Peer Experiences Research Articles

Sexual and/or gender minority mental health disparities in adolescence: effects of adverse peer and family experiences

ABSTRACT Research exploring developmental explanations for sexual and/or gender minority (i.e. SGM) mental health disparities often rely on adults’ retrospectively reported childhood adversity, leaving gaps in understanding how childhood adversity affects SGM mental health disparities during critical developmental periods and/or in contemporary youth. We tested the association between 459 12- to 17-year-old Canadian adolescents’ SGM status and mental health (i.e. life satisfaction, internalizing symptoms) and whether this was explained by indirect effects of peer and family adversity. Additionally, we examined developmental differences between early and middle adolescence. SGM status significantly predicted worse mental health. In an adjusted model, indirect effects through peer and family adversity were significant; the previously detected total effect of SGM status on life satisfaction disappeared and the effect on internalizing symptoms lessened. No significant developmental differences were detected. This suggests that mental health disparities are present in contemporary SGM youth and concurrent adverse experiences may underlie these disparities.

Factors contributing to the fostering of resilience among final-year nursing students in challenging situations: Lessons from the COVID-19 pandemic

BackgroundDuring the first wave of the COVID-19 pandemic, final-year nursing students in our country volunteered to join the healthcare workforce, and the challenges they faced were considerable. AimTo explore the factors that foster resilience among final-year nursing students that joined the healthcare workforce during the first wave of the COVID-19 pandemic. DesignDescriptive qualitative study with thematic analysis. ParticipantsNewly graduated nurses who had volunteered to join the health workforce during the first wave of the COVID-19 pandemic as final-year bachelor of nursing students. MethodsTwenty-two semi-structured interviews were conducted during January and February 2021. Interviews were conducted by nursing students as part of their final-year dissertation with the supervision of a researcher with experience on qualitative data collection methods. Thematic analysis of interview transcripts was performed using Weft QDA 1.0.1. ResultsThe analysis revealed two main themes that described newly graduated nurses views regarding the factors that had enabled them to develop resilience when working on the frontline as final-year nursing students: (1) factors that helped them cope with adversity related with the identification and use of personal resources, feeling supported from others and professional recognition; and (2) factors that promoted learning such as guided reflection and the opportunity to share peer experiences. ConclusionThe identification and use of personal resources, recognition and support from others, guided reflection and sharing peer experiences appear to be the key factors in helping nursing students develop resilience in the face of challenging situations. Promoting these factors in the context of nurse education programmes will help to ensure that future professionals are better prepared to deal with the challenges that nurses face in clinical practice in their early career.

How do firms’ performance shortfalls affect digital transformation? The role of peer experience and persistent underperformance

How do firms’ performance shortfalls affect digital transformation? The role of peer experience and persistent underperformance

Attentional processes in response to emotional facial expressions in adults with retrospectively reported peer victimization of varying severity: Results from an ERP dot-probe study

BackgroundAttentional processes are influenced by both stimulus characteristics and individual factors such as mood or personal experience. Research has suggested that attentional biases to socially relevant stimuli may occur in individuals with a history of peer victimization in childhood and adolescence. Based on this, the present study aimed to examine attentional processes in response to emotional faces at both the behavioral and neurophysiological levels in participants with experiences of peer victimization.MethodsIn a sample of 60 adult participants with varying severity of retrospectively reported peer victimization in childhood and adolescence, the dot-probe task was administered with angry, disgusted, sad, and happy facial expressions. In addition to behavioral responses, physiological responses (i.e., event-related potentials) were analyzed.ResultsAnalyses of mean P100 and P200 amplitudes revealed altered P200 amplitudes in individuals with higher degrees of peer victimization. Higher levels of relational peer victimization were associated with increased P200 amplitudes in response to facial expressions, particularly angry and disgusted facial expressions. Hierarchical regression analyses showed no evidence for an influence of peer victimization experiences on reaction times or P100 amplitudes in response to the different emotions.ConclusionCortical findings suggest that individuals with higher levels of peer victimization mobilize more attentional resources when confronted with negative emotional social stimuli. Peer victimization experiences in childhood and adolescence appear to influence cortical processes into adulthood.

