A systematic review of peer mentoring interventions for people with traumatic brain injury

Morris, Richard; Fletcher-Smith, Joanna; Radford, Kathryn

doi:10.1177/0269215516676303

Cited by 33 publications

(23 citation statements)

References 33 publications

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“…Typically for individuals living with an injury or illness (e.g. cancer, TBI), a peer is someone who has lived experience with the injury/illness that they can draw on when providing support (20). However, youth recovering from concussion often define their peers more broadly as any friend, classmate, or teammate regardless of personal concussion history (10,19).…”

Section: Introductionmentioning

confidence: 99%

Social support during youth concussion recovery

et al. 2020

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Purpose: We explored the lived experience of high-school aged girls receiving social support during concussion recovery to better understand (1) how they define meaningful social support and barriers/ facilitators to receiving it; (2) who provides that support; and (3) the role of peers. Methods: In person, semi-structured interviews were conducted with 10 girls (aged 14-19 years) with a personal history of concussion. Results: Close friends, youth with personal history of concussion, and parents were identified as key providers of meaningful social support during concussion recovery. Participants identified specific examples of support provided by each group. Close friends built a sense of social inclusion that mitigated feelings of social isolation. Youth with a personal history of concussion used their lived experiences to communicate empathy and validate the participant's challenges. Parents assisted with practical challenges (e.g. accessing accommodations) by leveraging their "adult power". Participants identified that lack of understanding of their lived experiences was a key barrier to receiving support. They proposed solutions focused on education initiatives highlighting personal accounts from youth with concussion, and specific examples of how peers can help. Conclusions: Fostering social support may require strategies tailored to each group of key providers as they mitigate different challenges in recovery.

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Section: Introductionmentioning

confidence: 99%

Social support during youth concussion recovery

et al. 2020

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“…Psychosocial resources for trauma patients including educational materials, counseling, peer mentorship, and support groups are not widespread among trauma systems; therefore, prior investigation of their use is limited. Peer mentorship programs are most notable among patients with spinal cord injuries,27 28 TBI29 or for military veterans 21. Several positives include heightened self-efficacy, better coping mechanisms and bolstered use of mental health resources 21 27–29…”

Section: Discussionmentioning

confidence: 99%

Implementing psychosocial programming at a level 1 trauma center: results from a 5-year period

Simske

Rivera

Breslin

et al. 2020

Trauma Surg Acute Care Open

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BackgroundThe primary goal of the present study is to describe the psychosocial support services provided at our institution and the evolution of such programming through time. This study will also report the demographics and injury patterns of patients using available resources.MethodsTrauma Recovery Services (TRS) is a social and psychological support program that provides services and resources to patients and families admitted to our hospital. It includes a number of different services such as emotional coaching from licensed counselors, educational materials, peer mentorship from trauma survivors, monthly support groups, post-traumatic stress disorder (PTSD) screening and programming for victims of crime. Patients using services were prospectively recorded by hired staff, volunteers and students who engaged in distributing programming. Demographics and injury characteristics were retrospectively gathered from patient’s medical records.ResultsFrom May of 2013 through December 2018, a total of 4977 discrete patients used TRS at an urban level 1 trauma center. During the study period, 31.4% of the 15 640 admitted adult trauma patients were exposed to TRS and this increased from 7.2% in 2013 to 60.1% in 2018. During the period of 5.5 years, 3317 patients had ‘direct contact’ (coaching and/or educational materials) and 1827 patients had at least one peer visit. The average number of peer visits was 2.7 per patient (range: 2–15). Of the 114 patients who attended support groups over 4 years, 55 (48%) attended more than one session, with an average of 3.9 visits (range: 2–10) per patient. After the establishment of PTSD screening and Victims of Crime Advocacy and Recovery Program (VOCARP) services in 2017, a total of 482 patients were screened for PTSD and 974 patients used VOCARP resources during the period of 2 years, with substantial growth from 2017 to 2018.ConclusionsHospital-provided resources aimed at educating patients, expanding support networks and bolstering resiliency were popular at our institution, with nearly 5000 discrete patients accessing services during a period of 5.5 years. Moving forward, greater investigation of program usage, development, and efficacy is necessary.Level of evidenceLevel II therapeutic.

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“…Consequently, this injury can decrease engagement in activities, impair relationships and cause social isolation among this population 4. Rehabilitation programmes provided by interprofessional teams focus on restoring impairments, the ability to perform activities of daily living, relationships, work and social life 5…”

Section: Introductionmentioning

confidence: 99%

“…Two recent systematic reviews have been conducted on peer support for individuals with acquired brain injury undergoing rehabilitation4 and peer mentoring interventions for people with TBI 5…”

Section: Introductionmentioning

confidence: 99%

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Ontario Brain Injury Association Peer Support Program: a mixed methods protocol for a pilot randomised controlled trial

et al. 2019

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IntroductionThe objective of this study is to conduct a pilot randomised controlled trial (RCT) of the Ontario Brain Injury Association (OBIA) Peer Support Program. The RCT is designed to evaluate the effectiveness and dose–response of the Peer Support Program in improving participation and mood for people with moderate-to-severe traumatic brain injury compared with a wait-list control group.Methods and analysisThe proposed research is a three-phase, mixed methods pilot RCT. Consistent with an integrated knowledge translation approach, the study design has been informed in consultation with the knowledge user (ie, OBIA). It will include an initial qualitative examination of barriers and enablers to the trial implementation (phase 1), a pilot RCT (phase 2) and conclude with a qualitative component (phase 3). A qualitative descriptive approach will be adopted for both qualitative phases of the study (n=20–25) and thematic analysis will be used. The 6 months phase-2 trial will be conducted with 60 participants. These participants will be randomised to one of three groups: a twice a week programme (n=20), a once a week programme (n=20) or the wait-list control group (n=20). The feasibility of participant recruitment and retention, data collection, as well as participant adherence to the OBIA Peer Support Program will be evaluated. The primary outcome measure will be participation, as measured by the Participation Assessment with Recombined Tools–Objective. Other proposed outcomes of interest will include mood, health-related quality of life and self-efficacy.Ethics and disseminationEthics approval will be obtained from the principal author’s institution (University Health Network Research Ethics Board). The results of this study will inform the development of a larger scale RCT and will inform future iterations of the OBIA Peer Support Program including a revised programme curriculum.Trial registration numberNCT03450460; Pre-results.

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A systematic review of peer mentoring interventions for people with traumatic brain injury

Cited by 33 publications

References 33 publications

Social support during youth concussion recovery

Social support during youth concussion recovery

Implementing psychosocial programming at a level 1 trauma center: results from a 5-year period

Ontario Brain Injury Association Peer Support Program: a mixed methods protocol for a pilot randomised controlled trial

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