PDF(Pubmed)
Abstract：
BACKGROUND: Worldwide, peers support has been shown to play a crucial role in supporting people with mental illness in their personal recovery process and return to everyday life. Qualitiative studies underpinning the mechanisms of change in peer support has been reviewed. However, the findings are primeraly based on the perspectives of peer support workers employed in mental health services. Thus, qualitiative studies elucidating the mechanisms of change from the recipient perspective in mental health service independent civil society settings are higly needed to further contribute to the evidence of peer support. The \'Paths to every day life\' (PEER) is evaluated in a randomized trial and is substantiated by qualitative studies investigating the experiences of PEER from the perspectives of the recipients and the facilitators of peer support. The purpose of this qualitative study underpinned by critical realism was to substantiate the PEER intervention program theory by gaining deeper insight into the change mechanisms and elaborate how, when, and under what circumstances the peer support groups potentially had or did not have an impact on personal recovery from the perspectives of the recipients of peer support.
METHODS: Eleven individuals were interviewed at the end of the ten-week group course. The semi-structured realist-inspired interviews were audio recorded and transcribed verbatim. The analysis was guided by reflective thematic analysis and through an abductive framework based on the program theory. Data were coded and analysed in Nvivo software.
RESULTS: Four overarching themes were identified that informed and nuanced the program theory: 1) Connectedness as a prerequisite for engagement; 2) A sense of hope by working out new paths to recovery; 3) Seeing new sides of oneself; and 4) Sprout for change.
CONCLUSIONS: This study substantiates the program theory and the quantitative results of the PEER trial by elaborating on mechanisms that were felt to be essential for the personal recovery process from the perspectives of the recipients of the group-based peer support. In addition, the study points out that the opportunities to act in everyday life depended on individual context and where the group participants were on their recovery journey.
BACKGROUND: ClinicalTrials.gov identifier: NCT04639167.
METHODS: Eleven individuals were interviewed at the end of the ten-week group course. The semi-structured realist-inspired interviews were audio recorded and transcribed verbatim. The analysis was guided by reflective thematic analysis and through an abductive framework based on the program theory. Data were coded and analysed in Nvivo software.
RESULTS: Four overarching themes were identified that informed and nuanced the program theory: 1) Connectedness as a prerequisite for engagement; 2) A sense of hope by working out new paths to recovery; 3) Seeing new sides of oneself; and 4) Sprout for change.
CONCLUSIONS: This study substantiates the program theory and the quantitative results of the PEER trial by elaborating on mechanisms that were felt to be essential for the personal recovery process from the perspectives of the recipients of the group-based peer support. In addition, the study points out that the opportunities to act in everyday life depended on individual context and where the group participants were on their recovery journey.
BACKGROUND: ClinicalTrials.gov identifier: NCT04639167.
摘要：
背景：全球，同龄人的支持已被证明在支持精神病患者的个人康复过程和重返日常生活中起着至关重要的作用。已经审查了支持同伴支持变化机制的合格研究。然而,这些发现最初是基于从事精神卫生服务的同伴支持工作者的观点。因此，在独立于公民社会的精神卫生服务环境中,从受援者的角度阐明变革机制的有资格研究是非常需要的,以进一步为同伴支持的证据做出贡献.在一项随机试验中评估了“通往日常生活的途径”（PEER），并通过定性研究从接受者和同伴支持促进者的角度调查PEER的经验来证实。ThepurposeofthisqualitativestudybaspedbycriticalrealismwastosubstantiatethePEERinterventionprogramtheorybygainingdeeperinsightintothechangemechanismsandexteninghow,when,以及在何种情况下，从同伴支持的接收者的角度来看，同伴支持小组可能对个人康复产生影响或没有影响。
方法：在为期10周的小组课程结束时，对11名个体进行了访谈。半结构化的现实主义启发采访被录音和逐字转录。分析以反思性主题分析和基于程序理论的绑架框架为指导。在Nvivo软件中对数据进行编码和分析。
结果：确定了四个总体主题，这些主题使程序理论得到了启发和细致入微：1）将连通性作为参与的先决条件；2）通过制定新的恢复途径来产生希望感；3）看到自己的新一面；4）为变革而发芽。
结论：本研究通过从基于小组的同伴支持接受者的角度阐述个人康复过程中必不可少的机制，证实了程序理论和PEER试验的定量结果。此外,该研究指出，在日常生活中采取行动的机会取决于个人背景和小组参与者在康复过程中的位置。
背景：ClinicalTrials.gov标识符：NCT04639167。
方法：在为期10周的小组课程结束时，对11名个体进行了访谈。半结构化的现实主义启发采访被录音和逐字转录。分析以反思性主题分析和基于程序理论的绑架框架为指导。在Nvivo软件中对数据进行编码和分析。
结果：确定了四个总体主题，这些主题使程序理论得到了启发和细致入微：1）将连通性作为参与的先决条件；2）通过制定新的恢复途径来产生希望感；3）看到自己的新一面；4）为变革而发芽。
结论：本研究通过从基于小组的同伴支持接受者的角度阐述个人康复过程中必不可少的机制，证实了程序理论和PEER试验的定量结果。此外,该研究指出，在日常生活中采取行动的机会取决于个人背景和小组参与者在康复过程中的位置。
背景：ClinicalTrials.gov标识符：NCT04639167。
