Peer Support Program Research Articles

Characteristics and outcomes of community-based perinatal peer support: Protocol for a systematic review.

Mental health issues and parenting difficulties in the perinatal period are common, and have significant negative impacts on individuals, families, and broader society. Community-based peer support programs might be an effective adjunct to standard mental health interventions in perinatal mental health issues, specifically where low-cost interventions are required, or access to professional care is limited. A systematic review will be undertaken. Searches will be conducted on four electronic databases (Pubmed, Embase, Cinahl, and PsycINFO), using terms related to perinatal mental health and peer support. Literature will be screened by title and abstract and then by full text. Selected studies will be evaluated using the Quality Assessment with Diverse Studies (QuADS) tool. Data relevant to community-based perinatal peer support intervention characteristics and outcomes will be extracted, and synthesised narratively. This review will contribute to the existing evidence about perinatal mental health peer support, by synthesising information about community-based interventions specifically. The findings will be used to inform the design, implementation, and evaluation of a community-based perinatal mental health peer support program in urban and rural/remote hospital and health services in Australia. Systematic review registration: CRD42023451568.

The effect of a health education programme on Tuberculosis infection prevention and control practices among HIV-positive patients at three tertiary hospitals in Ogun state, southwest Nigeria

Objective: This research evaluated the impact of a peer-support health education programme on tuberculosis infection prevention and control practices among HIV-positive patients receiving anti-retroviral therapy (ART) in a tertiary hospital. Methods: A quasi-experimental design was used for this study. Forty respondents were randomly selected between January and April 2023. Two tertiary health institutions in Ogun State, Nigeria with Direct Observation Treatment Shortcut programme were purposively selected. Systematic sampling was used to select the participants from the selected facilities and they were grouped into one experimental group (EG) and one control Group (CG). The intervention was implemented for six weeks and data were collected at baseline, immediate post-intervention and at 12th-week follow-up. Results: At the 12th-week follow-up, the peer-supported health education intervention had a significant effect (t78=14.21, effect size =3.09, p <0.05) on the Intervention Group with a mean score (X̅) of 6.85±0.86 compared to the Control Group (CG) with a mean score (X̅) of 3.95±0.96. Furthermore, among the Intervention Group, there is a significant difference (t39=19.0, effect size =3.06, p <0.05) in the effect of the peer-supported health education intervention program on TB infection prevention practices of participants at baseline (X̅ =3.98±0.73) and also at 12th weeks follow-up (X̅ =6.90±0.71). Conclusion: There was a significant association between the intervention and improvement in TB infection prevention and control practices. More focus should be placed on peer-supported health education TB prevention interventions among HIV patients. Also, the National Tuberculosis Control Programme should adopt peer-supported health education interventions to improve prevention practices.

A Review of the Literature on the Influence of Peer Support Programs on Student Mental Health and Well-Being

A Review of the Literature on the Influence of Peer Support Programs on Student Mental Health and Well-Being

Burnout Prevalence and Associated Factors Among Palliative and Hospice Care Professionals During the COVID-19 Endemic: An Exploratory Survey.

Burnout is a significant issue for palliative and hospice professionals, exacerbated by the impact of Coronavirus Disease 2019 (COVID-19) on healthcare professionals. It is crucial to update our understanding of prevalence data, identify associated factors, and evaluate support resources during the COVID-19 pandemic. We aimed to explore the prevalence of burnout among palliative and hospice care workers, 2years into the COVID-19 pandemic by using the Maslach's Burnout Inventory; anxiety, using General Anxiety Disorder-7 (GAD-7), workload, risk perception of COVID-19, confidence in protective measures (personal, workplace, and government), and usage and perceived helpfulness of support resources. Univariate logistic regression analysis was conducted to analyse burnout against these factors. Of the 115 respondents encompassing doctors, nurses and social workers (76.5% female; average age 40.9), 48.7% experienced burnout. Burnout correlated with increased anxiety, higher COVID-19 risk perception, heavier workload, and reduced confidence in protective measures. Peer support, COVID information, and psychological programs were rated as the most effective for coping. The study indicates considerable levels of burnout among palliative and hospice care workers, linked to workload, anxiety, and perceived risk. Traditional mental health interventions had limited efficacy; respondents favoured peer support and organisational changes. The findings stress the need for a holistic approach, including diverse resources, workload management, and regular mental health assessments.

