Predictors of engagement with peer support: analysis of data from a randomised controlled trial of one-to-one peer support for discharge from inpatient psychiatric care
Background: A range of evidence for the effectiveness of one-to-one peer support in mental health services is emerging. Levels of engagement with peer support vary with limited studies showing few individual participant characteristics predicting engagement. Implementation factors that might predict...
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| Veröffentlicht in: | International journal of social psychiatry 2023-06, Vol.69 (4), p.994-1003 |
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| container_title | International journal of social psychiatry |
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| creator | White, Sarah Bhattacharya, Rahul Bremner, Stephen Faulkner, Alison Foster, Rhiannon Gibson, Sarah Goldsmith, Lucy Harnett, Daniella Lucock, Mike Patel, Akshaykumar Priebe, Stefan Repper, Julie Rinaldi, Miles Salla, Anthony Simpson, Alan Ussher, Michael Gillard, Steve |
| description | Background:
A range of evidence for the effectiveness of one-to-one peer support in mental health services is emerging. Levels of engagement with peer support vary with limited studies showing few individual participant characteristics predicting engagement. Implementation factors that might predict engagement have not been considered.
Methods:
Data were analysed from the intervention arm of the ENRICH trial of one-to-one peer support for discharge from acute psychiatric inpatient care. Two outcomes were considered: (1) a measure of ‘engaged with peer worker’; (2) number of face-to-face contacts with peer worker post-discharge. Two sets of independent variables were analysed against each outcome: (1) pre-randomisation participant characteristics; (2) implementation factors measured pre-discharge. Analyses used logistic and zero-inflated negative binomial regression models according to outcome structure.
Results:
Data were analysed for 265 participants randomised to peer support who had a known peer worker. Non-heterosexual participants had increased odds of engaging with peer support compared to heterosexual participants, OR = 4.38 (95% CI: 1.13, 16.9, p = .032). Longer duration of first contact with peer worker (OR = 1.03, 95% CI: 1.00, 1.04, p |
| doi_str_mv | 10.1177/00207640221148090 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_10240623</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sage_id>10.1177_00207640221148090</sage_id><sourcerecordid>2822044586</sourcerecordid><originalsourceid>FETCH-LOGICAL-c467t-9138e245e445bdc88d3a56b5986217f8cc4bce28be89b295ac9ff3c58ff6b0043</originalsourceid><addsrcrecordid>eNp1ks1u1DAQxy1ERZfCA3BBlrhwSbEdx3G4IFTxJVVqD3COJs5411USB9sp2jfiMXG6pVBQT2NrfvOfT0JecHbKeV2_YUywWkkmBOdSs4Y9IhteS14IXcnHZLP6ixU4Jk9jvGL5z1n5hByXSsmKlWJDfl4G7J1JPkTqLcVpC1sccUr0h0s7OiMGGpd59iG9pTDBsI_uhuwhAbXBjxRogKn3o4vYU-OnFPww5GcKDoYV9RMWyRfZ3NOj1gfau2h2ELZ40HLTDMmt6ee4NzsHWcRQAwGfkSMLQ8Tnt_aEfPv44evZ5-L84tOXs_fnhZGqTkXDS41CVihl1fVG676ESnVVo5XgtdXGyM6g0B3qphNNBaaxtjSVtlZ1jMnyhLw76M5LN2Jvci0BhnYOboSwbz249r5ncrt2669bzoRkSpRZ4fWtQvDfF4ypzaMxOAwwoV9iK2qlmJLyJtmrf9Arv4Q85UxpIVhuQqtM8QNlgo8xoL2rhrN2PYT2v0PIMS__buMu4vfmM3B6AGJe-J-0Dyv-Ai-PvyU</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2822044586</pqid></control><display><type>article</type><title>Predictors of engagement with peer support: analysis of data from a randomised controlled trial of one-to-one peer support for discharge from inpatient psychiatric care</title><source>Applied Social Sciences Index & Abstracts (ASSIA)</source><source>SAGE Complete A-Z List</source><source>MEDLINE</source><source>Sociological Abstracts</source><creator>White, Sarah ; Bhattacharya, Rahul ; Bremner, Stephen ; Faulkner, Alison ; Foster, Rhiannon ; Gibson, Sarah ; Goldsmith, Lucy ; Harnett, Daniella ; Lucock, Mike ; Patel, Akshaykumar ; Priebe, Stefan ; Repper, Julie ; Rinaldi, Miles ; Salla, Anthony ; Simpson, Alan ; Ussher, Michael ; Gillard, Steve</creator><creatorcontrib>White, Sarah ; Bhattacharya, Rahul ; Bremner, Stephen ; Faulkner, Alison ; Foster, Rhiannon ; Gibson, Sarah ; Goldsmith, Lucy ; Harnett, Daniella ; Lucock, Mike ; Patel, Akshaykumar ; Priebe, Stefan ; Repper, Julie ; Rinaldi, Miles ; Salla, Anthony ; Simpson, Alan ; Ussher, Michael ; Gillard, Steve</creatorcontrib><description>Background:
