The Effects of Introducing Peer Support to Young People with a Chronic Illness
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Abstract
Peer support groups have been an increasingly popular way of limiting the adverse effects of life with a chronic illness for adolescents although few groups have been rigorously evaluated. This paper reports the findings of a realistic evaluation of a hospital based peer support program Chronic Illness Peer Support (ChIPS), in Sydney, Australia. We collected qualitative interview and focus group data from four participant groups; new ChIPS members, their parents, older members who had been in ChIPS for two or more years, and ChIPS co-ordinators past and present. Results of qualitative data have been aggregated and organised into three categories; program attendance: getting in and staying in; program outcomes for young people: personal growth and development; and social connection. Questionnaires were also administered to fourteen new ChIPS members but no significant changes in distress or self-esteem were recorded between the beginning and the end of the short study period. The ChIPS Introductory Program fulfilled its aim, entering young people with chronic illness into the peer support program. There was evidence of initial personal growth and development in those young people, with potential for enhanced social connection from ongoing participation in ChIPS activities.
Keywords
Adolescent Peer support Chronic illness Children Social supportNotes
Acknowledgments
We would like to acknowledge the contribution made to this study by the young people, their parents, and ChIPS co-ordinators past and present who generously donated their time to the conduct of this research. We also acknowledge the support of our colleagues in the Department of Adolescent Medicine at The Children’s Hospital at Westmead—especially Ms Crystal Hampstead who transcribed the focus group recordings, the volunteer ChIPS program assistant Ms Sharne Milgate, and Ms Tina Cunningham for her administrative co-ordination and assistance with data collection. Finally, we would like to thank our generous benefactor, the Ottomin Charitable Foundation, for funding this study. EK was supported by a Marie Bashir Clinical Research Fellowship in Adolescent Health.
References
- Andrews, G., & Slade, T. (2001). Interpreting scores on the Kessler Psychological Distress Scale (K10). Australian and New Zealand Journal of Public Health, 25, 494–497.CrossRefPubMedGoogle Scholar
- Balen, R., Fielding, D., & Lewis, I. (1996). Activity camps for children with cancer. Children and Society, 10, 317–323.Google Scholar
- Baumann, L. C., & Dang, T. T. N. (2012). Helping patients with chronic conditions overcome barriers to self-care. The Nurse Practitioner, 37, 32–38.CrossRefPubMedGoogle Scholar
- Braun, V., & Clark, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3, 77–101.CrossRefGoogle Scholar
- Campbell, H. S., Phaneuf, M. R., & Deane, K. (2004). Cancer peer support programs—do they work? Patient Education and Counselling, 55, 3–15.CrossRefGoogle Scholar
- Carr-Gregg, M., Olsson, C., Toumbourou, J., & Bowes, G. (1997). Development of the teenage cancer support program: CanTeen. Youth Studies Australia, 16, 22–26.Google Scholar
- Coppa, K., & Boyle, F. (2003). The role of self-help groups in chronic illness management: A qualitative study. Australian Journal of Primary Health, 9, 68–74.CrossRefGoogle Scholar
- Creswell, J. W. (2013). Research design: Qualitative, quantitative, and mixed method approaches (4th ed.). London: Sage.Google Scholar
- D’Agostino, N. M., Penney, A., & Zebrack, B. (2011). Providing developmentally appropriate psychosocial care to adolescent and young adult cancer survivors. Cancer, 117, 2329–2334.CrossRefPubMedGoogle Scholar
- Dale, J. R., Williams, S. M., & Bowyer, V. (2012). What is the effect of peer support on diabetes outcomes in adults? A systematic review. Diabetic Medicine, 29, 1361–1377.CrossRefPubMedGoogle Scholar
- Dennis, C. (2003). Peer support within a health care context: A concept analysis. International Journal of Nursing Studies, 47, 321–332.CrossRefGoogle Scholar
