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Sample records for community peer counsellors

  1. Supervision of community peer counsellors for infant feeding in South Africa: an exploratory qualitative study

    PubMed Central

    2010-01-01

    Background Recent years have seen a re-emergence of community health worker (CHW) interventions, especially in relation to HIV care, and in increasing coverage of child health interventions. Such programmes can be particularly appealing in the face of human resource shortages and fragmented health systems. However, do we know enough about how these interventions function in order to support the investment? While research based on strong quantitative study designs such as randomised controlled trials increasingly document their impact, there has been less empirical analysis of the internal mechanisms through which CHW interventions succeed or fail. Qualitative process evaluations can help fill this gap. Methods This qualitative paper reports on the experience of three CHW supervisors who were responsible for supporting infant feeding peer counsellors. The intervention took place in three diverse settings in South Africa. Each setting employed one CHW supervisor, each of whom was individually interviewed for this study. The study forms part of the process evaluation of a large-scale randomized controlled trial of infant feeding peer counselling support. Results Our findings highlight the complexities of supervising and supporting CHWs. In order to facilitate effective infant feeding peer counselling, supervisors in this study had to move beyond mere technical management of the intervention to broader people management. While their capacity to achieve this was based on their own prior experience, it was enhanced through being supported themselves. In turn, resource limitations and concerns over safety and being in a rural setting were raised as some of the challenges to supervision. Adding to the complexity was the issue of HIV. Supervisors not only had to support CHWs in their attempts to offer peer counselling to mothers who were potentially HIV positive, but they also had to deal with supporting HIV-positive peer counsellors. Conclusions This study highlights the

  2. Lay and peer counsellors to reduce leprosy-related stigma--lessons learnt in Cirebon, Indonesia.

    PubMed

    Lusli, Mimi; Peters, Ruth M H; Zweekhorst, Marjolein B M; Van Brakel, Wim H; Seda, Francisia S S E; Bunders, Joske F G; Irwanto

    2015-03-01

    Counselling has been identified as a promising strategy to reduce stigma. Lay and peer counsellors have provided counselling in various fields, but this has not yet been studied in the field of leprosy. The Stigma Assessment and Reduction of Impact (SARI) project in Cirebon District, Indonesia took up this endeavour. This paper describes the initial experiences based on the perspectives of the lay and peer counsellors and aims to provide lessons learnt for future initiatives. The selection of lay and peer counsellors was based upon pre-defined criteria such as completed junior high school and level of confidence. This study draws on the notes of seven monitoring and evaluation meetings and 21 group discussions the main researcher facilitated with the lay and peer counsellors and the notes written by the lay and peer counsellors on the sessions with their clients. In total, 198 people affected by leprosy were offered counselling by the 11 lay and 12 peer counsellors; 145 accepted this offer. The other 53 either did not need counselling or did not want to participate for example due to worries about disclosure. Effective communication skills such as listening and asking effective questions were important, but also difficult to acquire for the lay and peer counsellors. Sharing personal experiences was highly appreciated by clients and stimulated a deepened reflection. Challenges related to concealment and effective skills exist, but some people affected by leprosy and others can become effective counsellors making it at the outset a challenging but nevertheless promising intervention.

  3. Looking in from the Outside: Community Counsellors' Opinions and Attitudes to School Counselling in Singapore

    ERIC Educational Resources Information Center

    Low, Poi Kee

    2014-01-01

    Over the last decade, the movement towards the permanent presence of counsellors within schools has gathered pace in Singapore. As counsellors were introduced into more schools, there were opportunities for their community-based counterparts such as social workers, youth workers and other counselling practitioners to work with them. Through…

  4. Looking in from the Outside: Community Counsellors' Opinions and Attitudes to School Counselling in Singapore

    ERIC Educational Resources Information Center

    Low, Poi Kee

    2014-01-01

    Over the last decade, the movement towards the permanent presence of counsellors within schools has gathered pace in Singapore. As counsellors were introduced into more schools, there were opportunities for their community-based counterparts such as social workers, youth workers and other counselling practitioners to work with them. Through…

  5. Quality of home-based rapid HIV testing by community lay counsellors in a rural district of South Africa

    PubMed Central

    Jackson, Debra; Naik, Reshma; Tabana, Hanani; Pillay, Mogiluxmi; Madurai, Savathee; Zembe, Wanga; Doherty, Tanya

    2013-01-01

    Introduction Lack of universal, annual testing for human immunodeficiency virus (HIV) in health facilities suggests that expansion of HIV testing and counselling (HTC) to non-clinical settings is critical to the achievement of national goals for prevention, care and treatment. Consideration should be given to the ability of lay counsellors to perform home-based HTC in community settings. Methods We implemented a community cluster randomized controlled trial of home-based HTC in Sisonke District, South Africa. Trained lay counsellors conducted door-to-door HIV testing using the same rapid tests used by the local health department at the time of the study (SD Bioline and Sensa). To monitor testing quality and counsellor skill, additional dry blood spots were taken and sent for laboratory-based enzyme-linked immunosorbent assay (ELISA) testing. Sensitivity and specificity were calculated using the laboratory result as the gold standard. Results and discussion From 3986 samples, the counsellor and laboratory results matched in all but 23 cases. In 18 cases, the counsellor judged the result as indeterminate, whereas the laboratory judged 10 positive, eight negative and three indeterminate, indicating that the counsellor may have erred on the side of caution. Sensitivity was 98.0% (95% CI: 96.3–98.9%), and specificity 99.6% (95% CI: 99.4–99.7%), for the lay counsellor field-based rapid tests. Both measures are high, and the lower confidence bound for specificity meets the international standard for assessing HIV rapid tests. Conclusions These findings indicate that adequately trained lay counsellors are capable of safely conducting high-quality rapid HIV tests and interpreting the results as per the kit guidelines. These findings are important given the likely expansion of community and home-based testing models and the shortage of clinically trained professional staff. PMID:24241957

  6. A Peer Counselling Model: Social Outreach.

    ERIC Educational Resources Information Center

    Guttman, Mary Alice Julius

    1985-01-01

    Presents a peer counselling model emphasizing outreach social activities and school community liaison for adolescents. Evaluation of this model according to counsellors' self-reports, and student clients' evaluations indicated that peer counsellors were perceived as highly effective in social leadership, group discussion, and individual…

  7. A peer counselling program for the elderly with depression living in the community.

    PubMed

    Ho, Amy P Y

    2007-01-01

    This study examines the effectiveness of a peer counselling program in Hong Kong for the elderly with depression living in the community, and its impact on the peer counsellors. Thirty depressed elderly subjects participated in the program, which was found to have improved their perceived health status and level of depression. As a result of their participation, subjects have also received more social support and adopted more positive coping strategies. As far as peer counsellors were concerned, they benefited in terms of personal growth through helping others, and helped to open a gateway to their own successful aging. Similar programs applied to wider populations and program evaluations utilizing both process and outcome measures are the key recommendations of this study.

  8. Growth effects of exclusive breastfeeding promotion by peer counsellors in sub-Saharan Africa: the cluster-randomised PROMISE EBF trial

    PubMed Central

    2014-01-01

    Background In this multi-country cluster-randomized behavioural intervention trial promoting exclusive breastfeeding (EBF) in Africa, we compared growth of infants up to 6 months of age living in communities where peer counsellors promoted EBF with growth in those infants living in control communities. Methods A total of 82 clusters in Burkina Faso, Uganda and South Africa were randomised to either the intervention or the control arm. Feeding data and anthropometric measurements were collected at visits scheduled 3, 6, 12 and 24 weeks post-partum. We calculated weight-for-length (WLZ), length-for-age (LAZ) and weight-for-age (WAZ) z-scores. Country specific adjusted Least Squares Means with 95% confidence intervals (CI) based on a longitudinal analysis are reported. Prevalence ratios (PR) for the association between peer counselling for EBF and wasting (WLZ < −2), stunting (LAZ < −2) and underweight (WAZ < −2) were calculated at each data collection point. Results The study included a total of 2,579 children. Adjusting for socio-economic status, the mean WLZ at 24 weeks were in Burkina Faso −0.20 (95% CI −0.39 to −0.01) and in Uganda −0.23 (95% CI −0.43 to −0.03) lower in the intervention than in the control arm. In South Africa the mean WLZ at 24 weeks was 0.23 (95% CI 0.03 to 0.43) greater in the intervention than in the control arm. Differences in LAZ between the study arms were small and not statistically significant. In Uganda, infants in the intervention arm were more likely to be wasted compared to those in the control arm at 24 weeks (PR 2.36; 95% CI 1.11 to 5.00). Differences in wasting in South Africa and Burkina Faso and stunting and underweight in all three countries were small and not significantly different. Conclusions There were small differences in mean anthropometric indicators between the intervention and control arms in the study, but in Uganda and Burkina Faso, a tendency to slightly lower ponderal growth

  9. The Learning Community and Emotional Learning in a University-Based Training of Counsellors and Psychotherapists

    ERIC Educational Resources Information Center

    Loewenthal, Del; Snell, Robert

    2008-01-01

    This paper is the first stage in a larger international comparative project, coordinated through the International Association of Counselling, on policy determinants in the education of counsellors. It arose in part out of an interest in the cultural determinants of what is taken as evidence. As a first stage for the project, a case study approach…

  10. The Learning Community and Emotional Learning in a University-Based Training of Counsellors and Psychotherapists

    ERIC Educational Resources Information Center

    Loewenthal, Del; Snell, Robert

    2008-01-01

    This paper is the first stage in a larger international comparative project, coordinated through the International Association of Counselling, on policy determinants in the education of counsellors. It arose in part out of an interest in the cultural determinants of what is taken as evidence. As a first stage for the project, a case study approach…

  11. Utilizing Peer Mentor Roles in Learning Communities

    ERIC Educational Resources Information Center

    Rieske, Laura Jo; Benjamin, Mimi

    2015-01-01

    For a number of learning community programs, peer mentors provide an additional layer of staffing support. This chapter highlights peer mentor roles from a sample of programs and suggests important components for the construction of these roles.

  12. Utilizing Peer Mentor Roles in Learning Communities

    ERIC Educational Resources Information Center

    Rieske, Laura Jo; Benjamin, Mimi

    2015-01-01

    For a number of learning community programs, peer mentors provide an additional layer of staffing support. This chapter highlights peer mentor roles from a sample of programs and suggests important components for the construction of these roles.

  13. "She would sit with me": mothers' experiences of individual peer support for exclusive breastfeeding in Uganda

    PubMed Central

    2010-01-01

    Background Different strategies have been used to improve the initiation and duration of breastfeeding. Peer counsellors are reported to improve exclusive breastfeeding levels, but few studies have assessed the satisfaction of women with the support given, especially in Africa. In this paper we describe women's experiences of peer counselling for exclusive breastfeeding in an East African setting. Methods In the Ugandan site of PROMISE-EBF, a multi-centre community randomised trial to evaluate the effect of peer counselling for exclusive breastfeeding on infant health, 370 women in the intervention arm participated in a study exit interview. Individual peer counselling was offered to women in 12 of the 24 study clusters, scheduled as five visits: before childbirth and during weeks 1, 4, 7 and 10 after childbirth. During the visits, the women were given information and skills to help them breastfeed exclusively. After the 10-week visit, they were interviewed about their feelings and experiences related to the peer counselling. Results Overall, more than 95% of the women expressed satisfaction with the various aspects of peer counselling offered. Those who had received five or more visits were more likely to give positive responses about their experience with peer counselling than those who had received fewer visits. They explained their satisfaction with time spent with the peer counsellor in terms of how much she discussed with them. Most women felt their knowledge needs about breastfeeding were covered by the peer counsellors, while others expressed a desire to learn about complementary feeding and family planning. Attributes of the peer counsellors included their friendliness, being women and giving support in a familiar and relaxed way. Women were positive about the acquisition of knowledge and the benefit to their babies from the peer counselling. They preferred a peer counsellor to a health worker for support of exclusive breastfeeding because of their

  14. Not on Our Backs: Supporting Counsellors in Navigating the Ethics of Multiple Relationships within Queer, Two Spirit, and/or Trans Communities

    ERIC Educational Resources Information Center

    Everett, Bethan; MacFarlane, Devon A.; Reynolds, Vikki A.; Anderson, Harlene D.

    2013-01-01

    Professional ethical guidelines commonly advise counsellors to avoid dual relationships wherever possible but generally have not provided guidance for situations where this is not feasible. This leaves queer, Two Spirit, and/or trans counsellors open to negative judgements, possible accusations of unprofessionalism, and practices of…

  15. Not on Our Backs: Supporting Counsellors in Navigating the Ethics of Multiple Relationships within Queer, Two Spirit, and/or Trans Communities

    ERIC Educational Resources Information Center

    Everett, Bethan; MacFarlane, Devon A.; Reynolds, Vikki A.; Anderson, Harlene D.

    2013-01-01

    Professional ethical guidelines commonly advise counsellors to avoid dual relationships wherever possible but generally have not provided guidance for situations where this is not feasible. This leaves queer, Two Spirit, and/or trans counsellors open to negative judgements, possible accusations of unprofessionalism, and practices of…

  16. Peer Learning Community Guide. CEELO FastFact

    ERIC Educational Resources Information Center

    Schilder, Diane; Brown, Kirsty Clarke; Gillaspy, Kathi

    2014-01-01

    States and technical assistance centers have asked the Center on Enhancing Early Learning Outcomes (CEELO) for guidance on establishing and maintaining a peer learning community (PLC). This document is designed to delineate the steps to establish and sustain a Peer Learning Community (PLC). It begins with a definition of a PLC and then presents…

  17. Peer Learning Community Guide. CEELO FastFact

    ERIC Educational Resources Information Center

    Schilder, Diane; Brown, Kirsty Clarke; Gillaspy, Kathi

    2014-01-01

    States and technical assistance centers have asked the Center on Enhancing Early Learning Outcomes (CEELO) for guidance on establishing and maintaining a peer learning community (PLC). This document is designed to delineate the steps to establish and sustain a Peer Learning Community (PLC). It begins with a definition of a PLC and then presents…

  18. Providing interoperability of eHealth communities through peer-to-peer networks.

    PubMed

    Kilic, Ozgur; Dogac, Asuman; Eichelberg, Marco

    2010-05-01

    Providing an interoperability infrastructure for Electronic Healthcare Records (EHRs) is on the agenda of many national and regional eHealth initiatives. Two important integration profiles have been specified for this purpose, namely, the "Integrating the Healthcare Enterprise (IHE) Cross-enterprise Document Sharing (XDS)" and the "IHE Cross Community Access (XCA)." IHE XDS describes how to share EHRs in a community of healthcare enterprises and IHE XCA describes how EHRs are shared across communities. However, the current version of the IHE XCA integration profile does not address some of the important challenges of cross-community exchange environments. The first challenge is scalability. If every community that joins the network needs to connect to every other community, i.e., a pure peer-to-peer network, this solution will not scale. Furthermore, each community may use a different coding vocabulary for the same metadata attribute, in which case, the target community cannot interpret the query involving such an attribute. Yet another important challenge is that each community may (and typically will) have a different patient identifier domain. Querying for the patient identifiers in the target community using patient demographic data may create patient privacy concerns. In this paper, we address each of these challenges and show how they can be handled effectively in a superpeer-based peer-to-peer architecture.

  19. Community engagement in research: frameworks for education and peer review.

    PubMed

    Ahmed, Syed M; Palermo, Ann-Gel S

    2010-08-01

    Community engagement in research may enhance a community's ability to address its own health needs and health disparities issues while ensuring that researchers understand community priorities. However, there are researchers with limited understanding of and experience with effective methods of engaging communities. Furthermore, limited guidance is available for peer-review panels on evaluating proposals for research that engages communities. The National Institutes of Health Director's Council of Public Representatives developed a community engagement framework that includes values, strategies to operationalize each value, and potential outcomes of their use, as well as a peer-review framework for evaluating research that engages communities. Use of these frameworks for educating researchers to create and sustain authentic community-academic partnerships will increase accountability and equality between the partners.

  20. Community Engagement in Research: Frameworks for Education and Peer Review

    PubMed Central

    Palermo, Ann-Gel S.

    2010-01-01

    Community engagement in research may enhance a community's ability to address its own health needs and health disparities issues while ensuring that researchers understand community priorities. However, there are researchers with limited understanding of and experience with effective methods of engaging communities. Furthermore, limited guidance is available for peer-review panels on evaluating proposals for research that engages communities. The National Institutes of Health Director's Council of Public Representatives developed a community engagement framework that includes values, strategies to operationalize each value, and potential outcomes of their use, as well as a peer-review framework for evaluating research that engages communities. Use of these frameworks for educating researchers to create and sustain authentic community–academic partnerships will increase accountability and equality between the partners. PMID:20558798

  1. Developing a Peer Learning Community through the Use of CMC.

    ERIC Educational Resources Information Center

    Yeung, Alison S. W.; Ferry, Brian

    This study investigates computer-mediated communication (CMC) to facilitate the construction of a learning community of preservice teachers. The formation of a learning community involves students working together to solve ill-structured problems and applying knowledge and experience to heuristic teaching. "Peer learning" broadly…

  2. The peer-professional interface in a community-based, breast feeding peer-support project.

    PubMed

    Curtis, Penny; Woodhill, Rose; Stapleton, Helen

    2007-06-01

    to explore key elements of the peer-professional interface within one breast feeding peer-support project. a descriptive, qualitative study design. Data were generated through focus-group discussions with volunteer peer supporters and health professionals. the Breastfriends scheme was a community-based, peer-support project located in Doncaster, a town in the North of England. all of the volunteer peer supporters who were involved in the scheme at the time of data collection (n=7). In addition, a convenience sample of health professionals (community midwives and health visitors [n=9]) was also generated. thematic analysis of the data was undertaken. Two key themes that have relevance to understanding the peer-professional interface were derived: benefits of working together, and constraints on enabling working relationships. benefits associated with participating in the breast feeding peer-support scheme were highlighted by volunteers and health professionals. Volunteers experienced enhanced social support and increased self-esteem and personal development. Health professionals benefited from being able to 'spread the load' of breast feeding support. Some health professionals were also able to learn from volunteers' specialist experiential and cultural knowledge. Health professionals were concerned about volunteers transgressing (poorly defined) boundaries. Both volunteers and health professionals described gate-keeping activities and surveillance behaviours practised by health professionals in an effort to control aspects of volunteers' access to, and work with, breast feeding women. as a cohort of peer supporters develops, members may derive benefits from their participation that extend beyond those predicted and planned for in the project. They may also exert a proactive influence upon the evolution of the peer-support project and upon the relationships between volunteers and health professionals. However, midwives and health professionals may also seek to exert

  3. Classroom Community and Peer Culture in Kindergarten

    ERIC Educational Resources Information Center

    Lash, Martha

    2008-01-01

    This study reflects a naturalistic, interpretive 5-month study in a public school morning kindergarten regarding the children's social development and creation of a peer culture during the transitional months into public education. The main focus of the research was the children's perspectives on these transitions and their evolving classroom…

  4. Sequenced Peer Revision: Creating Competence and Community

    ERIC Educational Resources Information Center

    Bowman, Ingrid K.; Robertson, John

    2013-01-01

    Mastering techniques of self- and peer revision is a valuable tool for all writers, especially US-educated Generation 1.5 students, whose near fluency enables them to dialogue successfully about their writing. Using action research, 2 academic writing instructors systematically trained students to more responsibly and effectively revise their…

  5. Detailed prospective peer review in a community radiation oncology clinic.

    PubMed

    Mitchell, James D; Chesnut, Thomas J; Eastham, David V; Demandante, Carlo N; Hoopes, David J

    In 2012, we instituted detailed prospective peer review of new cases. We present the outcomes of peer review on patient management and time required for peer review. Peer review rounds were held 3 to 4 days weekly and required 2 physicians to review pertinent information from the electronic medical record and treatment planning system. Eight aspects were reviewed for each case: 1) workup and staging; 2) treatment intent and prescription; 3) position, immobilization, and simulation; 4) motion assessment and management; 5) target contours; 6) normal tissue contours; 7) target dosimetry; and 8) normal tissue dosimetry. Cases were marked as, "Meets standard of care," "Variation," or "Major deviation." Changes in treatment plan were noted. As our process evolved, we recorded the time spent reviewing each case. From 2012 to 2014, we collected peer review data on 442 of 465 (95%) radiation therapy patients treated in our hospital-based clinic. Overall, 91 (20.6%) of the cases were marked as having a variation, and 3 (0.7%) as major deviation. Forty-two (9.5%) of the cases were altered after peer review. An overall peer review score of "Variation" or "Major deviation" was highly associated with a change in treatment plan (P < .01). Changes in target contours were recommended in 10% of cases. Gastrointestinal cases were significantly associated with a change in treatment plan after peer review. Indicators on position, immobilization, simulation, target contours, target dosimetry, motion management, normal tissue contours, and normal tissue dosimetry were significantly associated with a change in treatment plan. The mean time spent on each case was 7 minutes. Prospective peer review is feasible in a community radiation oncology practice. Our process led to changes in 9.5% of cases. Peer review should focus on technical factors such as target contours and dosimetry. Peer review required 7 minutes per case. Published by Elsevier Inc.

  6. Behavioral health support and online peer communities: international experiences

    PubMed Central

    Harding, Claire

    2016-01-01

    Online peer support communities play an important part in many people’s experience of healthcare. They can be particularly significant in behavioral health/mental health due to the difficulties that people may experience in accessing face to face care for these conditions. There is considerable diversity of practice in service management, target group, and moderation practices of online peer support communities. People using the communities also appear to have diverse aims and experiences. This heterogeneity contributes to a relative lack of data about the value and effectiveness of online peer support in behavioral health, although there is significant research into some aspects of these communities. The digital behavioral health service Big White Wall was launched in the UK in 2007, and in the US in 2015, and is focused on delivering moderated peer support. There are considerable differences in health systems between the two countries, and this has been reflected in different experiences of implementation. The value of online peer support could be maximized if systemic challenges to implementation and adoption were addressed more effectively. PMID:28293613

  7. Work of the School Counsellor

    ERIC Educational Resources Information Center

    Thompson, A. J. M.; Bolger, A. W.

    1973-01-01

    Twenty-five trained school counsellors co-operated in a study of their work carried out by the University of Keele Institute of Education. This article discusses the pattern of work that emerged. (Editor)

  8. Assisting Problem Gamblers in the Gaming Venue: A Counsellor Perspective

    ERIC Educational Resources Information Center

    Hing, Nerilee; Nuske, Elaine

    2011-01-01

    Governments now recognise gambling as a social and public health issue that invites a collaborative approach to responsible gambling and help-seeking involving the gambling industry, gambling help agencies and the wider community. In this paper, we report on findings from interviews with 23 counsellors working in Queensland Gambling Help agencies…

  9. Assisting Problem Gamblers in the Gaming Venue: A Counsellor Perspective

    ERIC Educational Resources Information Center

    Hing, Nerilee; Nuske, Elaine

    2011-01-01

    Governments now recognise gambling as a social and public health issue that invites a collaborative approach to responsible gambling and help-seeking involving the gambling industry, gambling help agencies and the wider community. In this paper, we report on findings from interviews with 23 counsellors working in Queensland Gambling Help agencies…

  10. Counsellors' Attitudes towards Disability Equality Training (DET)

    ERIC Educational Resources Information Center

    Parkinson, Gill

    2006-01-01

    This paper explores the attitudes and conceptions held by trainee and practising counsellors towards people with disabilities. Awareness of counsellors' own views of disability and impairment can complicate the counsellor-client relationship when the latter is seen primarily from a deficiency model perspective or self-defined model of disability,…

  11. Counsellors becoming Counsellor Educators: A New Zealand Example

    ERIC Educational Resources Information Center

    Crocket, Kathie; Kotze, Elmarie

    2012-01-01

    The international literature on adjunct faculty in higher education, including professional education, does not yet cover counsellor education in particular, although many programmes rely on the teaching services of experienced practitioners in adjunct faculty positions. This article reports on a small, exploratory study conducted with adjunct…

  12. The Group as Teacher: The Gestalt Peer-Learning Community as a Vehicle for Organisational Healing.

    ERIC Educational Resources Information Center

    Barber, Paul

    The possibility of using a Gestalt-informed peer learning community to facilitate reflective learning and organizational change was explored. A peer learning community model exists that is based on two approaches to working with mental illness--therapeutic community practice (which is based on treating the community group rather than individuals…

  13. Online Peer-to-Peer Communities in the Daily Lives of People With Chronic Illness: A Qualitative Systematic Review.

    PubMed

    Kingod, Natasja; Cleal, Bryan; Wahlberg, Ayo; Husted, Gitte R

    2017-01-01

    This qualitative systematic review investigated how individuals with chronic illness experience online peer-to-peer support and how their experiences influence daily life with illness. Selected studies were appraised by quality criteria focused upon research questions and study design, participant selection, methods of data collection, and methods of analysis. Four themes were identified: (a) illness-associated identity work, (b) social support and connectivity, (c) experiential knowledge sharing, and (d) collective voice and mobilization. Findings indicate that online peer-to-peer communities provide a supportive space for daily self-care related to chronic illness. Online communities provided a valued space to strengthen social ties and exchange knowledge that supported offline ties and patient-doctor relationships. Individuals used online communities to exchange experiential knowledge about everyday life with illness. This type of knowledge was perceived as extending far beyond medical care. Online communities were also used to mobilize and raise collective awareness about illness-specific concerns.