A range of evidence for the effectiveness of one-to-one peer support in mental health services is emerging. Levels of engagement with peer support vary with limited studies showing few individual participant characteristics predicting engagement. Implementation factors that might predict engagement have not been considered.
Methods:
Data were analysed from the intervention arm of the ENRICH trial of one-to-one peer support for discharge from acute psychiatric inpatient care. Two outcomes were considered: (1) a measure of ‘engaged with peer worker’; (2) number of face-to-face contacts with peer worker post-discharge. Two sets of independent variables were analysed against each outcome: (1) pre-randomisation participant characteristics; (2) implementation factors measured pre-discharge. Analyses used logistic and zero-inflated negative binomial regression models according to outcome structure.
Results:
Data were analysed for 265 participants randomised to peer support who had a known peer worker. Non-heterosexual participants had increased odds of engaging with peer support compared to heterosexual participants, OR = 4.38 (95% CI: 1.13, 16.9, p = .032). Longer duration of first contact with peer worker (OR = 1.03, 95% CI: 1.00, 1.04, p < .001) and more relationship building activities in the first contact (OR = 1.4, 95% CI: 1.13, 1.85, p = .004) were associated with greater odds of engaging with peer support. Analysis of number of contacts post-discharge showed consistent findings.
Conclusions:
Implementation of peer support should include a focus on relationship building in the first session of peer support. The potential for peer support to break down barriers to accessing mental health services experienced by people from marginalised communities warrants further investigation.</description><identifier>ISSN: 0020-7640</identifier><identifier>EISSN: 1741-2854</identifier><identifier>DOI: 10.1177/00207640221148090</identifier><identifier>PMID: 36645032</identifier><language>eng</language><publisher>London, England: SAGE Publications</publisher><subject>Aftercare ; Clinical outcomes ; Counseling ; Health services ; Heterosexuality ; Humans ; Implementation ; Inpatient care ; Inpatients ; Mental disorders ; Mental health care ; Mental Health Services ; Original ; Patient Discharge ; Peer tutoring ; Peers ; Social support</subject><ispartof>International journal of social psychiatry, 2023-06, Vol.69 (4), p.994-1003</ispartof><rights>The Author(s) 2023</rights><rights>The Author(s) 2023 2023 SAGE Publications</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c467t-9138e245e445bdc88d3a56b5986217f8cc4bce28be89b295ac9ff3c58ff6b0043</citedby><cites>FETCH-LOGICAL-c467t-9138e245e445bdc88d3a56b5986217f8cc4bce28be89b295ac9ff3c58ff6b0043</cites><orcidid>0000-0002-6934-1925 ; 