A new approach in insulin pump education improves glycemic outcomes: a randomized controlled trial.

To address the scarcity of continued education for insulin pump users, we developed and evaluated a new program (NP) for individuals transitioning to a different insulin pump. In a randomized, controlled 3-month study, adults with type 1 diabetes and suboptimal HbA1c received either NP or usual care program (UC). The NP was designed in collaboration with representatives of the target group and incorporated technical training, case-based learning, and peer experience sharing - encompassing two group sessions, and two follow-up telephone calls. The UC included a single training session led by the pump company with hotline assistance (clinic) but no structured follow-up. The primary endpoint was the difference in time in range (TIR) (70-180mg/dL (3.9-10.0 mmol/L)), measured by continuous glucose monitoring from baseline to 3 months post-course. Psychosocial self-efficacy was measured by the Diabetes Empowerment Scale (DES-SF). Thirty-nine participants (median age 43, 74% female) were included. Mean TIR increased significantly in the NP group and remained unchanged in the UC group (between-group difference in change was 13.5% [95% CI: 4.0 to 22.9], p = 0.0064). Psychosocial self-efficacy improved and HbA1c decreased only significantly in the NP group. Applying a novel education program at pump transition significantly improved glycemic outcomes and self-efficacy.

Experiences of Family Peer Advocates Supporting Black Families Raising Autistic Children

Professionals play an important role in when and how families access autism services. Black families often experience disparate access to autism services compared to White families. Family Peer Advocates (FPAs) are professionals who have personal experience with the diagnostic process, school-based supports, and community-based services, and provide training and support to families. Understanding the experiences of FPAs may help researchers and practitioners better address the needs of Black autistic children and their families. The purpose of this qualitative study was to explore FPAs’ experiences providing autism-related services and resources for Black families with autistic children. We conducted focus groups with 32 FPAs from two agencies in one southeastern state. Three themes emerged from our inductive data analysis regarding FPA experiences: (a) serving multiple roles; (b) working with “zero resources”; and (c) variations in racial responsivity. Given our findings, we call for FPAs to ensure they are considering and responding to the intersecting impact of race on families’ experiences with autism diagnosis and services.

The ‘Paths to everyday life’ (PEER) trial – a qualitative study of mechanisms of change from the perspectives of individuals with mental health difficulties participating in peer support groups led by volunteer peers

BackgroundWorldwide, peers support has been shown to play a crucial role in supporting people with mental illness in their personal recovery process and return to everyday life. Qualitiative studies underpinning the mechanisms of change in peer support has been reviewed. However, the findings are primeraly based on the perspectives of peer support workers employed in mental health services. Thus, qualitiative studies elucidating the mechanisms of change from the recipient perspective in mental health service independent civil society settings are higly needed to further contribute to the evidence of peer support. The ‘Paths to every day life’ (PEER) is evaluated in a randomized trial and is substantiated by qualitative studies investigating the experiences of PEER from the perspectives of the recipients and the facilitators of peer support. The purpose of this qualitative study underpinned by critical realism was to substantiate the PEER intervention program theory by gaining deeper insight into the change mechanisms and elaborate how, when, and under what circumstances the peer support groups potentially had or did not have an impact on personal recovery from the perspectives of the recipients of peer support.MethodsEleven individuals were interviewed at the end of the ten-week group course. The semi-structured realist-inspired interviews were audio recorded and transcribed verbatim. The analysis was guided by reflective thematic analysis and through an abductive framework based on the program theory. Data were coded and analysed in Nvivo software.ResultsFour overarching themes were identified that informed and nuanced the program theory: 1) Connectedness as a prerequisite for engagement; 2) A sense of hope by working out new paths to recovery; 3) Seeing new sides of oneself; and 4) Sprout for change.ConclusionsThis study substantiates the program theory and the quantitative results of the PEER trial by elaborating on mechanisms that were felt to be essential for the personal recovery process from the perspectives of the recipients of the group-based peer support. In addition, the study points out that the opportunities to act in everyday life depended on individual context and where the group participants were on their recovery journey.Trial registrationClinicalTrials.gov identifier: NCT04639167.

