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Developing a model of change mechanisms within Intentional Unidirectional Peer Support (IUPS)

Developing a model of change mechanisms within Intentional Unidirectional Peer Support (IUPS)
Developing a model of change mechanisms within Intentional Unidirectional Peer Support (IUPS)
Peers are those with lived experiences of adversity and are
commonly utilised in services. However, little is known about change mechanisms, resulting in undefined concepts and weak assertions on peer supports’effectiveness. Further, peer interventions are becoming increasingly commonin homelessness services, without the theoretical understanding to support it.This review systematically explores literature to close this gap. Iterativesearches from PsychINFO, PsychARTICLES, PubMED, MEDLINE, CINAHL,
Web of Science, and grey literature resulted in 71 included sources. Through
realist synthesis, a model of client and peer pathways through peer support
was developed. Through inclusion of literature from multiple health contexts
(i.e. homelessness, mental health, addiction, and criminal justice), the review
identified mechanisms of working alliances, role modelling, experience-based
social support, and processes of becoming a peer-supporter. The model
asserts that 1) the working alliance quality influences client/peer outcomes, 2)
clients learn behaviours modelled by peers, 3) peer outcomes are mediated
by being a role model, 4) peers provide social support, impacting client/peer
outcomes, and 5) training, supervision, and support are directly linked to peersupporters’ effectiveness.
realist synthesis, peer mentors, working alliance, homelessness, Peer support
2030-3106
97-127
Barker, Stephanie
c13c8f44-ca6f-497d-8eca-006707beeddf
Bishop, Felicity
1f5429c5-325f-4ac4-aae3-6ba85d079928
Scott, Elizabeth Grace Bodley
976059d2-1e4f-4acf-ab97-b1f230f8df59
Stopa, Lusia
b52f29fc-d1c2-450d-b321-68f95fa22c40
Maguire, Nicholas
ebc88e0a-3c1e-4b3a-88ac-e1dad740011b
Barker, Stephanie
c13c8f44-ca6f-497d-8eca-006707beeddf
Bishop, Felicity
1f5429c5-325f-4ac4-aae3-6ba85d079928
Scott, Elizabeth Grace Bodley
976059d2-1e4f-4acf-ab97-b1f230f8df59
Stopa, Lusia
b52f29fc-d1c2-450d-b321-68f95fa22c40
Maguire, Nicholas
ebc88e0a-3c1e-4b3a-88ac-e1dad740011b

Barker, Stephanie, Bishop, Felicity, Scott, Elizabeth Grace Bodley, Stopa, Lusia and Maguire, Nicholas (2020) Developing a model of change mechanisms within Intentional Unidirectional Peer Support (IUPS). European Journal of Homelessness, 14 (2), 97-127.

Record type: Article

Abstract

Peers are those with lived experiences of adversity and are
commonly utilised in services. However, little is known about change mechanisms, resulting in undefined concepts and weak assertions on peer supports’effectiveness. Further, peer interventions are becoming increasingly commonin homelessness services, without the theoretical understanding to support it.This review systematically explores literature to close this gap. Iterativesearches from PsychINFO, PsychARTICLES, PubMED, MEDLINE, CINAHL,
Web of Science, and grey literature resulted in 71 included sources. Through
realist synthesis, a model of client and peer pathways through peer support
was developed. Through inclusion of literature from multiple health contexts
(i.e. homelessness, mental health, addiction, and criminal justice), the review
identified mechanisms of working alliances, role modelling, experience-based
social support, and processes of becoming a peer-supporter. The model
asserts that 1) the working alliance quality influences client/peer outcomes, 2)
clients learn behaviours modelled by peers, 3) peer outcomes are mediated
by being a role model, 4) peers provide social support, impacting client/peer
outcomes, and 5) training, supervision, and support are directly linked to peersupporters’ effectiveness.

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RR_Manuscript_EJH-Revisions_Final - Accepted Manuscript
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More information

e-pub ahead of print date: 7 September 2020
Keywords: realist synthesis, peer mentors, working alliance, homelessness, Peer support

Identifiers

Local EPrints ID: 443944
URI: http://eprints.soton.ac.uk/id/eprint/443944
ISSN: 2030-3106
PURE UUID: 5b6227f8-1750-474c-8a96-d7c150743e72
ORCID for Stephanie Barker: ORCID iD orcid.org/0000-0002-2886-4113
ORCID for Felicity Bishop: ORCID iD orcid.org/0000-0002-8737-6662
ORCID for Nicholas Maguire: ORCID iD orcid.org/0000-0003-4295-8068

Catalogue record

Date deposited: 17 Sep 2020 16:35
Last modified: 13 Dec 2021 03:23

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Contributors

Author: Felicity Bishop ORCID iD
Author: Elizabeth Grace Bodley Scott
Author: Lusia Stopa

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