Blackbird Initiative, Flinders Institute for Mental Health and Wellbeing, Flinders University, Adelaide, South Australia, Australia.
Int J Eat Disord. 2023 Feb;56(2):331-349. doi: 10.1002/eat.23847. Epub 2022 Nov 13.
This systematic review sought to understand the effectiveness of lived experience mentoring, by people recovered from an eating disorder, with clinical samples currently receiving eating disorder treatment.
The systematic review was conducted using PsycINFO, MEDLINE, Scopus, and ProQuest Dissertations and Theses Global and reviewing reference lists of included papers. Articles were included if they: (1) were intervention studies that included peer (recovered from an eating disorder) involvement, (2) delivered the intervention to clinical samples (or carers with direct involvement in treatment), (3) were in English, and (4) included quantitative results.
Eleven studies were included across randomized control trials (RCTs), case series, and a case study; there was variation in quality. Findings varied considerably with some concluding that lived experience mentoring led to significant improvements for mentees, while other studies found no significant differences. Mentor outcomes were often not evaluated. Of those that did assess mentors, there is preliminary evidence for some benefits to participation but also the potential for harm.
There is a need for further research in this area using high-quality RCTs that address the risk of bias. It is important that lived experience peer mentors are monitored on key outcomes, provided with adequate training and ongoing supervision, and are reimbursed for their involvement.
This systematic review is the first review to focus on the use of peer mentors recovered from an eating disorder contributing to interventions for people receiving treatment for an eating disorder. All included studies present quantitative results. Given the emerging interest of lived experience mentoring, understanding its effectiveness for both mentees and impacts on mentors continues to be of critical importance.
本系统评价旨在了解曾患有饮食障碍并已康复的人作为生活经验导师，为正在接受饮食障碍治疗的临床样本提供辅导的有效性。
本系统评价使用了 PsycINFO、MEDLINE、Scopus、ProQuest Dissertations and Theses Global，并查阅了纳入文献的参考文献列表。纳入的文章必须符合以下标准：（1）是包含同伴（曾患有饮食障碍并已康复）参与的干预性研究；（2）为临床样本（或直接参与治疗的照顾者）提供干预措施；（3）以英文发表；（4）包含定量结果。
11 项研究包括随机对照试验（RCT）、病例系列和病例研究；研究质量存在差异。研究结果差异很大，一些研究表明生活经验导师为被指导者带来了显著的改善，而其他研究则发现没有显著差异。导师的结果往往没有得到评估。那些评估了导师的研究，初步证据表明参与导师项目有一些好处，但也可能存在危害。
该领域需要进一步开展高质量 RCT 研究，以解决偏倚风险。重要的是，要对生活经验同伴导师进行关键结果监测，提供充分的培训和持续监督，并为他们的参与提供补偿。
这是第一篇专门关注曾患有饮食障碍并已康复的同伴导师参与为接受饮食障碍治疗的人提供干预措施的系统评价。所有纳入的研究都提供了定量结果。鉴于生活经验导师项目的兴起，了解其对被指导者的有效性以及对导师的影响仍然至关重要。