0000-0003-2468-6193</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/00207640221148090$$EPDF$$P50$$Gsage$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/00207640221148090$$EHTML$$P50$$Gsage$$Hfree_for_read</linktohtml><link.rule.ids>230,314,776,780,881,21798,27901,27902,30976,33751,43597,43598</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36645032$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>White, Sarah</creatorcontrib><creatorcontrib>Bhattacharya, Rahul</creatorcontrib><creatorcontrib>Bremner, Stephen</creatorcontrib><creatorcontrib>Faulkner, Alison</creatorcontrib><creatorcontrib>Foster, Rhiannon</creatorcontrib><creatorcontrib>Gibson, Sarah</creatorcontrib><creatorcontrib>Goldsmith, Lucy</creatorcontrib><creatorcontrib>Harnett, Daniella</creatorcontrib><creatorcontrib>Lucock, Mike</creatorcontrib><creatorcontrib>Patel, Akshaykumar</creatorcontrib><creatorcontrib>Priebe, Stefan</creatorcontrib><creatorcontrib>Repper, Julie</creatorcontrib><creatorcontrib>Rinaldi, Miles</creatorcontrib><creatorcontrib>Salla, Anthony</creatorcontrib><creatorcontrib>Simpson, Alan</creatorcontrib><creatorcontrib>Ussher, Michael</creatorcontrib><creatorcontrib>Gillard, Steve</creatorcontrib><title>Predictors of engagement with peer support: analysis of data from a randomised controlled trial of one-to-one peer support for discharge from inpatient psychiatric care</title><title>International journal of social psychiatry</title><addtitle>Int J Soc Psychiatry</addtitle><description>Background:
A range of evidence for the effectiveness of one-to-one peer support in mental health services is emerging. Levels of engagement with peer support vary with limited studies showing few individual participant characteristics predicting engagement. Implementation factors that might predict engagement have not been considered.
Methods:
Data were analysed from the intervention arm of the ENRICH trial of one-to-one peer support for discharge from acute psychiatric inpatient care. Two outcomes were considered: (1) a measure of ‘engaged with peer worker’; (2) number of face-to-face contacts with peer worker post-discharge. Two sets of independent variables were analysed against each outcome: (1) pre-randomisation participant characteristics; (2) implementation factors measured pre-discharge. Analyses used logistic and zero-inflated negative binomial regression models according to outcome structure.
Results:
Data were analysed for 265 participants randomised to peer support who had a known peer worker. Non-heterosexual participants had increased odds of engaging with peer support compared to heterosexual participants, OR = 4.38 (95% CI: 1.13, 16.9, p = .032). Longer duration of first contact with peer worker (OR = 1.03, 95% CI: 1.00, 1.04, p < .001) and more relationship building activities in the first contact (OR = 1.4, 95% CI: 1.13, 1.85, p = .004) were associated with greater odds of engaging with peer support. Analysis of number of contacts post-discharge showed consistent findings.
Conclusions:
Implementation of peer support should include a focus on relationship building in the first session of peer support. The potential for peer support to break down barriers to accessing mental health services experienced by people from marginalised communities warrants further investigation.</description><subject>Aftercare</subject><subject>Clinical outcomes</subject><subject>Counseling</subject><subject>Health services</subject><subject>Heterosexuality</subject><subject>Humans</subject><subject>Implementation</subject><subject>Inpatient care</subject><subject>Inpatients</subject><subject>Mental disorders</subject><subject>Mental health care</subject><subject>Mental Health Services</subject><subject>Original</subject><subject>Patient Discharge</subject><subject>Peer tutoring</subject><subject>Peers</subject><subject>Social