Economic Value of Peer Support Program in German Hospitals

Economic Value of Peer Support Program in German Hospitals

Effectiveness of Peer Support Programs for Severe Mental Illness: A Systematic Review and Meta-Analysis.

(1) Background: While medication and various forms of psychotherapy are common treatments for severe mental illness, peer support programs have also proven to be effective in managing mental disorders. These programs, which involve individuals with similar experiences in navigating mental health challenges, aim to improve coping skills and foster supportive community networks. However, despite the prevalent mention of peer support programs, especially those with supervision, there has been no systematic review or meta-analysis of peer support supervision. This study aimed to systematically review and meta-analyze the forms and effectiveness of peer support programs for individuals with severe mental illnesses. (2) Methods: A literature search focusing on randomized controlled trials (RCTs) published between February 2003 and January 2024 was conducted. (3) Results: Sixteen RCTs meeting the inclusion criteria and involving a total of 4008 participants were reviewed. These studies utilized various peer support program strategies, with eight studies included in the qualitative analysis. The combined effect sizes for depressive symptoms (d = 0.12; 95% CI, -0.14, 0.37; p = 0.37), empowerment (d = 1.17; 95% CI, -0.81, 3.15; p = 0.25), quality of life (d = 0.70; 95% CI, -0.12, 1.52; p = 0.09), psychiatric symptoms (d = -0.05; 95% CI, -0.20, 0.10; p = 0.54), and self-efficacy (d = 0.20; 95% CI, 0.05, 0.36; p = 0.01) were assessed. (4) Conclusions: Our analysis emphasizes the need for further studies on peer support programs for individuals with severe mental illness, particularly those focused on self-efficacy outcomes across diverse geographic locations involving more countries and with larger scales to bolster the strength of the evidence.

Factors associated with approaching Pilot Peer Support: a cross-sectional study

Abstract Background Pilot Peer Support Programs (PPSP) have been introduced in Europe as a measure to facilitate commercial pilots’ mental health help-seeking in a confidential and non-punitive manner. However, research is scarce regarding what promotes and prevents pilots from approaching PPSP. Aims To investigate if, and in which way, different organizational and individual factors are associated with pilots’ attitudes towards approaching PPSP, and to examine the prevalence of possible cases of depression and anxiety disorders among commercial pilots in Europe. Methods Data were collected using an anonymous web-based survey (n = 4494), covering pilots’ work conditions, health and flight safety. Logistic regression was used to determine the impact of objective and psychosocial work environment factors, mental health factors, and demographic factors. Results Key findings were that just culture (odds ratio [OR] = 2.65, 95% confidence interval [CI] 1.97, 3.56), type of employment (OR = 0.60, 95% CI 0.46, 0.78), minimum guaranteed pay (OR = 1.98, 95% CI 1.48, 2.65), and symptoms of depression (OR = 0.62, 95% CI 0.50, 0.76) and anxiety (OR = 0.66, 95% CI 0.54, 0.80) significantly predicted pilots’ attitude towards approaching PPSP. The prevalence of pilots scoring above threshold for possible depression (18%) and anxiety disorders (23%) were determined. Conclusions Pilot Peer Support in its current form appears to be an insufficient means to facilitate pilots’ mental health help-seeking, but could have an important preventive purpose. The findings could assist authorities and operators in developing measures to facilitate pilots’ help-seeking, and improve mental health and flight safety.

Understanding Women's Transitions from Military to Department of Veterans Affairs Care.

Background: Over the past two decades, increasing numbers of women have served in the military, with women now comprising 17.3% of active-duty personnel and 21.4% of National Guard and reserves. During military service, women often incur painful musculoskeletal (MSK) injuries related to carrying heavy loads and wearing ill-fitting gear. While women may receive initial care for these injuries under the auspices of the Department of Defense (DoD), these injuries often linger and further treatment in required as women transition to Department of Veterans Affairs (VA) care. However, little is known about this transition process, and whether women are given adequate information and support regarding how to access VA care after their military service has ended. Research Design: To better understand these issues, we interviewed 65 women veterans with military service-related MSK injuries about their transition from DoD to VA care. Results: Six major themes emerged from the interviews. Those themes were: (1) Military injuries are often related to ill-fitting gear or carrying heavy loads; (2) Stigma/discrimination related to military injuries; (3) Limited assistance with transition between DoD and VA to manage ongoing injuries and pain; (4) Women have a difficult time managing perceptions and expectations of their weight after military service; (5) Childcare is a substantial burden for veterans in self-care; and (6) veterans desire peer-support services to help them stay healthy. Conclusions: Based on these findings, DoD and VA should continue to work together to develop programs to educate and support women as they transition from military to VA care. Furthermore, VA should consider developing peer support programs for women Veterans who may require additional support to maintain health, especially among Veteran mothers who have complex family responsibilities that may limit their ability to focus on their own health.