Three approaches to interviews: tell me about you, them, “fictitious” others

Purpose The purpose of this paper is to examine different approaches to framing interviews from the planning stage of interview design, drawing on Goffman’s (1974) notion of frame analysis. Design/methodology/approach Reflecting on previous studies the author has been involved with, in the context of accountability, three approaches to framing interviews are presented and discussed. Findings Framing interviews around the experience of interviewees, peers or fictitious yet familiar others provides three pathways to access interviewees’ insights, perspectives, knowledge and experience on issues relevant and familiar to them. Research limitations/implications The approaches to framing interviews detailed in the paper provide valuable alternatives to access interviewees’ personal insights based on their worlds and worldviews. Originality/value Consideration of interviews on accountability through the use of framing and frame analysis provides novel, strategic perspectives on interview design.

A network model of stress contagion: evidence from the vocational classroom

PurposeOur study focuses on stress contagion in vocational school classes, examining how students’ stress experiences affect their spatial classmates. For this purpose, we apply a novel formal network model that allows us to differentiate between endogenous and exogenous peer effects in the stress contagion process. Using the network model, we investigate effects on students’ stress levels, considering the stress and coping experiences of spatial peers as well as didactic-methodological context factors.MethodsWe test our statistical model using secondary data collected in a study involving 53 students from two classes at a public German vocational training school. The students’ experiences of stress (time pressure, pressure to succeed) and coping strategies (understanding of the subject matter, self-confidence) were captured using the experience sampling method, while classroom characteristics (e.g., teacher instruction, cooperative work) were recorded through video-based analysis of lessons. Utilizing the panel data, we employ maximum likelihood estimation to assess the spatial peer effects model for both classrooms.ResultsAmong other findings, all model specifications revealed significant peer effects for both stress measures, indicating that the higher the stress experience of immediate peers in the classroom, the higher the individual stress experienced by the students. Concerning the considered context factors, we found, for example, that increased cooperative work leads to higher levels of stress experience.ConclusionFrom a substantive perspective, our results underscore the role of peer-to-peer contagion in the vocational classroom and thus suggest a nuanced examination of cooperative practices. From a research methodology perspective, our approach illustrates how various methods (such as experience sampling, video-based classroom observation, and spatial network information) complement and enrich each other, highlighting the added value of our network analytical approach

What supports the emotional well-being of peer workers in an NHS mental health service?

Purpose This study aims to explore the experiences of peers working in a range of roles within a single NHS mental health service. This study also aims to provide evidence of the impact of existing support, organisational structure and culture around peer working and provide recommendations for a Good Practice Guide for Peer Working. Peer roles require lived experience of mental health conditions and/or services. While the impact on them of using their own lived experience is not fully understood, anecdotal evidence suggests that peer workers may experience a greater emotional impact than other mental health workers. Burnout and retention are particular concerns. Design/methodology/approach This was a two-stage study using focus groups and reflexive thematic analysis in Stage 1. The key themes formed the basis of the Stage 2 workshop, which provided recommendations for a Good Practice Guide. The study team consisted of peer researchers with lived experience, supported by a Lived Experience Advisory Panel. Findings There is a perceived lack of support and an increased peer burden for peer workers. Recommendations included relevant ongoing training and development; support and supervision; and organisational cultural change. Originality/value Working within a peer-led co-production framework, this study contributes to the development of the evidence base for peer emotional labour. Based on the findings, a Good Practice Guide for Peer Working is being developed to promote good practice for the development of future peer worker roles.

