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

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Title: A systematic review of influences on implementation of peer support work for adults with mental health problems.
Authors: Ibrahim, Nashwa (AUTHOR), Thompson, Dean (AUTHOR), Nixdorf, Rebecca (AUTHOR), Kalha, Jasmine (AUTHOR), Mpango, Richard (AUTHOR), Moran, Galia (AUTHOR), Mueller-Stierlin, Annabel (AUTHOR), Ryan, Grace (AUTHOR), Mahlke, Candelaria (AUTHOR), Shamba, Donat (AUTHOR), Puschner, Bernd (AUTHOR), Repper, Julie (AUTHOR), Slade, Mike (AUTHOR)
Source: Social Psychiatry & Psychiatric Epidemiology. Mar2020, Vol. 55 Issue 3, p285-293. 9p.
Subjects: Mental work, Peer pressure, Mental health, Meta-analysis, AMED (Information retrieval system), Bibliographic databases, Online databases, Multitrait multimethod techniques
Geographic Terms: Tanzania, Uganda
Abstract: 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. [ABSTRACT FROM AUTHOR]
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Database: Psychology and Behavioral Sciences Collection
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Abstract:<bold>Purpose: </bold>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.<bold>Methods: </bold>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).<bold>Results: </bold>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.<bold>Conclusion: </bold>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. [ABSTRACT FROM AUTHOR]
ISSN:09337954
DOI:10.1007/s00127-019-01739-1