  14. Consistency of Supervisor and Peer Ratings of Assessment Interviews Conducted by Psychology Trainees

    ERIC Educational Resources Information Center

    Gonsalvez, Craig J.; Deane, Frank P.; Caputi, Peter

    2016-01-01

    Observation of counsellor skills through a one-way mirror, video or audio recording followed by supervisors and peers feedback is common in counsellor training. The nature and extent of agreement between supervisor-peer dyads are unclear. Using a standard scale, supervisors and peers rated 32 interviews by psychology trainees observed through a…

  15. Peer education for advance care planning: volunteers' perspectives on training and community engagement activities.

    PubMed

    Seymour, Jane E; Almack, Kathryn; Kennedy, Sheila; Froggatt, Katherine

    2013-03-01

    Peer education by volunteers may aid attitudinal change, but there is little understanding of factors assisting the preparation of peer educators. This study contributes to conceptual understandings of how volunteers may be prepared to work as peer educators by drawing on an evaluation of a training programme for peer education for advance care planning (ACP). To report on volunteers' perspectives on the peer education training programme, their feelings about assuming the role of volunteer peer educators and the community engagement activities with which they engaged during the year after training. To examine broader implications for peer education. Participatory action research employing mixed methods of data collection. Twenty-four older volunteers and eight health and social care staff. Evaluative data were gathered from information provided during and at the end of training, a follow-up survey 4 months post-training; interviews and focus groups 6 and 12 months post-training. Volunteers' personal aims ranged from working within their communities to using what they had learnt within their own families. The personal impact of peer education was considerable. Two-thirds of volunteers reported community peer education activities 1 year after the training. Those who identified strongly with a community group had the most success. We reflect on the extent to which the programme aided the development of 'critical consciousness' among the volunteers: a key factor in successful peer education programmes. More research is needed about the impact on uptake of ACP in communities. © 2011 Blackwell Publishing Ltd.

  16. Preservice Teacher Perceptions of School Counsellor Responsibilities

    ERIC Educational Resources Information Center

    Joy, Rhonda M.; Hesson, Jackie; Harris, Gregory

    2011-01-01

    Teachers have tremendous impact on school counselling service utilization in terms of teacher-counsellor consultation and student referral. Thus, ensuring that teachers understand the roles and responsibilities of school counsellors is critical. As teachers' understanding of the school counselling role can be impacted during preservice teacher…

  17. Guidance Counsellor Strategies for Handling Bullying

    ERIC Educational Resources Information Center

    Power-Elliott, Michleen; Harris, Gregory E.

    2012-01-01

    The purpose of this exploratory-descriptive study was to examine how guidance counsellors in the province of Newfoundland and Labrador would handle a specific verbal-relational bullying incident. Also of interest was guidance counsellor involvement and training in bullying programmes and Positive Behaviour Supports. Data for this study was…

  18. A Counsellor's Guide to Conducting Psychobiographical Research

    ERIC Educational Resources Information Center

    Ponterotto, Joseph G.

    2017-01-01

    By nature of their interests and professional training, counsellors are ideally equipped to conduct psychobiographical research. This article positions the counselling field in the broad specialty area of psychobiography, highlights the preparedness of counsellors to conduct psychobiographical research, and emphasizes the benefits of this research…

  19. Ethical Considerations of Social Networking for Counsellors

    ERIC Educational Resources Information Center

    Bratt, William Edgar Vernon

    2010-01-01

    The use of online social networking websites has increased among Canadians in recent years. There are many professional and ethical implications for counsellors who use these sites (Boyd, 2007). Although they offer advantages to counsellors, their use can also raise issues around ethical conduct. Because the counselling literature has not yet…

  20. Violent Victimization in the Community and Children's Subsequent Peer Rejection: The Mediating Role of Emotion Dysregulation

    ERIC Educational Resources Information Center

    Kelly, Brynn M.; Schwartz, David; Gorman, Andrea Hopmeyer; Nakamoto, Jonathan

    2008-01-01

    This paper describes a short-term longitudinal study of the relation between violent victimization in the community and peer rejection among 199 children (mean age = 9.02 years) attending two urban Los Angeles area elementary schools. We used a multi-informant approach to assess victimization by community violence, peer group victimization, peer…

  1. Ethics in Counsellor Education: A Sample Orientation Manual

    ERIC Educational Resources Information Center

    Braun, Ruth Bergen

    2009-01-01

    This project draws attention to ethics in counsellor education, showing that ethics is critical to the formation of new counsellors, not simply an add-on component in counsellor training. This project demonstrates that beginning counsellors, before they commence employment, must have a strong ethical foundation. It examines both formal counsellor…

  2. Task-shifting HIV counselling and testing services in Zambia: the role of lay counsellors.

    PubMed

    Sanjana, Parsa; Torpey, Kwasi; Schwarzwalder, Alison; Simumba, Caroline; Kasonde, Prisca; Nyirenda, Lameck; Kapanda, Paul; Kakungu-Simpungwe, Matilda; Kabaso, Mushota; Thompson, Catherine

    2009-05-30

    The human resource shortage in Zambia is placing a heavy burden on the few health care workers available at health facilities. The Zambia Prevention, Care and Treatment Partnership began training and placing community volunteers as lay counsellors in order to complement the efforts of the health care workers in providing HIV counselling and testing services. These volunteers are trained using the standard national counselling and testing curriculum. This study was conducted to review the effectiveness of lay counsellors in addressing staff shortages and the provision of HIV counselling and testing services. Quantitative and qualitative data were collected by means of semistructured interviews from all active lay counsellors in each of the facilities and a facility manager or counselling supervisor overseeing counseling and testing services and clients. At each of the 10 selected facilities, all counselling and testing record books for the month of May 2007 were examined and any recordkeeping errors were tallied by cadre. Qualitative data were collected through focus group discussions with health care workers at each facility. Lay counsellors provide counselling and testing services of quality and relieve the workload of overstretched health care workers. Facility managers recognize and appreciate the services provided by lay counsellors. Lay counsellors provide up to 70% of counselling and testing services at health facilities. The data review revealed lower error rates for lay counsellors, compared to health care workers, in completing the counselling and testing registers. Community volunteers, with approved training and ongoing supervision, can play a major role at health facilities to provide counselling and testing services of quality, and relieve the burden on already overstretched health care workers.

  3. Making Teaching Community Property: A Menu for Peer Collaboration and Peer Review. AAHE Teaching Initiative.

    ERIC Educational Resources Information Center

    Hutchings, Pat

    A collection of program descriptions and case studies in college faculty peer collaboration and peer review includes: "Setting a Scholarly Tone: Teaching Circles in the History Department at Kent State University"; "Fostering Collective Responsibility for Student Learning: Teaching Seminars in the University of North Carolina at Charlotte…

  4. DigiPlace4all: an online peer support community for digital skills.

    PubMed

    Magennis, Mark; Murphy, Esther; Lazarov, Andrean; Van Isacker, Karel; Dumnicka, Kinga; Polak, Malgorzata; Meagher, Bernadette; Penny, Philip

    2015-01-01

    The DigiPlace4all online peer support community supports people with disabilities in developing digital literacy skills needed to transition from Vocational and Educational Training (VET) to mainstream education & employment. It facilitates the development of informal one-to-one peer support relationships between members who can post and respond to requests and offers of peer support and share information on a range of associated topics. It is active in Ireland, Belgium, Poland and Bulgaria and is being spread internationally.

  5. A Community of Peer Interactions as a Resource to Prepare Music Teacher Educators

    ERIC Educational Resources Information Center

    Shin, Jihae

    2013-01-01

    The purpose of this study was to investigate interactions between two doctoral students and their colleagues in a graduate music education program and determine how a community of peer interactions functions as a resource to prepare music teacher educators. Results of this study showed that peer interactions between two participants and other…

  6. Utilizing Urban Women as Peer Trainers in Behavioral Community Programs.

    ERIC Educational Resources Information Center

    Thurston, Linda P.

    Many more people are in need of rehabilitation, social services, and education than there are professionals available to provide help. This gap in service has led to the exploration and utilization of nonprofessionals to fill these roles. Many of these nonprofessionals are peers of the needy people. This adds the advantage of "peer relationships"…

  7. Peer education for advance care planning: volunteers’ perspectives on training and community engagement activities

    PubMed Central

    Seymour, Jane E.; Almack, Kathryn; Kennedy, Sheila; Froggatt, Katherine

    2011-01-01

    Abstract Background  Peer education by volunteers may aid attitudinal change, but there is little understanding of factors assisting the preparation of peer educators. This study contributes to conceptual understandings of how volunteers may be prepared to work as peer educators by drawing on an evaluation of a training programme for peer education for advance care planning (ACP). Objectives  To report on volunteers’ perspectives on the peer education training programme, their feelings about assuming the role of volunteer peer educators and the community engagement activities with which they engaged during the year after training. To examine broader implications for peer education. Design  Participatory action research employing mixed methods of data collection. Participants  Twenty‐four older volunteers and eight health and social care staff. Data collection methods  Evaluative data were gathered from information provided during and at the end of training, a follow‐up survey 4 months post‐training; interviews and focus groups 6 and 12 months post‐training. Findings  Volunteers’ personal aims ranged from working within their communities to using what they had learnt within their own families. The personal impact of peer education was considerable. Two‐thirds of volunteers reported community peer education activities 1 year after the training. Those who identified strongly with a community group had the most success. Conclusion  We reflect on the extent to which the programme aided the development of ‘critical consciousness’ among the volunteers: a key factor in successful peer education programmes. More research is needed about the impact on uptake of ACP in communities. PMID:21615641

  8. Psychological Counseling Processes of Prospective Psychological Counsellors: An Investigation of Client-Counsellor Interactions

    ERIC Educational Resources Information Center

    Sanberk, Ismail; Akbas, Turan

    2015-01-01

    The general purpose of this study is to investigate the client-counsellor interaction in the psychological counseling process at the verbal behavior level. The study also aims to analyze the relationship between the behaviors observed in the process with both clients and counsellors' evaluations of sessions and whether changes were observed in…

  9. Becoming a Guidance Counsellor in Ontario: Formative Influences from Counsellors' Perspective

    ERIC Educational Resources Information Center

    Nadon, Daniel; Samson, André; Gazzola, Nicola; Thériault, Anne

    2016-01-01

    Contrary to guidance counsellors elsewhere in North America who hold a master's degree, career and guidance counselling services in secondary schools in Ontario are delivered by teachers who have completed additional undergraduate studies. Guidance counsellors are pivotal components of the school as they complete tasks that promote students'…

  10. Governing through community allegiance: a qualitative examination of peer research in community-based participatory research

    PubMed Central

    Guta, Adrian; Flicker, Sarah; Roche, Brenda

    2013-01-01

    The disappointing results of many public health interventions have been attributed in part to the lack of meaningful community engagement in the planning, implementation, and evaluation of these initiatives. Community-based participatory research (CBPR) has emerged as an alternative research paradigm that directly involves community members in all aspects of the research process. Their involvement is often said to be an empowering experience that builds capacity. In this paper, we interrogate these assumptions, drawing on interview data from a qualitative study investigating the experiences of 18 peer researchers (PRs) recruited from nine CBPR studies in Toronto, Canada. These individuals brought to their respective projects experience of homelessness, living with HIV, being an immigrant or refugee, identifying as transgender, and of having a mental illness. The reflections of PRs are compared to those of other research team members collected in separate focus groups. Findings from these interviews are discussed with an attention to Foucault's concept of ‘governmentality’, and compared against popular community-based research principles developed by Israel and colleagues. While PRs spoke about participating in CBPR initiatives to share their experience and improve conditions for their communities, these emancipatory goals were often subsumed within corporatist research environments that limited participation. Overall, this study offers a much-needed theoretical engagement with this popular research approach and raises critical questions about the limits of community engagement in collaborative public health research. PMID:24273389

  11. Governing through community allegiance: a qualitative examination of peer research in community-based participatory research.

    PubMed

    Guta, Adrian; Flicker, Sarah; Roche, Brenda

    2013-12-01

    The disappointing results of many public health interventions have been attributed in part to the lack of meaningful community engagement in the planning, implementation, and evaluation of these initiatives. Community-based participatory research (CBPR) has emerged as an alternative research paradigm that directly involves community members in all aspects of the research process. Their involvement is often said to be an empowering experience that builds capacity. In this paper, we interrogate these assumptions, drawing on interview data from a qualitative study investigating the experiences of 18 peer researchers (PRs) recruited from nine CBPR studies in Toronto, Canada. These individuals brought to their respective projects experience of homelessness, living with HIV, being an immigrant or refugee, identifying as transgender, and of having a mental illness. The reflections of PRs are compared to those of other research team members collected in separate focus groups. Findings from these interviews are discussed with an attention to Foucault's concept of 'governmentality', and compared against popular community-based research principles developed by Israel and colleagues. While PRs spoke about participating in CBPR initiatives to share their experience and improve conditions for their communities, these emancipatory goals were often subsumed within corporatist research environments that limited participation. Overall, this study offers a much-needed theoretical engagement with this popular research approach and raises critical questions about the limits of community engagement in collaborative public health research.

  12. Mobilizing Lithuanian Health Professionals as Community Peer Leaders for AIDS Prevention: An International Primary Health Care Collaboration.

    ERIC Educational Resources Information Center

    Norr, Kathleen F.; McElmurry, Beverly J.; Slutas, Frances M.; Christiansen, Carol D.; Misner, Susan J.; Marks, Beth A.

    2001-01-01

    Using primary health care and peer leadership models, U.S. nurses trained Lithuanian health professionals as community peer leaders in AIDS prevention. A national continuing education program is in place to sustain the initiative in Lithuania. (SK)

  13. Investigating a Peer-to-Peer Community Service Learning Model for LIS Education

    ERIC Educational Resources Information Center

    O'Brien, Heather L.; Freund, Luanne; Jantzi, Leanna; Sinanan, Samantha

    2014-01-01

    This research explores the professionalization of Library and Information Science (LIS) students who participated in a peer-tutoring service, "Research Rescue." Research Rescue was a collaboration of the Chapman Learning Commons and the School of Library, Archival and Information Studies (SLAIS) at the University of British Columbia. The…

  14. Investigating a Peer-to-Peer Community Service Learning Model for LIS Education

    ERIC Educational Resources Information Center

    O'Brien, Heather L.; Freund, Luanne; Jantzi, Leanna; Sinanan, Samantha

    2014-01-01

    This research explores the professionalization of Library and Information Science (LIS) students who participated in a peer-tutoring service, "Research Rescue." Research Rescue was a collaboration of the Chapman Learning Commons and the School of Library, Archival and Information Studies (SLAIS) at the University of British Columbia. The…

  15. Building Social Capital Through a Peer-Led Community Health Workshop: A Pilot with the Bhutanese Refugee Community.

    PubMed

    Im, Hyojin; Rosenberg, Rachel

    2016-06-01

    Despite the high health and mental health care needs, resettled refugees often face cultural and linguistic challenges that hinder the access to appropriate and timely interventions and services. Additionally, such concepts as preventive health or mental health treatment are foreign to this population, which creates additional burdens to the refugee community that already have difficulty navigating a complex health care system in the U.S. To address multiple and complex gaps in health and mental health support for the refugee community, requested is an innovative approach that can convey culturally responsive and effective interventions for health promotion, such as peer-based health education. Few studies have been conducted on the effectiveness of peer-led community health interventions with refugee populations in the U.S. resettlement context. However, peer-led interventions have been shown to be effective when working with cultural minorities and interventions in an international context. Adopting a social capital framework, the current study conducted qualitative evaluation on the impact of a pilot peer-led community health workshop (CHW) in the Bhutanese refugee community. A hybrid thematic analysis of focus group discussion data revealed the improvement in health promotion outcomes and health practice, as well as perceived emotional health. The results also showed that the peer-led CHW provided a platform of community building and participation, while increasing a sense of community, sense of belonging and unity. The findings posit that a peer-led intervention model provides culturally responsive and effective tools for building social capital and promoting community health in the refugee community.

  16. Parent peer education: Lessons learned from a community-based initiative for teen pregnancy prevention.

    PubMed

    Green, Heidi Hauser; Documét, Patricia I

    2005-09-01

    The Parent Peer Education program addresses a community-identified need to increase parent-child communication about sexuality, teen pregnancy prevention, and related issues. Community members are trained to lead workshops of peers on how to talk with their children about these topics. The program was pilot tested in 1997; three waves of workshops were conducted by 35 parent peer educators for 721 community residents between 1999 and 2002. They focused on providing information, increasing participants' comfort in discussing sexuality, and demonstrating how to use age-appropriate guidebooks. The evaluation used a pre- and post- workshop design. All participants completed a survey before the workshop, and a random sample of 25% responded to a telephone follow-up survey four weeks later. In addition, before the first wave, a random sample telephone survey was conducted of 104 parents in the community. Parent peer educators completed surveys after their training and each workshop. After the workshop, participants were more likely to feel comfortable talking with their children about sexuality-related issues, talk to their children about these issues, discuss multiple topics, recognize the importance of talking with children at an early age, and use the provided guidebooks. Parent peer educators found their training valuable and enjoyed involvement in the program. Lessons learned include strategies for improving program implementation, improving program evaluation, and involving the community. This program is a promising, low-cost, community-based method of promoting parent-child communication, an important element of teen pregnancy prevention.

  17. The Challenge of Prejudice: Counsellors' Talk about Challenging Clients' Prejudices

    ERIC Educational Resources Information Center

    Spong, Sheila J.

    2012-01-01

    This paper considers the implications for training and practice of counsellors' responses to the notion of challenging clients' prejudices. It explores tensions in counselling discourse between social responsibility, responsibility to the client and responsibility for one's self as counsellor. Three focus groups of counsellors were asked whether a…

  18. Counsellors Respond to the DSM-IV-TR

    ERIC Educational Resources Information Center

    Strong, Tom; Gaete, Joaquin; Sametband, Ines N.; French, Jared; Eeson, Jen

    2012-01-01

    The Diagnostic and Statistical Manual of Mental Disorders (DSM-IV-TR) is an administrative fact for many counsellors. This psychiatric approach to formulating client concerns runs counter to those used by counsellors of many approaches (e.g., systemic, feminist). Using an online survey of counsellors (N = 116), invited contributions to a website…

  19. Confidentiality and Informed Consent: School Counsellors' Perceptions of Ethical Practices

    ERIC Educational Resources Information Center

    Lehr, Ron; Lehr, Andria; Sumarah, John

    2007-01-01

    This article presents the findings of in-depth interviews with school counsellors in Nova Scotia on issues related to confidentiality and informed consent. Of the 224 school counsellors in the province, 43 counsellors, representing all school boards, agreed to a 45-minute semi-structured telephone interview focusing on their current practices…

  20. The Challenge of Prejudice: Counsellors' Talk about Challenging Clients' Prejudices

    ERIC Educational Resources Information Center

    Spong, Sheila J.

    2012-01-01

    This paper considers the implications for training and practice of counsellors' responses to the notion of challenging clients' prejudices. It explores tensions in counselling discourse between social responsibility, responsibility to the client and responsibility for one's self as counsellor. Three focus groups of counsellors were asked whether a…

  1. Peer Assisted Learning in Fleximode: Developing an Online Learning Community

    ERIC Educational Resources Information Center

    Huijser, Henk; Kimmins, Lindy; Evans, Peter

    2008-01-01

    Evidence suggests that peer-assisted learning schemes on campus help students establish social networks which can have a positive influence on their learning achievements. At the University of Southern Queensland (USQ), the majority of students are off campus, which raises the urgent question: how to harness the advantages of Meet-Up (formerly…

  2. Leveraging cues from person-generated health data for peer matching in online communities

    PubMed Central

    Hartzler, Andrea L; Taylor, Megan N; Park, Albert; Griffiths, Troy; Backonja, Uba; McDonald, David W; Wahbeh, Sam; Brown, Cory; Pratt, Wanda

    2016-01-01

    Objective Online health communities offer a diverse peer support base, yet users can struggle to identify suitable peer mentors as these communities grow. To facilitate mentoring connections, we designed a peer-matching system that automatically profiles and recommends peer mentors to mentees based on person-generated health data (PGHD). This study examined the profile characteristics that mentees value when choosing a peer mentor. Materials and Methods Through a mixed-methods user study, in which cancer patients and caregivers evaluated peer mentor recommendations, we examined the relative importance of four possible profile elements: health interests, language style, demographics, and sample posts. Playing the role of mentees, the study participants ranked mentors, then rated both the likelihood that they would hypothetically contact each mentor and the helpfulness of each profile element in helping the make that decision. We analyzed the participants’ ratings with linear regression and qualitatively analyzed participants’ feedback for emerging themes about choosing mentors and improving profile design. Results Of the four profile elements, only sample posts were a significant predictor for the likelihood of a mentee contacting a mentor. Communication cues embedded in posts were critical for helping the participants choose a compatible mentor. Qualitative themes offer insight into the interpersonal characteristics that mentees sought in peer mentors, including being knowledgeable, sociable, and articulate. Additionally, the participants emphasized the need for streamlined profiles that minimize the time required to choose a mentor. Conclusion Peer-matching systems in online health communities offer a promising approach for leveraging PGHD to connect patients. Our findings point to interpersonal communication cues embedded in PGHD that could prove critical for building mentoring relationships among the growing membership of online health communities. PMID

  3. Historical Trends in Counsellor Education Dissertations

    ERIC Educational Resources Information Center

    Richards, Judith; Dykeman, Cass; Bender, Sara

    2016-01-01

    There exists a dearth of literature on the content, research method and research design trends of dissertations in education. Within one large subfield of education (i.e. counsellor education), an online and full-text archive of dissertations has become available. This archive contains over 200 dissertations produced in Oregon State University's…

  4. Academic Procrastination: The Perspective of University Counsellors

    ERIC Educational Resources Information Center

    Patrzek, Justine; Grunschel, Carola; Fries, Stefan

    2012-01-01

    The purpose of this study was to investigate the antecedents and consequences of academic procrastination in students who frequent university counselling in regard to this issue. To undertake this, semi-structured interviews with 12 experienced university counsellors in German universities were conducted. A qualitative content analysis resulted in…

  5. Problematic Internet Use: Perceptions of Addiction Counsellors

    ERIC Educational Resources Information Center

    Acier, Didier; Kern, Laurence

    2011-01-01

    Despite a growing number of publications on problematic Internet use (PIU), there is no consensus on the nature of the phenomenon, its constituent criteria, and its clinical threshold. This qualitative study examines the perceptions of addiction counsellors who have managed individuals with PIU in Quebec (Canada). Four focus groups were conducted…

  6. Career Counsellors and Suicide Risk Assessment

    ERIC Educational Resources Information Center

    Popadiuk, Natalee Elizabeth

    2013-01-01

    Recent discussions suggest that career counsellors need to be trained in more holistic frameworks in order to deal with the career and psychological issues of their clients. In particular, research shows a strong connection between employment and suicidality, including changes in socioeconomic status, disruption in employment, sudden unemployment,…

  7. Spirituality in Counsellor Education: A New Course

    ERIC Educational Resources Information Center

    Leseho, Johanna

    2007-01-01

    This article describes a graduate course in spirituality in counselling with the hopes of encouraging and supporting other counsellor educators in preparing and offering their own courses in this area. Learning objectives, activities and assignments are outlined. Students' personal experiences of the course are shared through excerpts from their…

  8. School Counsellors and Young People in Care

    ERIC Educational Resources Information Center

    Hay, Ian; Cuskelly, Monica

    2006-01-01

    Protocols recently introduced by state education authorities require guidance and school counsellors to collaborate with other school personnel to develop Individual Education Support Plans for students in the care of the state. Of the more than 20,000 young people in care in Australia, the majority are in foster home placements due to previous…

  9. Career Counsellors and Suicide Risk Assessment

    ERIC Educational Resources Information Center

    Popadiuk, Natalee Elizabeth

    2013-01-01

    Recent discussions suggest that career counsellors need to be trained in more holistic frameworks in order to deal with the career and psychological issues of their clients. In particular, research shows a strong connection between employment and suicidality, including changes in socioeconomic status, disruption in employment, sudden unemployment,…

  10. Historical Trends in Counsellor Education Dissertations

    ERIC Educational Resources Information Center

    Richards, Judith; Dykeman, Cass; Bender, Sara

    2016-01-01

    There exists a dearth of literature on the content, research method and research design trends of dissertations in education. Within one large subfield of education (i.e. counsellor education), an online and full-text archive of dissertations has become available. This archive contains over 200 dissertations produced in Oregon State University's…

  11. Problematic Internet Use: Perceptions of Addiction Counsellors

    ERIC Educational Resources Information Center

    Acier, Didier; Kern, Laurence

    2011-01-01

    Despite a growing number of publications on problematic Internet use (PIU), there is no consensus on the nature of the phenomenon, its constituent criteria, and its clinical threshold. This qualitative study examines the perceptions of addiction counsellors who have managed individuals with PIU in Quebec (Canada). Four focus groups were conducted…

  12. Critical Social Network Analysis in Community Colleges: Peer Effects and Credit Attainment

    ERIC Educational Resources Information Center

    González Canché, Manuel S.; Rios-Aguilar, Cecilia

    2014-01-01

    This chapter discusses the importance of conducting critical social network analysis (CSNA) in higher education. To illustrate the benefits of CSNA, the authors use existing institutional data to examine peer effects in community colleges. The chapter ends with a discussion of the implications of using a CSNA approach to measure inequities in…

  13. Peer Apprenticeship Learning in Networked Learning Communities: The Diffusion of Epistemic Learning

    ERIC Educational Resources Information Center

    Jamaludin, Azilawati; Shaari, Imran

    2016-01-01

    This article discusses peer apprenticeship learning (PAL) as situated within networked learning communities (NLCs). The context revolves around the diffusion of technologically-mediated learning in Singapore schools, where teachers begin to implement inquiry-oriented learning, consistent with 21st century learning, among students. As these schools…

  14. Peer-Led Learning Communities: Exploring Integrative High-Impact Educational Practices for Leadership Education

    ERIC Educational Resources Information Center

    Priest, Kerry L.; de Campos Paula, Ana Luiza

    2016-01-01

    The use of high-impact practices is well documented in higher education literature. This brief describes the integrative practice of undergraduate peer-led leadership learning communities as a model of delivery within a large introductory leadership education course for first-year students. Utilizing open-ended questions embedded within…

  15. Peer Apprenticeship Learning in Networked Learning Communities: The Diffusion of Epistemic Learning

    ERIC Educational Resources Information Center

    Jamaludin, Azilawati; Shaari, Imran

    2016-01-01

    This article discusses peer apprenticeship learning (PAL) as situated within networked learning communities (NLCs). The context revolves around the diffusion of technologically-mediated learning in Singapore schools, where teachers begin to implement inquiry-oriented learning, consistent with 21st century learning, among students. As these schools…

  16. (Re)Defining Masculinity through Peer Interactions: Latino Men in Texas Community Colleges

    ERIC Educational Resources Information Center

    Sáenz, Victor B.; Mayo, Jeff R.; Miller, Ryan A.; Rodriguez, Sarah L.