Against the odds: predictors of academic success and excellence in majority-minority schools

ABSTRACT Although schools with a high concentration of ethnic minorities often underperform, not much is known about the factors that predict high and even excellent achievement of pupils within these schools. Therefore, we examined which concrete diversity practices and key psychological processes increase or decrease the likelihood/odds for high and excellent performance on a standardized mathematics test, thereby utilizing multivariable logistic regressions among 855 10–12-year-olds in 18 majority-minority schools in Flanders, Belgium. While the odds for high and excellent mathematics scores were unaffected by language spoken at home or religiosity, they were negatively related to deficit-based assimilationist school practices, inconsistently related to meritocratic neutrality-based practices, and positively related to a strengths-based anti-racist school curriculum. Furthermore, while higher school belonging and a growth mindset increased the odds of high and excellent achievement, students’ experiences of peer or teacher discrimination decreased these odds dramatically. Implications for school effectiveness policies are discussed.

A multi-method exploration of a cardiac rehabilitation service delivered by registered Clinical Exercise Physiologists in the UK: key learnings for current and new services

BackgroundCardiac rehabilitation has been identified as having the most homogenous clinical exercise service structure in the United Kingdom (UK), but inconsistencies are evident in staff roles and qualifications within and across services. The recognition of Clinical Exercise Physiologists (CEPs) as a registered health professional in 2021 in the UK, provides a potential solution to standardise the cardiac rehabilitation workforce. This case study examined, in a purposefully selected cardiac exercise service that employed registered CEPs, (i) how staff knowledge, skills and competencies contribute to the provision of the service, (ii) how these components assist in creating effective service teams, and (iii) the existing challenges from staff and patient perspectives.MethodsA multi-method qualitative approach (inc., semi-structured interviews, observations, field notes and researcher reflections) was employed with the researcher immersed for 12-weeks within the service. The Consolidated Framework for Implementation Research was used as an overarching guide for data collection. Data derived from registered CEPs (n = 5), clinical nurse specialists (n = 2), dietitians (n = 1), service managers/leads (n = 2) and patients (n = 7) were thematically analysed.ResultsRegistered CEPs delivered innovative exercise prescription based on their training, continued professional development (CPD), academic qualifications and involvement in research studies as part of the service. Exposure to a wide multidisciplinary team (MDT) allowed skill and competency transfer in areas such as clinical assessments. Developing an effective behaviour change strategy was challenging with delivery of lifestyle information more effective during less formal conversations compared to timetabled education sessions.ConclusionsRegistered CEPs have the specialist knowledge and skills to undertake and implement the latest evidence-based exercise prescription in a cardiac rehabilitation setting. An MDT service structure enables a more effective team upskilling through shared peer experiences, observations and collaborative working between healthcare professionals.

Differing gender diverse children have differing experiences with same- and other-gender peers.

How gender diversity is exhibited varies: some individuals feel similar to the other gender; others experience little similarity to either gender, and some feel similar to both genders. For children, do these variations relate to differing relationships with peers? The goal was to assess whether a community sample of children (884, Mage = 9.04, SD = .90, 51% boys/1 transgender boy; 57% non-Latinx) with differing types of gender diversity have differing relationship experiences and beliefs about same- and other-gender peers. Gender diversity was determined by gender self-concepts (Both-Gender Similar, Cross-Gender Similar, Low-Gender Similar); these were compared among themselves and to gender-typical children (Own-Gender Similar). Results confirmed that children who exhibited differing gender diversity patterns varied in their peer experiences such that gender self-concept matching was found: Children who felt more similar to other-gender peers reported more contact and felt included and efficacious with other-gender peers; children who felt more similar to same-gender peers reported more contact and felt included and efficacious with same-gender peers. These findings suggest that children with two of the atypical patterns (i.e., Cross-Gender and Both-Gender) may experience social benefits that gender typical children do not. These findings illustrate the variability and strengths among gender diverse children.

