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

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Title: Typology of modifications to peer support work for adults with mental health problems: systematic review.
Authors: Charles, Ashleigh (AUTHOR), Thompson, Dean (AUTHOR), Nixdorf, Rebecca (AUTHOR), Ryan, Grace (AUTHOR), Shamba, Donat (AUTHOR), Kalha, Jasmine (AUTHOR), Moran, Galia (AUTHOR), Hiltensperger, Ramona (AUTHOR), Mahlke, Candelaria (AUTHOR), Puschner, Bernd (AUTHOR), Repper, Julie (AUTHOR), Slade, Mike (AUTHOR), Mpango, Richard (AUTHOR)
Source: British Journal of Psychiatry. Jun2020, Vol. 216 Issue 6, p301-307. 7p.
Subjects: Meta-analysis, Mental work, Mental health, Occupational roles, Modifications, Mental illness, Work & psychology, Affinity groups, Research, Social support, Research methodology, Systematic reviews, Medical cooperation, Evaluation research, Comparative studies
Abstract: Background: Peer support work roles are being implemented internationally, and increasingly in lower-resource settings. However, there is no framework to inform what types of modifications are needed to address local contextual and cultural aspects.Aims: To conduct a systematic review identifying a typology of modifications to peer support work for adults with mental health problems.Method: We systematically reviewed the peer support literature following PRISMA guidelines for systematic reviews (registered on PROSPERO (International Prospective Register of Systematic Reviews) on 24 July 2018: CRD42018094832). All study designs were eligible and studies were selected according to the stated eligibility criteria and analysed with standardised critical appraisal tools. A narrative synthesis was conducted to identify types of, and rationales for modifications.Results: A total of 15 300 unique studies were identified, from which 39 studies were included with only one from a low-resource setting. Six types of modifications were identified: role expectations; initial training; type of contact; role extension; workplace support for peer support workers; and recruitment. Five rationales for modifications were identified: to provide best possible peer support; to best meet service user needs; to meet organisational needs, to maximise role clarity; and to address socioeconomic issues.Conclusions: Peer support work is modified in both pre-planned and unplanned ways when implemented. Considering each identified modification as a candidate change will lead to a more systematic consideration of whether and how to modify peer support in different settings. Future evaluative research of modifiable versus non-modifiable components of peer support work is needed to understand the modifications needed for implementation among different mental health systems and cultural settings. [ABSTRACT FROM AUTHOR]
Copyright of British Journal of Psychiatry is the property of Cambridge University Press and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Typology of modifications to peer support work for adults with mental health problems: systematic review.
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  Data: <searchLink fieldCode="AR" term="%22Charles%2C+Ashleigh%22">Charles, Ashleigh</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Thompson%2C+Dean%22">Thompson, Dean</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Nixdorf%2C+Rebecca%22">Nixdorf, Rebecca</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Ryan%2C+Grace%22">Ryan, Grace</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Shamba%2C+Donat%22">Shamba, Donat</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Kalha%2C+Jasmine%22">Kalha, Jasmine</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Moran%2C+Galia%22">Moran, Galia</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Hiltensperger%2C+Ramona%22">Hiltensperger, Ramona</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Mahlke%2C+Candelaria%22">Mahlke, Candelaria</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Puschner%2C+Bernd%22">Puschner, Bernd</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Repper%2C+Julie%22">Repper, Julie</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Slade%2C+Mike%22">Slade, Mike</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Mpango%2C+Richard%22">Mpango, Richard</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22British+Journal+of+Psychiatry%22">British Journal of Psychiatry</searchLink>. Jun2020, Vol. 216 Issue 6, p301-307. 7p.
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  Data: <searchLink fieldCode="DE" term="%22Meta-analysis%22">Meta-analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Mental+work%22">Mental work</searchLink><br /><searchLink fieldCode="DE" term="%22Mental+health%22">Mental health</searchLink><br /><searchLink fieldCode="DE" term="%22Occupational+roles%22">Occupational roles</searchLink><br /><searchLink fieldCode="DE" term="%22Modifications%22">Modifications</searchLink><br /><searchLink fieldCode="DE" term="%22Mental+illness%22">Mental illness</searchLink><br /><searchLink fieldCode="DE" term="%22Work+%26+psychology%22">Work & psychology</searchLink><br /><searchLink fieldCode="DE" term="%22Affinity+groups%22">Affinity groups</searchLink><br /><searchLink fieldCode="DE" term="%22Research%22">Research</searchLink><br /><searchLink fieldCode="DE" term="%22Social+support%22">Social support</searchLink><br /><searchLink fieldCode="DE" term="%22Research+methodology%22">Research methodology</searchLink><br /><searchLink fieldCode="DE" term="%22Systematic+reviews%22">Systematic reviews</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+cooperation%22">Medical cooperation</searchLink><br /><searchLink fieldCode="DE" term="%22Evaluation+research%22">Evaluation research</searchLink><br /><searchLink fieldCode="DE" term="%22Comparative+studies%22">Comparative studies</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: <bold>Background: </bold>Peer support work roles are being implemented internationally, and increasingly in lower-resource settings. However, there is no framework to inform what types of modifications are needed to address local contextual and cultural aspects.<bold>Aims: </bold>To conduct a systematic review identifying a typology of modifications to peer support work for adults with mental health problems.<bold>Method: </bold>We systematically reviewed the peer support literature following PRISMA guidelines for systematic reviews (registered on PROSPERO (International Prospective Register of Systematic Reviews) on 24 July 2018: CRD42018094832). All study designs were eligible and studies were selected according to the stated eligibility criteria and analysed with standardised critical appraisal tools. A narrative synthesis was conducted to identify types of, and rationales for modifications.<bold>Results: </bold>A total of 15 300 unique studies were identified, from which 39 studies were included with only one from a low-resource setting. Six types of modifications were identified: role expectations; initial training; type of contact; role extension; workplace support for peer support workers; and recruitment. Five rationales for modifications were identified: to provide best possible peer support; to best meet service user needs; to meet organisational needs, to maximise role clarity; and to address socioeconomic issues.<bold>Conclusions: </bold>Peer support work is modified in both pre-planned and unplanned ways when implemented. Considering each identified modification as a candidate change will lead to a more systematic consideration of whether and how to modify peer support in different settings. Future evaluative research of modifiable versus non-modifiable components of peer support work is needed to understand the modifications needed for implementation among different mental health systems and cultural settings. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of British Journal of Psychiatry is the property of Cambridge University Press and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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      – Type: doi
        Value: 10.1192/bjp.2019.264
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        Text: English
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        PageCount: 7
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      – SubjectFull: Meta-analysis
        Type: general
      – SubjectFull: Mental work
        Type: general
      – SubjectFull: Mental health
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      – SubjectFull: Occupational roles
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      – SubjectFull: Modifications
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      – SubjectFull: Mental illness
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      – SubjectFull: Work & psychology
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      – SubjectFull: Affinity groups
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      – SubjectFull: Research
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      – SubjectFull: Social support
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      – SubjectFull: Research methodology
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      – SubjectFull: Systematic reviews
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      – SubjectFull: Medical cooperation
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      – SubjectFull: Evaluation research
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      – SubjectFull: Comparative studies
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