    2015-01-01

    This study uses a phenomenological approach to examine how Latino male students at community colleges engage with their male peers. The analysis utilizes a male gender role conflict (MGRC) framework and employs cultural conceptions of masculinity, specifically machismo and caballerismo. Practitioners and researchers might leverage positive aspects…

  17. Professional/Peer-Learning Community: Impacts on Workplace Training at Bangkok Metropolitan Administration (BMA) Schools

    ERIC Educational Resources Information Center

    Phusavat, Kongkiti Peter; Delahunty, David; Kess, Pekka; Kropsu-Vehkapera, Hanna

    Purpose: The study aims to examine the issues relating to workplace learning at the upper secondary school level. This study is based on the two questions. How should the professional/peer-learning community or PLC be developed and deployed to help strengthen in-service teacher training? The second question is what are the success factors which…

  18. Critical Social Network Analysis in Community Colleges: Peer Effects and Credit Attainment

    ERIC Educational Resources Information Center

    González Canché, Manuel S.; Rios-Aguilar, Cecilia

    2014-01-01

    This chapter discusses the importance of conducting critical social network analysis (CSNA) in higher education. To illustrate the benefits of CSNA, the authors use existing institutional data to examine peer effects in community colleges. The chapter ends with a discussion of the implications of using a CSNA approach to measure inequities in…

  19. (Re)Defining Masculinity through Peer Interactions: Latino Men in Texas Community Colleges

    ERIC Educational Resources Information Center

    Sáenz, Victor B.; Mayo, Jeff R.; Miller, Ryan A.; Rodriguez, Sarah L.

    2015-01-01

    This study uses a phenomenological approach to examine how Latino male students at community colleges engage with their male peers. The analysis utilizes a male gender role conflict (MGRC) framework and employs cultural conceptions of masculinity, specifically machismo and caballerismo. Practitioners and researchers might leverage positive aspects…

  20. Small Peer-Led Collaborative Learning Groups in Developmental Math Classes at a Tribal Community College

    ERIC Educational Resources Information Center

    Hooker, Dianna

    2011-01-01

    In this study the author examines the use of small peer-led collaborative learning groups to change students' perceptions of mathematics and their success in developmental mathematics classes at a small tribal community college. The quasi-experimental study involved both quantitative and qualitative data. Rationale for, methods of, and outcomes…

  1. Peers and Faculty as Predictors of Learning for Community College Students

    ERIC Educational Resources Information Center

    Lundberg, Carol A.

    2014-01-01

    This study tested the extent to which student interaction with faculty, student peer teaching situations, student organization involvement, and discussion with diverse others contributed to self-reported learning for students involved in an ethnic-specific or multicultural student organization. The Community College Student Experiences…

  2. A process evaluation exploring the lay counsellor experience of delivering a task shared psycho-social intervention for perinatal depression in Khayelitsha, South Africa.

    PubMed

    Munodawafa, Memory; Lund, Crick; Schneider, Marguerite

    2017-07-01

    Task sharing of psycho-social interventions for perinatal depression has been shown to be feasible, acceptable and effective in low and middle-income countries. This study conducted a process evaluation exploring the perceptions of counsellors who delivered a task shared psycho-social counselling intervention for perinatal depression in Khayelitsha, Cape Town together with independent fidelity ratings. Post intervention qualitative semi-structured interviews were conducted with six counsellors from the AFrica Focus on Intervention Research for Mental health (AFFIRM-SA) randomised controlled trial on their perceptions of delivering a task shared psycho-social intervention for perinatal depression. Themes were identified using the framework approach and were coded and analysed using Nvivo v11. These interviews were supplemented with fidelity ratings for each counsellor and supervision notes. Facilitating factors in the delivery of the intervention included intervention related factors such as: the content of the intervention, ongoing training and supervision, using a counselling manual, conducting counselling sessions in the local language (isiXhosa) and fidelity to the manual; counsellor factors included counsellors' confidence and motivation to conduct the sessions; participant factors included older age, commitment and a desire to be helped. Barriers included contextual factors such as poverty, crime and lack of space to conduct counselling sessions and participant factors such as the nature of the participant's problem, young age, and avoidance of contact with counsellors. Fidelity ratings and dropout rates varied substantially between counsellors. These findings show that a variety of intervention, counsellor, participant and contextual factors need to be considered in the delivery of task sharing counselling interventions. Careful attention needs to be paid to ongoing supervision and quality of care if lay counsellors are to deliver good quality task shared

  3. Peer research assistantships and the ethics of reciprocity in community-based research.

    PubMed

    Greene, Saara

    2013-04-01

    A major component of community-based research (CBR) in the field of HIV is the Meaningful Involvement of People Living with HIV/AIDS (MIPA) through hiring, training, and supporting peer research assistants (PRAs). CBR researchers and PRAs have begun to dialogue about the successes and challenges associated with peer research assistantships as they attempt to address the range of ethical issues that impact the PRAs' experience at different stages throughout the research process. I discuss some of the ethical tensions related to the PRA/researcher relationship, the relationship of the PRA to the research itself, and suggestions for how to move forward in addressing these tensions.

  4. Involving community pharmacists in pharmacy practice research: experiences of peer interviewing.

    PubMed

    Morecroft, Charles W; Mackridge, Adam J; Stokes, Elizabeth C; Gray, Nicola J; Wilson, Sarah E; Ashcroft, Darren M; Mensah, Noah; Pickup, Graham B

    2015-02-01

    Translation of interest in research into active engagement of community pharmacists as research partners/co-researchers remains a challenge. Involving pharmacists in specific research techniques such as peer interviewing, however, may enhance validity of the results. To enhance community pharmacists' involvement in pharmacy practice research through peer interview training. A subgroup of participants in a multi-phase pharmacy practice research project trained to do peer interviews. These pharmacist interviewers attended a workshop and were mentored. Comments from their feedback forms and ongoing engagement with the Research Associate were thematically analysed. Positive themes from five interviewers included the importance of the topic and their wish to learn skills beyond their everyday role. The small group format of the training day helped to build confidence. Interviewers felt their shared professional background helped them to capture relevant comments and probe effectively. There were challenges, however, for interviewers to balance research activities with their daily work. Interviewers experienced difficulty in securing uninterrupted time with interviewees which sometimes affected data quality by 'rushing'. Community pharmacists can be engaged as peer interviewers to the benefit of the volunteers and research team, but must be well resourced and supported.

  5. Guidelines for Writing Manuscripts About Community-Based Participatory Research for Peer-Reviewed Journals

    PubMed Central

    Bordeaux, Bryan C.; Wiley, Crystal; Tandon, S. Darius; Horowitz, Carol R.; Brown, Pamela Bohrer; Bass, Eric B.

    2015-01-01

    Despite the importance of disseminating the results of community-based participatory research (CBPR), community health partnerships face many challenges in getting their work published. The purpose of this article is to present practical guides for writing about CBPR for those who have little experience in writing for publication or those who want to help their partners write strong manuscripts for peer-reviewed journals. The article includes tips on how to organize each part of a manuscript, suggestions on how partners can collaborate on preparing manuscripts, recommendations on how to convey unique aspects of a partnership’s work throughout a manuscript, and an annotated bibliography of well-written CBPR articles. By understanding how to prepare a manuscript about CBPR for a peer-reviewed journal, authors should be more effective in disseminating information that will help other communities to benefit from their partnership’s work. PMID:20208291

  6. Guidelines for writing manuscripts about community-based participatory research for peer-reviewed journals.

    PubMed

    Bordeaux, Bryan C; Wiley, Crystal; Tandon, S Darius; Horowitz, Carol R; Brown, Pamela Bohrer; Bass, Eric B

    2007-01-01

    Despite the importance of disseminating the results of community-based participatory research (CBPR), community health partnerships face many challenges in getting their work published. The purpose of this article is to present practical guides for writing about CBPR for those who have little experience in writing for publication or those who want to help their partners write strong manuscripts for peer-reviewed journals. The article includes tips on how to organize each part of a manuscript, suggestions on how partners can collaborate on preparing manuscripts, recommendations on how to convey unique aspects of a partnership's work throughout a manuscript, and an annotated bibliography of well-written CBPR articles. By understanding how to prepare a manuscript about CBPR for a peer-reviewed journal, authors should be more effective in disseminating information that will help other communities to benefit from their partnership's work.

  7. Six month outcomes of a peer-enhanced community reinforcement approach for emerging adults with substance misuse: A Preliminary Study

    PubMed Central

    Smith, Douglas C.; Davis, Jordan P.; Ureche, Daniel J.; Dumas, Tara M.

    2015-01-01

    Little substance use disorder (SUD) treatment research with emerging adults ages 18–25 has been done in community settings, and it is well-known that peers influence emerging adult substance use. The purpose of this study was to develop and test the feasibility of a peer-enhanced behavioral treatment for emerging adults with substance use problems. Emerging adults (n = 35) received a peer-enhanced version of the Community Reinforcement Approach (Peer-CRA), in which their peers (n = 34) were trained to provide alcohol-specific social support. Both identified clients and peers were interviewed at treatment intake, and again three and six months later. Six month outcomes included days of abstinence adjusted for controlled environment days, social costs due to substance use, and binge drinking days in the past 90 days. Treatments were delivered with high fidelity, and a high proportion of participants were retained in treatment and follow-up assessments. Growth curve analyses revealed that emerging adults and their peers significantly increased their days of abstinence and reduced their binge drinking over time. Larger randomized trials should a) test whether peer-enhanced treatments are efficacious relative to treatment as usual, b) investigate whether secondary benefits exist for non-treatment seeking peers supporting another’s treatment, and c) examine whether proposed mechanisms of change (i.e., peer support and peer reductions in substance use) account for any differences in outcomes. PMID:26482135

  8. Peer support in the community: initial findings of a mentoring program for individuals with traumatic brain injury and their families.

    PubMed

    Hibbard, Mary R; Cantor, Joshua; Charatz, Heather; Rosenthal, Robin; Ashman, Teresa; Gundersen, Nancy; Ireland-Knight, Lynne; Gordon, Wayne; Avner, Judith; Gartner, Audrey

    2002-04-01

    To evaluate the impact of a community-based peer support program for individuals and their family members following traumatic brain injury (TBI). Community-based sample of family members and individuals with traumatic brain injury. Twenty individuals who had participated in the peer support program (11 individuals with TBI and 9 family members). Quantitative and qualitative approaches were used: a retrospective structured interview assessing self-reported impacts of peer support on empowerment, quality of life, mood, skills and knowledge, and social supports; an in-depth qualitative interview with a subgroup of family members focused on the specific benefits/limitations of the peer support program. Participants in the peer support program reported positive impacts of peer support on increasing their knowledge of TBI, enhancing their overall quality of life, improving their general outlook, and enhancing their ability to cope with depression post TBI. The peer support program was reported to have had a minimal impact on enhancing social support from families, friends, and the community, with varying impacts noted on levels of happiness, coping with anger and anxiety, communication with professionals, and control over one's life. Qualitative analysis suggests the merits of this type of community-based support and areas of improvement for the peer support program itself. Preliminary data suggest that peer support is a promising approach to enhancing coping for both individuals and their family members after TBI.

  9. Peer Influence and Nonsuicidal Self Injury: Longitudinal Results in Community and Clinically-Referred Adolescent Samples

    PubMed Central

    Heilbron, Nicole; Guerry, John D.; Franklin, Joseph C.; Rancourt, Diana; Simon, Valerie; Spirito, Anthony

    2013-01-01

    Research suggests that adolescents' engagement in nonsuicidal self-injurious (NSSI) behaviors may be increasing over time, yet little is known regarding distal longitudinal factors that may promote engagement in these behaviors. Data from two longitudinal studies are presented to examine whether NSSI may be associated with peer influence processes. Study 1 included 377 adolescents from a community-based sample; Study 2 included 140 clinically-referred adolescents recruited from a psychiatric inpatient facility. In Study 1, adolescents' NSSI was examined at baseline and one year later. Adolescents' nominated best friend reported their own levels of NSSI. In Study 2, adolescents' NSSI was examined at baseline as well as 9 and 18-months post-baseline. Adolescents' perceptions of their friends' engagement in self-injurious behavior (including suicidality) and depressed mood also were examined at all three time points. Baseline depressive symptoms were measured in both studies; gender and age were examined as moderators of peer influence effects. Results from both studies supported longitudinal peer socialization effects of friends' self-injurious behavior on adolescents' own NSSI for girls, but not for boys, even after controlling for depressive symptoms as a predictor. Study 1 suggested socialization effects mostly for younger youth. Results from Study 2 also suggested longitudinal socialization effects, as well as peer selection effects; adolescents' NSSI was associated with increasing perceptions of their friends' engagement in depressive/self-injurious thoughts and behavior. Findings contribute to the nascent literature on longitudinal predictors of NSSI and to work on peer influence. PMID:20437255

  10. Peer bullying in seniors' subsidised apartment communities in Saskatoon, Canada: participatory research.

    PubMed

    Goodridge, Donna; Heal-Salahub, Jennifer; PausJenssen, Elliot; James, George; Lidington, Joan

    2017-03-23

    Given that 'home' is the major physical-spatial environment of many older adults and that home, social and neighbourhood environments are well-recognised to impact both the ability to age in place and quality of life in this population, a better understanding of the nature of social interactions within seniors' communal living environments is critical for health promotion. This paper describes a two-phase participatory research study examining peer bullying by older adults conducted in April and May, 2016. Responding to needs expressed by tenants, the objectives of this study were to identify the nature, prevalence and consequences of peer bullying for tenants of two low-income senior apartment communities. In collaboration with the local Older Adult Abuse Task Force, a screening survey on bullying was distributed to all tenants. Findings (n = 49) indicated that 39% of tenants had witnessed peer bullying and 29% had experienced bullying by peers. An adapted version of a youth bullying survey was administered in follow-up face-to-face interviews with 13 tenants. The most common forms of peer bullying were deliberate social exclusion and hurtful comments. The majority of respondents indicated that bullying was a problem for seniors and that bullies hurt other people. Outcomes of bullying included feelings of dejection and difficulties conducting everyday activities.

  11. Peer Training of Community Health Workers to Improve Heart Health Among African American Women

    PubMed Central

    Willock, Robina Josiah; Mayberry, Robert M.; Yan, Fengxia; Daniels, Pamela

    2015-01-01

    Introduction Training community health workers (CHWs) builds a workforce that is essential to addressing the chronic disease crisis. This article describes a highly replicable CHW training program that targets heart disease risk among African American women. Background African American women suffer disproportionately from heart disease mortality and morbidity. Well-trained CHWs are uniquely positioned to close this disparity gap. Method We used a Learning Circle approach to train CHWs in heart health education. The curriculum blended web-based, self-directed learning and in-person peer coaching. CHWs learned through (a) peer-to-peer sharing, (b) problem solving and brainstorming, and (c) leadership and experiential activities. Training evaluation measures were CHWs' (a) self-confidence, (b) heart health knowledge, (c) satisfaction with training, (d) training retention, and (e) replication of training within 90 days after training. Results This training resulted in appreciable effects on four of five outcome measures. Heart health knowledge increased significantly among experienced CHWs (p = .011). CHWs were satisfied with training and retention was 100%. CHWs initiated and subsequently delivered 122 person hours of community heart health education and CHW training in their communities. Discussion/Conclusion CHW heart health training using Learning Circles is a practical and replicable method of training CHWs and holds significant potential for building capacity in resource-poor community organizations. PMID:24891525

  12. ADHD Symptoms and Peer Relations of Children in a Community Sample: Examining Associated Problems, Self-Perceptions, and Gender Differences

    ERIC Educational Resources Information Center

    Diamantopoulou, Sofia; Henricsson, Lisbeth; Rydell, Ann-Margret

    2005-01-01

    This study examined children's peer relations in relation to gender, symptoms of attention-deficit/hyperactivity disorder (ADHD), associated behaviour problems, prosociality, and self-perceptions, in a community sample. Six hundred and thirty-five 12-year-old children (314 girls) provided peer nominations and rated feelings of loneliness and…

  13. Peer-Mentored Preparedness (PM-Prep): A New Disaster Preparedness Program for Adults Living Independently in the Community

    ERIC Educational Resources Information Center

    Eisenman, David Paul; Bazzano, Alicia; Koniak-Griffin, Deborah; Tseng, Chi-hong; Lewis, Mary-Ann; Lamb, Kerry; Lehrer, Danise

    2014-01-01

    The authors studied a health promotion program called PM-Prep (Peer-Mentored Prep), which was designed to improve disaster preparedness among adults living independently in the community. PM-Prep consists of four 2-hour classes co-taught by a health educator and peer-mentors. Adults were randomly assigned to an experimental arm or a wait-list…

  14. An Examination of Peer, Family, and Community Context Risk Factors for Alcohol Use and Alcohol Use Intentions in Early Adolescents

    ERIC Educational Resources Information Center

    Nargiso, Jessica E.; Friend, Karen; Florin, Paul

    2013-01-01

    This study examines the relationship between peer, family, and community context risk factors and alcohol use; gender is examined as a potential moderator of these relationships. Hierarchical logistic regressions conducted in a sample of 781 seventh grade students found that normative beliefs about peers' alcohol use emerged as the most consistent…

  15. Peer-Mentored Preparedness (PM-Prep): A New Disaster Preparedness Program for Adults Living Independently in the Community

    ERIC Educational Resources Information Center

    Eisenman, David Paul; Bazzano, Alicia; Koniak-Griffin, Deborah; Tseng, Chi-hong; Lewis, Mary-Ann; Lamb, Kerry; Lehrer, Danise

    2014-01-01

    The authors studied a health promotion program called PM-Prep (Peer-Mentored Prep), which was designed to improve disaster preparedness among adults living independently in the community. PM-Prep consists of four 2-hour classes co-taught by a health educator and peer-mentors. Adults were randomly assigned to an experimental arm or a wait-list…

  16. An Examination of Peer, Family, and Community Context Risk Factors for Alcohol Use and Alcohol Use Intentions in Early Adolescents

    ERIC Educational Resources Information Center

    Nargiso, Jessica E.; Friend, Karen; Florin, Paul

    2013-01-01

    This study examines the relationship between peer, family, and community context risk factors and alcohol use; gender is examined as a potential moderator of these relationships. Hierarchical logistic regressions conducted in a sample of 781 seventh grade students found that normative beliefs about peers' alcohol use emerged as the most consistent…

  17. Turkish School Counsellors and Counselling Students' Knowledge of Adolescent Suicide

    ERIC Educational Resources Information Center

    Siyez, Digdem Müge; Bas, Asli Uz

    2009-01-01

    The aim of the study was to investigate the knowledge of Turkish high school counsellors and counselling students about adolescence suicide. The sample consisted of 71 school counsellors and 82 third and fourth year psychology counselling students who completed the Adolescent Suicide Behavior Questionnaire. The results showed that although…

  18. A Narrative Study of Counsellors' Understandings of Inuit Spirituality

    ERIC Educational Resources Information Center

    Wihak, Christine; Merali, Noorfarah

    2005-01-01

    Eight non-Indigenous counsellors who temporarily lived in Nunavut to serve Inuit clients were interviewed regarding what they learned about Inuit spirituality during their cultural immersion experience. They were also asked about how they applied their understandings of the Inuit spiritual worldview in their professional practice. Counsellors'…

  19. Israeli Counsellors Facing Terrorism: Coping and Professional Development

    ERIC Educational Resources Information Center

    Cinamon, Rachel Gali; Hellman, Shoshana

    2006-01-01

    The current study examined the characteristics and functioning of 12 Israeli school counsellors located at different stages of professional development who worked in schools affected by terrorist attacks. Semi-structured interviews explored the counsellors professional behaviour, activities, and coping with terror and its effects. Consensual…

  20. Counsellor Presence: Bridging the Gap between Wisdom and New Knowledge

    ERIC Educational Resources Information Center

    Tannen, Tina; Daniels, M. Harry

    2010-01-01

    Presence is the counsellor's way of being with clients as distinguished from the application of technique and it involves a meeting between counsellor and client. Presence fits intuitively in the realm of the therapeutic relationship and master therapists from different therapeutic traditions have described how their presence with clients…

  1. Developing the Counsellor as Teacher: A Systematic Program

    ERIC Educational Resources Information Center

    Katz, Judy H.; Ivey, Allen E.

    1977-01-01

    The concept of counsellor-as-teacher has gained popularity as a developmental approach to helping people achieve interpersonal competence. This article describes a systematic training program designed to help counsellors transfer their skills to the classroom and thus become teachers of interpersonal effectiveness. (Author)

  2. Principals' Perceptions of the School Counsellor Role in Saudi Arabia

    ERIC Educational Resources Information Center

    Alghamdi, Nawal G.; Riddick, Barbara

    2011-01-01

    Many factors in Saudi society have led to a need for counselling services in educational institutions. However, concerns remain that the role of school counsellors in that setting is unclear. An aim of this study was to determine the perceptions of principals concerning the actual and ideal role of intermediate girls school counsellors in Saudi…

  3. Israeli Counsellors Facing Terrorism: Coping and Professional Development

    ERIC Educational Resources Information Center

    Cinamon, Rachel Gali; Hellman, Shoshana

    2006-01-01

    The current study examined the characteristics and functioning of 12 Israeli school counsellors located at different stages of professional development who worked in schools affected by terrorist attacks. Semi-structured interviews explored the counsellors professional behaviour, activities, and coping with terror and its effects. Consensual…

  4. Peer Support for Diabetes Management in Primary Care and Community Settings in Anhui Province, China.

    PubMed

    Zhong, Xuefeng; Wang, Zhimin; Fisher, Edwin B; Tanasugarn, Chanuantong

    2015-08-01

    We evaluated a peer leader-support program (PLSP) for diabetes self-management in China in terms of acceptability and feasibility; implementation; perceived advantages; disadvantages and barriers; reach and recruitment; effectiveness in terms of diabetes knowledge and clinical impacts; adoption; and sustainability. Within each of 3 cities in Anhui Province, 2 subcommunities were randomly assigned to usual care or PLSP. Peer leaders and staff of Community Health Service Centers (CHSCs) co-led biweekly educational meetings. Peer leaders also led biweekly discussion meetings, promoted regular care through the CHSCs, organized informal health promotion activities (eg, walking and tai chi groups), and provided informal individual support to participants through casual contact. Qualitative evaluations indicated acceptance of and positive responses to the program among patients, peer leaders, and CHSC staff. Implementation was successful in 2 of 3 subcommunities, the third failing for lack of staff resources. Reported advantages included peer support as a bridge between CHSCs and their patients. In 2 sites where the PLSP was implemented, analyses controlling for baseline differences and site showed significant benefits for PLSP relative to controls (P <0.05) for knowledge, self-efficacy, BMI, systolic blood pressure, diastolic blood pressure, and both fasting and 2-hour post-prandial blood glucose. The Anhui Provincial Health Bureau has extended the PLSP model to other communities and to cardiovascular disease prevention and management. The PLSP was well accepted, feasible given sufficient administrative and staff resources, effective for those who participated, and generalizable to other sites and health problems. © 2015 Annals of Family Medicine, Inc.

  5. Peer Support for Diabetes Management in Primary Care and Community Settings in Anhui Province, China

    PubMed Central

    Zhong, Xuefeng; Wang, Zhimin; Fisher, Edwin B.; Tanasugarn, Chanuantong

    2015-01-01

    PURPOSE We evaluated a peer leader–support program (PLSP) for diabetes self-management in China in terms of acceptability and feasibility; implementation; perceived advantages; disadvantages and barriers; reach and recruitment; effectiveness in terms of diabetes knowledge and clinical impacts; adoption; and sustainability. METHODS Within each of 3 cities in Anhui Province, 2 subcommunities were randomly assigned to usual care or PLSP. Peer leaders and staff of Community Health Service Centers (CHSCs) co-led biweekly educational meetings. Peer leaders also led biweekly discussion meetings, promoted regular care through the CHSCs, organized informal health promotion activities (eg, walking and tai chi groups), and provided informal individual support to participants through casual contact. RESULTS Qualitative evaluations indicated acceptance of and positive responses to the program among patients, peer leaders, and CHSC staff. Implementation was successful in 2 of 3 subcommunities, the third failing for lack of staff resources. Reported advantages included peer support as a bridge between CHSCs and their patients. In 2 sites where the PLSP was implemented, analyses controlling for baseline differences and site showed significant benefits for PLSP relative to controls (P <0.05) for knowledge, self-efficacy, BMI, systolic blood pressure, diastolic blood pressure, and both fasting and 2-hour post-prandial blood glucose. The Anhui Provincial Health Bureau has extended the PLSP model to other communities and to cardiovascular disease prevention and management. CONCLUSION The PLSP was well accepted, feasible given sufficient administrative and staff resources, effective for those who participated, and generalizable to other sites and health problems. PMID:26304972

  6. An examination of the integration of certified peer specialists into community mental health centers.

    PubMed

    Grant, Emily A; Reinhart, Chrystal; Wituk, Scott; Meissen, Greg

    2012-08-01

    The formal role of Certified Peer Specialist (CPS) is a recent addition to the mental health field. CPSs are people in recovery employed within the mental health system, mostly by community mental health centers, to provide support through sharing life experiences with those working toward recovery from mental illness. This brief report examines participant's experiences being a CPS, responsibilities and activities as a CPS, and integration into community mental health centers. Findings suggest that CPSs demonstrate high levels of communal orientation, job satisfaction, workplace integration and organizational support and are well received in mental health centers.

