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Introduction to the Coproduction of Supervision Standards for Digital Peer Support: Qualitative Study

BACKGROUND: Digital peer support enhances engagement in mental and physical health services despite barriers such as location, transportation, and other accessibility constraints. Digital peer support involves live or automated peer support services delivered through technology media such as peer-to...

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Autores principales: Collins-Pisano, Caroline, Johnson, Michael, Mois, George, Brooks, Jessica, Myers, Amanda, Mazina, Deanna, Storm, Marianne, Wright, Maggie, Berger, Nancy, Kasper, Ann, Fox, Anthony, MacDonald, Sandi, Schultze, Sarah, Bohm, Andrew, Hill, Julia, Fortuna, Karen
Formato: Online Artículo Texto
Lenguaje:English
Publicado: JMIR Publications 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10337386/
https://www.ncbi.nlm.nih.gov/pubmed/37335603
http://dx.doi.org/10.2196/40607
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author Collins-Pisano, Caroline
Johnson, Michael
Mois, George
Brooks, Jessica
Myers, Amanda
Mazina, Deanna
Storm, Marianne
Wright, Maggie
Berger, Nancy
Kasper, Ann
Fox, Anthony
MacDonald, Sandi
Schultze, Sarah
Bohm, Andrew
Hill, Julia
Fortuna, Karen
author_facet Collins-Pisano, Caroline
Johnson, Michael
Mois, George
Brooks, Jessica
Myers, Amanda
Mazina, Deanna
Storm, Marianne
Wright, Maggie
Berger, Nancy
Kasper, Ann
Fox, Anthony
MacDonald, Sandi
Schultze, Sarah
Bohm, Andrew
Hill, Julia
Fortuna, Karen
author_sort Collins-Pisano, Caroline
collection PubMed
description BACKGROUND: Digital peer support enhances engagement in mental and physical health services despite barriers such as location, transportation, and other accessibility constraints. Digital peer support involves live or automated peer support services delivered through technology media such as peer-to-peer networks, smartphone apps, and asynchronous and synchronous technologies. Supervision standards for digital peer support can determine important administrative, educative, and supportive guidelines for supervisors to maintain the practice of competent digital peer support, develop knowledgeable and skilled digital peer support specialists, clarify the role and responsibility of digital peer support specialists, and support specialists in both an emotional and developmental capacity. OBJECTIVE: Although digital peer support has expanded recently, there are no formal digital supervision standards. The aim of this study is to inform the development of supervision standards for digital peer support and introduce guidelines that supervisors can use to support, guide, and develop competencies in digital peer support specialists. METHODS: Peer support specialists that currently offer digital peer support services were recruited via an international email listserv of 1500 peer support specialists. Four 1-hour focus groups, with a total of 59 participants, took place in October 2020. Researchers used Rapid and Rigorous Qualitative Data Analysis methods. Researchers presented data transcripts to focus group participants for feedback and to determine if the researcher’s interpretation of the data match their intended meanings. RESULTS: We identified 51 codes and 11 themes related to the development of supervision standards for digital peer support. Themes included (1) education on technology competency (43/197, 21.8%), (2) education on privacy, security, and confidentiality in digital devices and platforms (33/197, 16.8%), (3) education on peer support competencies and how they relate to digital peer support (25/197, 12.7%), (4) administrative guidelines (21/197, 10.7%), (5) education on the digital delivery of peer support (18/197, 9.1%), (6) education on technology access (17/197, 8.6%), (7) supervisor support of work-life balance (17/197, 8.6%), (8) emotional support (9/197, 4.6%), (9) administrative documentation (6/197, 3%), (10) education on suicide and crisis intervention (5/197, 2.5%), and (11) feedback (3/197, 1.5%). CONCLUSIONS: Currently, supervision standards from the Substance Abuse and Mental Health Services Administration (SAMHSA) for in-person peer support include administrative, educative, and supportive functions. However, digital peer support has necessitated supervision standard subthemes such as education on technology and privacy, support of work-life balance, and emotional support. Lack of digital supervision standards may lead to a breach in ethics and confidentiality, workforce stress, loss of productivity, loss of boundaries, and ineffectively serving users who participate in digital peer support services. Digital peer support specialists require specific knowledge and skills to communicate with service users and deliver peer support effectively, while supervisors require new knowledge and skills to effectively develop, support, and manage the digital peer support role.
