University of Toronto, 27 King's College Cir, Toronto, ON M5S 1A1 Canada.
Sunnybrook Research Institute, 2075 Bayview Ave, Toronto, ON M4N 3M5 Canada.
Injury. 2022 Aug;53(8):2704-2716. doi: 10.1016/j.injury.2022.06.032. Epub 2022 Jun 24.
Despite decades-long involvement of trauma survivors in hospital-based program delivery, their roles and impact on trauma care have not been previously described. We aimed to characterize the literature on trauma survivor involvement in hospital-based injury prevention, violence intervention and peer support programs to map what is currently known and identify future research opportunities.
A scoping review was conducted following the Joanna Briggs Institute (JBI) methodology. Articles were identified through electronic databases and gray literature. Included articles described hospital-based injury prevention programs, violence intervention programs and peer support programs that involved trauma survivors leveraging their injury experiences to counsel others. Studies were screened and data were abstracted in duplicate. Data were synthesized generally and by program type.
Thirty-six published articles and four program reports were included. Peer support programs were described in 21 articles, mainly involving trauma survivors as mentors or peer supporters. Peer support programs' most commonly reported outcome was participant satisfaction (n = 6), followed by participant self-efficacy (n = 5), depression (n = 4), and community integration (n = 3). Eleven injury prevention studies were included, all involving trauma survivors as speakers in youth targeted programs. Injury prevention studies commonly reported outcomes of participants' risk behaviors and awareness (n = 9). Violence intervention programs were included in four articles involving trauma survivors as intervention counsellors. Recidivism rate was the most commonly reported outcome (n = 3). Variability exists across and within program types when reporting on involved trauma survivors' gender, age, selection and training, duration of involvement and number of survivors involved. Outcomes related to trauma survivors' own experiences and the impacts to them of program involvement were under-studied.
Significant opportunity exists to fill current knowledge gaps in trauma survivors' involvement in trauma program delivery. There is a need to describe more fully who involved trauma survivors are to inform the development of effective future interventions.
尽管创伤幸存者参与医院为基础的项目已有数十年之久，但他们的角色及其对创伤护理的影响以前并未得到描述。我们旨在描述创伤幸存者参与医院为基础的伤害预防、暴力干预和同伴支持项目的文献，以绘制当前已知的内容并确定未来的研究机会。
根据乔安娜·布里格斯研究所（JBI）的方法进行了范围综述。通过电子数据库和灰色文献确定了文章。纳入的文章描述了医院为基础的伤害预防计划、暴力干预计划和同伴支持计划，这些计划涉及利用创伤经历为他人提供咨询的创伤幸存者。对研究进行了筛选，并对数据进行了重复提取。数据综合和按项目类型进行综合。
共纳入 36 篇已发表的文章和 4 篇项目报告。21 篇文章描述了同伴支持计划，主要涉及创伤幸存者作为导师或同伴支持者。同伴支持计划报告的最常见结果是参与者满意度（n=6），其次是参与者自我效能感（n=5）、抑郁（n=4）和社区融入（n=3）。纳入了 11 项伤害预防研究，均涉及创伤幸存者作为青年目标项目的演讲者。伤害预防研究常见的结果是参与者的风险行为和意识（n=9）。有 4 篇文章涉及创伤幸存者作为干预顾问的暴力干预计划。累犯率是最常见的报告结果（n=3）。在报告参与的创伤幸存者的性别、年龄、选择和培训、参与时间和参与幸存者人数时，各项目类型之间和项目类型内存在差异。与创伤幸存者自身经历相关的结果以及参与项目对他们的影响研究不足。
在创伤幸存者参与创伤项目提供方面，存在很大的机会来填补当前知识空白。有必要更全面地描述参与的创伤幸存者是谁，以便为制定有效的未来干预措施提供信息。