Peer Mentoring Circles in higher education: perceptions of their members with and without disability and program proposal

The increase of the number of students with disabilities in Higher Education, including students with intellectual disability, emphasizes the need for Higher Education Institutions to provide support for their inclusion and learning. Within inclusive Higher Education peers can have a fundamental role through Peer Mentoring Circles. This qualitative study aims to understand the perceived experiences of members of Peer Mentoring Circles, within the scope of a program that provided academic support, during an academic semester, to mentees with intellectual disability. Data collection included semi-structured interviews with members of the Circles (two mentees and seven mentors), and the facilitator’s field notes. Content analysis was used to analyze the data. Through the data analysis, two categories were identified: components of the Peer Mentoring Circles program and experiences of the members of the Circles. The data generated suggest that both mentors and mentees had positive experiences, contributing to the development of the mentees’ skills. Based on literature and the data generated emerged the proposal for the Peer Mentoring Circles program with a broad set of guidelines for its implementation, which can set the baseline for developing future peer mentoring programs in Higher Education aimed not only at students with disabilities, but also at other students with support needs such as international students.

A New School, a Fresh Start? Change and Stability in Peer Relationships and Academic Performance in the Transition from Primary to Secondary School

Previous studies on peer relationships in school transitions neglected individual differences, or did not examine the relation with academic performance in secondary school. This study followed 649 students from their last year of primary school to their first year in secondary school (Mage at T1 = 11.6 (SD = 0.6); 53.6% girls). Results revealed that students became more attached to peers, less lonely, and were stable in victimization across the transition. Particularly students with more negative peer experiences in primary school enjoyed a “fresh start” in terms of peer experiences in secondary school. Students who had more co-transitioning peers experienced greater reductions in loneliness. Changes in peer experiences over the transition did not relate to academic performance in secondary school.

Associations between Social Experiences and Psychological Health for Autistic Youth with Low IQ.

Social experiences are consistently associated with psychological health among autistic individuals. However, most extant studies on this topic exclude individuals with autism who have lower IQ or are otherwise unable to self-report. The current study addresses this gap by examining associations of negative peer experiences and social participation with psychological health among autistic youth with low IQ. An online survey was collected from 268 parents of autistic adolescents and adults ages 15-25. Negative peer experiences included measures of peer victimization and being ignored. Social participation was assessed by the amount of participation and parents' perceptions of whether their youth felt the amount of participation was meeting their needs. Psychological health was assessed by parents' report of their youth's psychological quality of life, as well as whether they felt their son/daughter was currently depressed. Results suggested low rates of social participation in this sample, with relatively high rates of being ignored. Regression analysis found that lower rates of peer victimization and more activities in which parents perceived that the amount of time was meeting their youth's needs was associated with higher psychological quality of life and lower likelihood that parents felt their son/daughter was depressed. Though youth with autism and low IQ are often excluded from interventions aimed at improving social experiences, these findings suggest that promoting positive social experiences and ameliorating negative ones might be an avenue to improving psychological health in this group.

Atypical Antipsychotic Prescribing in Australian Children and Adolescents: A Survey of Medical Practitioners.

Prescriptions for atypical antipsychotics in children and adolescents are increasing globally. However, a precise understanding of the clinical variables and evidence that prescribers consider before using these agents is lacking. While empirical literature on the long-term safety and efficacy of these medications is available, the literature concerning their use in these younger age groups is relatively sparse. In this study, we examined the current prescribing patterns of medical professionals employed by a public health service in Australia. A survey examining their current practice when prescribing atypical antipsychotics to children and adolescents was completed by 103 physicians. Questions were asked about commonly prescribed atypical antipsychotics, indications, dose ranges, target symptoms, duration of treatment, and the evidence base(s) used when making treatment decisions. Physicians prescribed atypical antipsychotics for a wide range of indications in this age group, with the most common agents being risperidone, quetiapine, and olanzapine. Adverse effects were reported as the main reason for treatment discontinuation. More than half of the respondents indicated that the most common source of guidance/evidence they referred to when initiating prescriptions were peers or expert opinion. Children and adolescents were prescribed a number of atypical antipsychotics for a variety of indications, with variable perceived confidence and a relatively heavy reliance on "own or peer experience" as opposed to good quality evidence. Challenges exist for both prescribers and policymakers, and further "head-to-head" studies are needed in this age group to ensure that a balance is maintained between therapeutic benefit and safety.