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spelling pubmed-103373862023-07-13 Introduction to the Coproduction of Supervision Standards for Digital Peer Support: Qualitative Study Collins-Pisano, Caroline Johnson, Michael Mois, George Brooks, Jessica Myers, Amanda Mazina, Deanna Storm, Marianne Wright, Maggie Berger, Nancy Kasper, Ann Fox, Anthony MacDonald, Sandi Schultze, Sarah Bohm, Andrew Hill, Julia Fortuna, Karen JMIR Hum Factors Original Paper BACKGROUND: Digital peer support enhances engagement in mental and physical health services despite barriers such as location, transportation, and other accessibility constraints. Digital peer support involves live or automated peer support services delivered through technology media such as peer-to-peer networks, smartphone apps, and asynchronous and synchronous technologies. Supervision standards for digital peer support can determine important administrative, educative, and supportive guidelines for supervisors to maintain the practice of competent digital peer support, develop knowledgeable and skilled digital peer support specialists, clarify the role and responsibility of digital peer support specialists, and support specialists in both an emotional and developmental capacity. OBJECTIVE: Although digital peer support has expanded recently, there are no formal digital supervision standards. The aim of this study is to inform the development of supervision standards for digital peer support and introduce guidelines that supervisors can use to support, guide, and develop competencies in digital peer support specialists. METHODS: Peer support specialists that currently offer digital peer support services were recruited via an international email listserv of 1500 peer support specialists. Four 1-hour focus groups, with a total of 59 participants, took place in October 2020. Researchers used Rapid and Rigorous Qualitative Data Analysis methods. Researchers presented data transcripts to focus group participants for feedback and to determine if the researcher’s interpretation of the data match their intended meanings. RESULTS: We identified 51 codes and 11 themes related to the development of supervision standards for digital peer support. Themes included (1) education on technology competency (43/197, 21.8%), (2) education on privacy, security, and confidentiality in digital devices and platforms (33/197, 16.8%), (3) education on peer support competencies and how they relate to digital peer support (25/197, 12.7%), (4) administrative guidelines (21/197, 10.7%), (5) education on the digital delivery of peer support (18/197, 9.1%), (6) education on technology access (17/197, 8.6%), (7) supervisor support of work-life balance (17/197, 8.6%), (8) emotional support (9/197, 4.6%), (9) administrative documentation (6/197, 3%), (10) education on suicide and crisis intervention (5/197, 2.5%), and (11) feedback (3/197, 1.5%). CONCLUSIONS: Currently, supervision standards from the Substance Abuse and Mental Health Services Administration (SAMHSA) for in-person peer support include administrative, educative, and supportive functions. However, digital peer support has necessitated supervision standard subthemes such as education on technology and privacy, support of work-life balance, and emotional support. Lack of digital supervision standards may lead to a breach in ethics and confidentiality, workforce stress, loss of productivity, loss of boundaries, and ineffectively serving users who participate in digital peer support services. Digital peer support specialists require specific knowledge and skills to communicate with service users and deliver peer support effectively, while supervisors require new knowledge and skills to effectively develop, support, and manage the digital peer support role. JMIR Publications 2023-06-19 /pmc/articles/PMC10337386/ /pubmed/37335603 http://dx.doi.org/10.2196/40607 Text en ©Caroline Collins-Pisano, Michael Johnson, George Mois, Jessica Brooks, Amanda Myers, Deanna Mazina, Marianne Storm, Maggie Wright, Nancy Berger, Ann Kasper, Anthony Fox, Sandi MacDonald, Sarah Schultze, Andrew Bohm, Julia Hill, Karen Fortuna. Originally published in JMIR Human Factors (https://humanfactors.jmir.org), 19.06.2023. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in JMIR Human Factors, is properly cited. The complete bibliographic information, a link to the original publication on https://humanfactors.jmir.org, as well as this copyright and license information must be included.
spellingShingle Original Paper
Collins-Pisano, Caroline
Johnson, Michael
Mois, George
Brooks, Jessica
Myers, Amanda
Mazina, Deanna
Storm, Marianne
Wright, Maggie
Berger, Nancy
Kasper, Ann
Fox, Anthony
MacDonald, Sandi
Schultze, Sarah
Bohm, Andrew
Hill, Julia
Fortuna, Karen
Introduction to the Coproduction of Supervision Standards for Digital Peer Support: Qualitative Study
title Introduction to the Coproduction of Supervision Standards for Digital Peer Support: Qualitative Study
title_full Introduction to the Coproduction of Supervision Standards for Digital Peer Support: Qualitative Study
title_fullStr Introduction to the Coproduction of Supervision Standards for Digital Peer Support: Qualitative Study
title_full_unstemmed Introduction to the Coproduction of Supervision Standards for Digital Peer Support: Qualitative Study
title_short Introduction to the Coproduction of Supervision Standards for Digital Peer Support: Qualitative Study
title_sort introduction to the coproduction of supervision standards for digital peer support: qualitative study
topic Original Paper
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10337386/
https://www.ncbi.nlm.nih.gov/pubmed/37335603
http://dx.doi.org/10.2196/40607
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