- Elafros, M., Mulenga, J., Mbewe, E., Haworth, A., Chomba, E., Atadzhanov, M., & Birbeck, G. (2013). Peer support groups as an intervention to decrease epilepsy-associated stigma. Epilepsy & Behavior, 27, 188–192.CrossRefGoogle Scholar
- Elwell, L., Grogan, S., & Coulson, N. (2011). Adolescents living with cancer: The role of computer mediated support groups. Journal of Health Psychology, 16, 236–248.CrossRefPubMedGoogle Scholar
- Epstein, I., Stinson, J., & Stevens, B. (2005). The effects of camp on health-related quality of life in children with chronic illnesses: A review of the literature. Journal of Pediatric Oncology Nursing, 22, 89–103.CrossRefPubMedGoogle Scholar
- Fisher, E. B., Boothroyd, R. I., Coufal, M. M., Baumann, L. C., Mbanya, J. C., Rotheram-Borus, M. J., et al. (2012). Peer support for self-management of diabetes improved outcomes in international settings. Health Affairs, 31, 130–139.CrossRefPubMedPubMedCentralGoogle Scholar
- Funnell, M. M. (2010). Peer-based behaviour strategies to improve chronic disease self-management and clinical outcomes: Evidence, logistics, evaluation considerations and need for further ersearch. Family Practice, 27, i17–i22.CrossRefPubMedGoogle Scholar
- Gillard, A., Witt, P. A., & Watts, C. E. (2011). Outcomes and processes at a camp for youth with HIV/AIDS. Qualitative Health Research, 21, 1508–1526.CrossRefPubMedGoogle Scholar
- Hunt, S. M. (2009). Patterns of psychosocial functioning and mental health service utilization in children and adolescents with chronic health conditions or physical disabilities. Dissertation Abstracts International: Section B: The Sciences and Engineering, 70, 3173.Google Scholar
- Jackson, D., Daly, J., & Chang, E. (2003). Approaches in qualitative research. In Z. Schneider, D. Elliott, G. LoBiondo-Wood, & J. Haber (Eds.), Nursing research: Methods, critical appraisal, and utilisation (pp. 139–153). Marrickville: Mosby.Google Scholar
- Letourneau, N., Stewart, M., Masuda, J. R., Anderson, S., Cicutto, L., McGhan, S., & Watt, S. (2012). Impact of online support for youth with asthma and allergies: Pilot study. Journal of Pediatric Nursing, 27, 65–73.CrossRefPubMedGoogle Scholar
- Love, B., Crook, B., Thompson, C. M., Zaitchik, S., Knapp, J., LeFebvre, L., et al. (2012). Exploring psychosocial support online: A content analysis of messages in an adolescent and young adult cancer community. Cyberpsychology, Behavior, and Social Networking, 15, 555–559.CrossRefGoogle Scholar
- Markowitz, J. T., & Laffel, L. M. B. (2012). Transitions in care: Support group for young adults with Type 1 diabetes. Diabetic Medicine, 29, 522–525.CrossRefPubMedPubMedCentralGoogle Scholar
- Marshall, S. L., Parker, P. D., Ciarrochi, J., & Heaven, P. C. (2014). Is self-esteem a cause or consequence of social support? A 4-year longitudinal study. Child Development, 85, 1275–1291.CrossRefPubMedGoogle Scholar
- Maslow, G. R., & Chung, R. J. (2013). Systematic review of positive youth development programs for adolescents with a chronic illness. Pediatrics, 131, e1605–e1618.CrossRefPubMedGoogle Scholar
- Maslow, G. R., Haydon, A., McRee, A.-L., Ford, C. A., & Halpern, C. T. (2011). Growing up with a chronic illness: Social success, educational/vocational distress. Journal of Adolescent Health, 49, 206–212.CrossRefPubMedPubMedCentralGoogle Scholar
- Mason, J. (2002). Qualitative researching (2nd ed.). London: Sage.Google Scholar
- McCarroll, E., Lindsey, E., MacKinnon-Lewis, C., Campbell-Chambers, J., & Frabutt, J. (2009). Health status and peer relationships in early adolescence: The role of peer contact, self-esteem, and social anxiety. Journal of Child and Family Studies, 18, 473–485.CrossRefGoogle Scholar
- Morelli, M., Gray, K., & Martin-Sanchez, F. (2013). Health outcomes and related effects of using social media in chronic disease management: A literature review and analysis of affordances. Journal of Biomedical Informatics, 46, 957–969.CrossRefGoogle Scholar
- Nesvold, J. H., Fena, P. G., Herman, J., & the Consortium on Children’s Asthma Camp Board of Directors. (2006). Assessing the value of children’s asthma camps. Journal of Asthma, 43, 273–277.CrossRefPubMedGoogle Scholar
