Bellon Michelle, Sando Sandi, Crocker Ruth, Farnden Jennifer, Duras Melissa
Disability and Community Inclusion, School of Health Sciences, Flinders University, Adelaide, South Australia, Australia.
Families4Families Inc., Adelaide, South Australia, Australia.
Health Soc Care Community. 2017 Jan;25(1):204-214. doi: 10.1111/hsc.12294. Epub 2015 Oct 22.
This study aimed to identify the experiences and outcomes of participation in Families4Families Inc., a peer support network for families following acquired brain injury (ABI) in South Australia. Prior to the programme's launch in January 2013, new members of the network were invited to participate in pre- and post-programme phone interviews to identify benefits and limitations of the programme, and identify outcomes of participation. Fifty-five members (20 people with ABI; 35 caregivers) participated in pre-programme interviews, with 34 repeating the final interview at the end of the 18-month pilot programme in June 2014. Interview transcripts were imported into Nvivo 10, where comments were analysed using inductive data-driven thematic analysis. Responses to rating questions were analysed using SPSS 20. Attendance records indicate that 39 of 55 participants were involved in the programme (12 active, 27 occasional) and 16 participants did not attend. Active attenders reported that they provided and received higher levels of support and information than those who attended only occasionally, including the significantly higher development of new friendships and contacts (P < 0.001). Statistically significant improvements in knowledge of services by both active and occasional attenders were reported (P = 0.014 and 0.026 respectively) with non-significant improvements for non-attenders. Qualitative analysis of interview transcripts revealed three major thematic benefits of involvement. These include the opportunity to access information, receive emotional support and give back to others in the network. Reasons for no longer participating in the network are explored. Peer support programmes can enable families to share experiences, knowledge, positive coping strategies, understanding of systems and develop new social networks that last beyond the programme. The continuing need for extended regional access is highlighted, with follow-up and referral to counselling and other services also critical to ensure members are appropriately supported through difficult personal experiences.
本研究旨在确定参与南澳大利亚州“家庭互助家庭协会”(Families4Families Inc.)的经历和成果,该协会是一个为后天性脑损伤(ABI)患者家庭提供同伴支持的网络。在该项目于2013年1月启动之前,该网络的新成员被邀请参加项目前后的电话访谈,以确定该项目的益处和局限性,并确定参与的成果。55名成员(20名后天性脑损伤患者;35名照料者)参与了项目前访谈,其中34人在2014年6月为期18个月的试点项目结束时再次接受了最终访谈。访谈记录被导入Nvivo 10软件,在该软件中,使用归纳性数据驱动主题分析法对评论进行分析。使用SPSS 20软件对评分问题的回答进行分析。出勤记录显示,55名参与者中有39人参与了该项目(12人积极参与,27人偶尔参与),16名参与者未参加。积极参与者报告称,他们提供和获得的支持及信息水平高于偶尔参与者,包括新友谊和新联系的显著增加(P < 0.001)。积极参与者和偶尔参与者在服务知识方面均有统计学意义上的显著改善(分别为P = 0.014和0.026),未参与者的改善不显著。对访谈记录的定性分析揭示了参与的三大主题益处。这些益处包括获取信息的机会、获得情感支持以及回馈网络中的其他人。探讨了不再参与该网络的原因。同伴支持项目可以使家庭分享经历、知识、积极的应对策略、对系统的理解,并建立超越项目本身的新社交网络。强调了持续需要扩大区域覆盖范围,后续跟进以及转介到咨询和其他服务对于确保成员在困难的个人经历中得到适当支持也至关重要。