TY - JOUR
T1 - Models of Peer Support to Remediate Post-Intensive Care Syndrome
T2 - A Report Developed by the Society of Critical Care Medicine Thrive International Peer Support Collaborative
AU - McPeake, Joanne
AU - Hirshberg, Eliotte L.
AU - Christie, Leeann M.
AU - Drumright, Kelly
AU - Haines, Kimberley
AU - Hough, Catherine L.
AU - Meyer, Joel
AU - Wade, Dorothy
AU - Andrews, Adair
AU - Bakhru, Rita
AU - Bates, Samantha
AU - Barwise, John A.
AU - Bastarache, Julie
AU - Beesley, Sarah J.
AU - Boehm, Leanne M.
AU - Brown, Sheryl
AU - Clay, Alison S.
AU - Firshman, Penelope
AU - Greenberg, Steven
AU - Harris, Wendy
AU - Hill, Christopher
AU - Hodgson, Carol
AU - Holdsworth, Clare
AU - Hope, Aluko A.
AU - Hopkins, Ramona O.
AU - Howell, David C.J.
AU - Janssen, Anna
AU - Jackson, James C.
AU - Johnson, Annie
AU - Kross, Erin K.
AU - Lamas, Daniela
AU - MacLeod-Smith, Belinda
AU - Mandel, Ruth
AU - Marshall, John
AU - Mikkelsen, Mark E.
AU - Nackino, Megan
AU - Quasim, Tara
AU - Sevin, Carla M.
AU - Slack, Andrew
AU - Spurr, Rachel
AU - Still, Mary
AU - Thompson, Carol
AU - Weinhouse, Gerald
AU - Wilcox, M. Elizabeth
AU - Iwashyna, Theodore J.
N1 - Funding Information:
Bakhru received support for article research from SCCM. Dr. Greenberg principles that both taking and giving support can be healing, received funding from APSF (Editor-in-Chief) and Casmed (consultant). Dr. if done with mutual respect” (18). Peer support is hypothesized support for article research from the National Institutes of Health. Dr. HowellHill disclosed government work (Veteran Affairs employee). Dr. Hope received to act by building social relationships that have a reciprocal received funding from Roche. Drs. McPeake’s and Quasim’s institutions also influence on health and well-being, as shown in patients with received funding from the Health Foundation. The remaining authors have dis- cancer and depression (20–24). Peer support strategies may closed that they do not have any potential conflicts of interest. also offer emotional and social benefits for both patients and For information regarding this article, E-mail: joanne.mcpeake@glasgow.ac.uk caregivers (25). At present, there are data from other special-ties, which describes the beneficial impact of peer support on recovery and self-management (26). There is limited information on the influence of peer sup-port in critical care recovery (26, 27) and very little description of what is being done under the broad rubric of “peer support” in the field. We sought to provide the first systematic approach to identify technical, safety, and procedural aspects of existing models, categorize key distinctions between these models, and elucidate barriers and facilitators common across models and specific to each model.
Funding Information:
Supported, in part, by grants from the Society of Critical Care Medicine.
Funding Information:
cine, University of Michigan, Ann Arbor, MI. (5, 6). These issues are also seen in the caregivers of survivors This work does not necessarily represent the views of the U.S. Govern- (7–9). Although some in-ICU strategies to prevent PICS have ment or the Department of Veterans Affairs. been proposed (10–12), current strategies aimed at reducing appear in the printed text and are provided in the HTML and PDF versionsSupplemental digital content is available for this article. Direct URL citations PICS and PICS-Family do not eliminate the problem, warrant-of this article on the journal’s website (http://journals.lww.com/ccmjournal). ing additional intervention to treat the condition (13–17). Supported, in part, by grants from the Society of Critical Care Medicine. Peer support has been proposed as a novel intervention to Drs. McPeake’s, Drumright’s, Hough’s, Meyer’s, Wade’s, Bakhru’s, Bar- help support recovery following critical illness (18, 19). Peer wise’s, Boehm’s, Brown’s, Greenberg’s, Hill’s, Johnson’s, and Quasim’s insti- support is the “process of providing empathy, offering advice, Dr. McPeake was funded by a Fellowship from the Scottish Government. Dr.tutions received funding from the Society of Critical Care Medicine (SCCM). and sharing stories between ICU survivors. It is founded on the
Publisher Copyright:
Copyright © 2018 by the Society of Critical Care Medicine and Wolters Kluwer Health, Inc. All Rights Reserved.
PY - 2019/1/1
Y1 - 2019/1/1
N2 - Objectives: Patients and caregivers can experience a range of physical, psychologic, 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 and Setting: Seventeen Thrive sites from the United States, United Kingdom, and Australia were represented by a range of healthcare professionals. Measurements and Main Results: 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. 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. Conclusions: A number of different models of peer support are currently being developed to help patients and families recover and grow in the postcritical care setting.
AB - Objectives: Patients and caregivers can experience a range of physical, psychologic, 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 and Setting: Seventeen Thrive sites from the United States, United Kingdom, and Australia were represented by a range of healthcare professionals. Measurements and Main Results: 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. 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. Conclusions: A number of different models of peer support are currently being developed to help patients and families recover and grow in the postcritical care setting.
KW - long-term outcomes
KW - peer support
KW - post-intensive care syndrome
KW - rehabilitation
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U2 - 10.1097/CCM.0000000000003497
DO - 10.1097/CCM.0000000000003497
M3 - Article
C2 - 30422863
AN - SCOPUS:85058904316
SN - 0090-3493
VL - 47
SP - E21-E27
JO - Critical Care Medicine
JF - Critical Care Medicine
IS - 1
ER -