abnormality, isolation and stigma were replaced with social support, confidence, self-esteem and hope for recovery. The PSWs reported a positive impact upon their own wellbeing and a realisation that they had, indeed, moved forward with their lives. A proportion of the women randomised to the control group described feelings of disappointment and frustration with the lack of support currently available to them. ConclusionThis feasibility study suggests a full randomised controlled trial (RCT) is warranted given the high recruitment, adherence, and acceptability of the intervention to participants.

Background and objective: The provision of appropriate ‘pastoral’ support for nursing students is acknowledged to be problematic for a variety of reasons, (time constraints, staffing levels, unmanageable workloads). The need to initiate and access more suitable support is imperative – particularly in the light of the increasing number of students suffering with mental health issues. This study examines the dynamics of a student peer support programme over a two-year period. Twenty-one first year students (child field) gave fully informed consent to being involved in a peer support study. Nineteen second year students (again, child field) consented to being peer supporters for the junior students.Methods: The team, consisting of two academics and two clinicians, explored the relatively simple option of second year nursing students ‘peer supporting’ first year students in various aspects of their training over a two-year period – from social support, academic support, pastoral support and clinical support. An evaluation of the initiative was through a questionnaire at four separate intervals over the two-year period.Results: The results were hugely positive, and encouraging. Both cohorts of student found the intervention accessible, supportive, and sustainable. Peer support may be a relatively straightforward, and simple concept to assist junior nursing students in their often very complex, and overwhelming, transition.