Poulsen Chalotte Heinsvig, Egmose Cecilie Høgh, Bjørkedal Siv-Therese Bogevik, Eplov Lene Falgaard
¹Copenhagen Research Unit for Recovery, Mental Health Services, Mental Health Centre Amager, Hans Bogbinders Allé 3, 3rd floor, Copenhagen S, 2300, Denmark.
BMC Psychiatry. 2025 Jul 2;25(1):671. doi: 10.1186/s12888-025-06982-2.
Peers with lived experiences of being in recovery of mental health difficulties volunteering in non-governmental organizations (NGOs) to engage in peer support show significant promise in supporting personal recovery for individuals with similar mental health difficulties. "The 'Paths to Everyday Life' (PEER) intervention was evaluated in a randomized trial during 2020-2022. As part of a process evaluation, qualitative studies were conducted to explore the perspectives of both recipients and facilitators of the community-based peer support. This qualitative study, underpinned by critical realism, examined how the delivery of the intervention is achieved, the training, and the working conditions from the perspective of the peers volunteering in the NGO operating the project.
Nine peer volunteers were recruited for two focus groups (n = 8) and a telephone-based interview (n = 1). The semi-structured realist inspired interviews were audio recorded and transcribed verbatim. The analysis was guided by reflective thematic analysis and through an abductive framework based on knowledge in the field and the PEER intervention context. Data were coded and analysed in Nvivo software version 1.7 (QSR International).
Two overarching themes were identified: (1) 'The contradictory dual role of facilitating groups and sharing equally'; (2) 'Equipped to facilitate groups', as well as several sub-themes. In addition, a minor theme has been identified: (3) 'Volunteer one-on-one peer support is unscripted'.
Peer volunteers providing group-based peer support in the community show significant promise. Training in trauma-informed, structured formats and fostering equal, reciprocal relationships among peer co-facilitators and participants greatly enhanced group impact. The organizational support and supervision enhanced peer volunteers' preparedness for co-facilitation roles, yet the one-on-one peer support for community engagement, sought by only a few participants, requires further clarification and exploration.
ClinicalTrials.gov identifier: NCT04639167, Registered on Nov. 19, 2020.
有心理健康问题康复经历的同伴在非政府组织（NGO）中志愿提供同伴支持，这在支持有类似心理健康问题的个人实现个人康复方面显示出巨大潜力。“日常生活之路”（PEER）干预在2020年至2022年期间进行了一项随机试验。作为过程评估的一部分，开展了定性研究，以探讨基于社区的同伴支持的接受者和促进者的观点。这项定性研究以批判实在论为基础，从在开展该项目的非政府组织中志愿参与的同伴的角度，审视了干预措施是如何实施的、培训情况以及工作条件。
招募了九名同伴志愿者参加两个焦点小组（n = 8）和一次电话访谈（n = 1）。以现实主义为灵感的半结构化访谈进行了录音，并逐字转录。分析以反思性主题分析为指导，并通过基于该领域知识和PEER干预背景的归纳框架进行。数据在Nvivo软件版本1.7（QSR International）中进行编码和分析。
确定了两个总体主题：（1）“促进小组和平等分享的矛盾双重角色”；（2）“有能力促进小组活动”，以及几个子主题。此外，还确定了一个次要主题：（3）“志愿者一对一的同伴支持没有脚本”。
在社区中提供基于小组形式的同伴支持的同伴志愿者显示出巨大潜力。采用创伤知情、结构化形式进行培训，并在同伴共同促进者和参与者之间建立平等、互惠的关系，极大地增强了小组的影响力。组织支持和监督提高了同伴志愿者担任共同促进角色的准备程度，但只有少数参与者寻求的用于社区参与的一对一同伴支持需要进一步明确和探索。
ClinicalTrials.gov标识符：NCT04639167，于2020年11月19日注册。
