Typology of modifications to peer support work for adults with mental health problems: systematic review

Charles, Ashleigh; Thompson, Dean M.; Nixdorf, Rebecca; Ryan, Grace; Shamba, Donat; Kalha, Jasmine; Moran, Galia S.; Hiltensperger, Ramona; Mahlke, Candelaria; Puschner, Bernd; Repper, Julie; Slade, Mike; Mpango, Richard

doi:10.1192/bjp.2019.264

Cited by 22 publications

(26 citation statements)

References 40 publications

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“…In addition, we would suggest that we have demonstrated that our approach to operationalising an analysis of organisational support for peer support is feasible and might be pursued in future reviews, subject to the availability of suitable data. Continued improvement in reporting peer support interventions might usefully include good description of the organisational support provided for peer workers [88].…”

Section: Discussionmentioning

confidence: 99%

The effectiveness of one-to-one peer support in mental health services: a systematic review and meta-analysis

et al. 2020

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Background Peer support is being introduced into mental health services internationally, often in response to workforce policy. Earlier systematic reviews incorporate different modalities of peer support (i.e. group and one-to-one), offer inconsistent evidence of effectiveness, and also indicate substantial heterogeneity and issues of quality in the evidence base at that time. An updated review, focussed on one-to-one peer support, is timely given current policy interest. This study aims to systematically review evidence for the effectiveness of one-to-one peer support interventions for adults using mental health services, and to explore heterogeneity in peer support interventions. Method We searched MEDLINE, PsycINFO, Embase, CINAHL and Cochrane databases from inception until 13 June 2019. Included studies were assessed for risk of bias, and meta-analyses conducted where multiple trials provided usable data. Results Twenty-three studies reporting nineteen trials were eligible, providing data from 3329 participants. While seven trials were of low to moderate risk of bias, incomplete reporting of data in many studies suggested bias in the evidence base. Peer support interventions included peer workers in paraclinical roles (e.g. case manager), providing structured behavioural interventions, or more flexible support for recovery. Meta-analyses were conducted for eleven outcomes, with evidence that one-to-one peer support may have a modest positive impact on self-reported recovery and empowerment. There was no impact on clinical symptoms or service use. Analyses of heterogeneity suggest that peer support might improve social network support. Conclusions One-to-one peer support in mental health services might impact positively on psychosocial outcomes, but is unlikely to improve clinical outcomes. In order to better inform the introduction of peer support into mental health services, improvement of the evidence base requires complete reporting of outcome data, selection of outcomes that relate to intervention mechanisms, exploration of heterogeneity in the implementation of peer support and focused reviews of specific types of one-to-one peer support. Trial registration Prospero identifier: CRD42015025621.

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Section: Discussionmentioning

confidence: 99%

The effectiveness of one-to-one peer support in mental health services: a systematic review and meta-analysis

et al. 2020

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“…The possibility of publication bias and heterogeneity in included papers are also limitations. Fifth, included publications were not analysed by diagnosis of PSW or target population, since peer support is a transdiagnostic intervention [43]. Finally, whilst strength of theme was used to order the identified influences, the magnitude and mechanisms of each influence were not investigated.…”

Section: Strengths and Limitationsmentioning

confidence: 99%

A systematic review of influences on implementation of peer support work for adults with mental health problems

Ibrahim

Thompson

Nixdorf

et al. 2019

Soc Psychiatry Psychiatr Epidemiol

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161

185

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Purpose The evidence base for peer support work in mental health is established, yet implementation remains a challenge. The aim of this systematic review was to identify influences which facilitate or are barriers to implementation of mental health peer support work. Methods Data sources comprised online databases (n = 11), journal table of contents (n = 2), conference proceedings (n = 18), peer support websites (n = 2), expert consultation (n = 38) and forward and backward citation tracking. Publications were included if they reported on implementation facilitators or barriers for formal face-to-face peer support work with adults with a mental health problem, and were available in English, French, German, Hebrew, Luganda, Spanish or Swahili. Data were analysed using narrative synthesis. A six-site international survey [Germany (2 sites), India, Israel, Tanzania, Uganda] using a measure based on the strongest influences was conducted. The review protocol was pre-registered (Prospero: CRD42018094838). Results The search strategy identified 5813 publications, of which 53 were included. Fourteen implementation influences were identified, notably organisational culture (reported by 53% of papers), training (42%) and role definition (40%). Ratings on a measure using these influences demonstrated preliminary evidence for the convergent and discriminant validity of the identified influences. Conclusion The identified influences provide a guide to implementation of peer support. For services developing a peer support service, organisational culture including role support (training, role clarity, resourcing and access to a peer network) and staff attitudes need to be considered. The identified influences provide a theory base to prepare research sites for implementing peer support worker interventions.

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“…Vote-counting was used as a descriptive tool to indicate the strength of each theme. This has previously been used in other systematic reviews adopting a narrative synthesis (Charles et al, 2020). For stage 2, the relationships within and between studies were explored.…”

Section: Discussionmentioning

confidence: 99%

Post-traumatic Growth in Psychosis: A Systematic Review and Narrative Synthesis

Ibrahim

Franklin³

et al. 2021

Preprint

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Background and Objective: People with psychosis report experiences of highly traumatic events. Positive change or post-traumatic growth (PTG) can occur as a result of traumatic experiences. Yet there is limited attention on PTG in psychosis, possibly due to the negative impact of psychotic symptoms on functioning and quality of life. The aim of this review was to identify relationships between PTG and psychosis and to develop a conceptual framework synthesising facilitators of PTG in psychosis.Method: Ten electronic databases were searched in seven languages, whilst five journals and grey literature were searched in English. Quantitative studies were eligible if examining the association or temporal relationship between PTG and one or more variables. Qualitative studies were eligible if describing PTG arising from experiences of psychosis. Findings from quantitative papers were grouped by their analysis method, whilst a narrative synthesis was conducted of findings in qualitative papers.Results: 37 papers were included. Mediators of PTG in psychosis included meaning in life, coping self-efficacy, core beliefs, and self-reported recovery. Seven facilitators of PTG in psychosis were identified: Personal identity and strength, Receiving support, Opportunities and possibilities, Strategies for coping, Perspective shift, Emotional experience, and Relationships, giving the acronym PROSPER.Conclusions: Individuals with psychosis can grow from traumatic experiences. Clinicians can support PTG through the provision of trauma-informed care that supports positively valued identity changes. For researchers, the findings provide an evidence-based theoretical framework for conceptualising PTG, which can be validated through longitudinal cohort studies and underpin the development of new clinical interventions.

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Typology of modifications to peer support work for adults with mental health problems: systematic review

Cited by 22 publications

References 40 publications

The effectiveness of one-to-one peer support in mental health services: a systematic review and meta-analysis

The effectiveness of one-to-one peer support in mental health services: a systematic review and meta-analysis

A systematic review of influences on implementation of peer support work for adults with mental health problems

Post-traumatic Growth in Psychosis: A Systematic Review and Narrative Synthesis

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