A systematic review of influences on implementation of peer support work for adults with mental health problems

Ibrahim, Nashwa; Thompson, Dean; Nixdorf, Rebecca; Nixdorf, Rebecca; Ryan, Grace; Kalha, Jasmine; Mpango, Richard; Moran, Galia; Mueller-Stierlin, Annabel; Ryan, Grace; Mahlke, Candelaria; Shamba, Donat; Puschner, Berd; Repper, Julie; Slade, Mike

Abstract

© 2019, The Author(s). Purpose: The evidence base for peer support work in mental health is established, yet implementation remains a challenge. The aim of this systematic review was to identify influences which facilitate or are barriers to implementation of mental health peer support work. Methods: Data sources comprised online databases (n = 11), journal table of contents (n = 2), conference proceedings (n = 18), peer support websites (n = 2), expert consultation (n = 38) and forward and backward citation tracking. Publications were included if they reported on implementation facilitators or barriers for formal face-to-face peer support work with adults with a mental health problem, and were available in English, French, German, Hebrew, Luganda, Spanish or Swahili. Data were analysed using narrative synthesis. A six-site international survey [Germany (2 sites), India, Israel, Tanzania, Uganda] using a measure based on the strongest influences was conducted. The review protocol was pre-registered (Prospero: CRD42018094838). Results: The search strategy identified 5813 publications, of which 53 were included. Fourteen implementation influences were identified, notably organisational culture (reported by 53% of papers), training (42%) and role definition (40%). Ratings on a measure using these influences demonstrated preliminary evidence for the convergent and discriminant validity of the identified influences. Conclusion: The identified influences provide a guide to implementation of peer support. For services developing a peer support service, organisational culture including role support (training, role clarity, resourcing and access to a peer network) and staff attitudes need to be considered. The identified influences provide a theory base to prepare research sites for implementing peer support worker interventions.

Citation

Ibrahim, N., Thompson, D., Nixdorf, R., Nixdorf, R., Ryan, G., Kalha, J., …Slade, M. (2020). A systematic review of influences on implementation of peer support work for adults with mental health problems. Social Psychiatry and Psychiatric Epidemiology, 55, 285–293. https://doi.org/10.1007/s00127-019-01739-1

• Journal Article Type: Article
• Acceptance Date: Jun 2, 2019
• Online Publication Date: Jun 8, 2019
• Publication Date: 2020
• Deposit Date: Jun 4, 2019
• Publicly Available Date: Feb 19, 2020
• Journal: Social Psychiatry and Psychiatric Epidemiology
• Print ISSN: 0933-7954
• Electronic ISSN: 1433-9285
• Publisher: Springer Verlag
• Peer Reviewed: Peer Reviewed
• Volume: 55
• Pages: 285–293
• DOI: https://doi.org/10.1007/s00127-019-01739-1
• Keywords: Epidemiology; Health(social science); Psychiatry and Mental health; Social Psychology
• Public URL: https://nottingham-repository.worktribe.com/output/2133884
• Publisher URL: https://link.springer.com/article/10.1007/s00127-019-01739-1