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The Experience of Peer Mentors in an Intervention to Promote Smoking Cessation in Persons with Psychiatric Illness

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Abstract

Peer support is an important component of services for persons with psychiatric illness but the experience of peer mentors is not well understood. This study explored the experiences of peer mentors, all former smokers and persons with psychiatric illness, who provided smoking cessation counseling as part of a 6 month professionally-led intervention. Data was obtained from 383 contact log entries and in-depth interviews with eight peer mentors. Qualitative analysis indicated that mentor roles were unexpectedly varied beyond the focus on smoking cessation. Of the two aspects of “peer-ness,” shared smoking history was more prominent, while the shared experience of psychiatric illness was sometimes overlooked. Peer mentors experienced multiple challenges trying to help participants to change their smoking behaviors. Nonetheless, they described their experience as personally rewarding. Future interventions may be improved by anticipating peer mentor role complexity and the inherent tension between providing person-centered support and promoting behavior change.

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References

  • Ahmed, A. O., Hunter, K. M., Mabe, A. P., Tucker, S. J., & Buckley, P. F. (2015). The professional experiences of peer specialists in the Georgia Mental Health Consumer Network. Community Mental Health Journal, 51(4), 424–436. doi:10.1007/s10597-015-9854-8.

    Article  PubMed  Google Scholar 

  • Bellack, A. S., Bennett, M. E., Gearon, J. S., Brown, C. H., & Yang, Y. (2006). A randomized clinical trial of a new behavioral treatment for drug abuse in people with severe and persistent mental illness. Archives of General Psychiatry, 63(4), 426–432. doi:10.1001/archpsyc.63.4.426.

    Article  PubMed  Google Scholar 

  • Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3, 77–101.

    Article  Google Scholar 

  • Chinman, M., George, P., Dougherty, R. H., Daniels, A. S., Ghose, S. S., Swift, A., et al. (2014). Peer support services for individuals with serious mental illnesses: Assessing the evidence. Psychiatric Services (Washington, D. C.), 65(4), 429–441. doi:10.1176/appi.ps.201300244.

    Article  Google Scholar 

  • Christakis, N. A., & Fowler, J. H. (2008). The collective dynamics of smoking in a large social network. New England Journal of Medicine, 358(21), 2249–2258. doi:10.1056/NEJMsa0706154.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Davidson, L., Chinman, M., Sells, D., & Rowe, M. (2006). Peer support among adults with serious mental illness: A report from the field. Schizophrenia Bulletin, 32(3), 443–450. doi:10.1093/schbul/sbj043.

    Article  PubMed  PubMed Central  Google Scholar 

  • Dickerson, F., Savage, C.L.G., Schweinfurth, L.A.B., Medoff, D.R., Goldberg, R.W., Bennett, M., et al. (in press). The use of peer mentors to enhance a smoking cessation intervention for persons with serious mental illness. Psychiatric Rehabilitation Journal.

  • Dickerson, F., Stallings, C., Origoni, A., Schroeder, J., Khushalani, S., & Yolken, R. (2014). Mortality in schizophrenia: Clinical and serological predictors. Schizophrenia Bulletin, 40(4), 796–803. doi:10.1093/schbul/sbt113.

    Article  PubMed  PubMed Central  Google Scholar 

  • DiClemente, C. C., Prochaska, J. O., Fairhurst, S. K., Velicer, W. F., Velasquez, M. M., & Rossi, J. S. (1991). The process of smoking cessation: An analysis of precontemplation, contemplation, and preparation stages of change. Journal of Consulting and Clinical Psychology, 59(2), 295–304.

    Article  CAS  PubMed  Google Scholar 

  • Goldberg, R. W., Dickerson, F., Lucksted, A., Brown, C. H., Weber, E., Tenhula, W. N., et al. (2013). Living well: An intervention to improve self-management of medical illness for individuals with serious mental illness. Psychiatric Services (Washington, D. C.), 64(1), 51–57. doi:10.1176/appi.ps.201200034.

    Article  Google Scholar 

  • Jerome, G. J., Dalcin, A. T., Young, D. R., Stewart, K. J., Crum, R. M., Latkin, C., et al. (2012). Rationale, design and baseline data for the activating consumers to exercise through peer support (ACE trial): A randomized controlled trial to increase fitness among adults with mental illness. Ment Health Phys Act, 5(2), 166–174. doi:10.1016/j.mhpa.2012.05.002.