support</subject><issn>0020-7640</issn><issn>1741-2854</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>AFRWT</sourceid><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><sourceid>BHHNA</sourceid><recordid>eNp1ks1u1DAQxy1ERZfCA3BBlrhwSbEdx3G4IFTxJVVqD3COJs5411USB9sp2jfiMXG6pVBQT2NrfvOfT0JecHbKeV2_YUywWkkmBOdSs4Y9IhteS14IXcnHZLP6ixU4Jk9jvGL5z1n5hByXSsmKlWJDfl4G7J1JPkTqLcVpC1sccUr0h0s7OiMGGpd59iG9pTDBsI_uhuwhAbXBjxRogKn3o4vYU-OnFPww5GcKDoYV9RMWyRfZ3NOj1gfau2h2ELZ40HLTDMmt6ee4NzsHWcRQAwGfkSMLQ8Tnt_aEfPv44evZ5-L84tOXs_fnhZGqTkXDS41CVihl1fVG676ESnVVo5XgtdXGyM6g0B3qphNNBaaxtjSVtlZ1jMnyhLw76M5LN2Jvci0BhnYOboSwbz249r5ncrt2669bzoRkSpRZ4fWtQvDfF4ypzaMxOAwwoV9iK2qlmJLyJtmrf9Arv4Q85UxpIVhuQqtM8QNlgo8xoL2rhrN2PYT2v0PIMS__buMu4vfmM3B6AGJe-J-0Dyv-Ai-PvyU</recordid><startdate>20230601</startdate><enddate>20230601</enddate><creator>White, Sarah</creator><creator>Bhattacharya, Rahul</creator><creator>Bremner, Stephen</creator><creator>Faulkner, Alison</creator><creator>Foster, Rhiannon</creator><creator>Gibson, Sarah</creator><creator>Goldsmith, Lucy</creator><creator>Harnett, Daniella</creator><creator>Lucock, Mike</creator><creator>Patel, Akshaykumar</creator><creator>Priebe, Stefan</creator><creator>Repper, Julie</creator><creator>Rinaldi, Miles</creator><creator>Salla, Anthony</creator><creator>Simpson, Alan</creator><creator>Ussher, Michael</creator><creator>Gillard, Steve</creator><general>SAGE Publications</general><general>Sage Publications Ltd</general><scope>AFRWT</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>7U3</scope><scope>8BJ</scope><scope>BHHNA</scope><scope>FQK</scope><scope>JBE</scope><scope>K9.</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-6934-1925</orcidid><orcidid>https://orcid.org/0000-0003-2468-6193</orcidid></search><sort><creationdate>20230601</creationdate><title>Predictors of engagement with peer support: analysis of data from a randomised controlled trial of one-to-one peer support for discharge from inpatient psychiatric care</title><author>White, Sarah ; Bhattacharya, Rahul ; Bremner, Stephen ; Faulkner, Alison ; Foster, Rhiannon ; Gibson, Sarah ; Goldsmith, Lucy ; Harnett, Daniella ; Lucock, Mike ; Patel, Akshaykumar ; Priebe, Stefan ; Repper, Julie ; Rinaldi, Miles ; Salla, Anthony ; Simpson, Alan ; Ussher, Michael ; Gillard, Steve</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c467t-9138e245e445bdc88d3a56b5986217f8cc4bce28be89b295ac9ff3c58ff6b0043</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Aftercare</topic><topic>Clinical outcomes</topic><topic>Counseling</topic><topic>Health services</topic><topic>Heterosexuality</topic><topic>Humans</topic><topic>Implementation</topic><topic>Inpatient care</topic><topic>Inpatients</topic><topic>Mental disorders</topic><topic>Mental health care</topic><topic>Mental Health Services</topic><topic>Original</topic><topic>Patient Discharge</topic><topic>Peer tutoring</topic><topic>Peers</topic><topic>Social support</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>White, Sarah</creatorcontrib><creatorcontrib>Bhattacharya, Rahul</creatorcontrib><creatorcontrib>Bremner, Stephen</creatorcontrib><creatorcontrib>Faulkner, Alison</creatorcontrib><creatorcontrib>Foster, Rhiannon</creatorcontrib><creatorcontrib>Gibson, Sarah</creatorcontrib><creatorcontrib>Goldsmith, Lucy</creatorcontrib><creatorcontrib>Harnett, Daniella</creatorcontrib><creatorcontrib>Lucock, Mike</creatorcontrib><creatorcontrib>Patel, Akshaykumar</creatorcontrib><creatorcontrib>Priebe, Stefan</creatorcontrib><creatorcontrib>Repper, Julie</creatorcontrib><creatorcontrib>Rinaldi, Miles</creatorcontrib><creatorcontrib>Salla, Anthony</creatorcontrib><creatorcontrib>Simpson, Alan</creatorcontrib><creatorcontrib>Ussher, Michael</creatorcontrib><creatorcontrib>Gillard, Steve</creatorcontrib><collection>Sage Journals GOLD Open Access 2024</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>Social Services Abstracts</collection><collection>International Bibliography of the Social Sciences (IBSS)</collection><collection>Sociological Abstracts</collection><collection>International Bibliography of the Social Sciences</collection><collection>International Bibliography of the Social Sciences</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>International journal of social