Mental health workers’ perspectives on the implementation of a peer support intervention in five countries: qualitative findings from the UPSIDES study
Rattachement africain : de, il, in, Ouganda, Tanzanie, gb. Niveau de preuve : code pays fourni par la source.
Le résumé fourni par la source
OBJECTIVE: The introduction of peer support in mental health teams creates opportunities and challenges for both peer and non-peer staff. However, the majority of research on mental health workers' (MHWs) experiences with peer support comes from high-income countries. Using Peer Support In Developing Empowering Mental Health Services (UPSIDES) is an international multicentre study, which aims at scaling up peer support for people with severe mental illness in Europe, Asia and Africa. This study investigates MHWs experiences with UPSIDES peer support. DESIGN: Six focus groups with MHWs were conducted approximately 18 months after the implementation of the UPSIDES peer support intervention. Transcripts were analysed with a descriptive approach using thematic content analysis. SETTING: Qualitative data were collected in Ulm and Hamburg (Germany), Butabika (Uganda), Dar es Salaam (Tanzania), Be'er Sheva (Israel) and Pune (India). PARTICIPANTS: 25 MHWs (19 females and 6 males) from UPSIDES study sites in the UPSIDES Trial (ISRCTN26008944) participated. FINDINGS: Five overarching themes were identified in MHWs' discussions: MHWs valued peer support workers (PSWs) for sharing their lived experiences with service users (theme 1), gained trust in peer support over time (theme 2) and provided support to them (theme 3). Participants from lower-resource study sites reported additional benefits, including reduced workload. PSWs extending their roles beyond what MHWs perceived as appropriate was described as a challenge (theme 4). Perceptions about PSWs varied based on previous peer support experience, ranging from considering PSWs as equal team members to viewing them as service users (theme 5). CONCLUSIONS: Considering local context is essential in order to understand MHWs' views on the cooperation with PSWs. Especially in settings with less prior experience of peer support, implementers should make extra effort to promote interaction between MHWs and PSWs. In order to better understand the determinants of successful implementation of peer support in diverse settings, further research should investigate the impact of contextual factors (eg, resource availability and cultural values). TRIAL REGISTRATION NUMBER: ISRCTN26008944.
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Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Mental health workers’ perspectives on the implementation of a peer support intervention in five countries: qualitative findings from the UPSIDES study
- Date Crossref
- 01/05/2024
- Éditeur
- BMJ
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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Universität Ulm pays non établi dans la noticeUniversité ou école supérieure
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Ben-Gurion University of the Negev Department of Social Work pays non établi dans la noticeUniversité ou école supérieure
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Indian Law Institute pays non établi dans la noticeUniversité ou école supérieure
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Butabika Hospital Ouganda (code pays fourni par la source)Établissement de santé
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Ifakara Health Institute Department of Health Systems Ifakara Health Institute, Tanzanie (code pays fourni par la source)Organisation à but non lucratif
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Universität Hamburg pays non établi dans la noticeUniversité ou école supérieure
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University Medical Center Hamburg-Eppendorf Department of Psychiatry and Psychotherapy pays non établi dans la noticeÉtablissement de santé
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London School of Hygiene & Tropical Medicine pays non établi dans la noticeUniversité ou école supérieure
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University of Nottingham pays non établi dans la noticeUniversité ou école supérieure
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Institute of Mental Health pays non établi dans la noticeÉtablissement de santé
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Ulm University Department of Psychiatry II pays non établi dans la noticeUniversité ou école supérieure
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Centre for Mental Health Law and Policy pays non établi dans la noticeInstitution
Universität Ulm, Department of Social Work — Ben-Gurion University of the Negev et Indian Law Institute, avec 9 autres affiliations. Pays d’affiliation : Ouganda, Tanzanie.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.