Patient-centered development of a bladder cancer survivorship care plan.

This study aimed to develop a patient-centered survivorship care plan (SCP) for US military Veteran bladder cancer (BC) survivors in accordance with the National Academy of Medicine recommendation that survivors receive an SCP at treatment completion. BC, which differentially impacts older men, is a costly and highly recurrent cancer associated with invasive procedures and long-term surveillance. Veteran BC survivors may face challenges navigating the patient-to-survivor transition due to their age and comorbidities. We conducted 20 one-on-one qualitative interviews and 2 focus groups with Veteran BC survivors to understand their preferences for information and support to inform SCP development. Data were analyzed using rapid analysis. Participants voiced concerns about BC's impact on their psychosocial functioning and quality of life. They suggested information on BC recurrences, recommended surveillance schedules, long-term side effects and healthy living, and how and when to seek help if a medical problem arises should be included on the SCP to help manage expectations and access key resources during survivorship. Although participants had varying needs, many recommended including information on supportive resources (e.g., support groups, peer support programs) to manage cancer-related anxiety. Participants also suggested including Veteran-centered information (e.g., Veterans' BC risk factors). We developed an SCP to help Veteran BC survivors navigate the transition from patient to survivor. Adapting an SCP to address specific needs of the Veteran population was an important step in supporting Veteran BC survivors. Future research should evaluate the potential effectiveness of this SCP at improving Veterans' health outcomes and healthcare experiences.

Usability, Acceptability, and Preliminary Effectiveness of a Peer-Delivered and Technology-Supported Mental Health Intervention for Family Caregivers of People With Dementia: Field Usability Study.

Family caregivers of people with dementia are critical to the quality of life of care recipients and the sustainability of health care systems but face an increased risk of emotional distress and negative physical and mental health outcomes. The purpose of this study was to examine the usability, acceptability, and preliminary effectiveness of a technology-based and caregiver-delivered peer support program, the Caregiver Remote Education and Support (CARES) smartphone or tablet app. A total of 9 adult family caregivers of people with dementia received the CARES intervention, and 3 former family caregivers of people with dementia were trained to deliver it. Quantitative data were collected at baseline and at the end of the 2-week field usability study. Qualitative data were also collected at the end of the 2-week field usability study. The field usability study demonstrated that a 2-week peer-delivered and technology-supported mental health intervention designed to improve burden, stress, and strain levels was experienced by former and current family caregivers of people with dementia as acceptable. Current family caregivers rated CARES as above average in usability, whereas the caregiver peer supporters rated CARES as marginally usable. CARES was associated with non-statistically significant improvements in burden, stress, and strain levels. This field usability study demonstrated that it is possible to train former family caregivers of people with dementia to use technology to deliver a mental health intervention to current family caregivers of people with dementia. Future studies would benefit from a longer trial; a larger sample size; a randomized controlled design; and a control of covariables such as stages of dementia, years providing care, and severity of dementia symptoms.

The Role of Stigma and Confidentiality in Police Officer Utilization of Stress Relief Programs

Police officers face challenges from operational and organizational stressors. Officers often have access to stress relief programs offered by their employers, such as peer support programs, employee assistance programs, or chaplaincy programs. Using survey data from 247 police officers in a large metropolitan agency in CA, this exploratory study examines police officers’ likelihood to utilize stress relief programs (SRPs) based on prior utilization, perceived stigma, and confidentiality of the process. Additionally, officer selection of program is assessed. Findings illustrate that officer utilization of SRPs is negatively influenced by perceived coworker stigma, while supervisor stigma was not influential. Belief in the confidentiality of the program and prior utilization of an SRP is positively associated with SRP utilization. In terms of selecting a specific SRP, only prior utilization was found to be a factor. Suggestions for department policy to promote utilization and confidentiality and reduce stigma are discussed.

Engaging Law Enforcement Employees in Mental Health Help-Seeking: Examining the Utilization of Interactive Screening Program and Motivational Interviewing Techniques.