psychiatry</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>White, Sarah</au><au>Bhattacharya, Rahul</au><au>Bremner, Stephen</au><au>Faulkner, Alison</au><au>Foster, Rhiannon</au><au>Gibson, Sarah</au><au>Goldsmith, Lucy</au><au>Harnett, Daniella</au><au>Lucock, Mike</au><au>Patel, Akshaykumar</au><au>Priebe, Stefan</au><au>Repper, Julie</au><au>Rinaldi, Miles</au><au>Salla, Anthony</au><au>Simpson, Alan</au><au>Ussher, Michael</au><au>Gillard, Steve</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Predictors of engagement with peer support: analysis of data from a randomised controlled trial of one-to-one peer support for discharge from inpatient psychiatric care</atitle><jtitle>International journal of social psychiatry</jtitle><addtitle>Int J Soc Psychiatry</addtitle><date>2023-06-01</date><risdate>2023</risdate><volume>69</volume><issue>4</issue><spage>994</spage><epage>1003</epage><pages>994-1003</pages><issn>0020-7640</issn><eissn>1741-2854</eissn><abstract>Background:
A range of evidence for the effectiveness of one-to-one peer support in mental health services is emerging. Levels of engagement with peer support vary with limited studies showing few individual participant characteristics predicting engagement. Implementation factors that might predict engagement have not been considered.
Methods:
Data were analysed from the intervention arm of the ENRICH trial of one-to-one peer support for discharge from acute psychiatric inpatient care. Two outcomes were considered: (1) a measure of ‘engaged with peer worker’; (2) number of face-to-face contacts with peer worker post-discharge. Two sets of independent variables were analysed against each outcome: (1) pre-randomisation participant characteristics; (2) implementation factors measured pre-discharge. Analyses used logistic and zero-inflated negative binomial regression models according to outcome structure.
Results:
Data were analysed for 265 participants randomised to peer support who had a known peer worker. Non-heterosexual participants had increased odds of engaging with peer support compared to heterosexual participants, OR = 4.38 (95% CI: 1.13, 16.9, p = .032). Longer duration of first contact with peer worker (OR = 1.03, 95% CI: 1.00, 1.04, p < .001) and more relationship building activities in the first contact (OR = 1.4, 95% CI: 1.13, 1.85, p = .004) were associated with greater odds of engaging with peer support. Analysis of number of contacts post-discharge showed consistent findings.
Conclusions:
Implementation of peer support should include a focus on relationship building in the first session of peer support. The potential for peer support to break down barriers to accessing mental health services experienced by people from marginalised communities warrants further investigation.</abstract><cop>London, England</cop><pub>SAGE Publications</pub><pmid>36645032</pmid><doi>10.1177/00207640221148090</doi><tpages>10</tpages><orcidid>https://orcid.org/0000-0002-6934-1925</orcidid><orcidid>https://orcid.org/0000-0003-2468-6193</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0020-7640 |
| ispartof | International journal of social psychiatry, 2023-06, Vol.69 (4), p.994-1003 |
| issn | 0020-7640 1741-2854 |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_10240623 |
| source | Applied Social Sciences Index & Abstracts (ASSIA); SAGE Complete A-Z List; MEDLINE; Sociological Abstracts |
| subjects | Aftercare Clinical outcomes Counseling Health services Heterosexuality Humans Implementation Inpatient care Inpatients Mental disorders Mental health care Mental Health Services Original Patient Discharge Peer tutoring Peers Social support |
| title | Predictors of engagement with peer support: analysis of data from a randomised controlled trial of one-to-one peer support for discharge from inpatient psychiatric care |
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