Peer support for traumatic injury survivors: a scoping review

Peers are uniquely able to draw on their lived experiences to support trauma survivors’ recovery. By understanding the functions and outcomes of peer support and the factors that impact implementation, evidence can be mobilized to enhance its application and uptake into standard practice. As such, we aimed to review the literature on peer support for trauma survivors to: examine the role of peer support in recovery; describe the nature and extent of peer support; Examine the influence of peer support on health and well-being; and identify the barriers and facilitators to developing and implementing peer support. Scoping review methodology as outlined by Arksey and O’Malley. Ninety-three articles were reviewed. Peer support was highlighted as an important component of care for trauma survivors and provided hope and guidance for the future post-injury. Most peer support programs were offered in the community and provided one-on-one support from peer mentors using various modalities. Interventions were successful when they involved knowledgeable peer mentors and maintained participant engagement. Prior negative experiences and stigma/privacy concerns deterred trauma survivors from participating. Peer support fulfills several functions throughout trauma survivors’ recovery that may not otherwise be met within existing health care systems. Implications for rehabilitationBy understanding the functions and outcomes and the factors that impact implementation of peer support, evidence can be mobilized to enhance its application and uptake into standard practice.Peers provide trauma survivors with socioemotional support as well as assistance in daily management and life navigation post-injury.Peer support provided hope and guidance for the future after injury and improved self-efficacy amongst trauma survivors.Peer support programs are most likely to be successful when they involve knowledgeable peer mentors, are flexibly delivered, align with organizations’ values and priorities, and have adequate resources and funding to support their implementation. By understanding the functions and outcomes and the factors that impact implementation of peer support, evidence can be mobilized to enhance its application and uptake into standard practice. Peers provide trauma survivors with socioemotional support as well as assistance in daily management and life navigation post-injury. Peer support provided hope and guidance for the future after injury and improved self-efficacy amongst trauma survivors. Peer support programs are most likely to be successful when they involve knowledgeable peer mentors, are flexibly delivered, align with organizations’ values and priorities, and have adequate resources and funding to support their implementation.

同伴是唯一能够依托自身亲身经历，为创伤幸存者的康复提供支持的群体。通过明晰同伴支持(peer support)的功能、成效以及影响其实施的各类因素，可调动相关研究证据以强化其应用，并推动其纳入标准临床实践。据此，本研究旨在针对创伤幸存者的同伴支持相关文献展开范围综述，具体目标包括：探析同伴支持在康复进程中的作用；阐明同伴支持的本质与覆盖范围；检视同伴支持对健康与福祉的影响；以及明确同伴支持开发与实施过程中的阻碍因素与促进条件。
本研究采用Arksey与O'Malley提出的范围综述方法。本次综述共纳入93篇文献。
研究表明，同伴支持是创伤幸存者照护体系的重要组成部分，可为伤后幸存者提供未来生活的希望与指引。多数同伴支持项目设于社区，由同伴导师通过多种形式为幸存者提供一对一支持。若项目配备具备专业素养的同伴导师，并能维持参与者的参与度，干预通常可取得良好效果。过往负面经历、病耻感与隐私顾虑，会阻碍创伤幸存者参与同伴支持项目。
同伴支持在创伤幸存者的全康复周期中承担着多项功能，而这些功能在现有医疗体系中往往难以实现。
康复领域实践启示：
通过明晰同伴支持的功能、成效以及影响其实施的各类因素，可调动相关研究证据以强化其应用，并推动其纳入标准临床实践。同伴可为创伤幸存者提供社会情感支持，同时协助其开展伤后日常管理与生活规划。同伴支持可为伤后幸存者提供未来生活的希望与指引，并提升其自我效能感。同伴支持项目若能满足以下条件，通常更易取得成功：配备具备专业素养的同伴导师、实施形式灵活、契合机构的价值观与优先事项、拥有充足的资源与经费以保障项目落地。
通过明晰同伴支持的功能、成效以及影响其实施的各类因素，可调动相关研究证据以强化其应用，并推动其纳入标准临床实践。同伴可为创伤幸存者提供社会情感支持，同时协助其开展伤后日常管理与生活规划。同伴支持可为伤后幸存者提供未来生活的希望与指引，并提升其自我效能感。同伴支持项目若能满足以下条件，通常更易取得成功：配备具备专业素养的同伴导师、实施形式灵活、契合机构的价值观与优先事项、拥有充足的资源与经费以保障项目落地。