Models of peer support to remediate post-intensive care syndrome: A report developed by the SCCM Thrive International Peer Support Collaborative

McPeake, J.M. et al. (2019) Models of peer support to remediate post-intensive care syndrome: A report developed by the SCCM Thrive International Peer Support Collaborative. Critical Care Medicine, 47(1), e21-e27. (doi: 10.1097/CCM.0000000000003497) (PMID:30422863)

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Abstract

Objective: Patients and caregivers can experience a range of physical, psychological, and cognitive problems following critical care discharge. The use of peer support has been proposed as an innovative support mechanism. Design: We sought to identify technical, safety and procedural aspects of existing operational models of peer support, among the Society of Critical Care Medicine Thrive Peer Support Collaborative. We also sought to categorize key distinctions between these models and elucidate barriers and facilitators to implementation. Subjects: 17 Thrive sites from the USA, UK, and Australia were represented by a range of healthcare professionals. Interventions: Via an iterative process of in-person and email/conference calls, members of the Collaborative, defined the key areas on which peer support models could be defined and compared; collected detailed self-reports from all sites; reviewed the information and identified clusters of models. Barriers and challenges to implementation of peer support models were also documented. Results: Within the Thrive Collaborative, six general models of peer support were identified: Community based, Psychologist-led outpatient, Models based within ICU follow-up clinics, Online, Groups based within ICU and Peer mentor models. The most common barriers to implementation were: recruitment to groups, personnel input and training: sustainability and funding, risk management and measuring success. Conclusion: A number of different models of peer support are currently being developed to help patients and families recover and grow in the post-critical care setting.

Item Type:Articles
Additional Information:This work was supported by grants from the Society of Critical Care Medicine.
Status:Published
Refereed:Yes
Glasgow Author(s) Enlighten ID:Quasim, Professor Tara and McPeake, Dr Jo
Authors: McPeake, J.M., Hirshberg, E., Christie, L., Drumright, K., Haines, K., Hough, T., Meyer, J., Wade, D., Andrews, A., Bakhru, R.N., Bates, S., Barwise, J., Bastarache, J.A., Beesley, S.J., Boehm, L.M., Brown, S., Clay, A., Firshman, P., Greenberg, S.B., Harris, W., Hill, C., Hodgson, C., Holdsworth, C., Hope, A.A., Hopkins, R.O., Howell, D.C.J., Janssen, A., Jackson, J.C., Johnson, A., Kross, E.K., Lamas, D., MacLeod-Smith, B., Mandel, R., Marshall, J., Mikkelsen, M.E., Nackino, M., Quasim, T., Sevin, C.M., Slack, A., Spurr, R., Still, M., Thompson, C., Weinhouse, G., Wilconx, M.E., and Iwashyna, T.J.
College/School:College of Medical Veterinary and Life Sciences > School of Medicine, Dentistry & Nursing
College of Medical Veterinary and Life Sciences > School of Medicine, Dentistry & Nursing > Nursing and Health Care
Journal Name:Critical Care Medicine
Publisher:Lippincott, Williams and Wilkins
ISSN:0090-3493
ISSN (Online):1530-0293
Copyright Holders:Copyright © 2018 the Society of Critical Care Medicine and Wolters Kluwer Health, Inc.
First Published:First published in Critical Care Medicine 47(1): e21-e27
Publisher Policy:Reproduced in accordance with the publisher copyright policy

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