2012
DOI: 10.3109/10826084.2012.644122
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Agents of Change: Peer Mentorship as HIV Prevention Among HIV-Positive Injection Drug Users

Abstract: This paper presents a qualitative investigation of peer mentoring among HIV seropositive injection drug users in a randomized controlled trial, the INSPIRE study. Qualitative analyses of 68 in-depth open-ended interviews conducted in 2005 in Baltimore, New York, Miami, and San Francisco revealed that these individuals conceptualized themselves as change agents through the identity of peer mentor at the three related domains of individual, interpersonal, and community-level change. Implications for program deve… Show more

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Cited by 15 publications
(17 citation statements)
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“…Although several programs were subsequently discontinued or reorganized (with the local health authority in some cases assuming greater control), our findings suggest that some IDU may be more receptive to peer-based service delivery models and the wider adoption of peer-based approaches should be considered. One possible explanation is that, in contrast to harm reduction programs operating under ‘provider-client’ models, whose power dynamics potentially attribute non-adherence to harm reduction practices as an individual failure (77), people who require help injecting may more readily respond to peer volunteers who share similar life experiences (78,79). …”
Section: Discussionmentioning
confidence: 99%
“…Although several programs were subsequently discontinued or reorganized (with the local health authority in some cases assuming greater control), our findings suggest that some IDU may be more receptive to peer-based service delivery models and the wider adoption of peer-based approaches should be considered. One possible explanation is that, in contrast to harm reduction programs operating under ‘provider-client’ models, whose power dynamics potentially attribute non-adherence to harm reduction practices as an individual failure (77), people who require help injecting may more readily respond to peer volunteers who share similar life experiences (78,79). …”
Section: Discussionmentioning
confidence: 99%
“…According to Skovholt's helper therapy principle (7), individuals in helping roles can receive important benefits, including increased self-esteem and enhanced sense of self. Across a variety of general medical problems and mental disorders, peer providers report that helping facilitates improved awareness and acceptance of their own condition, builds coping skills, and increases sense of purpose and selfcompetence (8)(9)(10)(11).…”
mentioning
confidence: 99%
“…Peer mentoring has been used as a health promotion strategy to build capacity and can be used within participatory research methodologies [ 22 ]. The idea and strategies for mentorship was introduced by the Peeps in February 2016 – nine months after the RAAs were hired.…”
Section: Resultsmentioning
confidence: 99%