    Article  PubMed  PubMed Central  Google Scholar 

  • McKay, C. E., & Dickerson, F. (2012). Peer supports for tobacco cessation for adults with serious mental illness: A review of the literature. J Dual Diagn, 8(2), 104–112. doi:10.1080/15504263.2012.670847.

    Article  PubMed  PubMed Central  Google Scholar 

  • Miles, M. B., & Huberman, A. M. (1994). An expanded sourcebook: Qualitative data analysis (2nd ed.). Thouasan Oaks, CA: Sage Publications.

    Google Scholar 

  • Moran, G. S., Russinova, Z., Gidugu, V., & Gagne, C. (2013). Challenges experienced by paid peer providers in mental health recovery: A qualitative study. Community Mental Health Journal, 49(3), 281–291. doi:10.1007/s10597-012-9541-y.

    Article  PubMed  Google Scholar 

  • Moran, G. S., Russinova, Z., Gidugu, V., Yim, J. Y., & Sprague, C. (2012). Benefits and mechanisms of recovery among peer providers with psychiatric illnesses. Qualitative Health Research, 22(3), 304–319. doi:10.1177/1049732311420578.

    Article  PubMed  Google Scholar 

  • Proudfoot, J. G., Jayawant, A., Whitton, A. E., Parker, G., Manicavasagar, V., Smith, M., et al. (2012). Mechanisms underpinning effective peer support: A qualitative analysis of interactions between expert peers and patients newly-diagnosed with bipolar disorder. BMC Psychiatry, 12, 196. doi:10.1186/1471-244x-12-196.

    Article  PubMed  PubMed Central  Google Scholar 

  • Reisman, F. (1965). The “helper” therapy principle. Social Work, 10, 27–32.

    Google Scholar 

  • Sledge, W. H., Lawless, M., Sells, D., Wieland, M., O’Connell, M. J., & Davidson, L. (2011). Effectiveness of peer support in reducing readmissions of persons with multiple psychiatric hospitalizations. Psychiatric Services (Washington, D. C.), 62(5), 541–544. doi:10.1176/appi.ps.62.5.541.

    Article  Google Scholar 

  • Swarbrick, M. A. (2013). Integrated care: Wellness-oriented peer approaches: A key ingredient for integrated care. Psychiatric Services (Washington, D. C.), 64(8), 723–726. doi:10.1176/appi.ps.201300144.

    Article  Google Scholar 

  • Tsoi, D. T., Porwal, M., & Webster, A. C. (2013). Interventions for smoking cessation and reduction in individuals with schizophrenia. Cochrane Database Systematic Review, 2, CD007253. doi:10.1002/14651858.CD007253.pub3.

    Google Scholar 

  • Walker, G., & Bryant, W. (2013). Peer support in adult mental health services: A metasynthesis of qualitative findings. Psychiatric Rehabilitation Journal, 36(1), 28–34. doi:10.1037/h0094744.

    Article  PubMed  Google Scholar 

  • Ziedonis, D., Hitsman, B., Beckham, J. C., Zvolensky, M., Adler, L. E., Audrain-McGovern, J., et al. (2008). Tobacco use and cessation in psychiatric disorders: National Institute of Mental Health report. Nicotine and Tobacco Research, 10(12), 1691–1715. doi:10.1080/14622200802443569.

    Article  PubMed  Google Scholar 

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Acknowledgements

This study was supported by NIH Grant R34 DA030731, Peer mentors to improve smoking cessation in persons with serious mental illness, F Dickerson, PI. Matthew Chinman’s participation was supported in part by the VISN 4 Mental Illness Research, Education, and Clinical Center and the Pittsburgh VA.

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Correspondence to Faith Dickerson.

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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional review boards and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

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Dickerson, F., Savage, C.L.G., Schweinfurth, L.A.B. et al. The Experience of Peer Mentors in an Intervention to Promote Smoking Cessation in Persons with Psychiatric Illness. Community Ment Health J 52, 416–423 (2016). https://doi.org/10.1007/s10597-015-9967-0

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