  7. Comparing alternative methods for composing community peer groups: a data warehouse application.

    PubMed

    Studnicki, J; Hevner, A R; Berndt, D J; Luther, S L

    2001-11-01

    A method for assessing the health status of communities has been under development for a decade at the University of South Florida. Known as CATCH (Comprehensive Assessment for Tracking Community Health), the method utilizes health status indicators from multiple data sources. With federal grant support, a unique data warehouse has been created to automate CATCH assessments and to enhance online analytical processing for efficient data browsing, knowledge discovery, and model testing. A comparison of two peer grouping methods (population size versus predicted age-adjusted mortality) is reviewed to demonstrate the warehouse capabilities.

  8. Age, Gender, and Ethnicity of Counsellor Trainees and Corresponding Counselling Self-Efficacy: Research Findings and Implications for Counsellor Educators

    ERIC Educational Resources Information Center

    Lam, Sarah; Tracz, Susan; Lucey, Christopher

    2013-01-01

    This study explored the counselling self-efficacy of students in a counsellor education programme, in regard to age, gender, and ethnicity characteristics. To assess counselling self-efficacy, the Counselling Self-Estimate Inventory (COSE) of Larson "et al." ("Counsellor Education & Supervision" 41: 120-130, 1992) was…

  9. Age, Gender, and Ethnicity of Counsellor Trainees and Corresponding Counselling Self-Efficacy: Research Findings and Implications for Counsellor Educators

    ERIC Educational Resources Information Center

    Lam, Sarah; Tracz, Susan; Lucey, Christopher

    2013-01-01

    This study explored the counselling self-efficacy of students in a counsellor education programme, in regard to age, gender, and ethnicity characteristics. To assess counselling self-efficacy, the Counselling Self-Estimate Inventory (COSE) of Larson "et al." ("Counsellor Education & Supervision" 41: 120-130, 1992) was…

  10. Peer Mentoring Communities of Practice for Early and Mid-Career Faculty: Broad Benefits from a Research-Oriented Female Peer Mentoring Group

    ERIC Educational Resources Information Center

    Rees, Amanda; Shaw, Kimberly

    2014-01-01

    In light of recent interest in the limitations of early and mid-career mentoring (Driscoll et al 2009; Trowers 2011), this case study of a women's scholarly activity and goal setting Community of Practice (CoP) indicates that such groups can offer extensive peer mentoring at one teaching-oriented state university in the United States. Using a…

  11. Peer-support suicide prevention in a non-metropolitan U.S. community.

    PubMed

    Walker, Rheeda L; Ashby, Judy; Hoskins, Olivia D; Greene, Farrah N

    2009-01-01

    Though suicide is a leading cause of death for high school age youth, the overall base rates for suicide deaths are relatively low. Consequently, very few evidence-based suicide prevention programs that address suicide death have emerged. Relative to urban areas, non-metropolitan and rural communities in particular tend to report higher suicide rates that are compounded by poor access to mental health care. In the current study, 63 high school youth participated in the three-day, LifeSavers peer-support suicide prevention training program. The goals of the program are to teach youth to engage in teamwork and listen to others without judgment in addition to recognizing the signs for youth who may be at risk for suicide. The overall aim of LifeSavers is to create a culture whereby primary prevention is active and crisis situations are preempted. Each participant in the current study completed pre-test and posttraining measures of suicide attitudes and knowledge, self-esteem, and also self-acceptance. Findings demonstrated a significant increase in knowledge and positive attitudes toward suicide prevention and also self-esteem, but not self-acceptance. Though more work is needed, these preliminary data reveal that youth in rural communities may benefit from programming such as LifeSavers that commit to advancing peer support and peer-gatekeeping efforts.

  12. Effectiveness of a peer-support community in addiction recovery: participation as intervention.

    PubMed

    Boisvert, Rosemary A; Martin, Linda M; Grosek, Maria; Clarie, Anna June

    2008-01-01

    The main purpose of the study was to determine whether a peer-support community programme would reduce relapse rates among clients recovering from substance addictions and homelessness and result in increased perceived community affiliation, supportive behaviours, self-determination and quality of life. Mixed methods were utilized including semi-structured interviews, participant observation and a pretest/post-test to evaluate changes on the quality of life rating, the Medical Outcomes Study-Social Support Survey, and the Volitional Questionnaire. Data from the prior year's permanent supportive housing programme were used for comparison of relapse rates. Significant reduction of risk of relapse was found in clients who participated in the programme. Significant differences were found on three subscales of the Medical Outcomes Study-Social Support Survey. Improvement that did not reach statistical significance was seen on the quality of life rating. Qualitative evidence supported improvements in perceived community affiliation and supportive behaviours.Evidence suggests that a peer-supported community programme focused on self-determination can have a significant positive impact on recovery from substance addictions and homelessness. Limitations include a small sample size and lack of a randomized control group. (c) 2008 John Wiley & Sons, Ltd.

  13. Exposure to Violence in the Community Predicts Friendships with Academically Disengaged Peers During Middle Adolescence.

    PubMed

    Schwartz, David; Kelly, Brynn M; Mali, Luiza V; Duong, Mylien T

    2016-09-01

    Adolescents who have been exposed to violence in the community often experience subsequent difficulties with academic achievement. Because competence in the classroom is a salient developmental task during the adolescent years, outcomes in this critical context can then have broader implications for social and psychological functioning. In the current study, we tested a hypothesized progression in which the association between violence exposure and deficient achievement is presumed to potentiate friendships with academically disengaged peers. We followed 415 urban adolescents (53 % girls; average age of 14.6 years) for a one-year period, with two annual assessment of psychosocial functioning. Exposure to violence in the community and academic engagement were assessed with a self-report inventory; reciprocated friendships were assessed with a peer interview; and achievement was indexed based on a review of school records. Consistent with our hypotheses, neighborhood violence was associated with deficient classroom achievement. Poor achievement, in turn, mediated associations between community violence exposure and low academic engagement among friends. Our findings highlight pathways though which exposure to community violence potentially predicts later dysfunction.

  14. Devising work schedules for a collective: favouring intergenerational collaboration among counsellors in a shelter for female victims of conjugal violence.

    PubMed

    Chatigny, Céline

    2011-01-01

    The work activity of counsellors in shelters for female victims of conjugal violence is explored. The consortium of shelters requested the study because of complaints of worker stress, difficulties in management and high employee turnover. This qualitative and participatory community study involved a team of specialists in ergonomics and social work from the Centre de recherche interdisciplinaire sur la biologie, la santé, la sociélté et l'environnement (CINBIOSE), brought together by the Community Outreach Service of Université du Québec à Montréal (UQAM). Presented here are the study findings pertaining to training. Twenty-two semi-structured interviews and 80 hours of observation of work and training were conducted with counsellors from two contrasting shelters. Observations revealed an intense collaborative activity involving communication by many means. Nonetheless, young counsellors interviewed complained of having few opportunities to develop their counselling skills because they were isolated on evening, night and weekend shifts. In collaboration with the ergonomists, one shelter experimented with new ways of devising the work schedule to favour learning and training. By transforming the training mechanism, job status and work schedules, the shelter made the conditions more conducive to the development of counsellors' skills and health, while eliminating turnover for at least the two following years.

  15. Sex workers as peer health advocates: community empowerment and transformative learning through a Canadian pilot program.

    PubMed

    Benoit, Cecilia; Belle-Isle, Lynne; Smith, Michaela; Phillips, Rachel; Shumka, Leah; Atchison, Chris; Jansson, Mikael; Loppie, Charlotte; Flagg, Jackson

    2017-08-30

    Social marginalization and criminalization create health and safety risks for sex workers and reduce their access to health promotion and prevention services compared to the general population. Community empowerment-based interventions that prioritize the engagement of sex workers show promising results. Peer-to-peer interventions, wherein sex workers act as educators of their colleagues, managers, clients and romantic partners, foster community mobilization and critical consciousness among sex workers and equip them to exercise agency in their work and personal lives. A pilot peer health education program was developed and implemented, with and for sex workers in one urban centre in Canada. To explore how the training program contributed to community empowerment and transformative learning among participants, the authors conducted qualitative interviews, asked participants to keep personal journals and to fill out feedback forms after each session. Thematic analysis was conducted on these three data sources, with emerging themes identified, organized and presented in the findings. Five themes emerged from the analysis. Our findings show that the pilot program led to reduced internalized stigma and increased self-esteem in participants. Participants' critical consciousness increased concerning issues of diversity in cultural background, sexual orientation, work experiences and gender identity. Participants gained knowledge about how sex work stigma is enacted and perpetuated. They also became increasingly comfortable challenging negative judgments from others, including frontline service providers. Participants were encouraged to actively shape the training program, which fostered positive relationships and solidarity among them, as well as with colleagues in their social network and with the local sex worker organization housing the program. Resources were also mobilized within the sex worker community through skills building and knowledge acquisition. The peer

  16. The Importance of PRI Therapy for the Pastoral Counsellor

    PubMed Central

    2009-01-01

    It is not always easy for pastoral counsellors to help people change. Often people have become stuck in their ways. Recent developments in the field of brain research help explain why change is difficult. This article discusses Past Reality Integration Therapy (PRI), a psychotherapeutic method that integrates recent findings of brain research and offers an important addition to the work of (pastoral) counsellors and psychotherapists. The use of this approach with Dutch students in their pastoral training is presented. Furthermore the importance of this new method for counsellors themselves, their clients and their work is discussed and some overall conclusions about the method and its practical application are presented. PMID:20835380

  17. Communities, Classrooms, and Peers: Examining How Local Contexts Shape Female Students' STEM Intentions

    NASA Astrophysics Data System (ADS)

    Riegle-Crumb, Catherine

    2017-01-01

    Despite being the focus of decades of research as well as interventions, gender inequality in representation in many STEM fields, including physics, engineering, and computer science remains. Recent research indicates that high school is a particularly important time point to investigate regarding the roots of inequality, as this is when many young women decide that they are not interested in pursuing degrees in these STEM fields. This presentation will focus on the role of local contexts, including communities, classrooms, and peers, in contributing to such decisions. Specifically, sociological theories suggest that role models and peers within young people's immediate environment can send both implicit and explicit messages that contradict larger social stereotypes, and promote perceptions and experiences of inclusion. Alternatively, adults and peers can endorse and behave in a manner consistent with stereotypes, leading to overtly exclusionary messages and actions. Utilizing data from a large urban district in the Southwest, as well as a national sample of high school students, this presentation will examine how such factors within local contexts can work in both positive and negative ways to shape girls' interests and expectations in STEM fields.

  18. Handbook for Peer Educators and Community Mobilisers Conducting HIV/AIDS Prevention Programmes in the Informal Sector Workplace

    ERIC Educational Resources Information Center

    Kagimu, Majid; Karama, Said; Mbabazi, Jackson; Mularira, Grace N.; Nakawuka, Minah; Kityo, Tom; Ssengonzi, Robert; Ssentongo, Chris; Walakira, Yusuf

    2004-01-01

    This handbook has been developed as a resource to be used by peer/community educators and mobilisers conducting HIV/AIDS prevention programmes in the informal sector workplaces and surrounding communities in Uganda. The handbook provides basic information on a range of topics on HIV and other sexually transmitted infections that can be used by…

  19. Facilitation of Psychiatric Advance Directives by Peers and Clinicians on Assertive Community Treatment Teams.

    PubMed

    Easter, Michele M; Swanson, Jeffrey W; Robertson, Allison G; Moser, Lorna L; Swartz, Marvin S

    2017-07-01

    Psychiatric advance directives (PADs) provide a legal mechanism for competent adults to document care preferences and authorize a surrogate to make treatment decisions. In a controlled research setting, an evidence-based intervention, the facilitated psychiatric advance directive (FPAD), was previously shown to overcome most barriers to PAD completion. This study examined implementation of the FPAD intervention in usual care settings as delivered by peer support specialists and nonpeer clinicians on assertive community treatment (ACT) teams. A total of 145 ACT consumers were randomly assigned, within teams, to FPAD with facilitation by either a peer (N=71) or a clinician (N=74). Completion rates and PAD quality were compared with the previous study's standard and across facilitator type. Logistic regression was used to estimate effects on the likelihood of PAD completion. The completion rate of 50% in the intent-to-treat sample (N=145) was somewhat inferior to the prior standard (61%), but the rate of 58% for the retained sample (those who completed a follow-up interview, N=116) was not significantly different from the standard. Rates for peers and clinicians did not differ significantly from each other for either sample. PAD quality was similar to that achieved in the prior study. Four consumer variables predicted completion: independent living status, problematic substance use, length of time served by the ACT team, and no perceived unmet need for hospitalization in crisis. Peers and clinicians can play a crucial role in increasing the number of consumers with PADs, an important step toward improving implementation of PADs in mental health care.

  20. Uptake of Community-Based Peer Administered HIV Point-of-Care Testing: Findings from the PROUD Study

    PubMed Central

    Lazarus, Lisa; Patel, Sheetal; Shaw, Ashley; Leblanc, Sean; Lalonde, Christine; Hladio, Manisha; Mandryk, Kira; Horvath, Cynthia; Petrcich, William; Kendall, Claire; Tyndall, Mark W.

    2016-01-01

    Objectives HIV prevalence among people who inject drugs (PWID) in Ottawa is estimated at about 10%. The successful integration of peers into outreach efforts and wider access to HIV point-of-care testing (POCT) create opportunities to explore the role of peers in providing HIV testing. The PROUD study, in partnership with Ottawa Public Health (OPH), sought to develop a model for community-based peer-administered HIV POCT. Methods PROUD draws on community-based participatory research methods to better understand the HIV risk environment of people who use drugs in Ottawa. From March-October 2013, 593 people who reported injecting drugs or smoking crack cocaine were enrolled through street-based recruitment. Trained peer or medical student researchers administered a quantitative survey and offered an HIV POCT (bioLytical INSTI test) to participants who did not self-report as HIV positive. Results 550 (92.7%) of the 593 participants were offered a POCT, of which 458 (83.3%) consented to testing. Of those participants, 74 (16.2%) had never been tested for HIV. There was no difference in uptake between testing offered by a peer versus a non-peer interviewer (OR = 1.05; 95% CI = 0.67–1.66). Despite testing those at high risk for HIV, only one new reactive test was identified. Conclusion The findings from PROUD demonstrate high uptake of community-based HIV POCT. Peers were able to successfully provide HIV POCT and reach participants who had not previously been tested for HIV. Community-based and peer testing models provide important insights on ways to scale-up HIV prevention and testing among people who use drugs. PMID:27911908

  1. Conduits from community violence exposure to peer aggression and victimization: contributions of parental monitoring, impulsivity, and deviancy.

    PubMed

    Low, Sabina; Espelage, Dorothy

    2014-04-01

    Community violence exposure results in heightened risk for engaging in and being a victim of interpersonal violence. Despite this robust literature, few studies have specifically examined how the relation between community violence exposure, peer aggression, and victimization is modified by individual, peer, and familial influences (considered jointly). In the current study, we used risk and resiliency theory to examine links between community violence exposure and peer aggression and victimization. Impulsivity and parental monitoring were examined as potential moderators of the link between community violence exposure and outcomes, both directly and indirectly via deviant behavior. Survey data on bullying involvement, fighting, deviancy, parental monitoring, and impulsivity were collected on 3 occasions over an 18-month period among a large cohort of adolescents (N = 1,232) in 5th-7th grades. Structural equation modeling suggests that for both male and female adolescents, impulsivity exacerbates the effects of community violence exposure by increasing involvement in deviant behavior. Parental monitoring buffered the effects of community violence exposure on perpetration and victimization (for males and female adolescents) via reduced involvement in deviant behavior. Findings suggest that impulsivity and parental monitoring are implicated in modifying the effects of community violence exposure on both victimization and perpetration through deviancy, although deviancy is not as potent of a predictor for victimization. Thus, prevention efforts would seem to be optimally targeted at multiple ecological levels, including parental involvement and peer networks. (PsycINFO Database Record (c) 2014 APA, all rights reserved).

  2. Changing Drug Users' Risk Environments: Peer Health Advocates as Multi-level Community Change Agents

    PubMed Central

    Weeks, Margaret R.; Convey, Mark; Dickson-Gomez, Julia; Li, Jianghong; Radda, Kim; Martinez, Maria; Robles, Eduardo

    2010-01-01

    Peer delivered, social oriented HIV prevention intervention designs are increasingly popular for addressing broader contexts of health risk beyond a focus on individual factors. Such interventions have the potential to affect multiple social levels of risk and change, including at the individual, network, and community levels, and reflect social ecological principles of interaction across social levels over time. The iterative and feedback dynamic generated by this multi-level effect increases the likelihood for sustained health improvement initiated by those trained to deliver the peer intervention. The Risk Avoidance Partnership (RAP), conducted with heroin and cocaine/crack users in Hartford, Connecticut, exemplified this intervention design and illustrated the multi-level effect on drug users' risk and harm reduction at the individual level, the social network level, and the larger community level. Implications of the RAP program for designing effective prevention programs and for analyzing long-term change to reduce HIV transmission among high-risk groups are discussed from this ecological and multi-level intervention perspective. PMID:19326208

  3. The emotional wellbeing of lay HIV counselling and testing counsellors.

    PubMed

    Visser, Maretha; Mabota, Princess

    2015-01-01

    The HIV testing, treatment and care programme of the South African public healthcare system depends on HIV counselling and testing (HCT) that is primarily delivered by lay counsellors. Lay counsellors are expected to educate clients about HIV/AIDS, advocate behaviour change, convey test results and support those infected and affected to cope with the emotional and social challenges associated with HIV/AIDS. This research focuses on the emotional wellbeing of lay HCT counsellors because this influences the quality of services they provide. A mixed methods approach was used. The emotional wellbeing, level of burnout, depression and coping style of 50 lay HCT counsellors working at the City of Tshwane clinics were assessed. Additionally, five focus group discussions were conducted. The results showed that HCT counsellors reported average emotional wellbeing, high levels of emotional exhaustion and depression. They had a sense of personal accomplishment and positive coping skills. The results revealed that they may have difficulty dealing with clients' emotional distress without adequate training and supervision. This creates a dilemma for service delivery. In the light of the important role they play in service delivery, the role of the lay HCT counsellor needs to be reconsidered. HCT should develop as a profession with specific training and supervision to develop their emotional competencies to conduct effective counselling sessions.

  4. Age, Gender, and Ethnicity of Counsellor Trainees and Corresponding Counselling Self-Efficacy: Research Findings and Implications for Counsellor Educators.

    PubMed

    Lam, Sarah; Tracz, Susan; Lucey, Christopher

    2013-01-01

    This study explored the counselling self-efficacy of students in a counsellor education programme, in regard to age, gender, and ethnicity characteristics. To assess counselling self-efficacy, the Counselling Self-Estimate Inventory (COSE) of Larson et al. (Counsellor Education & Supervision 41: 120-130, 1992) was administered at the end of a semester to counselling students engaged in different stages of a counsellor training program. No significant differences were found in regard to gender and age-group categories, but significant differences were found among ethnic groups. It was found that Asian and White students generally had similar and also lower counselling self-efficacy means than the other ethnic groups in the sample in regard to several counselling-specific categories. Implications for counsellor educators in training counselling students of diverse characteristics are discussed.

  5. Teaching doctors to treat doctors: medical student peer counselling.

    PubMed

    Spiro, J H; Roenneburg, M; Maly, B J

    1980-01-01

    Physicians' emotional problems need to be recognized and treated. Intervention and prevention in this problem area have been attempted at the Medical College of Wisconsin through a programme of peer counselling designed to teach student physicians how to recognize and treat emotional difficulties faced by their peers. During the 18 months that the programme has been in operation, 20 peer counsellors reported a total 1,185 hours spent in counselling their peers, lending credence to the speculation that doctors will turn to their peers for help if, in medical school, there is acceptance of fallibility and responsiveness on the part of peers.

  6. Partnership Among Peers: Lessons Learned From the Development of a Community Organization-Academic Research Training Program.

    PubMed

    Jewett-Tennant, Jeri; Collins, Cyleste; Matloub, Jacqueline; Patrick, Alison; Chupp, Mark; Werner, James J; Borawski, Elaine A

    2016-01-01

    Community engagement and rigorous science are necessary to address health issues. Increasingly, community health organizations are asked to partner in research. To strengthen such community organization-academic partnerships, increase research capacity in community organizations, and facilitate equitable partnered research, the Partners in Education Evaluation and Research (PEER) program was developed. The program implements an 18-month structured research curriculum for one mid-level employee of a health-focused community-based organization with an organizational mentor and a Case Western Reserve University faculty member as partners. The PEER program was developed and guided by a community-academic advisory committee and was designed to impact the research capacity of organizations through didactic modules and partnered research in the experiential phase. Active participation of community organizations and faculty during all phases of the program provided for bidirectional learning and understanding of the challenges of community-engaged health research. The pilot program evaluation used qualitative and quantitative data collection techniques, including experiences of the participants assessed through surveys, formal group and individual interviews, phone calls, and discussions. Statistical analysis of the change in fellows' pre-test and post-test survey scores were conducted using paired sample t tests. The small sample size is recognized by the authors as a limitation of the evaluation methods and would potentially be resolved by including more cohort data as the program progresses. Qualitative data were reviewed by two program staff using content and narrative analysis to identify themes, describe and assess group phenomena and determine program improvements. The objective of PEER is to create equitable partnerships between community organizations and academic partners to further research capacity in said organizations and develop mutually beneficial research

  7. "Peer" educator initiatives for adolescent reproductive health projects in Indonesia.

    PubMed

    Hull, Terence H; Hasmi, Eddy; Widyantoro, Ninuk

    2004-05-01

    Since the ICPD in 1994, the Government of Indonesia has struggled with the challenge of providing sexual and reproductive health education to adolescents. Following an attempt at a family-centred approach, a pilot project was carried out in Central and East Java to train peer educators, coordinated by the National Family Planning Coordinating Board (BKKBN). A total of 80 peer educators (male/female teams) carried out small-group information sessions in ten different districts. Over 1,300 adolescents attended in all. Forty peer counsellors in 20 teams then carried out five outreach sessions each in their communities, attended by nearly 4,000 adults and adolescents. Educators chosen were older in age, knowledge level, authority and communication skills than adolescents, but were well accepted as mentors. Adolescents wanted to know how to deal with sexual relationships and feelings, unwanted pregnancy and STDs. With 42 million Indonesian adolescents needing information, the government cannot produce enough manuals to satisfy demand. New strategies are required to put information in the public domain, e.g. via the media. The approach described in this paper would probably be beyond the staffing and resource capacity of most districts in Indonesia. Nonetheless, it shows that there was great enthusiasm across a variety of communities for efforts to educate young people on protecting their reproductive health.

  8. Community-based peer-led diabetes self-management: a randomized trial.

    PubMed

    Lorig, Kate; Ritter, Philip L; Villa, Frank J; Armas, Jean

    2009-01-01

    The purpose of this study is to determine the effectiveness of a community-based diabetes self-management program comparing treatment participants to a randomized usual-care control group at 6 months. A total of 345 adults with type 2 diabetes but no criteria for high A1C were randomized to a usual-care control group or 6-week community-based, peer-led diabetes self-management program (DSMP). Randomized participants were compared at 6 months. The DSMP intervention participants were followed for an additional 6 months (12 months total). A1C and body mass index were measured at baseline, 6 months, and 12 months. All other data were collected by self-administered questionnaires. At 6 months, DSMP participants did not demonstrate improvements in A1C as compared with controls. Baseline A1C was much lower than in similar trials. Participants did have significant improvements in depression, symptoms of hypoglycemia, communication with physicians, healthy eating, and reading food labels (P < .01). They also had significant improvements in patient activation and self-efficacy. At 12 months, DSMP intervention participants continued to demonstrate improvements in depression, communication with physicians, healthy eating, patient activation, and self-efficacy (P < .01). There were no significant changes in utilization measures. These findings suggest that people with diabetes without elevated A1C can benefit from a community-based, peer-led diabetes program. Given the large number of people with diabetes and lack of low-cost diabetes education, the DSMP deserves consideration for implementation.

  9. Partnership Among Peers: Lessons Learned From the Development of a Community Organization–Academic Research Training Program

    PubMed Central

    Jewett-Tennant, Jeri; Collins, Cyleste; Matloub, Jacqueline; Patrick, Alison; Chupp, Mark; Werner, James J.; Borawski, Elaine A.

