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Multicenter Study
. 2019 Jan;47(1):e21-e27.
doi: 10.1097/CCM.0000000000003497.

Models of Peer Support to Remediate Post-Intensive Care Syndrome: A Report Developed by the Society of Critical Care Medicine Thrive International Peer Support Collaborative

Joanne McPeake  1   2 , Eliotte L Hirshberg  3   4   5 , Leeann M Christie  6   7 , Kelly Drumright  7 , Kimberley Haines  8   9 , Catherine L Hough  10 , Joel Meyer  11 , Dorothy Wade  12 , Adair Andrews  13 , Rita Bakhru  14 , Samantha Bates  8 , John A Barwise  7   15 , Julie Bastarache  7   15 , Sarah J Beesley  16   17 , Leanne M Boehm  18   19   20 , Sheryl Brown  21 , Alison S Clay  22 , Penelope Firshman  10 , Steven Greenberg  23 , Wendy Harris  12 , Christopher Hill  7 , Carol Hodgson  9   24 , Clare Holdsworth  8 , Aluko A Hope  25 , Ramona O Hopkins  3   16   26 , David C J Howell  27 , Anna Janssen  11 , James C Jackson  15 , Annie Johnson  28 , Erin K Kross  29   30 , Daniela Lamas  31 , Belinda MacLeod-Smith  8 , Ruth Mandel  32 , John Marshall  33 , Mark E Mikkelsen  34 , Megan Nackino  35 , Tara Quasim  1   2 , Carla M Sevin  36 , Andrew Slack  10 , Rachel Spurr  10 , Mary Still  37 , Carol Thompson  38 , Gerald Weinhouse  31 , M Elizabeth Wilcox  39 , Theodore J Iwashyna  40   41
Affiliations
Multicenter Study

Models of Peer Support to Remediate Post-Intensive Care Syndrome: A Report Developed by the Society of Critical Care Medicine Thrive International Peer Support Collaborative

Joanne McPeake et al. Crit Care Med. 2019 Jan.

Abstract

Objectives: Patients and caregivers can experience a range of physical, psychologic, and cognitive problems following critical care discharge. The use of peer support has been proposed as an innovative support mechanism.

Design: We sought to identify technical, safety, and procedural aspects of existing operational models of peer support, among the Society of Critical Care Medicine Thrive Peer Support Collaborative. We also sought to categorize key distinctions between these models and elucidate barriers and facilitators to implementation.

Subjects and setting: Seventeen Thrive sites from the United States, United Kingdom, and Australia were represented by a range of healthcare professionals.

Measurements and main results: Via an iterative process of in-person and email/conference calls, members of the Collaborative defined the key areas on which peer support models could be defined and compared, collected detailed self-reports from all sites, reviewed the information, and identified clusters of models. Barriers and challenges to implementation of peer support models were also documented. Within the Thrive Collaborative, six general models of peer support were identified: community based, psychologist-led outpatient, models-based within ICU follow-up clinics, online, groups based within ICU, and peer mentor models. The most common barriers to implementation were recruitment to groups, personnel input and training, sustainability and funding, risk management, and measuring success.

Conclusions: A number of different models of peer support are currently being developed to help patients and families recover and grow in the postcritical care setting.

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Conflict of interest statement

The remaining authors have disclosed that they do not have any potential conflicts of interest

Comment in

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