Evidence map›Paper›PMID 24992284›Full record

ArticleEpidemiology and psychiatric sciences2015

Developing a change model for peer worker interventions in mental health services: a qualitative research study.

S Gillard, S L Gibson, J Holley, M Lucock

Registry-linked trialOpen access · greenAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Epidemiology and psychiatric sciences, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04639167 (Volunteer-led "Paths to Everyday Life"), which is not on this map. Cited by 73 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
73citing papers in PubMed, 3 pooled it
10.9field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04639167 nacompletednot on this mapstarted 2020, after this paper: background citation

Volunteer-led "Paths to Everyday Life" (PEER) Peer Support Group Intervention to Adults With Mental Health Difficulties Versus Service as Usual in the Community - Results From a Randomized Two-armed, Multi-municipal, Superiority Trial

TypeinterventionalSponsorAmager HospitalRan2020 to 2023Enrolled299ConditionsMental Health Impairment, Peer Group, Mental Health Disorder, Problems PsychosocialArmsPaths to everyday life (PEER)
3 · Its place in the literature

Who cites it

73 citing papers in PubMed, 3 syntheses or guidelines pooled it, 197 citations in OpenAlex.

  1. Pooled it
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  5. Increasing the Repertoire for Depression Care: Methods and Challenges of a Randomized Controlled Trial of Peer Support for Vulnerable Older Adults.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2023
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  12. Peer-Led Models Focussed on Emotional Distress and Suicide Prevention: A Scoping Review.International journal of environmental research and public health · 2026
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  13. Peer Support Workers in Mental Health Care: Plural Positionings Beyond Transformation and Assimilation Dichotomy.Health expectations : an international journal of public participation in health care and health policy · 2026
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13 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

S GillardInstitute of Population Health Research,St George's,University of London,London,UK.
S L GibsonInstitute of Population Health Research,St George's,University of London,London,UK.
J HolleyInstitute of Population Health Research,St George's,University of London,London,UK.
M LucockInstitute of Population Health Research,St George's,University of London,London,UK.
St George's, University of London · GB

Funding

Department of Health 10/1008/15
6 · The paper itself

Abstract

aimsA range of peer worker roles are being introduced into mental health services internationally. There is some evidence that attests to the benefits of peer workers for the people they support but formal trial evidence in inconclusive, in part because the change model underpinning peer support-based interventions is underdeveloped. Complex intervention evaluation guidance suggests that understandings of how an intervention is associated with change in outcomes should be modelled, theoretically and empirically, before the intervention can be robustly evaluated. This paper aims to model the change mechanisms underlying peer worker interventions.

methodsIn a qualitative, comparative case study of ten peer worker initiatives in statutory and voluntary sector mental health services in England in-depth interviews were carried out with 71 peer workers, service users, staff and managers, exploring their experiences of peer working. Using a Grounded Theory approach we identified core processes within the peer worker role that were productive of change for service users supported by peer workers.

resultsKey change mechanisms were: (i) building trusting relationships based on shared lived experience; (ii) role-modelling individual recovery and living well with mental health problems; (iii) engaging service users with mental health services and the community. Mechanisms could be further explained by theoretical literature on role-modelling and relationship in mental health services. We were able to model process and downstream outcomes potentially associated with peer worker interventions.

conclusionsAn empirically and theoretically grounded change model can be articulated that usefully informs the development, evaluation and planning of peer worker interventions.

Indexed as

Change modelmental health researchpeer supportqualitative research

Identifiers

PMID24992284
PMCPMC8367355
OpenAlexW2150950430

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.