    2017-01-01

    Background Community engagement and rigorous science are necessary to address health issues. Increasingly, community health organizations are asked to partner in research. To strengthen such community organization–academic partnerships, increase research capacity in community organizations, and facilitate equitable partnered research, the Partners in Education Evaluation and Research (PEER) program was developed. The program implements an 18-month structured research curriculum for one mid-level employee of a health-focused community-based organization with an organizational mentor and a Case Western Reserve University faculty member as partners. Methods The PEER program was developed and guided by a community–academic advisory committee and was designed to impact the research capacity of organizations through didactic modules and partnered research in the experiential phase. Active participation of community organizations and faculty during all phases of the program provided for bidirectional learning and understanding of the challenges of community-engaged health research. The pilot program evaluation used qualitative and quantitative data collection techniques, including experiences of the participants assessed through surveys, formal group and individual interviews, phone calls, and discussions. Statistical analysis of the change in fellows’ pre-test and post-test survey scores were conducted using paired sample t tests. The small sample size is recognized by the authors as a limitation of the evaluation methods and would potentially be resolved by including more cohort data as the program progresses. Qualitative data were reviewed by two program staff using content and narrative analysis to identify themes, describe and assess group phenomena and determine program improvements. Objectives The objective of PEER is to create equitable partnerships between community organizations and academic partners to further research capacity in said organizations and

  10. Peer-support writing group in a community family medicine teaching unit: Facilitating professional development.

    PubMed

    Al-Imari, Lina; Yang, Jaisy; Pimlott, Nicholas

    2016-12-01

    Aspiring physician writers need an environment that promotes self-reflection and can help them improve their skills and confidence in writing. To create a peer-support writing group for physicians in the Markham-Stouffville community in Ontario to promote professional development by encouraging self-reflection and fostering the concept of physician as writer. The program, designed based on a literature review and a needs assessment, was conducted in 3 sessions over 6 months. Participants included an emergency physician, 4 family physicians, and 3 residents. Four to 8 participants per session shared their projects with guest physician authors. Eight pieces of written work were brought to the sessions, 3 of which were edited. A mixed quantitative and qualitative evaluation model was used with preprogram and postprogram questionnaires and a focus group. This program promoted professional development by increasing participants' frequency of self-reflection and improving their proficiency in writing. Successful elements of this program include creating a supportive group environment and having a physician-writer expert facilitate the peer-feedback sessions. Similar programs can be useful in postgraduate education or continuing professional development. Copyright© the College of Family Physicians of Canada.

  11. Peer-support writing group in a community family medicine teaching unit

    PubMed Central

    Al-Imari, Lina; Yang, Jaisy; Pimlott, Nicholas

    2016-01-01

    Abstract Problem addressed Aspiring physician writers need an environment that promotes self-reflection and can help them improve their skills and confidence in writing. Objective of program To create a peer-support writing group for physicians in the Markham-Stouffville community in Ontario to promote professional development by encouraging self-reflection and fostering the concept of physician as writer. Program description The program, designed based on a literature review and a needs assessment, was conducted in 3 sessions over 6 months. Participants included an emergency physician, 4 family physicians, and 3 residents. Four to 8 participants per session shared their projects with guest physician authors. Eight pieces of written work were brought to the sessions, 3 of which were edited. A mixed quantitative and qualitative evaluation model was used with preprogram and postprogram questionnaires and a focus group. Conclusion This program promoted professional development by increasing participants’ frequency of self-reflection and improving their proficiency in writing. Successful elements of this program include creating a supportive group environment and having a physician-writer expert facilitate the peer-feedback sessions. Similar programs can be useful in postgraduate education or continuing professional development. PMID:27965348

  12. Effect of women’s groups and volunteer peer counselling on rates of mortality, morbidity, and health behaviours in mothers and children in rural Malawi (MaiMwana): a factorial, cluster-randomised controlled trial

    PubMed Central

    Lewycka, Sonia; Mwansambo, Charles; Rosato, Mikey; Kazembe, Peter; Phiri, Tambosi; Mganga, Andrew; Chapota, Hilda; Malamba, Florida; Kainja, Esther; Newell, Marie-Louise; Greco, Giulia; Pulkki-Brännström, Anni-Maria; Skordis-Worrall, Jolene; Vergnano, Stefania; Osrin, David; Costello, Anthony

    2013-01-01

    Summary Background Women’s groups and health education by peer counsellors can improve the health of mothers and children. We assessed their effects on mortality and breastfeeding rates in rural Malawi. Methods We did a 2×2 factorial, cluster-randomised trial in 185 888 people in Mchinji district. 48 equal-sized clusters were randomly allocated to four groups with a computer-generated number sequence. 24 facilitators guided groups through a community action cycle to tackle maternal and child health problems. 72 trained volunteer peer counsellors made home visits at five timepoints during pregnancy and after birth to support breastfeeding and infant care. Primary outcomes for the women’s group intervention were maternal, perinatal, neonatal, and infant mortality rates (MMR, PMR, NMR, and IMR, respectively); and for the peer counselling were IMR and exclusive breastfeeding (EBF) rates. Analysis was by intention to treat. The trial is registered as ISRCTN06477126. Findings We monitored outcomes of 26 262 births between 2005 and 2009. In a factorial model adjusted only for clustering and the volunteer peer counselling intervention, in women’s group areas, for years 2 and 3, we noted non-significant decreases in NMR (odds ratio 0·93, 0·64–1·35) and MMR (0·54, 0·28–1·04). After adjustment for parity, socioeconomic quintile, and baseline measures, effects were larger for NMR (0·85, 0·59–1·22) and MMR (0·48, 0·26–0·91). Because of the interaction between the two interventions, a stratified analysis was done. For women’s groups, in adjusted analyses, MMR fell by 74% (0·26, 0·10–0·70), and NMR by 41% (0·59, 0·40–0·86) in areas with no peer counsellors, but there was no effect in areas with counsellors (1·09, 0·40–2·98, and 1·38, 0·75–2·54). Factorial analysis for the peer counselling intervention for years 1–3 showed a fall in IMR of 18% (0·82, 0·67–1·00) and an improvement in EBF rates (2·42, 1·48–3·96). The

  13. Effect of women's groups and volunteer peer counselling on rates of mortality, morbidity, and health behaviours in mothers and children in rural Malawi (MaiMwana): a factorial, cluster-randomised controlled trial.

    PubMed

    Lewycka, Sonia; Mwansambo, Charles; Rosato, Mikey; Kazembe, Peter; Phiri, Tambosi; Mganga, Andrew; Chapota, Hilda; Malamba, Florida; Kainja, Esther; Newell, Marie-Louise; Greco, Giulia; Pulkki-Brännström, Anni-Maria; Skordis-Worrall, Jolene; Vergnano, Stefania; Osrin, David; Costello, Anthony

    2013-05-18

    Women's groups and health education by peer counsellors can improve the health of mothers and children. We assessed their effects on mortality and breastfeeding rates in rural Malawi. We did a 2×2 factorial, cluster-randomised trial in 185,888 people in Mchinji district. 48 equal-sized clusters were randomly allocated to four groups with a computer-generated number sequence. 24 facilitators guided groups through a community action cycle to tackle maternal and child health problems. 72 trained volunteer peer counsellors made home visits at five timepoints during pregnancy and after birth to support breastfeeding and infant care. Primary outcomes for the women's group intervention were maternal, perinatal, neonatal, and infant mortality rates (MMR, PMR, NMR, and IMR, respectively); and for the peer counselling were IMR and exclusive breastfeeding (EBF) rates. Analysis was by intention to treat. The trial is registered as ISRCTN06477126. We monitored outcomes of 26,262 births between 2005 and 2009. In a factorial model adjusted only for clustering and the volunteer peer counselling intervention, in women's group areas, for years 2 and 3, we noted non-significant decreases in NMR (odds ratio 0.93, 0.64-1.35) and MMR (0.54, 0.28-1.04). After adjustment for parity, socioeconomic quintile, and baseline measures, effects were larger for NMR (0.85, 0.59-1.22) and MMR (0.48, 0.26-0.91). Because of the interaction between the two interventions, a stratified analysis was done. For women's groups, in adjusted analyses, MMR fell by 74% (0.26, 0.10-0.70), and NMR by 41% (0.59, 0.40-0.86) in areas with no peer counsellors, but there was no effect in areas with counsellors (1.09, 0.40-2.98, and 1.38, 0.75-2.54). Factorial analysis for the peer counselling intervention for years 1-3 showed a fall in IMR of 18% (0.82, 0.67-1.00) and an improvement in EBF rates (2.42, 1.48-3.96). The results of the stratified, adjusted analysis showed a 36% reduction in IMR (0.64, 0.48-0.85) but no

  14. Characterization of Temporal Semantic Shifts of Peer-to-Peer Communication in a Health-Related Online Community: Implications for Data-driven Health Promotion.

    PubMed

    Sridharan, Vishnupriya; Cohen, Trevor; Cobb, Nathan; Myneni, Sahiti

    2016-01-01

    With online social platforms gaining popularity as venues of behavior change, it is important to understand the ways in which these platforms facilitate peer interactions. In this paper, we characterize temporal trends in user communication through mapping of theoretically-linked semantic content. We used qualitative coding and automated text analysis to assign theoretical techniques to peer interactions in an online community for smoking cessation, subsequently facilitating temporal visualization of the observed techniques. Results indicate manifestation of several behavior change techniques such as feedback and monitoring' and 'rewards'. Automated methods yielded reasonable results (F-measure=0.77). Temporal trends among relapsers revealed reduction in communication after a relapse event. This social withdrawal may be attributed to failure guilt after the relapse. Results indicate significant change in thematic categories such as 'social support', 'natural consequences', and 'comparison of outcomes' pre and post relapse. Implications for development of behavioral support technologies that promote long-term abstinence are discussed.

  15. Multilevel Modeling of Direct Effects and Interactions of Peers, Parents, School, and Community Influences on Adolescent Substance Use

    ERIC Educational Resources Information Center

    Mayberry, Megan L.; Espelage, Dorothy L.; Koenig, Brian

    2009-01-01

    This study tested a social-ecological model of adolescent substance use. Multilevel modeling was used to investigate how systems, such as parents, peers, schools, and communities, directly influence and interact together to influence adolescent substance use. Participants included 14,548 (50.3% female) middle school students who were 78.6% White,…

  16. EFL Arab Learners' Peer Revision of Writing in a Facebook Group: Contributions to Written Texts and Sense of Online Community

    ERIC Educational Resources Information Center

    Razak, Norizan Abdul; Saeed, Murad Abdu

    2015-01-01

    This qualitative study investigated peer writing revision among English as foreign language (EFL) Arab students in a Facebook group. Specifically, it aimed to identify the text revisions made by the learners and to determine their contributions to the learners' written texts and sense of online community outside the college classroom context.…

  17. International Students in Transnational Mobility: Intercultural Connectedness with Domestic and International Peers, Institutions and the Wider Community

    ERIC Educational Resources Information Center

    Tran, Ly Thi; Pham, Lien

    2016-01-01

    International students' connectedness with their peers, institutions and the broader community significantly affects their learning and wellbeing. It is important to understand their multiple desires for intercultural connectedness in order to nurture it. This paper analyses the motives and nature of international students' intercultural…

  18. Peer Interaction and Social Network Analysis of Online Communities with the Support of Awareness of Different Contexts

    ERIC Educational Resources Information Center

    Lin, Jian-Wei; Mai, Li-Jung; Lai, Yung-Cheng

    2015-01-01

    Although several studies related to social-context awareness (SA) and knowledge-context awareness (KA) argued that each (SA or KA) can individually enhance peer interaction in an online learning community, other studies reached opposite conclusions. These conflicting findings likely stem from different experimental settings. Most importantly, few…

  19. Multilevel Modeling of Direct Effects and Interactions of Peers, Parents, School, and Community Influences on Adolescent Substance Use

    ERIC Educational Resources Information Center

    Mayberry, Megan L.; Espelage, Dorothy L.; Koenig, Brian

    2009-01-01

    This study tested a social-ecological model of adolescent substance use. Multilevel modeling was used to investigate how systems, such as parents, peers, schools, and communities, directly influence and interact together to influence adolescent substance use. Participants included 14,548 (50.3% female) middle school students who were 78.6% White,…

  20. Beyond the Primary Influences of Parents and Peers on Very Young Adolescent Alcohol Use: Evidence of Independent Community Associations

    ERIC Educational Resources Information Center

    Smith, Dayna T.; Kelly, Adrian B.; Chan, Gary C. K.; Toumbourou, John W.; Patton, George C.; Williams, Joanne W.

    2014-01-01

    This study examined the extent to which young adolescent alcohol use was related to alcohol-related norms and law enforcement of underage alcohol use, after accounting for known strong parent and peer correlates. Our sample consisted of 7,674 students (X-bar age = 12 years) from 30 Australian communities. Two-level (individuals nested within…

  1. Peer Interaction and Social Network Analysis of Online Communities with the Support of Awareness of Different Contexts

    ERIC Educational Resources Information Center

    Lin, Jian-Wei; Mai, Li-Jung; Lai, Yung-Cheng

    2015-01-01

    Although several studies related to social-context awareness (SA) and knowledge-context awareness (KA) argued that each (SA or KA) can individually enhance peer interaction in an online learning community, other studies reached opposite conclusions. These conflicting findings likely stem from different experimental settings. Most importantly, few…

  2. International Students in Transnational Mobility: Intercultural Connectedness with Domestic and International Peers, Institutions and the Wider Community

    ERIC Educational Resources Information Center

    Tran, Ly Thi; Pham, Lien

    2016-01-01

    International students' connectedness with their peers, institutions and the broader community significantly affects their learning and wellbeing. It is important to understand their multiple desires for intercultural connectedness in order to nurture it. This paper analyses the motives and nature of international students' intercultural…

  3. Beyond the Primary Influences of Parents and Peers on Very Young Adolescent Alcohol Use: Evidence of Independent Community Associations

    ERIC Educational Resources Information Center

    Smith, Dayna T.; Kelly, Adrian B.; Chan, Gary C. K.; Toumbourou, John W.; Patton, George C.; Williams, Joanne W.

    2014-01-01

    This study examined the extent to which young adolescent alcohol use was related to alcohol-related norms and law enforcement of underage alcohol use, after accounting for known strong parent and peer correlates. Our sample consisted of 7,674 students (X-bar age = 12 years) from 30 Australian communities. Two-level (individuals nested within…

  4. Fostering the Development of Multicultural Counselling Competencies: Training, Growth and Development for White Counsellors

    ERIC Educational Resources Information Center

    Leuwerke, Wade

    2005-01-01

    This article examines racial identity development for white counsellors in relation to the development of multicultural counselling competencies. Changes in demographics should increase the frequency of cross-cultural counselling experiences for counsellors. White counsellors are encouraged to engage in training and self-assessment around culture…

  5. An Online Peer Assisted Learning Community Model and its Application in ZJNU

    ERIC Educational Resources Information Center

    Gaofeng, Ruan; Yeyu, Lin

    2007-01-01

    Peer coaching, or peer assisting, was established in 1970s by Joyce and Showers. Initially used in teachers' professional development, it refers to a process that two or more teacher peers evaluate current practice mutually; expand skills, extract and build new skills; share ideas, and review & solve problems of classroom teaching in a way of…

  6. Qualitative Research and Community-Based Participatory Research: Considerations for Effective Dissemination in the Peer-Reviewed Literature.

    PubMed

    Grieb, Suzanne Dolwick; Eder, Milton Mickey; Smith, Katherine C; Calhoun, Karen; Tandon, Darius

    2015-01-01

    Qualitative research is appearing with increasing frequency in the public health and medical literature. Qualitative research in combination with a community-based participatory research (CBPR) approach can be powerful. However little guidance is available on how to present qualitative research within a CBPR framework for peer-review publications. This article provides a brief overview of how qualitative research can advance CBPR partnerships and outlines practical guidelines for writing for publication about qualitative research within a CBPR framework to (1) guide partners with little experience publishing in peer-reviewed journals and/or (2) facilitate effective preparation of manuscripts grounded in qualitative research for peer-reviewed journals. We provide information regarding the specific benefits of qualitative inquiry in CBPR, tips for organizing the manuscript, questions to consider in preparing the manuscript, common mistakes in the presentation of qualitative research, and examples of peer-reviewed manuscripts presenting qualitative research conducted within a CBPR framework. Qualitative research approaches have tremendous potential to integrate community and researcher perspectives to inform community health research findings. Effective dissemination of CBPR informed qualitative research findings is crucial to advancing health disparities research.

  7. Suicidality and depression among african american adolescents: the role of family and peer support and community connectedness.

    PubMed

    Matlin, Samantha L; Molock, Sherry Davis; Tebes, Jacob Kraemer

    2011-01-01

    Rates of suicide are increasing among African American adolescents and pose a significant public health concern. One area that has received little attention is the relationship between various types of social support and suicide, and the extent to which support moderates the relationship between depressive symptoms and suicidality. A total of 212 African American adolescents completed in-school surveys on three types of social support: family support, peer support, and community connectedness. The survey also addressed depressive symptoms and suicidality, as measured by reasons for living, a cognitive measure of suicide risk. Hierarchical multiple regression analyses were used to examine direct and moderating relationships between types of social support and suicidality. The results indicated that increased family support and peer support are associated with decreased suicidality, and peer support and community connectedness moderated the relationship between depressive symptoms and suicidality. Over a third of the variability in reasons for living was predicted by family support, peer support, and community connectedness. Implications for research and preventative interventions for African American adolescents are discussed. © 2011 American Orthopsychiatric Association.

  8. Suicidality and Depression Among African American Adolescents: The Role of Family and Peer Support and Community Connectedness

    PubMed Central

    Matlin, Samantha L.; Molock, Sherry Davis; Tebes, Jacob Kraemer

    2010-01-01

    Rates of suicide are increasing among African American adolescents and pose a significant public health concern. One area that has received little attention is the relationship between various types of social support and suicide, and the extent to which support moderates the relationship between depressive symptoms and suicidality. A total of 212 African American adolescents completed in-school surveys on three types of social support: family support, peer support, and community connectedness. The survey also addressed depressive symptoms and suicidality, as measured by reasons for living, a cognitive measure of suicide risk. Hierarchical multiple regression analyses were used to examine direct and moderating relationships between types of social support and suicidality. The results indicated that increased family support and peer support are associated with decreased suicidality, and peer support and community connectedness moderated the relationship between depressive symptoms and suicidality. Over a third of the variability in reasons for living was predicted by family support, peer support, and community connectedness. Implications for research and preventative interventions for African American adolescents are discussed. PMID:21219282

  9. Somatic symptoms, peer and school stress, and family and community violence exposure among urban elementary school children.

    PubMed

    Hart, Shayla L; Hodgkinson, Stacy C; Belcher, Harolyn M E; Hyman, Corine; Cooley-Strickland, Michele

    2013-10-01

    Somatic symptoms are a common physical response to stress and illness in childhood. This study assessed 409, primarily African American (85.6 %), urban elementary school children to examine the association between: (1) somatic symptoms and potential external stressors (school and peer stress, family conflict, and community violence) and (2) parent and child agreement on children's self-report of somatic symptoms. The odds of self-report of somatic complaints were significantly associated with family conflict, school and peer stress, and community violence exposure (OR = 1.26, 95 % CI: 1.05-1.50; OR = 1.18, 95 % CI 1.08-1.28; and OR = 1.02, 95 % CI: 1.00-1.05, respectively). Identifying the associations between social, family, and community based stress and somatic symptoms may improve the quality of life for children living in urban environments through early identification and treatment.

  10. "Hear(ing) New Voices": Peer Reflections from Community-Based Survey Development with Women Living with HIV.

    PubMed

    Abelsohn, Kira; Benoit, Anita C; Conway, Tracey; Cioppa, Lynne; Smith, Stephanie; Kwaramba, Gladys; Lewis, Johanna; Nicholson, Valerie; O'Brien, Nadia; Carter, Allison; Shurgold, Jayson; Kaida, Angela; Pokomandy, Alexandra de; Loutfy, Mona

    2015-01-01

    The Canadian HIV Women's Sexual and Reproductive Health Cohort Study (CHIWOS) engaged in an innovative community-based survey development process. We sought to provide 1) an overview of the survey development process, and 2) personal reflections from women living with human immunodeficiency virus (HIV; "peers") on their own observations of strengths and short-comings of the process and opportunities for improvement. Guided by the principles of community-based research (CBR) and meaningful involvement of women living with HIV (WLWH), CHIWOS coordinated a national, multidisciplinary research team, and facilitated a community based survey development process. Four key lessons emerged highlighting the importance of 1) accommodating different preferences for feedback collection, 2) finding the right combination of people and skills, 3) formalizing mentorship, and 4) creating guidelines on survey item reduction and managing expectations from the outset. Peers discussed the strengths and weaknesses of participatory methodologies in survey development.

  11. Somatic symptoms, peer and school stress, and family and community violence exposure among urban elementary school children

    PubMed Central

    Hart, Shayla L.; Hodgkinson, Stacy C.; Hyman, Corine; Cooley-Strickland, Michele

    2013-01-01

    Somatic symptoms are a common physical response to stress and illness in childhood. This study assessed 409, primarily African American (85.6 %), urban elementary school children to examine the association between: (1) somatic symptoms and potential external stressors (school and peer stress, family conflict, and community violence) and (2) parent and child agreement on children’s self-report of somatic symptoms. The odds of self-report of somatic complaints were significantly associated with family conflict, school and peer stress, and community violence exposure (OR = 1.26, 95 % CI: 1.05–1.50; OR = 1.18, 95 % CI 1.08–1.28; and OR = 1.02, 95 % CI: 1.00–1.05, respectively). Identifying the associations between social, family, and community based stress and somatic symptoms may improve the quality of life for children living in urban environments through early identification and treatment. PMID:22772584

  12. Empowering the people: Development of an HIV peer education model for low literacy rural communities in India

    PubMed Central

    Van Rompay, Koen KA; Madhivanan, Purnima; Rafiq, Mirriam; Krupp, Karl; Chakrapani, Venkatesan; Selvam, Durai

    2008-01-01

    Background Despite ample evidence that HIV has entered the general population, most HIV awareness programs in India continue to neglect rural areas. Low HIV awareness and high stigma, fueled by low literacy, seasonal migration, gender inequity, spatial dispersion, and cultural taboos pose extra challenges to implement much-needed HIV education programs in rural areas. This paper describes a peer education model developed to educate and empower low-literacy communities in the rural district of Perambalur (Tamil Nadu, India). Methods From January to December 2005, six non-governmental organizations (NGO's) with good community rapport collaborated to build and pilot-test an HIV peer education model for rural communities. The program used participatory methods to train 20 NGO field staff (Outreach Workers), 102 women's self-help group (SHG) leaders, and 52 barbers to become peer educators. Cartoon-based educational materials were developed for low-literacy populations to convey simple, comprehensive messages on HIV transmission, prevention, support and care. In addition, street theatre cultural programs highlighted issues related to HIV and stigma in the community. Results The program is estimated to have reached over 30 000 villagers in the district through 2051 interactive HIV awareness programs and one-on-one communication. Outreach workers (OWs) and peer educators distributed approximately 62 000 educational materials and 69 000 condoms, and also referred approximately 2844 people for services including voluntary counselling and testing (VCT), care and support for HIV, and diagnosis and treatment of sexually-transmitted infections (STI). At least 118 individuals were newly diagnosed as persons living with HIV (PLHIV); 129 PLHIV were referred to the Government Hospital for Thoracic Medicine (in Tambaram) for extra medical support. Focus group discussions indicate that the program was well received in the communities, led to improved health awareness, and also

  13. Community-based peer support significantly improves metabolic control in people with Type 2 diabetes in Yaoundé, Cameroon.

    PubMed

    Assah, F K; Atanga, E N; Enoru, S; Sobngwi, E; Mbanya, J C

    2015-07-01

    To examine the effectiveness of a community-based multilevel peer support intervention in addition to usual diabetes care on improving glycaemic levels, blood pressure and lipids in patients with Type 2 diabetes in Yaoundé, Cameroon. A total of 96 subjects with poorly controlled Type 2 diabetes (intervention group) and 96 age- and sex-matched controls were recruited and followed up over 6 months. The intervention subjects underwent a peer support intervention through peer-led group meetings, personal encounters and telephone calls. Both intervention subjects and controls continued their usual clinical care. HbA1c , blood pressure, blood lipids and self-care behaviours were measured at 0 and 6 months. There was significant reduction in HbA1c in the intervention group [-33 mmol/mol (-3.0%)] compared with controls [-14 mmol/mol (-1.3%)]; P < 0.001. Peer support also led to significant reductions in fasting blood sugar (-0.83 g/l P < 0.001), cholesterol (-0.54 g/l P < 0.001), HDL (-0.09 g/l, P < 0.001), BMI (-2.71 kg/m² P < 0.001) and diastolic pressure (-6.77 mmHg, P < 0.001) over the 6-month period. Also, diabetes self-care behaviours in the intervention group improved significantly over the 6 months of peer support. Community-based peer support, in addition to usual care, significantly improved metabolic control in patients with uncontrolled Type 2 diabetes in Yaoundé, Cameroon. This could provide a model for optimizing diabetes care and control in other settings with limited healthcare and financial resources. © 2015 The Authors. Diabetic Medicine © 2015 Diabetes UK.

  14. The acceptability, feasibility and impact of a lay health counsellor delivered health promoting schools programme in India: a case study evaluation.