- Nicholas, D. B., Felliner, K. D., Frank, M., Small, M., Herrington, R., Slater, R., & Daneman, D. (2012). Evaluation of an online education and support intervention for adolescents with diabetes. Social Work in Health Care, 51, 815–827.CrossRefPubMedGoogle Scholar
- Olsson, C. A., Bond, L., Johnson, M. W., Forer, D. L., Boyce, M. F., & Sawyer, S. M. (2003). Adolescent chronic illness: A qualitative study of psychosocial adjustment. Annals of the Academy of Medicine, Singapore, 32, 43–50.PubMedGoogle Scholar
- Olsson, C., Boyce, M. F., Forer, D. L., & Walsh, B. (1998). ChIPS: Program manual. Melbourne: Community Resources Unit, Royal Children’s Hospital.Google Scholar
- Olsson, C. A., Boyce, M. F., Toumbourou, J. W., & Sawyer, S. M. (2005). The role of peer support in facilitating psychosocial adjustment to chronic illness in adolescence. Clinical Child Psychology and Psychiatry, 10, 78–87.CrossRefGoogle Scholar
- Pawson, R., & Tilley, N. (1997). Realistic evaluation. London: Sage.Google Scholar
- Pinquart, M. (2014). Achievement of developmental milestones in emerging and young adults with and without pediatric chronic illnesses—A meta-analysis. Journal of Pediatric Psychology,. doi: 10.1093/jpepsy/jsu017.Google Scholar
- Pinquart, M., & Shen, Y. (2011a). Depressive symptoms in children and adolescents with chronic physical illness: An updated meta-analysis. Journal of Pediatric Psychology, 36, 375–384.CrossRefPubMedGoogle Scholar
- Pinquart, M., & Shen, Y. (2011b). Anxiety in children and adolescents with chronic physical illnesses: A meta-analysis. Acta Paediatrica, 100, 1069–1076.CrossRefPubMedGoogle Scholar
- Pulgaron, E., Salamon, K., Patterson, C., & Barakat, L. (2010). A problem-solving intervention for children with persistent asthma: A pilot of a randomised trial at a pediatric summer camp. Journal of Asthma, 47, 1031–1039.CrossRefPubMedGoogle Scholar
- Rhee, H., McQuillan, B., & Belyea, M. (2012). Evaluation of a peer-led asthma self-management program and benefits of the program for adolescent peer leaders. Respiratory Care, 57, 2082–2089.CrossRefPubMedPubMedCentralGoogle Scholar
- Ritchie, J. (2003). The application of social methods to qualitative research. In J. Ritchie & J. Lewis (Eds.), Qualitative research practice (pp. 24–46). London: Sage.Google Scholar
- Rosenberg, M. (1965). Society and the adolescent self-image. Princeton, NJ: Princeton University Press.CrossRefGoogle Scholar
- Rosenberg, M. (1979). Conceiving the self. New York: Basic Books.Google Scholar
- Sansom-Daly, U. M., Peate, M., Wakefield, C. E., Bryant, R. A., & Cohn, R. J. (2012). A systematic review of psychological interventions for adolescents and young adults living with chronic illness. Health Psychology, 31, 380–393.CrossRefPubMedGoogle Scholar
- Smith, S. M., Paul, G., Kelly, A., Whitford, D. L., O’Shea, E., & O’Dowd, T. (2011). Peer support for patients with type 2 diabetes: Cluster randomised controlled trial. British Medical Journal,. doi: 10.1136/bmj.d715.Google Scholar
- Stam, H., Hartman, E. E., Deurloo, J. A., Groothoff, J., & Grootenhuis, M. A. (2006). Young adult patients with a history of pediatric disease: Impact on course of life and transition into adulthood. Journal of Adolescent Health, 39, 4–13.CrossRefPubMedGoogle Scholar
- Stewart, M., Barnfather, A., Magill-Evans, J., Ray, L., & Letourneau, N. (2011). An online intervention: Perceptions of adolescents with physical disabilities. Journal of Adolescence, 34, 795–800.CrossRefPubMedGoogle Scholar
- Suris, J.-C., Michaud, P.-A., & Viner, R. (2004). The adolescent with a chronic condition. Part 1: Developmental issues. Archive of Diseases of Childhood, 89, 938–942.CrossRefGoogle Scholar
- Taylor, R., Gibson, F., & Franck, L. (2008). The experience of living with a chronic illness during adolescence: A critical review of the literature. Journal of Clinical Nursing, 17, 3083–3091.CrossRefPubMedGoogle Scholar
- Ussher, J., Kirsten, L., Butow, P., & Sandoval, M. (2006). What do cancer support groups provide which other supportive relationships do not? The experience of peer support groups for people with cancer. Social Science and Medicine, 62, 2565–2576.CrossRefPubMedGoogle Scholar
- Yeo, M., & Sawyer, S. M. (2005). ABC of adolescence: Chronic illness and disability. British Medical Journal, 330, 721.CrossRefPubMedPubMedCentralGoogle Scholar