Developing and testing a principle-based fidelity index for peer support in mental health services
| Autor: | Steve Gillard, K. Stepanian, E. Barlow, Rosaleen Morshead, A. Verey, J. Byrne, R. Turner, Sarah White, Lucy Goldsmith, N. Banach, Rhiannon Foster, C. McWilliam, Jacqueline Marks |
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| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Counseling
Mental Health Services Health (social science) Social Psychology Psychometrics Epidemiology media_common.quotation_subject Applied psychology education Psychological intervention Fidelity BF Randomised controlled trials HN Peer support RT Peer Group Social support 03 medical and health sciences 0302 clinical medicine Reciprocity (social psychology) Health care Humans 030212 general & internal medicine media_common Original Paper business.industry Mental Disorders Reproducibility of Results Community mental health Validation study Service provider Mental health 030227 psychiatry Fidelity index Psychiatry and Mental health RC0321 business Psychology |
| Zdroj: | Social Psychiatry and Psychiatric Epidemiology |
| ISSN: | 0933-7954 |
| Popis: | Purpose Evidence suggests that the distinctive relational qualities of peer support—compared to clinical-patient relationships—can be eroded in regulated healthcare environments. Measurement of fidelity in trials of peer support is lacking. This paper reports the development and testing of a fidelity index for one-to-one peer support in mental health services, designed to assess fidelity to principles that characterise the distinctiveness of peer support. Methods A draft index was developed using expert panels of service user researchers and people doing peer support, informed by an evidence-based, peer support principles framework. Two rounds of testing took place in 24 mental health services providing peer support in a range of settings. Fidelity was assessed through interviews with peer workers, their supervisors and people receiving peer support. Responses were tested for spread and internal consistency, independently double rated for inter-rater reliability, with feedback from interviewees and service user researchers used to refine the index. Results A fidelity index for one-to-one peer support in mental health services was produced with good psychometric properties. Fidelity is assessed in four principle-based domains; building trusting relationships based on shared lived experience; reciprocity and mutuality; leadership, choice and control; building strengths and making connections to community. Conclusions The index offers potential to improve the evidence base for peer support in mental health services, enabling future trials to assess fidelity of interventions to peer support principles, and service providers a means of ensuring that peer support retains its distinctive qualities as it is introduced into mental health services. |
| Databáze: | OpenAIRE |
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