Social learning and the acquisition of information and knowledge—a network approach for the case of technology adoption

Abstract The complexity of agricultural innovations and heterogeneity of circumstances of technology application, outcomes, and social network structures have often led to obstacles in social learning and suboptimal adoption. In this article, we examine technology diffusion by focusing on the roles of peer adoption decision, peer experience, and network structures, using survey data from 500 farm households in Northern Ghana to generate social network contacts. Our results reveal that learning from peer experiences matter more in the diffusion process than just peer adoption decisions alone. We also find that social learning and the likelihood of adoption are higher when peers are central nodes, and particularly when they belong to cohesive subgroups, but lower when they are in highly segregated networks. Our results shed new light on the role of central agents, since highly cohesive neighbourhoods seem to promote diffusion more in high-modularity networks than central nodes.

"There's always something, and then there's more": a qualitative examination of how virtual peer led self-management can create community around the evolving SCI experience.

Self-management programs for spinal cord injury (SCI) are a growing adjunct to traditional healthcare services aiding individuals with SCI in learning and managing symptoms and medical care. A benefit of self-management programs is that they can be facilitated by peers, offering a unique lived experience of adjusting to and managing SCI. While a growing body of literature highlights the effectiveness of peer led programs, there is limited understanding of how individuals engage with peer programs or critical components of peer support. The current study seeks to understand how individuals engaged with peers in the context of a self-management program. Secondary qualitative analysis of online forum posts resultant from a peer led self-management course for SCI. Content analysis revealed several themes of how participants engaged with members of the group, including skill building, resource sharing, and problem solving. A process level theme of emotional connection to others living with similar SCI-related challenges was defined as "bearing witness." Participants commented frequently that groups were the first time they engaged with a community with lived experience, and shared experience was frequently highlighted in the responses from individuals as one of the most unique and important aspects of the intervention. Themes identified suggest that bearing witness was a critical component of peer led intervention. While self-management content provided structure for engagement and discussion, participants report that connectedness and shared experience made content more impactful and relevant. Future research should examine if alignment of peer and participant experience increases the impact of interventions and explore if this theme is important for other chronic medical populations.

Unveiling the role of residential care in care leavers' personal development and life outcomes.

In the current quantitative study, we explored the perceived contribution of residential care (PCRC) to multiple life domains and the factors associated with these perceptions from three main stages in Israelis' care leavers' lives: precare, in care, and postcare. Drawing on a representative sample of 2,295 care leavers' retrospective reports, integrated with their longitudinal administrative records, we conducted an exploratory factor analysis and identified two constructs pertaining to participants' PCRC. The first focused on contribution to personal development, and the second on contribution to achieving tangible and intangible life outcomes. In-care experiences of peer and staff support were strong predictors of both perceived personal development and life outcomes. Only a few precare factors and none of the postcare factors were predictive of PCRC. Specifically, PCRC was lower among men compared with women. Additionally, compared to Israeli-born participants, PCRC to personal development was lower among Ethiopian immigrants but higher in the life outcomes domain. PCRC was also higher in both domains among participants whose parents had a criminal conviction. In the Discussion section, we highlight the importance of understanding care leavers' perceptions in relation to different life course stages. Implications for policy and practice in care and postcare are discussed. (PsycInfo Database Record (c) 2024 APA, all rights reserved).