Wasilewski Marina, Reis Logan, Vijayakumar Abirami, Leighton Jaylyn, Hitzig Sander L, Simpson Robert, Mayo Amanda L, Leslie Gotlib Conn, Vogt Kelly, McFarlan Amanda, Haas Barbara, Kuluski Kerry, MacKay Crystal, Robinson Larry, Fowler Rob, Sheppard Christine L, Cassin Monica, Guo David, Lisa Di Prospero, Legere Laurie, Lawlor Andrew, Torrie Mary Jane, Polese Paolo
St. John's Rehab Research Program, Sunnybrook Research Institute, 285 Cummer Avenue, Room B114, Toronto, ON, M2M 2G1, Canada; Sunnybrook Health Sciences Centre, 2075 Bayview Ave, North York, ON, M4N 3M5, Canada.
St. John's Rehab Research Program, Sunnybrook Research Institute, 285 Cummer Avenue, Room B114, Toronto, ON, M2M 2G1, Canada; Sunnybrook Health Sciences Centre, 2075 Bayview Ave, North York, ON, M4N 3M5, Canada; Temerty School of Medicine University of Toronto, 2109 Medical Sciences Building, 1 King's College Cir, Toronto, ON, M5S3K3, Canada.
Injury. 2025 Apr;56(4):112258. doi: 10.1016/j.injury.2025.112258. Epub 2025 Mar 7.
Recovery from a traumatic injury is a complex process that precipitates difficulties and isolation for survivors. Peers can provide valuable psychosocial support rooted in lived experience. The savings associated with peer support largely outweigh the costs. Despite this, research has yet to explore the ideal components of a cross-continuum peer support program or the factors that might impact its delivery.
Understand the barriers/facilitators to integrating peer support across the continuum of care; and (2) Identify recommendations for the design and delivery of a cross-continuum peer support program.
Qualitative descriptive approach. Interviews were conducted with trauma survivors (n = 16), caregivers (n = 4), and healthcare providers (HCPs) (n = 16). We employed an inductive thematic analysis to identify barriers and facilitators. We also conducted a deductive analysis using a framework for peer support interventions in physical medicine and rehabilitation to identify what should be included in a cross-continuum peer support program.
Barriers and facilitators included: (1) individual-level issues, (2) the physical and social environment, (3) clinical practice considerations, (4) finance and resourcing, and (5) organization/system issues. Peer support programming should be introduced early in recovery and continue into community living. Peer support programming should be offered flexibly (virtually or in-person) and provide: (1) education, (2) empowerment; and (3) social support. Participants agreed that a person with lived experience should be trained and centrally involved.
When designing peer support programming, we must consider who would benefit from support, what support should consist of, and ideal timing and mode of support delivery.
从创伤性损伤中恢复是一个复杂的过程，会给幸存者带来困难和孤立感。同龄人可以提供基于亲身经历的宝贵心理社会支持。与同龄人支持相关的节省在很大程度上超过了成本。尽管如此，研究尚未探索跨连续护理阶段的同龄人支持计划的理想组成部分或可能影响其实施的因素。
（1）了解在连续护理过程中整合同龄人支持的障碍/促进因素；（2）确定跨连续护理阶段的同龄人支持计划的设计和实施建议。
采用定性描述方法。对创伤幸存者（n = 16）、护理人员（n = 4）和医疗保健提供者（HCPs）（n = 16）进行了访谈。我们采用归纳主题分析法来确定障碍和促进因素。我们还使用物理医学与康复领域同龄人支持干预的框架进行了演绎分析，以确定跨连续护理阶段的同龄人支持计划应包括哪些内容。
障碍和促进因素包括：（1）个人层面的问题；（2）物理和社会环境；（3）临床实践考虑因素；（4）财务和资源；以及（5）组织/系统问题。同龄人支持计划应在恢复早期引入，并持续到社区生活阶段。同龄人支持计划应灵活提供（虚拟或面对面），并提供：（1）教育；（2）赋权；以及（3）社会支持。参与者一致认为，有亲身经历的人应接受培训并全面参与。
在设计同龄人支持计划时，我们必须考虑谁将从支持中受益、支持应包括哪些内容以及支持的理想时机和提供方式。