The Interactive Screening Program (ISP) is an anonymous screening and dialogue platform used in workplaces to encourage mental health help-seeking. This study examined utilization of ISP among law enforcement workplaces and assessed how motivational interviewing techniques were associated with various help-seeking outcomes. This retrospective study used secondary ISP screening and dialogue data collected from 2013 to 2019 at four law enforcement workplaces or unions (N = 691). Independent variables include counselors' use of motivational interviewing techniques in their dialogue such as asking questions and showing empathy in their response. Help-seeking outcomes include requesting a referral, making a commitment to counseling services, decreased ambivalence about mental health services, and increased willingness to seek future services. Two-thirds of participants screened within the high distress level of ISP. Among them, 53% responded to the counselor's initial email and 50% of those who responded requested a referral for future services. Binary logistic regression models showed that counselors' use of confrontation in the dialogue was associated with improved willingness to seek services among ISP users (OR = 2.88, 95% CI = 1.24, 6.64). Further, ISP users who accessed ISP through their workplace peer support program, as compared to their employee assistance program (EAP), are more likely to show decreased ambivalence about seeking future services over time (OR = 0.28, 95% CI = 0.09, 0.80). This study demonstrates that the anonymous ISP program can successfully engage employees with high distress levels, including employees with suicidal ideation. Results highlight the importance of customizing ISP counselors' responses to be responsive for law enforcement employees.

Barriers and Coping Strategies among Obese and Overweight Learners: Sequential Explanatory Study

his study aims to assess the key barriers to physical activity among overweight and obese adolescents, discovering that the most significant obstacles are a lack of time, different priorities, and a poor perception of one's body. A mixed method sequential explanatory design was used in the study which involves 50 respondents and 8 outliers in one of the public senior high schools in Cluster 1, Division of Pampanga. These findings are consistent with broader research, which shows that time constraints, low motivation, and self-consciousness pose typical challenges for those dealing with weight concerns. Interestingly, the study finds that social support from friends is the preferred coping strategy, implying a preference for emotional comfort over creative solutions. Despite exhibiting good internal problem-solving skills in planning and goal setting, there is a lack of confidence in execution. Furthermore, preferred avoidance coping mechanisms, such as daydreaming and fantasizing, indicate a preference for emotional distance and self-soothing over direct confrontation. The study underlines the value of building self-acceptance and engaging in the present moment as potential alternatives to daydreaming. It also identifies possible issues such as low self-esteem and a desire to escape reality. Notably, overweight and obese learners face different physical and psychological difficulties. The study points out the importance of peer support in coping techniques, as students rely greatly on peers for emotional support, which inspires emotions such as belonging and appreciation. Lastly, learners indicate a stronger willingness to get involved with organized activities such as sports, recognizing the potential benefits of improving physical fitness. It is recommended to further investigate the roles of peer support and sport program and how they affect obese and overweight students. Additionally, it is also recommended to explore the metal health aspects.

Fostering belonging and social connectedness in nursing: Evidence-based strategies: A discussion paper for nurse students, faculty, leaders, and clinical nurses

BackgroundThe phenomenon of loneliness among healthcare providers, particularly nurses, has garnered increasing attention due to its detrimental effects on individual well-being and professional retention. The isolation experienced by nurses has been linked to heightened turnover rates and intentions to leave the profession, posing significant challenges to healthcare systems globally. Recognizing loneliness as an epidemic in 2023, the U.S. Surgeon General highlighted the urgency of addressing this issue within the healthcare workforce. PurposeThis paper explores evidence-based strategies to mitigate loneliness and promote social connectedness among nurses, drawing insights from various stakeholders. It aims to offer actionable recommendations to enhance the nursing experience and retain professionals in the field. DiscussionStrategies include peer support programs, mentorship initiatives, wellness activities, and fostering open communication. Leveraging technology for virtual connections is also highlighted, especially in remote work scenarios. ConclusionA holistic approach is vital, combining individual, interpersonal, and systemic interventions to combat nurse loneliness. Prioritizing social connectedness fosters a supportive work environment, benefiting both nurses and patient care quality.

