Implementing peer support in higher education: A feasibility study

Background: When experiencing mental distress, many university students seek support from their peers. In schools and mental health services, formalised peer support interventions have demonstrated some success but implementation challenges have been reported. This study aimed to assess the feasibil...

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Main Authors: T.G. Osborn, R. Town, R. Ellis, J.E.J. Buckman, R. Saunders, P. Fonagy
Format: Article
Language:English
Published: Elsevier 2022-12-01
Series:SSM - Mental Health
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2666560322001153
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author T.G. Osborn
R. Town
R. Ellis
J.E.J. Buckman
R. Saunders
P. Fonagy
author_facet T.G. Osborn
R. Town
R. Ellis
J.E.J. Buckman
R. Saunders
P. Fonagy
author_sort T.G. Osborn
collection DOAJ
description Background: When experiencing mental distress, many university students seek support from their peers. In schools and mental health services, formalised peer support interventions have demonstrated some success but implementation challenges have been reported. This study aimed to assess the feasibility, acceptability and safety of a novel manualized peer support intervention and associated data collection processes. Methods: A longitudinal mixed methods study was conducted following the pilot of a peer support intervention at a large London university between June 2021 and May 2022. The study utilised data routinely recorded on all students who booked a peer support session, focus groups with nine peer workers and five staff members implementing the intervention, pre-post intervention surveys with 13 students and qualitative interviews with 10 of those students. Results: 169 bookings were made during the pilot, of which 130 (77%) were attended, with November the peak month. Staff and peer workers described strong motivation and commitment to implement the intervention, noting that the peer support model and peer worker role addressed previously unmet needs at the university. However, students described implementation problems relating to the coherence of the intervention and the burden of participation. While students mostly described acceptable experiences, there were examples where acceptability was lower. No adverse events were reported during the pilot. Conclusion: The training and supervision of peer workers, and the provision of one-to-one peer support to students was found to be feasible, mostly acceptable, and safe. However, sustained implementation difficulties were observed. These pose challenges to the scalability of peer support in universities. We make recommendations to improve implementation of peer support including improving reach, greater clarity about the intervention, and fuller involvement of students throughout.
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spelling doaj.art-b6a56930a3844dbdab2e2459dd731e562022-12-28T04:20:14ZengElsevierSSM - Mental Health2666-56032022-12-012100175Implementing peer support in higher education: A feasibility studyT.G. Osborn0R. Town1R. Ellis2J.E.J. Buckman3R. Saunders4P. Fonagy5Division of Psychology and Language Sciences, Faculty of Brain Sciences, UCL, 26 Bedford Way, London, WC1H 0AP, UK; Corresponding author.Division of Psychology and Language Sciences, Faculty of Brain Sciences, UCL, 26 Bedford Way, London, WC1H 0AP, UK; Evidence Based Practice Unit, 4-8 Rodney Street, University College London, London, N1 9JH, UKDivision of Psychology and Language Sciences, Faculty of Brain Sciences, UCL, 26 Bedford Way, London, WC1H 0AP, UK; PsychUP for Wellbeing, Division of Psychology and Language Sciences, Faculty of Brain Sciences, UCL, 26 Bedford Way, London, WC1H 0AP, UKCentre for Outcomes Research and Effectiveness (CORE), Research Department of Clinical Educational & Health Psychology, University College London, 1-19 Torrington Place, London, WC1E 7HB, UK; iCope – Camden & Islington NHS Foundation Trust, St Pancras Hospital, London, NW1 0PE, UK; UCL University Clinic, Research Department of Clinical Educational & Health Psychology, University College London, 1-19 Torrington Place, London, WC1E 7HB, UKCentre for Outcomes Research and Effectiveness (CORE), Research Department of Clinical Educational & Health Psychology, University College London, 1-19 Torrington Place, London, WC1E 7HB, UKDivision of Psychology and Language Sciences, Faculty of Brain Sciences, UCL, 26 Bedford Way, London, WC1H 0AP, UKBackground: When experiencing mental distress, many university students seek support from their peers. In schools and mental health services, formalised peer support interventions have demonstrated some success but implementation challenges have been reported. This study aimed to assess the feasibility, acceptability and safety of a novel manualized peer support intervention and associated data collection processes. Methods: A longitudinal mixed methods study was conducted following the pilot of a peer support intervention at a large London university between June 2021 and May 2022. The study utilised data routinely recorded on all students who booked a peer support session, focus groups with nine peer workers and five staff members implementing the intervention, pre-post intervention surveys with 13 students and qualitative interviews with 10 of those students. Results: 169 bookings were made during the pilot, of which 130 (77%) were attended, with November the peak month. Staff and peer workers described strong motivation and commitment to implement the intervention, noting that the peer support model and peer worker role addressed previously unmet needs at the university. However, students described implementation problems relating to the coherence of the intervention and the burden of participation. While students mostly described acceptable experiences, there were examples where acceptability was lower. No adverse events were reported during the pilot. Conclusion: The training and supervision of peer workers, and the provision of one-to-one peer support to students was found to be feasible, mostly acceptable, and safe. However, sustained implementation difficulties were observed. These pose challenges to the scalability of peer support in universities. We make recommendations to improve implementation of peer support including improving reach, greater clarity about the intervention, and fuller involvement of students throughout.http://www.sciencedirect.com/science/article/pii/S2666560322001153Peer workStudent mental healthFeasibilityAcceptabilitySafetyImplementation
spellingShingle T.G. Osborn
R. Town
R. Ellis
J.E.J. Buckman
R. Saunders
P. Fonagy
Implementing peer support in higher education: A feasibility study
SSM - Mental Health
Peer work
Student mental health
Feasibility
Acceptability
Safety
Implementation
title Implementing peer support in higher education: A feasibility study
title_full Implementing peer support in higher education: A feasibility study
title_fullStr Implementing peer support in higher education: A feasibility study
title_full_unstemmed Implementing peer support in higher education: A feasibility study
title_short Implementing peer support in higher education: A feasibility study
title_sort implementing peer support in higher education a feasibility study
topic Peer work
Student mental health
Feasibility
Acceptability
Safety
Implementation
url http://www.sciencedirect.com/science/article/pii/S2666560322001153
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