Evidence map›Paper›PMID 39948609›Full record

ArticleAddiction science & clinical practice2025

A stakeholder-driven approach to designing a peer recovery coach role for implementation in community-oriented primary care teams in South Africa.

Bronwyn Myers, Kristen S Regenauer, Kim Johnson, Imani Brown, Alexandra L Rose, Nonceba Ciya, Sibabalwe Ndamase, Yuche Jacobs, Morgan S Anvari, Abigail Hines and 3 more

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Article in Addiction science & clinical practice, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors.

Bronwyn MyersCurtin enAble Institute, Faculty of Health Sciences, Curtin University, Kent Street, Bentley, WA, Australia. bronwyn.myers-franchi@curtin.edu.au.
Kristen S RegenauerDepartment of Psychology, University of Maryland, College Park, College Park, MD, USA.
Kim JohnsonMental Health, Alcohol, Substance Use, and Tobacco Research Unit, South African Medical Research Council, Parow, Cape Town, South Africa.
Imani BrownDepartment of Psychology, University of Maryland, College Park, College Park, MD, USA.
Alexandra L RoseDepartment of Psychology, University of Maryland, College Park, College Park, MD, USA.
Nonceba CiyaMental Health, Alcohol, Substance Use, and Tobacco Research Unit, South African Medical Research Council, Parow, Cape Town, South Africa.
Sibabalwe NdamaseMental Health, Alcohol, Substance Use, and Tobacco Research Unit, South African Medical Research Council, Parow, Cape Town, South Africa.
Yuche JacobsMental Health, Alcohol, Substance Use, and Tobacco Research Unit, South African Medical Research Council, Parow, Cape Town, South Africa.
Morgan S AnvariDepartment of Psychology, University of Maryland, College Park, College Park, MD, USA.
Abigail HinesDepartment of Psychology, University of Maryland, College Park, College Park, MD, USA.
Dwayne DeanDepartment of Psychology, University of Maryland, College Park, College Park, MD, USA.
Rithika BaskarDepartment of Psychology, University of Maryland, College Park, College Park, MD, USA.
Jessica F MagidsonDepartment of Psychology, University of Maryland, College Park, College Park, MD, USA.

Funding

Evaluating the Role of Peers to Reduce Substance Use Stigma and Improve HIV Care Outcomes in South AfricaR21DA053212 · NIDA · UNIV OF MARYLAND, COLLEGE PARK · PI MAGIDSON, JESSICA F, MYERS, BRONWYN · 2020 to 2021
$372k
Effectiveness and implementation of pre-training interpersonal skills assessment of community health workers in South Africa to predict post-training competence in mental health careF31MH123020 · NIMH · UNIV OF MARYLAND, COLLEGE PARK · PI ROSE, ALEXANDRA LEAH · 2021 to 2023
$127k
Examining the Effect of Peers on Internalized Substance Use Stigma in the Context of HIV and Substance Use Care Engagement in South AfricaR36DA057167 · NIDA · UNIV OF MARYLAND, COLLEGE PARK · PI REGENAUER, KRISTEN SATU · 2022 to 2023
$106k
NIDA NIH HHS R21 DA053212NIDA NIH HHS R21DA053212NIDA NIH HHS R36 DA057167NIDA NIH HHS R36DA057167NIMH NIH HHS F31 MH123020NIMH NIH HHS F31MH123020
6 · The paper itself

Abstract

introductionIn South Africa, community-oriented primary care teams work to re-engage out-of-care people with HIV (PWH) in treatment, many of whom have substance use (SU) concerns. SU stigma is high among these teams, limiting care engagement efforts. Integrating peer recovery coaches into community-oriented primary care teams could shift SU stigma and improve patients' engagement in care. The peer role does not exist in SA and represents a workforce innovation. To enhance acceptability, feasibility, and appropriateness for the local context, we engaged multiple stakeholder groups to co-design a peer role for community-oriented primary care team integration.

methodsWe used a five-step human-centered design process: (i) semi-structured interviews with healthcare worker (n = 25) and patient (n = 15) stakeholders to identify priorities for the role; (ii) development of an initial role overview; (iii) six ideation workshops with healthcare worker (n = 12) and patient (n = 12) stakeholders to adapt this overview; (iv) refinement of the role prototype via four co-design workshops with healthcare worker (n = 7) and patient (n = 9) stakeholders; and (v) consultation with HIV and SU service leaders to assess the acceptability and feasibility of integrating this prototype into community-oriented primary care teams.

resultsAlthough all stakeholders viewed the peer role as acceptable, patients and healthcare worker identified different priorities. Patients prioritized the care experience through sharing of lived experience and confidential SU support. Healthcare worker prioritized clarification of the peer role, working conditions, and processes to limit any impact on the community-oriented primary care team. A personal history of SU, minimum 1 year in SU recovery, and strong community knowledge were considered role prerequisites by all stakeholders. Through the iterative process, stakeholders clarified their preferences for peer session structure, location, and content and expanded proposed components of peer training to include therapeutic and professional work practice competencies. Service leaders endorsed the prototype after the addition of peer integration training for community-oriented primary care teams and peer mentoring to address community and team dynamics.

conclusionStakeholder engagement in an iterative design process has been integral to co-designing a peer role that multiple stakeholder groups consider acceptable and that community-oriented primary care teams are willing to implement. This offers a methodological framework for other teams designing SU workforce innovations.

Indexed as

Community Health ServicesHIV InfectionsMentoringPatient Care TeamPeer GroupPrimary Health CareStakeholder ParticipationSubstance-Related DisordersAdultFemaleHealth PersonnelHumansInterviews as TopicMaleQualitative ResearchSocial StigmaCo-designGlobal mental healthImplementation scienceLived experienceLow-and-middle income countryStigmaSubstance useTask-sharing

Identifiers

PMID39948609
PMCPMC11827258

What OpenQuestion holds

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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.