Influence of Retirement Experiences on Psychological Well-Being of Retired Teachers in East Gonja Municipality, Ghana

Purpose: The purpose of the study was to examine the influence of retirement experiences on psychological well-being of retired teachers in the East Gonja Municipality. The study employed a quantitative approach underpinned by analytical cross-sectional design. The target population of the study comprised of retired teachers in the East Gonja Municipality. A total of 320 retired teachers from East Gonja Municipality were purposively selected to constitute the sample for the study. Methodology: Scale of Positive and Negative Experience (SPANE) and Psychological Well-Being Scale were adopted for data collection. Data was analysed using means and standard deviation and linear regression. Findings: The study found that most of the retired teachers in the East Gonja Municipality in the Savannah Region of Ghana experience positive emotions, express optimism, and are satisfied with their lives in their retirement phase of life. Unique contribution to theory, policy and practice: The study concludes that retirement experiences are unique and can be a liberating experience for retired teachers, where they can pursue their interests and hobbies without any restrictions. It is recommended that retirement should be a time for retired teachers to focus on their health and well-being, a time they can pursue activities that promote physical and mental health. This study recommends to education system to provide pre-retirement counselling and post-retirement support programmes, focusing on mental health and well-being. Also, the study recommends to pension and retirement agencies to develop and implement workshops and peer support programmes to promote retired teachers’ psychological well-being, addressing issues of social isolation and identity loss.

Police peer supporters in a domestic abuse-specific peer support initiative: Motivations, experiences and challenges

Police peer support programmes traditionally focus on mental health issues and experiences of trauma in work. Increased awareness of domestic abuse (DA), its impacts in the workplace, and calls to adopt trauma-informed approaches in the emergency and public services in the UK have culminated in a southern English police force instituting a novel peer support programme for personnel who are experiencing DA. This qualitative study interviewed 16 self-selected DA peer supporters to explore their motivations and experiences in providing support for their colleagues and the application of trauma-informed practice. Findings support previous research on the ongoing prevalence of stigma around help-seeking in the police generally, and this is perhaps even more pronounced for DA. However, the presence of this form of peer support has symbolic value to challenge prevailing culture and foster increased confidence to make disclosures. Findings also indicate value in adopting DA-specific peer support from an organizational justice perspective because this may enable a greater sense of staff well-being. The approaches employed in the DA peer support programme exhibited implicit trauma-informed practice, which could be made more explicit and aligned to wider initiatives of creating a more trauma-informed police service.

Peer support as a potential tool to promote pharmacists’ wellbeing

Discussion regarding burnout in health professionals, including community pharmacists, has grown substantially since the arrival of the COVID-19 pandemic. Rapid legislative and societal behavioural changes led to significant global disruption of physical and emotional wellbeing during the pandemic as pharmacists continued to provide care while under unprecedented levels of stress. Community pharmacists have had an essential role in maintaining face-to-face care as the number of COVID-19 diagnoses and deaths rose. Communications emerged from the World Health Organization which implored long-term changes to healthcare workplaces, including increased access to psychosocial support for employees. Peer support is a unique initiative, and it is low-cost and accessible across many platforms. Its main purpose is to bring people together with shared experiences and can often include people in the same career field or workplace. The feasibility and efficacy of peer support programs have been studied in other professional groups such as nurses and physicians, and also in undergraduate medical students. The conclusions drawn from these studies suggest that involvement in peer support reduced the risk of burnout and increased workplace engagement. In contrast to many other healthcare professionals, community pharmacists often work in relative isolation. Research has shown that younger pharmacists, and those in the earlier stages of their careers, reported feeling stressed, undervalued, and supported. They also mentioned a desire for access to a mentoring or coaching program. Following the success of peer support in other cohorts, research is needed to verify if this intervention will similarly benefit early career community pharmacists.

The Codesign and Initial Evaluation of a Peer Support Program for Autistic Young Adults

The Codesign and Initial Evaluation of a Peer Support Program for Autistic Young Adults

Stress, anxiety, depression and sleep disturbance among healthcare professional during the COVID-19 pandemic: An umbrella review of 72 meta-analyses.