    PubMed

    Rajaraman, Divya; Travasso, Sandra; Chatterjee, Achira; Bhat, Bhargav; Andrew, Gracy; Parab, Suraj; Patel, Vikram

    2012-05-25

    Studies in resource-limited settings have shown that there are constraints to the use of teachers, peers or health professionals to deliver school health promotion interventions. School health programmes delivered by trained lay health counsellors could offer a cost-effective alternative. This paper presents a case study of a multi-component school health promotion intervention in India that was delivered by lay school health counsellors, who possessed neither formal educational nor health provider qualifications. The intervention was based on the WHO's Health Promoting Schools framework, and included health screening camps; an anonymous letter box for student questions and complaints; classroom-based life skills training; and, individual psycho-social and academic counselling for students. The intervention was delivered by a lay school health counsellor who had attained a minimum of a high school education. The counsellor was trained over four weeks and received structured supervision from health professionals working for the implementing NGO. The evaluation design was a mixed methods case study. Quantitative process indicators were collected to assess the extent to which the programme was delivered as planned (feasibility), the uptake of services (acceptability), and the number of students who received corrective health treatment (evidence of impact). Semi-structured interviews were conducted over two years with 108 stakeholders, and were analysed to identify barriers and facilitators for the programme (feasibility), evaluate acceptability, and gather evidence of positive or negative effects of the programme. Feasibility was established by the high reported coverage of all the targeted activities by the school health counsellor. Acceptability was indicated by a growing number of submissions to the students' anonymous letter-box; more students self-referring for counselling services over time; and, the perceived need for the programme, as expressed by principals

  15. The acceptability, feasibility and impact of a lay health counsellor delivered health promoting schools programme in India: a case study evaluation

    PubMed Central

    2012-01-01

    Background Studies in resource-limited settings have shown that there are constraints to the use of teachers, peers or health professionals to deliver school health promotion interventions. School health programmes delivered by trained lay health counsellors could offer a cost-effective alternative. This paper presents a case study of a multi-component school health promotion intervention in India that was delivered by lay school health counsellors, who possessed neither formal educational nor health provider qualifications. Methods The intervention was based on the WHO’s Health Promoting Schools framework, and included health screening camps; an anonymous letter box for student questions and complaints; classroom-based life skills training; and, individual psycho-social and academic counselling for students. The intervention was delivered by a lay school health counsellor who had attained a minimum of a high school education. The counsellor was trained over four weeks and received structured supervision from health professionals working for the implementing NGO. The evaluation design was a mixed methods case study. Quantitative process indicators were collected to assess the extent to which the programme was delivered as planned (feasibility), the uptake of services (acceptability), and the number of students who received corrective health treatment (evidence of impact). Semi-structured interviews were conducted over two years with 108 stakeholders, and were analysed to identify barriers and facilitators for the programme (feasibility), evaluate acceptability, and gather evidence of positive or negative effects of the programme. Results Feasibility was established by the high reported coverage of all the targeted activities by the school health counsellor. Acceptability was indicated by a growing number of submissions to the students’ anonymous letter-box; more students self-referring for counselling services over time; and, the perceived need for the

  16. Writing peer-reviewed articles with diverse teams: considerations for novice scholars conducting community-engaged research.

    PubMed

    Flicker, Sarah; Nixon, Stephanie A

    2016-07-31

    Given the growth of interdisciplinary and community-engaged health promotion research, it has become increasingly common to conduct studies in diverse teams. While there is literature to guide collaborative research proposal development, data collection and analysis, little has been written about writing peer-reviewed publications collaboratively in teams. This gap is particularly important for junior researchers who lead articles involving diverse and community-engaged co-authors. The purpose of this article is to present a series of considerations to guide novice researchers in writing for peer-reviewed publication with diverse teams. The following considerations are addressed: justifying the value of peer-reviewed publication with non-academic partners; establishing co-author roles that respect expertise and interest; clarifying the message and audience; using the article outline as a form of engagement; knowledge translation within and beyond the academy; and multiple strategies for generating and reviewing drafts. Community-engaged research often involves collaboration with communities that have long suffered a history of colonial and extractive research practices. Authentic engagement of these partners can be supported through research practices, including manuscript development, that are transparent and that honour the voices of all team members. Ensuring meaningful participation and diverse perspectives is key to transforming research relationships and sharing new insights into seemingly intractable health problems.

  17. Peer-Generated Health Information: The Role of Online Communities in Patient and Caregiver Health Decisions.

    PubMed

    Rupert, Douglas J; Gard Read, Jennifer; Amoozegar, Jacqueline B; Moultrie, Rebecca R; Taylor, Olivia M; O'Donoghue, Amie C; Sullivan, Helen W

    2016-11-01

    Individuals increasingly access peer-generated health information (PGHI) through social media, especially online health communities (OHCs). Previous research has documented PGHI topics, credibility assessment strategies, and PGHI's connection with well-being. However, there is limited evidence on where, when, and why individuals seek PGHI and how they use PGHI in health decisions. We conducted in-person and online focus groups with verified OHC members (N = 89)-representing 50 different medical conditions and 77 OHCs-to explore these topics. Two researchers independently coded transcripts with NVivo 9.2 and thematically analyzed responses. Most individuals accidentally discovered PGHI during Web searches rather than intentionally seeking it. Individuals valued PGHI primarily as an alternative information source about treatment options, self-care activities, and health care provider questions rather than a source of emotional support, and they acknowledged PGHI's limitation as anecdotal evidence. Individuals used PGHI as a springboard for additional research and patient-provider discussions, ultimately making treatment decisions alongside providers. These findings suggest that individuals use PGHI in much the same way they use traditional online health information and that PGHI facilitates, rather than obstructs, shared decision making with health care providers.

  18. The Evolution of Peer Run Sober Housing as a Recovery Resource for California Communities

    PubMed Central

    Wittman, Friedner D.; Polcin, Douglas

    2014-01-01

    Sober living houses (SLHs) are alcohol- and drug-free living environments that offer social support to persons attempting to abstain from alcohol and drugs. They use a peer-oriented, social model approach that emphasizes mutual support, financial self-sufficiency, and resident involvement in decision making and management of the facility. Although they represent an important response to the increasing call for more services that help sustain abstinence from drugs and alcohol over time, they are an under recognized and underutilized recovery resource. The purpose of this paper is to trace the evolution of sober living houses in California from the early influences of Alcoholics Anonymous (AA) in the 1930’s to the establishment of current SLH associations, such as the Sober Living Network in Southern California. The paper describes key events and policies that influenced SLHs. Although initial research on outcomes of SLH residents has been very encouraging, there is a need for more research to guide improvement of structure and operations. The paper concludes with a discussion of implications for the growth of recovery services and for community housing policy. PMID:25477748

  19. Educating the provider community about the new role of the peer review organization.

    PubMed

    Clark, J D; Williams, D E

    1993-01-01

    This report suggests an educational format that has been used successfully in Michigan to introduce the Health Care Quality Improvement Initiative to the medical community. The activities related to pattern analysis and the Fourth Scope of Work will require a collaborative effort between the medical community and the peer review organization (PRO). To improve understanding by providers and practitioners of pattern analysis, the Fourth Scope of Work, and the new PRO requirements, a series of educational programs was designed. The first presentation in the educational series included information about the changes between the Third and Fourth Scope of Work as well as the new structure within the PRO responsible for the pattern analysis activities: the Center for Health Outcomes and Evaluation. Descriptions of the process to be followed in interactions between the Center and providers and practitioners also were included: For the second session, a hands-on exercise was created to introduce the concept of a pattern. The exercise included graphic representations of patterns and a worksheet format to encourage the user to find specific data points within tables and graphs, describe a pattern in hospital outcome data, and verify that the same outcome pattern appeared in subgroups of hospitals and physicians. The third component in the educational series was a demonstration of the interaction between the Center and a hospital participating in a cooperative improvement project. Hospital-specific and physician-specific data, with appropriate comparative data, were provided to an audience made up of hospital administrators, practicing physicians, and allied health personnel who then worked through the issues related to data validation, definition of a project, agreement on interventions, and remeasurement of the outcome under study.

  20. Reducing the volume of antibiotic prescriptions: a peer group intervention among physicians serving a community with special ethnic characteristics.

    PubMed

    Wilf-Miron, Rachel; Ron, Naama; Ishai, Shlomit; Chory, Hana; Abboud, Louis; Peled, Ronit

    2012-05-01

    Antibiotics are a front-line weapon against many infectious diseases. However, antibiotic overuse is the key driver of drug resistance. Previously published studies have suggested benefits of using peer-to-peer education, working with group leaders to build trust and maintain confidentiality within a quality initiative. We hypothesized that working with physicians as a peer group might be beneficial in influencing antibiotic prescribing patterns. To describe and evaluate a peer group model for an intervention to reduce the volume of antibiotic prescriptions among physicians with above average prescribing rates serving an Arab community in northern Israel. Primary care physicians in a defined geographic area who served Arab communities and had high antibiotic prescribing rates--defined as above average number of antibiotic prescriptions per office visit compared with regional and organizational averages--were recruited for the intervention. All other physicians from the same region served as a comparison group. The intervention was administered during 2007 and was completed in early 2008. Four structured meetings scheduled 2 months apart, in which the group explored the issues related to antibiotic overuse, included the following topics: adherence to clinical guidelines; the special position physicians serving Arab communities hold and the influence it has on their practices; pressure due to consumer demands; and suggestions for possible strategies to face ethnic sensitivity, mainly because of the special ties the physicians have with their communities. T-tests for independent samples were used to perform between-group comparisons for each quarter and year of observation from 2006 through 2010, and t-tests for paired samples were used to compare pre-intervention with post-intervention antibiotic prescribing rates. In the 2006 pre-intervention period, the antibiotic prescribing rates were 0.17 for the peer group (n = 11 physicians) and 0.15 for the comparison group

  1. Roles and Competencies of Academic Counsellors in Distance Education

    ERIC Educational Resources Information Center

    Mishra, Sanjaya

    2005-01-01

    Academic counsellors or tutors are engaged as a link between learners and distance teaching institutions. They perform various roles such as facilitating learning of subject matter content, assessing assignments, providing motivation and encouragement, and supervising research/term papers/project work. Each of these roles requires specific…

  2. Professional Characteristics of Canadian Counsellors: Results of a National Survey

    ERIC Educational Resources Information Center

    Gazzola, Nicola; Smith, J. David; Kearney, M. Kate; King-Andrews, Heather L.

    2010-01-01

    With statutory regulation of mental health professions clearly at the forefront in many Canadian jurisdictions, counselling appears to be experiencing internal tensions regarding its vision and direction. The goal of this study was to collect data directly from Canadian counsellors to more clearly define the current practices of counselling in…

  3. Multicultural Counselling: Research on Perceptions of School Counsellors

    ERIC Educational Resources Information Center

    Robinson, Beth; Bradley, Loretta

    2005-01-01

    This study assesses the self-perceived multicultural counselling competencies of 106 public school counsellors working in a rural area. Self-perceptions of multicultural counselling competencies were assessed using the Multicultural Counselling Inventory. Results are discussed and recommendations are provided. (Contains 1 table.)

  4. Adversarial Growth in Telephone Counsellors: Psychological and Environmental Influences

    ERIC Educational Resources Information Center

    O'Sullivan, Julian; Whelan, Thomas A.

    2011-01-01

    The aims of this study were to investigate the level of adversarial growth among telephone counsellors, and to examine the influence of psychological and environmental factors on growth. In particular, the effect of compassion fatigue, empathy, environmental support and calls per shift on posttraumatic growth was assessed. Sixty-four telephone…

  5. Adversarial Growth in Telephone Counsellors: Psychological and Environmental Influences

    ERIC Educational Resources Information Center

    O'Sullivan, Julian; Whelan, Thomas A.

    2011-01-01

    The aims of this study were to investigate the level of adversarial growth among telephone counsellors, and to examine the influence of psychological and environmental factors on growth. In particular, the effect of compassion fatigue, empathy, environmental support and calls per shift on posttraumatic growth was assessed. Sixty-four telephone…

  6. An Holistic Approach for Counsellors: Embracing Multiple Intelligences

    ERIC Educational Resources Information Center

    Booth, Rosslyn; O'Brien, Patrick John

    2008-01-01

    This paper explores a range of therapeutic modalities used by counsellors of children and positions those modalities within Gardner's theory of multiple intelligences. Research by O'Brien ("Gardner's theory of multiple intelligence and its implications for the counselling of children." Unpublished doctoral dissertation, Queensland University of…

  7. Preparing Counsellors for Interprofessional Collaboration through Supervision and Lateral Mentoring

    ERIC Educational Resources Information Center

    Arthur, Nancy; Russell-Mayhew, Shelly

    2010-01-01

    Interprofessional collaboration is emerging as a best practice in health care. For counsellors to work effectively alongside professionals from other disciplines, they need to be educated about the value of collaborative practice and the roles, responsibilities, and expertise that they bring to interprofessional teams. Supervision practices in…

  8. Family Counselling--A New Frontier for School Counsellors

    ERIC Educational Resources Information Center

    Friesen, John

    1976-01-01

    Several theoretical orientations to family counselling are proposed and some ideas advanced underlying public and professional acceptance of school counsellor work with the family. A brief analysis of three family programs is undertaken as a means of promoting growth, enrichment and change in the family. (Author)

  9. Ethical Dilemmas of Turkish Counsellors: A Critical Incidents Study

    ERIC Educational Resources Information Center

    Sivis-Cetinkaya, Rahsan

    2015-01-01

    Ethical dilemmas from a national purposive sample of Turkish counsellors (N = 172) were collected using critical incidents technique. Content analysis was performed with open coding guided by the classification of American Counseling Association code of ethics. Incidents regarding confidentiality and privacy (56.4%), with 37.1% involving incidents…

  10. Breaking the Silence: School Counsellors' Experiences of Client Suicide

    ERIC Educational Resources Information Center

    Christianson, Carley L.; Everall, Robin D.

    2009-01-01

    School counselling is a unique discipline involving the provision of personal, social, and educational counselling to youth in schools. Since school counsellors work closely with at-risk children and adolescents they frequently encounter suicidal youth as clients. In this study, a qualitative grounded theory method was used to explore school…

  11. Practical Strategies for School Counsellor Leadership: The Leadership Challenge Model

    ERIC Educational Resources Information Center

    Shillingford, Margaret

    2013-01-01

    It is crucial to the progression of the school counselling profession that counsellors-in-training receive the training, knowledge, and practice in leadership that they need to counter systemic challenges that they may face. Effective leadership practices have been shown in research to be instrumental in promoting program delivery success in the…

  12. An Holistic Approach for Counsellors: Embracing Multiple Intelligences

    ERIC Educational Resources Information Center

    Booth, Rosslyn; O'Brien, Patrick John

    2008-01-01

    This paper explores a range of therapeutic modalities used by counsellors of children and positions those modalities within Gardner's theory of multiple intelligences. Research by O'Brien ("Gardner's theory of multiple intelligence and its implications for the counselling of children." Unpublished doctoral dissertation, Queensland University of…

  13. A qualitative study exploring genetic counsellors' experiences of counselling children

    PubMed Central

    Ulph, Fiona; Leong, James; Glazebrook, Cris; Townsend, Ellen

    2010-01-01

    The identification of healthy carriers by newborn screening programmes raises questions about how and when the carrier results will be conveyed to child. There is currently a lack of information concerning how best to convey carrier information to children. This is a serious gap in the literature and practice. This study examined genetic counsellors' experiences of counselling children to explore how to support and inform children about their carrier result. Practising members of the United Kingdom (UK) Association of Genetic Nurses and Counsellors took part in semi-structured telephone interviews. Respondents described the communication process and identified barriers and facilitators of communication. Age, illness experience and maturity were variously discussed as facilitators; all of which are integral to psychological theories of children's understanding of illness. Adaptive family communication, school tuition and educational materials were also seen as influencing counselling efficacy. Relevant materials that children could keep were also seen as important to enhance children's autonomy. Yet, such resources were rare, constituting a barrier to communication. Counsellors reported communication was further impeded by maladaptive family communication and resistance from children to engaging in counselling. By exploring the facilitators and barriers inherent in communicating genetic information to children, guidance can be offered to counsellors, researchers and parents. This study indicates that some factors (eg illness experiences) previously identified by psychological theories may act in complex ways within this setting. Importantly, the factors identified as being most influential when communicating with children about genetics are amenable to change through interventions, support and training. PMID:20531440

  14. A qualitative study exploring genetic counsellors' experiences of counselling children.

    PubMed

    Ulph, Fiona; Leong, James; Glazebrook, Cris; Townsend, Ellen

    2010-10-01

    The identification of healthy carriers by newborn screening programmes raises questions about how and when the carrier results will be conveyed to child. There is currently a lack of information concerning how best to convey carrier information to children. This is a serious gap in the literature and practice. This study examined genetic counsellors' experiences of counselling children to explore how to support and inform children about their carrier result. Practising members of the United Kingdom (UK) Association of Genetic Nurses and Counsellors took part in semi-structured telephone interviews. Respondents described the communication process and identified barriers and facilitators of communication. Age, illness experience and maturity were variously discussed as facilitators; all of which are integral to psychological theories of children's understanding of illness. Adaptive family communication, school tuition and educational materials were also seen as influencing counselling efficacy. Relevant materials that children could keep were also seen as important to enhance children's autonomy. Yet, such resources were rare, constituting a barrier to communication. Counsellors reported communication was further impeded by maladaptive family communication and resistance from children to engaging in counselling. By exploring the facilitators and barriers inherent in communicating genetic information to children, guidance can be offered to counsellors, researchers and parents. This study indicates that some factors (eg illness experiences) previously identified by psychological theories may act in complex ways within this setting. Importantly, the factors identified as being most influential when communicating with children about genetics are amenable to change through interventions, support and training.

  15. Roles and Competencies of Academic Counsellors in Distance Education

    ERIC Educational Resources Information Center

    Mishra, Sanjaya

    2005-01-01

    Academic counsellors or tutors are engaged as a link between learners and distance teaching institutions. They perform various roles such as facilitating learning of subject matter content, assessing assignments, providing motivation and encouragement, and supervising research/term papers/project work. Each of these roles requires specific…

  16. Ethical Dilemmas of Turkish Counsellors: A Critical Incidents Study

    ERIC Educational Resources Information Center

    Sivis-Cetinkaya, Rahsan

    2015-01-01

    Ethical dilemmas from a national purposive sample of Turkish counsellors (N = 172) were collected using critical incidents technique. Content analysis was performed with open coding guided by the classification of American Counseling Association code of ethics. Incidents regarding confidentiality and privacy (56.4%), with 37.1% involving incidents…

  17. Facilitators and barriers to effective smoking cessation: counselling services for inpatients from nurse-counsellors' perspectives--a qualitative study.

    PubMed

    Li, I-Chuan; Lee, Shoou-Yih D; Chen, Chiu-Yen; Jeng, Yu-Qian; Chen, Yu-Chi

    2014-05-06

    Tobacco use has reached epidemic levels around the World, resulting in a world-wide increase in tobacco-related deaths and disabilities. Hospitalization presents an opportunity for nurses to encourage inpatients to quit smoking. This qualitative descriptive study was aimed to explore nurse-counsellors' perspectives of facilitators and barriers in the implementation of effective smoking cessation counselling services for inpatients. In-depth interviews were conducted with 16 nurses who were qualified smoking cessation counsellors and who were recruited from eleven health promotion hospitals that were smoke-free and located in the Greater Taipei City Area.  Data were collected from May 2012 to October 2012, and then analysed using content analysis based on the grounded theory approach. From nurse-counsellors' perspectives, an effective smoking cessation program should be patient-centred and provide a supportive environment. Another finding is that effective smoking cessation counselling involves encouraging patients to modify their lifestyles. Time constraints and inadequate resources are barriers that inhibit the effectiveness of smoking cessation counselling programs in acute-care hospitals. We suggest that hospitals should set up a smoking counselling follow-up program, including funds, facilities, and trained personnel to deliver counselling services by telephone, and build a network with community smoking cessation resources.

  18. Using Community Advisory Boards to Build Partnerships and Develop Peer-Led Services for Rural Student Veterans.

    PubMed

    Cheney, Ann M; Abraham, Traci H; Sullivan, Steve; Russell, Shane; Swaim, Dianne; Waliski, Angie; Lewis, Caleb; Hudson, Cliff; Candler, Brian; Hall, Sonya; Hunt, Justin

    2016-01-01

    The Department of Veterans' Affairs (VA)/Student Partnership for Rural Veterans (VSP) built partnerships between institutional (health services researchers, VA chaplains) and community groups to develop veteran-to-veteran services on college campuses. Describe challenges and lessons learned in year 1 of the VSP project at six campuses in rural Arkansas. Researchers leveraged established community advisory boards (CABs) to develop veteran-to-veteran services. Ethnographic and qualitative methods were used to assess partnership building and evaluate peer-led services. Local established CABs and buy-in from student services and veteran organizations was instrumental to building partnerships and developing services. Challenges included developing rapport with campus leaders and creating sustainable role/expectations for student veteran leaders. Peer-led services are an ideal way to connect student veterans and link them to resources and health care services. Partnerships can facilitate grassroots efforts to develop local services that meet the needs of diverse student veteran populations.

  19. Peer Support Training Improved the Glycemic Control, Insulin Management, and Diabetic Behaviors of Patients with Type 2 Diabetes in Rural Communities of Central China: A Randomized Controlled Trial

    PubMed Central

    Deng, Kaiqin; Ren, Yanlei; Luo, Zhongmei; Du, Kun; Zhang, Xiaoqin; Zhang, Qiong

    2016-01-01

    Background The efficacy of peer support in Chinese diabetes patients is still uncertain. The purpose of this study was to observe the effects of a peer support program on the outcomes of patients with type 2 diabetes who received community-based insulin therapy in rural communities of central China. Material/Methods Two hundred and eight eligible patients with type 2 diabetes were randomly assigned into the traditional training group (control group, n=111) and peer support intervention group (peer group, n=97) between June 2013 and January 2014 in 2 rural communities of Jingzhou area, China. Both groups received 3-month traditional training, followed by another 4-month traditional training or peer support training, respectively. At baseline and 7 months after treatment, the blood glycemic level was evaluated by biochemical detection. Capacities of self-management and knowledge related to insulin usage were assessed by questionnaire survey. Results Ninety-seven and ninety patients completed this study in the control group and peer group, respectively. There was no significant difference in age, gender, diabetes duration, insulin usage time, and complications between the 2 groups at baseline (P>0.05). Compared with the control group, peer group patients achieved a more significant decrease in blood glycosylated hemoglobin levels (P<0.05), increase in knowledge related to insulin usage, and increase of diabetes self-management ability (P<0.05). Conclusions Peer support intervention effectively improves outcomes of patients with type 2 diabetes in rural communities of central China. PMID:26808489

  20. Content-specific network analysis of peer-to-peer communication in an online community for smoking cessation

    PubMed Central

    Myneni, Sahiti; Cobb, Nathan K.; Cohen, Trevor

    2016-01-01

    Analysis of user interactions in online communities could improve our understanding of health-related behaviors and inform the design of technological solutions that support behavior change. However, to achieve this we would need methods that provide granular perspective, yet are scalable. In this paper, we present a methodology for high-throughput semantic and network analysis of large social media datasets, combining semi-automated text categorization with social network analytics. We apply this method to derive content-specific network visualizations of 16,492 user interactions in an online community for smoking cessation. Performance of the categorization system was reasonable (average F-measure of 0.74, with system-rater reliability approaching rater-rater reliability). The resulting semantically specific network analysis of user interactions reveals content- and behavior-specific network topologies. Implications for socio-behavioral health and wellness platforms are also discussed. PMID:28269890

  1. Peer review.

    PubMed

    Twaij, H; Oussedik, S; Hoffmeyer, P

    2014-04-01

    The maintenance of quality and integrity in clinical and basic science research depends upon peer review. This process has stood the test of time and has evolved to meet increasing work loads, and ways of detecting fraud in the scientific community. However, in the 21st century, the emphasis on evidence-based medicine and good science has placed pressure on the ways in which the peer review system is used by most journals. This paper reviews the peer review system and the problems it faces in the digital age, and proposes possible solutions.

  2. Peer Support.

    PubMed

    Forchuk, Cheryl; Solomon, Michelle; Viran, Tazim

    2016-01-01

    The Mental Health Commission of Canada defines peer support as "a supportive relationship between people who have a lived experience in common … in relation to a mental health challenge or illness … related to their own mental health or that of a loved one" (Sunderland et al. 2013: 11). In Ontario, a key resource for peer support is the Ontario Peer Development Initiative (OPDI), which is an umbrella organization of mental health Consumer/Survivor Initiatives (CSIs) and peer support organizations across the province of Ontario. Member organizations are run by and for people with lived experience of a mental health or addiction issue and provide a wide range of services and activities within their communities. The central tenet of member organizations is the common understanding that people can and do recover with the proper supports in place and that peer support is integral to successful recovery. Nationally, Peer Support Accreditation and Certification Canada has recently been established. The relatively new national organization focuses on training and accrediting peer support workers. This paper focuses on a range of diverse peer support groups and CSIs that operate in London and surrounding areas.

  3. Characterization of Temporal Semantic Shifts of Peer-to-Peer Communication in a Health-Related Online Community: Implications for Data-driven Health Promotion

    PubMed Central

    Sridharan, Vishnupriya; Cohen, Trevor; Cobb, Nathan; Myneni, Sahiti

    2016-01-01

    With online social platforms gaining popularity as venues of behavior change, it is important to understand the ways in which these platforms facilitate peer interactions. In this paper, we characterize temporal trends in user communication through mapping of theoretically-linked semantic content. We used qualitative coding and automated text analysis to assign theoretical techniques to peer interactions in an online community for smoking cessation, subsequently facilitating temporal visualization of the observed techniques. Results indicate manifestation of several behavior change techniques such as feedback and monitoring’ and ‘rewards’. Automated methods yielded reasonable results (F-measure=0.77). Temporal trends among relapsers revealed reduction in communication after a relapse event. This social withdrawal may be attributed to failure guilt after the relapse. Results indicate significant change in thematic categories such as ‘social support’, ‘natural consequences’, and ‘comparison of outcomes’ pre and post relapse. Implications for development of behavioral support technologies that promote long-term abstinence are discussed. PMID:28269957

  4. Factors Associated with Peer HIV Prevention Outreach in Drug-Using Communities

    ERIC Educational Resources Information Center

    Latkin, Carl A.; Hua, Wei; Davey, Melissa A.

