US Department of Veterans Affairs Health Services Research and Development Center for Health Information and Communication, Roudebush VA Medical Center, Indianapolis, IN, USA; Regenstrief Institute, Indianapolis, IN, USA; Department of Communication Studies, Indiana University-Purdue University, Indianapolis, IN, USA; Department of Medicine, Indiana University School of Medicine, Indianapolis, IN, USA.
Department of Biostatistics, Indiana University School of Medicine, Indianapolis, IN, USA.
Patient Educ Couns. 2020 Jul;103(7):1366-1372. doi: 10.1016/j.pec.2020.02.007. Epub 2020 Feb 5.
Although peer coaching can help patients manage chronic conditions, few studies have evaluated the effects of peer coaching on coaches, and no studies have systematically examined these effects in the context of chronic pain coaching.
Peer coach outcomes were assessed as part of a randomized trial of peer coaching for chronic pain. In this exploratory analysis, linear mixed models were used to evaluate changes in peer coaches' pain and related outcomes from baseline to 6 and 9 months. The Šidák method was used to account for multiple comparisons.
Peer coaches (N = 55) experienced statistically significant increases in anxiety and pain catastrophizing from baseline to 6 months, which were no longer significant after adjustment. All other changes were not statistically significant.
Despite prior studies suggesting that peer coaches benefit from serving as a coach, the current study failed to support that conclusion.
Peer coaching remains a promising model, with high potential for implementation, for a number of chronic conditions requiring self-management. However, to maximize the benefits of such interventions, it is essential to monitor both those being coached and the coaches themselves, and not to assume that serving as a coach is inherently beneficial.
尽管同伴指导可以帮助患者管理慢性疾病，但很少有研究评估同伴指导对指导者的影响，也没有研究系统地在慢性疼痛指导的背景下检查这些影响。
作为慢性疼痛同伴指导的随机试验的一部分，评估了同伴指导者的结果。在这项探索性分析中，使用线性混合模型评估了从基线到 6 个月和 9 个月时同伴指导者的疼痛和相关结果的变化。使用 Šidák 方法来考虑多次比较。
同伴指导者（N=55）的焦虑和疼痛灾难化感从基线到 6 个月呈显著增加，但在调整后不再显著。所有其他变化均无统计学意义。
尽管先前的研究表明同伴指导者从担任指导者中受益，但本研究未能支持这一结论。
同伴指导仍然是一种很有前途的模式，对于许多需要自我管理的慢性疾病，具有很高的实施潜力。然而，为了最大限度地发挥此类干预措施的益处，必须同时监测接受指导者和指导者本身，而不能假设担任指导者本身就是有益的。