The outbreak of SARS-CoV-2, which causes COVID-19, has significantly impacted the psychological and physical health of a wide range of individuals, including healthcare professionals (HCPs). This umbrella review aims provide a quantitative summary of meta-analyses that have investigated the prevalence of stress, anxiety, depression, and sleep disturbance among HCPs during the COVID-19 pandemic. An umbrella review of systematic reviews and meta-analyses reviews was conducted. The search was performed using the EMBASE, PubMed, CINAHL, MEDLINE, PsycINFO, and Google Scholar databases from 01st January 2020 to 15th January 2024. A random-effects model was then used to estimate prevalence with a 95% confidence interval. Subgroup analysis and sensitivity analyses were then conducted to explore the heterogeneity of the sample. Seventy-two meta-analyses involved 2,308 primary studies were included after a full-text review. The umbrella review revealed that the pooled prevalence of stress, anxiety, depression, and sleep disturbance among HCPs during the COVID-19 pandemic was 37% (95% CI 32.87-41.22), 31.8% (95% CI 29.2-34.61) 29.4% (95% CI 27.13-31.84) 36.9% (95% CI 33.78-40.05) respectively. In subgroup analyses the prevalence of anxiety and depression was higher among nurses than among physicians. Evidence from this umbrella review suggested that a significant proportion of HCPs experienced stress, anxiety, depression, and sleep disturbance during the COVID-19 pandemic. This information will support authorities when implementing specific interventions that address mental health problems among HCPs during future pandemics or any other health crises. Such interventions may include the provision of mental health support services, such as counseling and peer support programs, as well as the implementation of organizational strategies to reduce workplace stressors.

Abstract PO3-27-11: Exploring Associations among Breast Cancer Survivor Empowerment, Peer Support, and Patient Navigation: Implications for Community-Based Care Planning

Abstract Background: Women surviving with breast cancer (BC) may utilize peer support and patient navigation to augment their medical care–potentially leading to greater patient empowerment. However, the quality of support and navigation services vary widely among community-based organizations (CBOs) delivering such care, and often due to patients’ psychosocial status and program-specific determinants: outcome studies could inform care planning. Method: We analyzed secondary data from N=733 BC survivors participating in a CBO’s annual evaluation of its patient navigation program, assessing patients’ emotional distress, perceived navigation quality, care satisfaction, peer support, and empowerment. Bivariate associations explored program factors associated with these attributes; those significantly associated were retained in a multivariable model of patient empowerment. Results: Overall, patient empowerment was high as most BC survivors felt more informed (66.4%) and confident (71.2%) in managing their own care. Quality of navigation was also very high (91%) because it was: helpful (92.7%), informative (92.6%), timely (92.2%), effective (88.7%), supportive (91.3%), reliable (91.5%), and recommendable to others (93.9%). Regarding satisfaction, BC survivors felt helped (91.6%), understood (92.0%), and supported by abundant resources (92.8%) and programs (91.2%). Peer support, in particular, was offered to >25% of patients and 85.1% reportedly engaged with their assigned peer supporter. Regarding quality of life, 25.3% were in fair/poor health and 25.6% endorsed frequent mental distress–with an average of 8.3 physically unhealthy days, 8.16 mentally unhealthy days, and 6.71 activity-limited days. Interestingly, disparities in patient engagement were observed as a function of their quality of life: lowest among those with more frequent mental distress (t=-2.13, p< .05), mentally unhealthy days (r=-.083, p< .05), and activity-limited days (r=-.058, p< .05)). These burdens may have influenced survivors’ perceptions of their own empowerment–especially among those without peer support program engagement (t=3.77, p< .001), who downgraded the quality of the navigation services they received (t=.60, p< .01), and were least satisfied with their supportive care (t=.57, p< .01). In a multivariable model of empowerment controlling for frequent mental distress (B=-.318, SE=.144, p< .05), both care satisfaction (B=.194, SE=.019, p< .001) and speaking with a peer supporter (B=.610, SE=.151, p< .005) were positively associated with empowerment. Specifically, those who spoke with a peer and who rated their care satisfaction higher felt more empowered. Conclusion: The CBO’s patient navigation model among >700 respondents was strong and helped BCsurvivors feel more empowered to manage their health needs. The majority of BC survivors were better informed and in control of their futures. Where disparities existed were among those with the lowest CBO satisfaction and who had frequent mental distress. Outreach may strengthen navigation and the delivery of peer support for those with the poorest mental health in order to better empower their BC survivorship. Citation Format: Marcelo Sleiman Jr, Mary Rose Yockel, Adina Fleischmann, Mingqian Liu, Olivia Young, Sahana Arumani, Kenneth Tercyak. Exploring Associations among Breast Cancer Survivor Empowerment, Peer Support, and Patient Navigation: Implications for Community-Based Care Planning [abstract]. In: Proceedings of the 2023 San Antonio Breast Cancer Symposium; 2023 Dec 5-9; San Antonio, TX. Philadelphia (PA): AACR; Cancer Res 2024;84(9 Suppl):Abstract nr PO3-27-11.