    2004-01-01

    Peer education is a critical approach to HIV prevention. The current study evaluated 156 peer outreach educators 6 months after their 10-session training. Specifically, we examined factors associated with talking to network members about HIV-related topics as well as distributing risk reduction materials. Overall, current drug users were less…

  5. Factors Associated with Peer HIV Prevention Outreach in Drug-Using Communities

    ERIC Educational Resources Information Center

    Latkin, Carl A.; Hua, Wei; Davey, Melissa A.

    2004-01-01

    Peer education is a critical approach to HIV prevention. The current study evaluated 156 peer outreach educators 6 months after their 10-session training. Specifically, we examined factors associated with talking to network members about HIV-related topics as well as distributing risk reduction materials. Overall, current drug users were less…

  6. Counsellor Education as Humanist Colonialism: Seeking Post-Colonial Approaches to Educating Counsellors by Exploring Pathways to an Indigenous Aesthetic

    ERIC Educational Resources Information Center

    Bowers, Randolph

    2008-01-01

    This narrative reflection emerged during a time of personally reconnecting with Mi'kmaq First Nation culture and heritage while working in the mainstream roles of counsellor educator and educationalist in Australia. The essay expresses turning points along a path of increasing political and social discomfort with the status quo in counsellor…

  7. Counsellor Education as Humanist Colonialism: Seeking Post-Colonial Approaches to Educating Counsellors by Exploring Pathways to an Indigenous Aesthetic

    ERIC Educational Resources Information Center

    Bowers, Randolph

    2008-01-01

    This narrative reflection emerged during a time of personally reconnecting with Mi'kmaq First Nation culture and heritage while working in the mainstream roles of counsellor educator and educationalist in Australia. The essay expresses turning points along a path of increasing political and social discomfort with the status quo in counsellor…

  8. Peer-counseling for women newly diagnosed with breast cancer: A randomized community/research collaboration trial.

    PubMed

    Giese-Davis, Janine; Bliss-Isberg, Caroline; Wittenberg, Lynne; White, Jennifer; Star, Path; Zhong, Lihong; Cordova, Matthew J; Houston, Debra; Spiegel, David

    2016-08-01

    We conducted a randomized controlled trial of peer-counseling for newly diagnosed breast cancer (BC) patients as a community/research collaboration testing an intervention developed jointly by a community-based-organization serving women with cancer and university researchers. We recruited 104 women newly diagnosed with BC at any disease stage. Prior to randomization, all received a one-time visit with an oncology nurse who offered information and resources. Afterwards, we randomized half to receive a match with a Navigator with whom they could have contact for up to 6 months. We recruited, trained, and supervised 30 peer counselors who became "Navigators." They were at least one-year post-diagnosis with BC. Controls received no further intervention. We tested the effect of intervention on breast-cancer-specific well-being and trauma symptoms as primary outcomes, and several secondary outcomes. In exploratory analyses, we tested whether responding to their diagnosis as a traumatic stressor moderated outcomes. We found that, compared with the control group, receiving a peer-counseling intervention significantly improved breast-cancer-specific well-being (p=0.01, Cohen's d=0.41) and maintained marital adjustment (p=0.01, Cohen's d=0.45) more effectively. Experiencing the diagnosis as a traumatic stressor moderated outcomes: those with a peer counselor in the traumatic stressor group improved significantly more than controls on well-being, trauma and depression symptoms, and cancer self-efficacy. Having a peer counselor trained and supervised to recognize and work with trauma symptoms can improve well-being and psychosocial morbidity during the first year following diagnosis of BC. Cancer 2016;122:2408-2417. © 2016 American Cancer Society. © 2016 American Cancer Society.

  9. Peer, professional, and public: an analysis of the drugs policy advocacy community in Europe.

    PubMed

    O'Gorman, Aileen; Quigley, Eoghan; Zobel, Frank; Moore, Kerri

    2014-09-01

    In recent decades a range of advocacy organisations have emerged on the drugs policy landscape seeking to shape the development of policy at national and international levels. This development has been facilitated by the expansion of 'democratic spaces' for civil society participation in governance fora at national and supranational level. However, little is known about these policy actors - their aims, scope, organisational structure, or the purpose of their engagement. Drug policy advocacy organisations were defined as organisations with a clearly stated aim to influence policy and which were based in Europe. Data on these organisations was collected through a systematic tri-lingual (English, French and Spanish) Internet search, supplemented by information provided by national agencies in the 28 EU member states, Norway and Turkey. In order to differentiate between the diverse range of activities, strategies and standpoints of these groups, information from the websites was used to categorise the organisations by their scope of operation, advocacy tools and policy constituencies; and by three key typologies - the type of advocacy they engaged in, their organisational type, and their advocacy objectives and orientation. The study identified over two hundred EU-based advocacy organisations (N=218) which included civil society associations, NGOs, and large-scale alliances and coalitions, operating at local, national and European levels. Three forms of advocacy emerged from the data analysis - peer, professional and public policy. These groups focused their campaigns on practice development (harm reduction or abstinence) and legislative reform (reducing or strengthening drug controls). The findings from this study provide a nuanced profile of civil society advocacy as a policy community in the drugs field; their legitimacy to represent cases, causes, social values and ideals; and their focus on both insider and outsider strategies to achieve their goals. The level of

  10. Expanding the meaning of 'being a peer leader': qualitative findings from a Canadian community-based cervical and breast cancer screening programme.

    PubMed

    Ahmad, Farah; Ferrari, Manuela; Moravac, Catherine; Lofters, Aisha; Dunn, Sheila

    2017-03-01

    Engagement of community members to act as peer workers is a key feature of many community-centred health promotion programmes. However, little is known about their experiences beyond the commonly reported themes of fulfilment through helping people in need and improvement of personal confidence, self-esteem and self-care. This gap in the literature is of particular interest given increasing involvement of peer workers in community-centred programmes addressing health disparities, such as uptake of cancer screening. This paper aims to explore experiences of the peer leaders who worked for the Cancer Awareness: Ready for Education and Screening (CARES) project to promote awareness, knowledge, and uptake of breast and cervical cancer screening among under-/never-screened women who belonged to ethnic minority, recent immigrant and low-income communities in Toronto, Canada. In 2013, three focus groups were conducted with 14 peer leaders to explore their experiences. All were immigrant women between 30 and 50 years of age. All discussions were audio recorded and transcribed verbatim. We used situational maps and analysis to create a visual representation of the data, and to investigate peer leaders experiences. Situational analysis was chosen to bring to light dominant and also silent underlying aspects which define the meaning of being a peer leader. The first level of analysis identified main themes that characterised peer leaders' experience: (i) Helping others (women, friends and family) and themselves by improved self-confidence, self-awareness and self-care and (ii) Redefining professional and social positions through their project activities leading to professional development and networking. The second level of analysis explored the redefining process and identified some peer leaders' negotiations in relation to knowledge (science vs. myth), beliefs (fear vs. assurance) and boundaries (private vs. work). Adding to the literature on the peer workers' experience

  11. Complementarity between medical geneticists and genetic counsellors: its added value in genetic services in Europe.

    PubMed

    Paneque, Milena; Serra-Juhé, Clara; Pestoff, Rebecka; Cordier, Christophe; Silva, João; Moldovan, Ramona; Ingvoldstad, Charlotta

    2017-08-01

    Clinical genetic services have progressed significantly the last few decades. This has led to the need for non-medical health-care professionals working as genetic counsellors in Europe and worldwide. However, there is no unified approach to genetic counsellors' role in health-care services in Europe, as in most countries the profession is still emerging and the educational backgrounds diverge noticeably, within and between countries. This qualitative study aims to describe the potential added value of genetic counsellors in clinical genetics teams and to explore their tasks and responsibilities in different European countries. A total of 143 participants providing genetic counselling in Europe at the time of the survey responded. The results show differences in activities of genetic counsellors, although there is a wide range of roles, which are similar. The ability to establish a quality relationship with consultands was frequently mentioned as one of the strengths of genetic counsellors, as well as a patient-centred approach. It is believed that genetic counsellors add a more holistic approach of psychosocial and familial dimensions of genetic concerns to the multidisciplinary teams. This study provides examples of successful integration of genetic counsellors in teams, as complementariness with medical geneticist became clear in several cases. Although the added value of genetic counsellors was manifested, professional recognition of genetic counsellors across Europe is still needed in order to support the quality of patients care and safety of practice.

  12. "We are all one together": peer educators' views about falls prevention education for community-dwelling older adults--a qualitative study.

    PubMed

    Khong, Linda; Farringdon, Fiona; Hill, Keith D; Hill, Anne-Marie

    2015-03-20

    Falls are common in older people. Despite strong evidence for effective falls prevention strategies, there appears to be limited translation of these strategies from research to clinical practice. Use of peers in delivering falls prevention education messages has been proposed to improve uptake of falls prevention strategies and facilitate translation to practice. Volunteer peer educators often deliver educational presentations on falls prevention to community-dwelling older adults. However, research evaluating the effectiveness of peer-led education approaches in falls prevention has been limited and no known study has evaluated such a program from the perspective of peer educators involved in delivering the message. The purpose of this study was to explore peer educators' perspective about their role in delivering peer-led falls prevention education for community-dwelling older adults. A two-stage qualitative inductive constant comparative design was used. In stage one (core component) focus group interviews involving a total of eleven participants were conducted. During stage two (supplementary component) semi-structured interviews with two participants were conducted. Data were analysed thematically by two researchers independently. Key themes were identified and findings were displayed in a conceptual framework. Peer educators were motivated to deliver educational presentations and importantly, to reach an optimal peer connection with their audience. Key themes identified included both personal and organisational factors that impact on educators' capacity to facilitate their peers' engagement with the message. Personal factors that facilitated message delivery and engagement included peer-to-peer connection and perceived credibility, while barriers included a reluctance to accept the message that they were at risk of falling by some members in the audience. Organisational factors, including ongoing training for peer educators and formative feedback following

  13. A smoking cessation counsellor: should every hospital have one?

    PubMed

    Prathiba, B V; Tjeder, S; Phillips, C; Campbell, I A

    1998-12-01

    The study was performed in order to ascertain the sustained smoking cessation rate in hospital patients who received a structured programme of advice and support from a counsellor and to estimate the cost-effectiveness of such an intervention. Hospital in-patients out-patients were referred by their physician/surgeon to the smoking cessation counsellor who provided advice to reinforce that of the doctor and gave support by repeated follow-up sessions, weekly in the first month and thereafter at three, six and twelve months. Of 1,155 patients referred to the counsellor, 114 (13%) failed to keep the first appointment and 348 (30%) attended for advice on one occasion only. Among the latter, the self-reported sustained cessation rate at one year was 5%. In the 663 patients who participated in the programme the validated (expired air CO) 12-month, sustained cessation rate was 21%. Allowing 7.5% success rate among patients receiving a physician's advice only, the cost of each additional success achieved as a result of the programme is 851 Pounds and the cost per life year saved is between 340 Pounds and 426 Pounds. Assuming that after one year's abstinence relapse rates are relatively small, this represents a sound investment in the light of the cost of treating patients with smoking-related illnesses and compares favourably with other smoking cessation strategies and health care interventions.

  14. In Pursuit of Theoretical Ground in Behavior Change Support Systems: Analysis of Peer-to-Peer Communication in a Health-Related Online Community.

    PubMed

    Myneni, Sahiti; Cobb, Nathan; Cohen, Trevor

    2016-02-02

    Research studies involving health-related online communities have focused on examining network structure to understand mechanisms underlying behavior change. Content analysis of the messages exchanged in these communities has been limited to the "social support" perspective. However, existing behavior change theories suggest that message content plays a prominent role reflecting several sociocognitive factors that affect an individual's efforts to make a lifestyle change. An understanding of these factors is imperative to identify and harness the mechanisms of behavior change in the Health 2.0 era. The objective of this work is two-fold: (1) to harness digital communication data to capture essential meaning of communication and factors affecting a desired behavior change, and (2) to understand the applicability of existing behavior change theories to characterize peer-to-peer communication in online platforms. In this paper, we describe grounded theory-based qualitative analysis of digital communication in QuitNet, an online community promoting smoking cessation. A database of 16,492 de-identified public messages from 1456 users from March 1-April 30, 2007, was used in our study. We analyzed 795 messages using grounded theory techniques to ensure thematic saturation. This analysis enabled identification of key concepts contained in the messages exchanged by QuitNet members, allowing us to understand the sociobehavioral intricacies underlying an individual's efforts to cease smoking in a group setting. We further ascertained the relevance of the identified themes to theoretical constructs in existing behavior change theories (eg, Health Belief Model) and theoretically linked techniques of behavior change taxonomy. We identified 43 different concepts, which were then grouped under 12 themes based on analysis of 795 messages. Examples of concepts include "sleepiness," "pledge," "patch," "spouse," and "slip." Examples of themes include "traditions," "social support

  15. In Pursuit of Theoretical Ground in Behavior Change Support Systems: Analysis of Peer-to-Peer Communication in a Health-Related Online Community

    PubMed Central

    Cobb, Nathan; Cohen, Trevor

    2016-01-01

    Background Research studies involving health-related online communities have focused on examining network structure to understand mechanisms underlying behavior change. Content analysis of the messages exchanged in these communities has been limited to the “social support” perspective. However, existing behavior change theories suggest that message content plays a prominent role reflecting several sociocognitive factors that affect an individual’s efforts to make a lifestyle change. An understanding of these factors is imperative to identify and harness the mechanisms of behavior change in the Health 2.0 era. Objective The objective of this work is two-fold: (1) to harness digital communication data to capture essential meaning of communication and factors affecting a desired behavior change, and (2) to understand the applicability of existing behavior change theories to characterize peer-to-peer communication in online platforms. Methods In this paper, we describe grounded theory–based qualitative analysis of digital communication in QuitNet, an online community promoting smoking cessation. A database of 16,492 de-identified public messages from 1456 users from March 1-April 30, 2007, was used in our study. We analyzed 795 messages using grounded theory techniques to ensure thematic saturation. This analysis enabled identification of key concepts contained in the messages exchanged by QuitNet members, allowing us to understand the sociobehavioral intricacies underlying an individual’s efforts to cease smoking in a group setting. We further ascertained the relevance of the identified themes to theoretical constructs in existing behavior change theories (eg, Health Belief Model) and theoretically linked techniques of behavior change taxonomy. Results We identified 43 different concepts, which were then grouped under 12 themes based on analysis of 795 messages. Examples of concepts include “sleepiness,” “pledge,” “patch,” “spouse,” and

  16. Feedback from community pharmacy users on the contribution of community pharmacy to improving the public's health: a systematic review of the peer reviewed and non‐peer reviewed literature 1990–2002

    PubMed Central

    Anderson, Claire; Blenkinsopp, Alison; Armstrong, Miriam

    2004-01-01

    Abstract Objective  To systematically review feedback from pharmacy users on their perceptions and experiences of health‐related advice and services provided from community pharmacies. Methods  The focus of the review was community pharmacy activities in relation to promoting health and well‐being, preventing ill‐health and maintaining health. Searches were conducted for peer‐reviewed (international) and non‐peer‐reviewed (UK) research. Electronic databases searched included MEDLINE, EMBASE, Cochrane Library and International Pharmaceutical Abstracts; hand searches of key journals and conference abstracts, key informants. Key informants in the UK were contacted to identify unpublished studies. The inclusion period was 1990 onwards. Data extraction and synthesis  Data were abstracted into a matrix by one author with a sample checked by a second. The Health Development Agency's Evidence Base 2000 standards and the evidence categories used by the Department of Health in the National Service Frameworks were applied to each item. Main results  Seven peer reviewed papers and 13 non‐peer reviewed reports were identified for inclusion in the review. Consumer usage of pharmacies is almost universal with prescription supplies and purchase of over the counter medicines predominating. Evidence shows that not only is usage low for general health advice, but that pharmacists are perceived as ‘drugs experts’ rather than experts on health and illness. Emergency hormonal contraception and head lice management schemes have been well received. There is a need to consider privacy and confidentiality surrounding advice giving. Conclusions  Users of community pharmacy‐based health development initiatives express a high level of satisfaction. If community pharmacies are to be used to their full extent, then actions to extending the public's awareness and acceptance of the pharmacist's role in giving advice will be crucial. Further research will be needed to

  17. Promoting Positive Peer Interaction through Cooperative Learning, Community Building, Higher-Order Thinking and Conflict Management.

    ERIC Educational Resources Information Center

    Carlson, Kathryn R.

    Research shows that probable causes for disruptive classroom behavior are broken social bonds, violent environment, stress and conflict, and inadequate curriculum coupled with ineffective teaching methods. This report discusses a program to decrease negative peer interaction in order to improve academic achievement and interpersonal relationships.…

  18. Peer Influence and Nonsuicidal Self Injury: Longitudinal Results in Community and Clinically-Referred Adolescent Samples

    ERIC Educational Resources Information Center

    Prinstein, Mitchell J.; Heilbron, Nicole; Guerry, John D.; Franklin, Joseph C.; Rancourt, Diana; Simon, Valerie; Spirito, Anthony

    2010-01-01

    Research suggests that adolescents' engagement in nonsuicidal self-injurious (NSSI) behaviors may be increasing over time, yet little is known regarding distal longitudinal factors that may promote engagement in these behaviors. Data from two longitudinal studies are presented to examine whether NSSI may be associated with peer influence…

  19. Caring for Kids in Communities: Using Mentorship, Peer Support, & Student Leadership Programs in Schools. Counterpoint.

    ERIC Educational Resources Information Center

    Ellis, Julia; Small-McGinley, Jan; De Fabrizio, Lucy

    This book invites schools to consider the use of mentorship, peer support, and student leadership programs to positively support the growth and learning of all students. It presents research on successful K-12 programs and case studies of individual programs and people. Eighteen chapters are: (1) "Introduction and Overview"; (2)…

  20. Ethnic Peer Preferences among Asian American Adolescents in Emerging Immigrant Communities

    ERIC Educational Resources Information Center

    Kiang, Lisa; Peterson, Jamie Lee; Thompson, Taylor L.

    2011-01-01

    Growing diversity and evidence that diverse friendships enhance psychosocial success highlight the importance of understanding adolescents' ethnic peer preferences. Using social identity and social contact frameworks, the ethnic preferences of 169 Asian American adolescents (60% female) were examined in relation to ethnic identity, perceived…

  1. Teacher Peer Excellence Groups (TPEGs): Building Communities of Practice for Instructional Improvement

    ERIC Educational Resources Information Center

    Cravens, Xiu; Drake, Timothy A.; Goldring, Ellen; Schuermann, Patrick

    2017-01-01

    Purpose: The purpose of this paper is to study the viability of implementing a protocol-guided model designed to provide structure and focus for teacher collaboration from Shanghai in today's US public schools. The authors examine whether the new model, Teacher Peer Excellence Group (TPEG), fosters the desired key features of productive…

  2. Working together as a catalyst for change: the development of a peer mentoring model for the prevention of chronic disease in Australian Indigenous communities.

    PubMed

    Paasse, Gail; Adams, Karen

    2011-01-01

    This paper outlines the development of a model for an Indigenous peer mentoring program. The aim of this program is to improve the health of Indigenous people living in the western suburbs of Melbourne, Australia. Although the benefits of peer mentoring are well documented, particularly in relation to disease prevention, little has been written about the specific benefits for Indigenous people. While developing this model, it became apparent that to be successful, peer mentoring programs for Indigenous people need to be flexible, informal and draw on the knowledge and skills of the local community in partnership with local services.

  3. Surveying the Extent of, and Attitudes Towards, the Use of Prayer as a Spiritual Intervention among British Mainstream Counsellors

    ERIC Educational Resources Information Center

    Gubi, Peter M.

    2004-01-01

    A questionnaire was sent to 578 BACP Accredited Counsellors and 122 CMCS Approved Counsellors to survey the use, and attitudes to the use, of prayer as a spiritual intervention in British mainstream counselling. The data reveal that prayer influences the practice of a significant number of mainstream counsellors at a philosophical, a covert and an…

  4. Feasibility of a web-based training system for peer community health advisors in cancer early detection among african americans.

    PubMed

    Santos, Sherie Lou Z; Tagai, Erin K; Wang, Min Qi; Scheirer, Mary Ann; Slade, Jimmie L; Holt, Cheryl L

    2014-12-01

    We describe the feasibility of a Web-based portal for training peer community health advisors (CHAs). We conducted a community-based implementation trial in African American churches between 2012 and 2014. The Web-based portal allows CHAs to log in and view 13 training videos, preparing them to deliver 3 cancer early detection workshops in their churches. Of 8 churches, 6 completed the training, each certifying 2 CHAs. These CHAs took an average of 26 days to complete the training, requiring little technical assistance. Additional technical assistance was required to implement the workshops. The Web-based system appears to be a feasible method for training lay individuals for the CHA role and has implications for increasing the reach of evidence-based interventions.

  5. Narratives of Developing Counsellors' Preferred Theories of Counselling Storied through Text, Metaphor, and Photographic Images

    ERIC Educational Resources Information Center

    Wong-Wylie, Gina

    2006-01-01

    Reflective practice is integral for developing counsellors to maintain self-awareness and to recognize influences upon ones personal theory of counselling. In this exploratory narrative inquiry research, four doctoral level counselling psychologists participated to uncover "What are the personal stories of developing counsellors and in what…

  6. The Route to "Inclusive Counselling": Counsellors' Perceptions of Disability Inclusion in Turkey

    ERIC Educational Resources Information Center

    Sakiz, Halis; Woods, Charlotte; Sart, Hande; Ersahin, Zehra; Aftab, Raiha; Koç, Nizamettin; Sariçam, Hakan

    2015-01-01

    The present research highlights new challenges and opportunities faced by counsellors in relation to the movement to include students with disabilities within mainstream schools launched by the Ministry of Education in Turkey. The main purpose of the study was to examine perceptions of counsellors in relation to this movement. Interviews were…

  7. Opportunities and Challenges: School Guidance Counsellors' Perceptions of Counselling Students Online

    ERIC Educational Resources Information Center

    Glasheen, Kevin; Campbell, Marilyn A.; Shochet, Ian

    2013-01-01

    School guidance counsellors worldwide seek ways of providing appropriate professional assistance to all students. While young people integrate online technology into their daily lives and go online for information and to communicate with each other, school counsellors in Australia are not offering online support to students. This cross-sectional…

  8. The Practice and Perceptions of School Counsellors: A View from Urban China

    ERIC Educational Resources Information Center

    Leuwerke, Wade; Shi, Qi

    2010-01-01

    The profession of school counselling in China is in relative infancy. A qualitative analysis of in-person interviews with fourteen high school counsellors sought to identify salient factors currently facing the profession in two urban Chinese schools. The counsellors described the development and practice of school counselling as well as their own…

  9. Alberta High School Counsellors' Knowledge of Homosexuality and Their Attitudes toward Gay Males

    ERIC Educational Resources Information Center

    Alderson, Kevin G.; Orzeck, Tricia L.; McEwen, Scott C.

    2009-01-01

    In this study we investigated Alberta high school counsellors' knowledge about homosexuality and their attitudes toward gay males. Three questionnaires were mailed to 648 high school counselling centres; 223 individuals returned the completed questionnaires. Most counsellors attained low scores in measured homo-negativity and high scores regarding…

  10. The Route to "Inclusive Counselling": Counsellors' Perceptions of Disability Inclusion in Turkey

    ERIC Educational Resources Information Center

    Sakiz, Halis; Woods, Charlotte; Sart, Hande; Ersahin, Zehra; Aftab, Raiha; Koç, Nizamettin; Sariçam, Hakan

    2015-01-01

    The present research highlights new challenges and opportunities faced by counsellors in relation to the movement to include students with disabilities within mainstream schools launched by the Ministry of Education in Turkey. The main purpose of the study was to examine perceptions of counsellors in relation to this movement. Interviews were…

  11. An Examination of the Counsellor's Skills When Counselling Clients With Sexual Problems

    ERIC Educational Resources Information Center

    McConnell, Lawrence G.

    1976-01-01

    The study examined the counsellor's competence in counselling clients with sexual problems. The notion of competence was operationally defined in terms of empathy, anxiety, and sex knowledge. The results demonstrate the need to have specific training in sex counselling incorporated into the counsellor trainee's curriculum. (Author)

  12. Exploring Ethical Dilemmas for Principals Arising from Role Conflict with School Counsellors

    ERIC Educational Resources Information Center

    Kimber, Megan; Campbell, Marilyn

    2014-01-01

    Acting in the best interests of students is central to the moral and ethical work of schools. Yet tensions can arise between principals and school counsellors as they work from at times opposing professional paradigms. In this article we report on principals' and counsellors' responses to scenarios covering confidentiality and the law,…

  13. Exploring Ethical Dilemmas for Principals Arising from Role Conflict with School Counsellors

    ERIC Educational Resources Information Center

    Kimber, Megan; Campbell, Marilyn

    2014-01-01

    Acting in the best interests of students is central to the moral and ethical work of schools. Yet tensions can arise between principals and school counsellors as they work from at times opposing professional paradigms. In this article we report on principals' and counsellors' responses to scenarios covering confidentiality and the law,…

  14. "I Was Overcome with Joy at that Moment": Successful Experiences of School Counsellors

    ERIC Educational Resources Information Center

    Gilat, Itzhak; Rosenau, Sarah

    2012-01-01

    Inspired by positive psychology, the present research explores the manner in which school counsellors perceive the meaning of success in their work. Data were collected by means of a narrative questionnaire in which 66 school counsellors were requested to write a detailed description of a well-remembered successful experience and to answer two…

  15. Life outside the 50-Minute Hour: The Personal Lives of Counsellors

    ERIC Educational Resources Information Center

    Kennedy, Barbara Sampaio Alhanati; Black, Timothy G.

