Skip to main content

Integration of Peer Philosophy into a Standardized Self-Management Mobile Health Intervention

Abstract

Description of certified peer specialists integration of peer philosophy into the delivery of a self-management intervention enhanced with mobile health. Qualitative examination of peer case notes that were routinely entered on a peer care management electronic dashboard. This study included consumers with serious mental illness (N = 8) with a mean age of 68.8 years (SD = 4.9). Certified peer specialists (N = 3) were all female and aged 55 years or older. Peers entered 146 case notes on the peer care management notes dashboard. Five themes emerged including encouragement of self-determination, bio-psychosocial-spiritual framework guides practice, sharing lived experience to teach self-management skills, personalized text messages to reinforce self-management skill development, and identifying unmet needs and advocating for human rights. Peers unique perspectives and expertise was complemented with the standardized delivery of evidence-based intervention enhanced with mobile health.

This is a preview of subscription content, access via your institution.

References

  1. Solomon P. Peer support/peer provided services underlying processes, benefits, and critical ingredients. Psychiatr Rehabil J. 2011;27:4.

    Google Scholar 

  2. Salzer M, Schwenk E, Brusilovskiy E. Certified peer specialists roles and activities: results from a national survey. Psychiatr Serv. 2010;61:520–3.

    Article  Google Scholar 

  3. Chinman M, George P, Dougherty R, Daniels A, Ghose S, Swift A, et al. Peer support services for individuals with serious mental illnesses: assessing the evidence. Psychiatr Serv. 2014;65(4):429–41.

    Article  Google Scholar 

  4. Fortuna K, DiMilia P, Lohman M, Bruce M, Zubritsky C, Halaby M, Walker R, Brooks J, Bartels SJ. Feasibility, acceptability, and preliminary effectiveness of a peer-delivered and technology supported self-management intervention for older adults with serious mental illness. Psychiatry Q. 2017. https://doi.org/10.1007/s11126-017-9534-7.

    Article  Google Scholar 

  5. Whiteman K, Lohman M, Gill L, Bruce M, Bartels S. Adapting a psychosocial intervention for smartphone delivery to middle-aged and older adults with serious mental illness. Am J Geriatr Psychiatry. 2017;25(8):819–28.

    Article  Google Scholar 

  6. Whiteman K, Lohman M, Bartels S. Peer and technology supported integrated medical and psychiatric self-management intervention for older adults with serious mental illness. Psychiatr Serv. 2017;68(4):420.

    Article  Google Scholar 

  7. Martin P, Turner B. Grounded theory and organizaional research. J Appl Behav Sci. 1986;22(2):141–57.

    Article  Google Scholar 

  8. Braun V, Clarke V. Using thematic analysis in psychology. Qual Res Psychol. 2006;3(2):77–101.

    Article  Google Scholar 

  9. Creswell J. Qualitative inquiry and research design: choosing among five approaches. 2nd ed. Thousand Oaks: Sage; 2007.

    Google Scholar 

  10. King D. Faith, spirituality and medicine: toward the making of a healing practitioner. Binghamton: Haworth Pastoral Press; 2001.

    Google Scholar 

  11. Brown K. Leadership for social justice and equity: weaving a transformative framework and pedagogy. Educ Adm Q. 2004;40(1):77–108, 2004.

    Article  Google Scholar 

Download references

Funding

This study was funded by the Health Promotion Research Center at Dartmouth, funded by a grant from the United States Centers for Disease Control and Prevention (Cooperative Agreement U48 DP005018). Additional support was received from the National Institute of Mental Health (T32 MH073553–11). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.

Author information

Affiliations

Authors

Corresponding author

Correspondence to Karen L. Fortuna.

Ethics declarations

Conflict of Interest

All authors declare that he/she has no conflict of interest.

Ethical Approval

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

Informed Consent

Informed consent was obtained from all individual participants included in the study.

Rights and permissions

Reprints and Permissions

About this article

Verify currency and authenticity via CrossMark

Cite this article

Fortuna, K.L., Storm, M., Aschbrenner, K.A. et al. Integration of Peer Philosophy into a Standardized Self-Management Mobile Health Intervention. Psychiatr Q 89, 795–800 (2018). https://doi.org/10.1007/s11126-018-9578-3

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11126-018-9578-3

Keywords

  • Serious mental illness
  • mHealth
  • Peer support
  • Illness self-management