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.
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.
UR - http://www.scopus.com/inward/record.url?scp=85058904316&partnerID=8YFLogxK
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 -