Grant Ellie, Johnson Louise, Prodromidis Apostolos, Giannoudis Peter V
Clinical and Health Psychology, Leeds Teaching Hospitals NHS Trust, Leeds, GBR.
Academic Department of Trauma and Orthopaedics, University of Leeds, Leeds, GBR.
Cureus. 2021 Aug 25;13(8):e17442. doi: 10.7759/cureus.17442. eCollection 2021 Aug.
Little is known about the impact of peer support programmes on physical health populations or on the methods used to evaluate such programmes. The present study undertakes a scoping review of research related to peer support programmes or interventions in physical health populations, guided by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for scoping reviews (PRISMA-ScR). The search was carried out across the Medline, PsycINFO, and Cochrane databases and focused on papers that evaluated peer support intervention(s) in adults with physical health conditions. The search identified an initial 7,903 records, which were narrowed down to 21 records that met the inclusion criteria; their findings were narratively synthesized. The scoping review found considerable heterogeneity among eligible records in terms of their study design, outcome measurements and findings reported. Qualitative methods of evaluation generated more consistent findings compared to objective outcome measures and suggested that peer support was beneficial for patients' health and wellbeing by reducing feelings of isolation and creating a sense of community as well as providing an opportunity for information consolidation. The scoping review highlights the inconsistencies in methods used to evaluate peer support interventions and programmes in healthcare settings among different physical health populations. It also draws attention to the lack of peer support research in particular areas, including in acute physical health populations such as in major trauma. The scoping review emphasizes the need for future studies to address this gap in peer support research.
关于同伴支持项目对身体健康人群的影响或评估此类项目所采用的方法，目前所知甚少。本研究在系统评价与Meta分析优先报告条目扩展版（PRISMA-ScR）的指导下，对与身体健康人群的同伴支持项目或干预措施相关的研究进行了范围综述。检索在Medline、PsycINFO和Cochrane数据库中进行，重点关注评估身体健康状况成人同伴支持干预措施的论文。检索最初识别出7903条记录，经筛选后缩小至21条符合纳入标准的记录；对其研究结果进行了叙述性综合分析。范围综述发现，符合条件的记录在研究设计、结果测量和报告的研究结果方面存在相当大的异质性。与客观结果测量相比，定性评估方法得出的结果更为一致，表明同伴支持通过减少孤独感、营造社区感以及提供信息整合机会，对患者的健康和福祉有益。范围综述突出了在不同身体健康人群中，医疗环境下评估同伴支持干预措施和项目所采用方法的不一致性。它还提请注意在特定领域缺乏同伴支持研究，包括在重大创伤等急性身体健康人群中。范围综述强调未来研究需要填补同伴支持研究中的这一空白。
