"P与p对比的同行":在全球范围内对同行支持培训,服务提供和监督的混合方法研究
Ernesto Isaac Lara1, Laura Bond1, Kathryn O'Neill1
1Department of Global Health & Social Medicine, Harvard Medical School, Boston, Massachusetts, United States of America.
PLOS mental health
|February 9, 2026
概括
同行支持服务提高了心理健康结果. 这项研究强调了需要标准化的培训,公平的报酬和同行监督,以加强这些全球重要的非临床支持系统.
科学领域:
- 心理健康服务研究 心理健康服务研究
- 社会工作 社会工作 社会工作
- 精神科康复 精神科康复
背景情况:
- 以实践经验为非临床援助的同行支持服务已被证明对严重的心理健康状况有效.
- 在全球范围内,关于培训,服务提供和监督的同行支持者经验存在有限的研究.
研究的目的:
- 探索同行支持者在培训,服务提供和监督方面的经验,在不同的全球背景下.
- 确定共同的基础和特定背景的细微差别,以加强同行支持服务.
主要方法:
- 解释性的混合方法研究利用调查 (N=101),关键信息人采访 (N=13) 和焦点小组讨论 (N=14).
- 定量数据用描述性分析;定性数据用主题内容分析分析.
主要成果:
- 对同行能力的高度利用:分享实践经验 (89.1%),协作 (81.2%),和沟通 (78.2%).
- 关键主题:角色明确性,专业间的合作,可访问的培训和同行监督.
- 识别的挑战:耻辱,不公平的薪酬,有限的职业道路,不一致的培训质量.
结论:
- 标准化的培训能力,可持续的培训,公平的报酬和同行监督模式对于有效的同行支持至关重要.
- 在缺乏正式基础设施的地方,基层和基于信仰的组织在提供同行支持方面发挥着至关重要的作用.
- 应对挑战和实施首选的监督模式可以在全球范围内加强同行支持服务.
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