    2010-01-01

    This study investigates the effects that becoming and being a professional counsellor, including training and professional practice, can have on one's personal life. Semi-structured interviews were conducted with six professional counsellors, asking how their training and professional practice has affected their personal lives. Qualitative…

  16. School Counsellors' Understanding of Non-Suicidal Self-Injury: Experiences and International Variability

    ERIC Educational Resources Information Center

    Duggan, Jamie M.; Heath, Nancy L.; Toste, Jessica R.; Ross, Shana

    2011-01-01

    Non-suicidal self-injury (NSSI) is a concern among professionals working with youth. The present study examined school counsellors' experiences, training and school preparedness, perceived knowledge, beliefs, and intervention approaches related to NSSI. Participants were 470 school counsellors (417 female, 53 male) from across North America (156…

  17. Narratives of Developing Counsellors' Preferred Theories of Counselling Storied through Text, Metaphor, and Photographic Images

    ERIC Educational Resources Information Center

    Wong-Wylie, Gina

    2006-01-01

    Reflective practice is integral for developing counsellors to maintain self-awareness and to recognize influences upon ones personal theory of counselling. In this exploratory narrative inquiry research, four doctoral level counselling psychologists participated to uncover "What are the personal stories of developing counsellors and in what…

  18. The Practice and Perceptions of School Counsellors: A View from Urban China

    ERIC Educational Resources Information Center

    Leuwerke, Wade; Shi, Qi

    2010-01-01

    The profession of school counselling in China is in relative infancy. A qualitative analysis of in-person interviews with fourteen high school counsellors sought to identify salient factors currently facing the profession in two urban Chinese schools. The counsellors described the development and practice of school counselling as well as their own…

  19. Opportunities and Challenges: School Guidance Counsellors' Perceptions of Counselling Students Online

    ERIC Educational Resources Information Center

    Glasheen, Kevin; Campbell, Marilyn A.; Shochet, Ian

    2013-01-01

    School guidance counsellors worldwide seek ways of providing appropriate professional assistance to all students. While young people integrate online technology into their daily lives and go online for information and to communicate with each other, school counsellors in Australia are not offering online support to students. This cross-sectional…

  20. Psychopharmacology Training and Canadian Counsellors: Are We Getting What We Want and Need?

    ERIC Educational Resources Information Center

    Schaefer, David; Wong-Wylie, Gina

    2008-01-01

    The psychopharmacology training experiences and attitudes of Canadian counsellors were the focus of our national Internet-based survey. This study was part of a larger investigation on Canadian counsellors' attitudes, practices, and training experiences related to clients on antidepressants. Results of the current study indicate Canadian…

  1. MAppERS: a peer-produced community for emergency support

    NASA Astrophysics Data System (ADS)

    Frigerio, Simone; Schenato, Luca; Bianchizza, Chiara; Del Bianco, Daniele

    2014-05-01

    A general trend in European governance tends to shift responsibilities in territorial management from national central authorities to local/regional levels and to the citizens as first actors of Civil Protection. Prevention is a long term goal that rests not only on the capacities of professional operators and volunteers, but that has to necessarily imply the involvement and awareness of the citizens over the territory they inhabit. In fact people often do not have chance to interact in the surveillance of the territory and only face risks when they have to bear impacts on their lives. Involvement of population creates more cost-effective and context-specific strategies of territorial surveillance and management. A collaborative user environment is useful for emergency response and support in the wake of disasters, feeding updated information on the ground directly to on-site responders. MAppERS (Mobile Application for Emergency Response and Support) is a EU project (funded under programme 2013-2015 Humanitarian Aid and Civil Protection, ECHO A5) which empowers citizens as "crowd-sourced mappers" through the development of a smart phone application able to collect GPS-localised and detailed parameters, that can then be sent from citizens to civil protection operators in a contest of geospatial response. The process of app design includes feedback from citizens, involving them in training courses on the monitoring of the territory as long term objective of raising public awareness and participation from the citizens, as actors in a networked disaster response community. The project proceeds from the design and testing of the smart phone applications (module MAppERS-V for volunteers, module MAppERS-C for citizens) according to software engineering environment (Android and Iphone SDK). Information exchange and data transfer need clearness and efficiency; thus a previous research is conducted on the cost-effectiveness of already existing practices for territorial

  2. The availability of community ties predicts likelihood of peer referral for mammography: geographic constraints on viral marketing.

    PubMed

    Southwell, Brian G; Slater, Jonathan S; Rothman, Alexander J; Friedenberg, Laura M; Allison, Tiffany R; Nelson, Christina L

    2010-11-01

    Engaging social networks to encourage preventive health behavior offers a supplement to conventional mass media campaigns and yet we do not fully understand the conditions that facilitate or hamper such interpersonal diffusion. One set of factors that should affect the diffusion of health campaign information involves a person's community. Variables describing geographic communities should predict the likelihood of residents accepting campaign invitations to pass along information to friends, family, and others. We investigate two aspects of a community--the availability of community ties and residential stability--as potential influences on diffusion of publicly-funded breast cancer screening in the United States in 2008-2009. In a survey study of 1515 participants living in 91 zip codes across the State of Minnesota, USA, we focus on the extent to which women refer others when given the opportunity to nominate family, friends, and peers to receive free mammograms. We predicted nomination tendency for a particular zip code would be a function of available community ties, measured as religious congregation density in that zip code, and also expected the predictive power of available ties would be greatest in communities with relatively high residential stability (meaning lower turnover in home residence). Results support our hypotheses. Congregation density positively predicted nomination tendency both in bivariate analysis and in Tobit regression models, and was most predictive in zip codes above the median in residential stability. We conclude that having a local infrastructure of social ties available in a community predicts the diffusion of available health care services in that community.

  3. A Case Study of Peer Educators in a Community-Based Program to Reduce Teen Pregnancy: Selected Characteristics Prior to Training, Perceptions of Training and Work, and Perceptions of How Participation in the Program Has Affected Them

    ERIC Educational Resources Information Center

    Beshers, Sarah C.

    2007-01-01

    This investigation is a case study of peer educators in a community-based teen pregnancy prevention program. Research questions focused on identifying ways in which peer educators differed from other teens and exploring the perceptions of the peer educators about their experience in the program and the ways in which it has affected them. Data were…

  4. A Case Study of Peer Educators in a Community-Based Program to Reduce Teen Pregnancy: Selected Characteristics Prior to Training, Perceptions of Training and Work, and Perceptions of How Participation in the Program Has Affected Them

    ERIC Educational Resources Information Center

    Beshers, Sarah C.

    2007-01-01

    This investigation is a case study of peer educators in a community-based teen pregnancy prevention program. Research questions focused on identifying ways in which peer educators differed from other teens and exploring the perceptions of the peer educators about their experience in the program and the ways in which it has affected them. Data were…

  5. Promoting Residential Renewable Energy via Peer-to-Peer Learning

    ERIC Educational Resources Information Center

    Heiskanen, Eva; Nissilä, Heli; Tainio, Pasi

    2017-01-01

    Peer-to-peer learning is gaining increasing attention in nonformal community-based environmental education. This article evaluates a novel modification of a concept for peer-to-peer learning about residential energy solutions (Open Homes). We organized collective "Energy Walks" visiting several homes with novel energy solutions and…

  6. Enhancing Connectedness Through Peer Training for Community-Dwelling Older People: A Person Centred Approach.

    PubMed

    Burmeister, Oliver K; Bernoth, Maree; Dietsch, Elaine; Cleary, Michelle

    2016-06-01

    Social interaction and connectedness is important to the mental health and wellbeing of older people. The aim of this research study was to facilitate and increase opportunities for social connectedness for older people living in regional areas through the use of technology training. Weekly technology training sessions were conducted at a Seniors Citizen's Club with a peer trainer (an experienced, retired computer teacher) and sessions were attended not only by the six study participants, but also by other club members, with up to 15 club members participating in sessions. Data analysis involved all documents generated by the project, including the individual interviews, researcher observations of training sessions, reports from the peer trainer and weekly diaries maintained by participants. Findings demonstrated that computer training at the Senior Citizens Club helped participants build group cohesion and to form tiered connections with partners, family, and friends with whom they no longer live. When the trainer is seen as a peer, and training is person-centred, older people are more receptive to learning, exploring, and experimenting with technology. Although only six people were involved in the in-depth evaluation part of the study, voluntary training with the trainer in the absence of any funding continues even to this present time. The outcome of this research reinforces the potential for technology facilitated tiered connectivity to enhance the quality of life for older people living in regional and rural Australia.

  7. The Relationships Between Sense of Belonging to a Community GLB Youth Group; School, Teacher, and Peer Connectedness; and Depressive Symptoms: Testing of a Path Model.

    PubMed

    McLaren, Suzanne; Schurmann, Jacqueline; Jenkins, Megan

    2015-01-01

    Research indicates belonging to a gay, lesbian, and bisexual (GLB) support group is indirectly associated with fewer depressive symptoms, via higher levels of sense of belonging to the general community. The current study extended this research by testing a path model to determine whether school, teacher, and peer connectedness are influenced by sense of belonging to a community GLB youth group. A sample of 82 Australian GLB adolescents aged 14 to 18 years who currently attend high school completed the Center for Epidemiologic Studies Depression Scale, the Psychological Subscale of the Sense of Belonging Instrument, and the Social Questionnaire for Secondary Students. Results indicated very good model fit. Higher levels of belonging to a community GLB youth group were associated with higher levels of school, teacher, and peer connectedness, but only peer connectedness was directly associated with depressive symptoms. Higher levels of school and teacher connectedness were associated with higher levels of peer connectedness. Interventions aimed at increasing belonging to a community GLB youth group may have indirect benefits for the mental health of GLB adolescents, via higher levels of school, teacher, and peer connectedness.

  8. A University-Assisted, Place-Based Model for Enhancing Students' Peer, Family, and Community Ecologies

    ERIC Educational Resources Information Center

    Lawson, Michael A.; Alameda-Lawson, Tania; Richards, K. Andrew R.

    2016-01-01

    Community schools have recently (re)emerged in the United States as a vital, comprehensive strategy for addressing poverty-related barriers to children's school learning. However, not all low-income school communities are endowed with the resources needed to launch a comprehensive array of school-based/linked services and programs. In this…

  9. Peer Observed Interaction and Structured Evaluation (POISE): a Canadian experience with peer supervision for genetic counselors.

    PubMed

    Goldsmith, Claire; Honeywell, Christina; Mettler, Gabrielle

    2011-04-01

    Peer observation, while often used in other professions, has not been formally applied in genetic counseling. The objective of this study was to pilot a method of peer evaluation whereby genetic counselors observed, and were observed by, each other during patient interaction. All of the available genetic counselors participated in both rounds of the pilot study (six in round one, seven in round two). The genetic counselors that observed the session used an observation room. Most participants reported learning a new skill. Sensitivity to, and comfort with, the feedback process improved. We conclude that Peer-Observed Interaction and Structured Evaluation (POISE) provides an opportunity to refresh counseling approaches and develop feedback skills without causing undue team discord. This new approach to peer supervision in genetic counselling offers a live observation approach for genetic counsellor supervision.

  10. Assessing the Quality of a Radiation Oncology Case-Based, Peer-Review Program in an Integrated Academic and Community Cancer Center Network.

    PubMed

    Thaker, Nikhil G; Sturdevant, Laurie; Jhingran, Anuja; Das, Prajnan; Delclos, Marc E; Gunn, Gary B; McAleer, Mary Frances; Tereffe, Welela; Choi, Seungtaek L; Frank, Steven J; Simeone, William J; Martinez, Wendi; Hahn, Stephen M; Famiglietti, Robin; Kuban, Deborah A

    2016-04-01

    Academic centers increasingly find a need to define a comprehensive peer-review program that can translate high-quality radiation therapy (RT) to community network sites. In this study, we describe the initial results of a quarterly quality audit program that aims to improve RT peer-review and provider educational processes across community sites. An electronic tool was used by community-based certified member (CM) sites to enter clinical treatment information about patients undergoing peer review. At least 10% of the patient load for each CM physician was selected for audit on a quarterly basis by expert academic faculty. Quality metrics included the review of the management plan, technical plan, and other indicators. RT was scored as being concordant or nonconcordant with institutional guidelines, national standards, or expert judgment. A total of 719 patients were entered into the peer-review database by the first four CM sites. Of 14% of patients audited, 17% (18 of 104) were deemed nonconcordant. Nonconcordance rates were lowest in prevalent disease sites, such as breast (16%), colorectal (14%), and lung (12%), whereas rates were highest in lymphoma (50%), brain (44%), and gynecology (27%). Deficiencies included incomplete staging work-up, incorrect target and normal tissue delineation, and nonadherence to accepted dose-volume constraints. Given the high rate of nonconcordance, we recommend prospective, pre-RT peer review of all patients, and, in particular, expert review of patients that are from low-volume or complex disease sites. An integrated approach to peer review holds a promise of improving the quality, safety, and value of cancer therapy in the community setting. Copyright © 2016 by American Society of Clinical Oncology.

  11. Role of Parent and Peer Relationships and Individual Characteristics in Middle School Children's Behavioral Outcomes in the Face of Community Violence

    ERIC Educational Resources Information Center

    Salzinger, Suzanne; Feldman, Richard S.; Rosario, Margaret; Ng-Mak, Daisy S.

    2011-01-01

    This study examines processes linking inner-city community violence exposure to subsequent internalizing and externalizing problems. Hypothesized risk and protective factors from 3 ecological domains--children's parent and peer relationships and individual characteristics--were examined for mediating, moderating, or independent roles in predicting…

  12. Role of Parent and Peer Relationships and Individual Characteristics in Middle School Children's Behavioral Outcomes in the Face of Community Violence

    ERIC Educational Resources Information Center

    Salzinger, Suzanne; Feldman, Richard S.; Rosario, Margaret; Ng-Mak, Daisy S.

    2011-01-01

    This study examines processes linking inner-city community violence exposure to subsequent internalizing and externalizing problems. Hypothesized risk and protective factors from 3 ecological domains--children's parent and peer relationships and individual characteristics--were examined for mediating, moderating, or independent roles in predicting…

  13. Successful dissemination of a community-based strength training program for older adults by peer and professional leaders: the people exercising program

    USDA-ARS?s Scientific Manuscript database

    OBJECTIVES: To determine the feasibility of a model for disseminating community-based strength training programs for older adults through leadership training of both laypersons or "peers" and health and fitness professionals. DESIGN: Longitudinal study conducted from January 2005 to December 2006....

  14. CES4Health.info: A Web-Based Mechanism for Disseminating Peer-Reviewed Products of Community-Engaged Scholarship--Reflections on Year One

    ERIC Educational Resources Information Center

    Jordan, Catherine; Gelmon, Sherril; Ryan, Katharine; Seifer, Sarena D.

    2012-01-01

    CES4Health.info was launched in November 2009 as an online mechanism for peer reviewing and disseminating products of community-engaged scholarship in forms other than journal articles. One year after its launch, the authors conducted an online survey of CES4Health.info contributing authors, reviewers, and users of published products. Early…

  15. A School-Based HIV/AIDS Prevention Education Program: Outcomes of Peer-Led Versus Community Health Nurse-Led Interventions.

    ERIC Educational Resources Information Center

    Dunn, Linda; Ross, Brenda; Caines, Tony; Howorth, Peggy

    1998-01-01

    Evaluated a school-based HIV/AIDS-prevention intervention for adolescents delivered either by community-health nurses or trained peer educators. Following the interventions, intervention and control-group students completed questionnaires measuring HIV/AIDS-prevention knowledge, attitudes, self-efficacy, and behavioral intentions. Data analysis…

  16. Eating disorder counsellors with eating disorder histories: a story of being "normal".

    PubMed

    Rance, Nicola M; Moller, Naomi P; Douglas, Barbara A

    2010-01-01

    Debate exists in the eating disorders field about the fitness to practise of counsellors with eating disorder histories (Johnston, Smethurst & Gowers, 2005). Yet despite widespread acknowledgement of the demanding nature of eating disorder counselling in general (Zerbe, 2008), almost no research exists about the actual experiences of recovered eating disorder counsellors in particular. Using semi-structured interviews this study aimed to address the research gap by investigating the experiences of 7 counsellors with eating disorder histories. Particular emphasis was given to their beliefs about the impact of their work on their own body image, weight and relationship with food. Results derived from an Interpretative Phenomenological Analysis suggested that the counsellors' experienced their eating disorder history as a double-edged sword that led them to engage in a number of self-presentational activities. Implications of these findings for the eating disorders field are discussed.

  17. Properties of Teacher Networks in Twitter: Are They Related to Community-Based Peer Production?

    ERIC Educational Resources Information Center

    Macià, Maria; Garcia, Iolanda

    2017-01-01

    Teachers participate in social networking sites to share knowledge and collaborate with other teachers to create education-related content. In this study we selected several communities in order to better understand the networks that these participants establish in Twitter and the role that the social network plays in their activity within the…

  18. Prevention of mother to child transmission lay counsellors: Are they adequately trained?

    PubMed

    Thurling, Catherine H; Harris, Candice

    2012-06-05

    South Africa's high prevalence of human immunodeficiency virus (HIV) infected women requires a comprehensive health care approach to pregnancy because of the added risk of their HIV status. As a result of the shortage of health care workers in South Africa, lay counsellors play important roles in the prevention of mother to child transmission of HIV (PMTCT). There is no standardization of training of lay counsellors in South Africa, and training varies in length depending on the training organisation. The study aimed to investigate the training of lay counsellors by analysing their training curricula and interviewing lay counsellors about their perceptions of their training. A two phase research method was applied. Phase one documented an analysis of the training curricula. Phase two was semi-structured interviews with the participants. Purposive sampling was undertaken for this study. The total sample size was 13 people, with a final sample of 9 participants, determined at the point of data saturation. The research was qualitative, descriptive and contextual in design. The curricula analysed had different styles of delivery, and the approaches to learning and courses varied, resulting in inconsistent training outcomes. A need for supervision and mentorship in the working environment was also noted. The training of lay counsellors needs to be adapted to meet the extended roles that they are playing in PMTCT. The standardization of training programmes, and the incorporation of a system of mentorship in the work environment, would ensure that the lay counsellors are adequately prepared for their role in PMTCT.

  19. Optimizing lay counsellor services for chronic care in South Africa: a qualitative systematic review.

    PubMed

    Petersen, Inge; Fairall, Lara; Egbe, Catherine O; Bhana, Arvin

    2014-05-01

    To conduct a qualitative systematic review on the use of lay counsellors in South Africa to provide lessons on optimizing their use for psychological and behavioural change counselling for chronic long-term care in scare-resource contexts. A qualitative systematic review of the literature on lay counsellor services in South Africa. Twenty-nine studies met the inclusion criteria. Five randomized control trials and two cohort studies reported that lay counsellors can provide behaviour change counselling with good outcomes. One multi-centre cohort study provided promising evidence of improved anti-retroviral treatment adherence and one non-randomized controlled study provided promising results for counselling for depression. Six studies found low fidelity of lay counsellor-delivered interventions in routine care. Reasons for low fidelity include poor role definition, inconsistent remuneration, lack of standardized training, and poor supervision and logistical support. Within resource-constrained settings, adjunct behaviour change and psychological services provided by lay counsellors can be harnessed to promote chronic care at primary health care level. Optimizing lay counsellor services requires interventions at an organizational level that provide a clear role definition and scope of practice; in-service training and formal supervision; and sensitization of health managers to the importance and logistical requirements of counselling. Copyright © 2014 The Authors. Published by Elsevier Ireland Ltd.. All rights reserved.

  20. Peer Evaluation Guidelines.

    ERIC Educational Resources Information Center

    Agatucci, Cora; Ahern, Gloria; Mays, Ken; McCown, Jack; Sequeira, Mike

    This document provides the peer evaluation guidelines for Central Oregon Community College (COCC). It begins by identifying the goals of the peer team: to maintain and strengthen the quality of instruction at COCC; establish strong collegial ties among faculty members; offer positive suggestions to them for improvement as teachers; and evaluate…

  1. Promoting Professional Identity: A Within Group Comparison of Wiki-Based and Traditional Assignments on School Counselling Students' Learning, Sense of Community and Computer Anxiety

    ERIC Educational Resources Information Center

    Rockinson-Szapkiw, Amanda J.; Pritchard, Tracey; McComb-Beverage, Shanna; Schellenberg, Rita

    2013-01-01

    The purpose of this study is to compare traditional and non-traditional instructional practices used in a counsellor education programme to determine their effect on pre-service school counsellors' learning and sense of community, thus leading to enhanced professional identity. Traditional and non-traditional assignments were examined: (a) a…

  2. Promoting Professional Identity: A Within Group Comparison of Wiki-Based and Traditional Assignments on School Counselling Students' Learning, Sense of Community and Computer Anxiety

    ERIC Educational Resources Information Center

    Rockinson-Szapkiw, Amanda J.; Pritchard, Tracey; McComb-Beverage, Shanna; Schellenberg, Rita

    2013-01-01

    The purpose of this study is to compare traditional and non-traditional instructional practices used in a counsellor education programme to determine their effect on pre-service school counsellors' learning and sense of community, thus leading to enhanced professional identity. Traditional and non-traditional assignments were examined: (a) a…

  3. Peer Support for Achieving Independence in Diabetes (Peer-AID): design, methods and baseline characteristics of a randomized controlled trial of community health worker assisted diabetes self-management support.

    PubMed

    Nelson, Karin; Drain, Nathan; Robinson, June; Kapp, Janet; Hebert, Paul; Taylor, Leslie; Silverman, Julie; Kiefer, Meghan; Lessler, Dan; Krieger, James

    2014-07-01

    Community health workers (CHWs) may be an important mechanism to provide diabetes self-management to disadvantaged populations. We describe the design and baseline results of a trial evaluating a home-based CHW intervention. Peer Support for Achieving Independence in Diabetes (Peer-AID) is a randomized, controlled trial evaluating a home-based CHW-delivered diabetes self-management intervention versus usual care. The study recruited participants from 3 health systems. Change in A1c measured at 12 months is the primary outcome. Changes in blood pressure, lipids, health care utilization, health-related quality of life, self-efficacy and diabetes self-management behaviors at 12 months are secondary outcomes. A total of 1438 patients were identified by a medical record review as potentially eligible, 445 patients were screened by telephone for eligibility and 287 were randomized. Groups were comparable at baseline on socio-demographic and clinical characteristics. All participants were low-income and were from diverse racial and ethnic backgrounds. The mean A1c was 8.9%, mean BMI was above the obese range, and non-adherence to diabetes medications was high. The cohort had high rates of co-morbid disease and low self-reported health status. Although one-third reported no health insurance, the mean number of visits to a physician in the past year was 5.7. Trial results are pending. Peer-AID recruited and enrolled a diverse group of low income participants with poorly controlled type 2 diabetes and delivered a home-based diabetes self-management program. If effective, replication of the Peer-AID intervention in community based settings could contribute to improved control of diabetes in vulnerable populations. Published by Elsevier Inc.

  4. Peer-Led, Empowerment-Based Approach to Self-Management Efforts in Diabetes (PLEASED): A Randomized Controlled Trial in an African American Community.

    PubMed

    Tang, Tricia S; Funnell, Martha M; Sinco, Brandy; Spencer, Michael S; Heisler, Michele

    2015-08-01

    We compared a 3-month diabetes self-management education (DSME) program followed by a 12-month peer support intervention with a 3-month DSME program alone in terms of initial and sustained improvements in glycated hemoglobin (HbA1c). Secondary outcomes were risk factors for cardiovascular disease (CVD), diabetes distress, and social support. We randomized 106 community-dwelling African American adults with type 2 diabetes to a 3-month DSME program followed by 12 months of weekly group sessions and supplementary telephone support delivered by peer leaders or to a 3-month DSME program with no follow-up peer support. Assessments were conducted at baseline, 3, 9, and 15 months. No changes in HbA1c were observed at 3 months or at 15 months for either group. The peer support group either sustained improvement in key CVD risk factors or stayed the same while the control group worsened at 15 months. At 15 months, the peer-support group had significantly lower low-density lipoprotein cholesterol levels (-15 mg/dL, P = .03), systolic blood pressure (-10 mm Hg, P = .01), diastolic blood pressure (-8.3 mm Hg, P = .001), and body mass index (-0.8 kg/m(2), P = .032) than the DSME-alone group. In this population of African American adults, an initial DSME program, whether or not followed by 12 months of peer support, had no effect on glycemic control. Participants in the peer-support arm of the trial did, however, experience significant improvements in some CVD risk factors or stay approximately the same while the control group declined. © 2015 Annals of Family Medicine, Inc.

  5. Effectiveness of community-based peer support for mothers to improve their breastfeeding practices: A systematic review and meta-analysis.

    PubMed

    Shakya, Prakash; Kunieda, Mika Kondo; Koyama, Momoko; Rai, Sarju Sing; Miyaguchi, Moe; Dhakal, Sumi; Sandy, Su; Sunguya, Bruno Fokas; Jimba, Masamine

    2017-01-01

    We searched for evidence regarding community-based peer support for mothers in databases, such as PubMed/MEDLINE, the Cochrane Library, CINAHL, Web of Science, SocINDEX, and PsycINFO. We selected three outcome variables for breastfeeding practices, namely, exclusive breastfeeding duration, breastfeeding within the first hour of life, and prelacteal feeding. We conducted meta-analyses of the included randomized controlled trials and quasi-experimental studies. For our review, we selected 47 articles for synthesis out of 1,855 retrieved articles. In low- and middle-income countries, compared to usual care, community-based peer support increased exclusive breastfeeding at 3 months (RR: 1.90, 95% CI: 1.62-2.22), at 5 months (RR: 9.55, 95% CI: 6.65-13.70) and at 6 months (RR: 3.53, 95% CI: 2.49-5.00). In high-income countries, compared to usual care, peer support increased exclusive breastfeeding at 3 months (RR: 2.61, 95% CI: 1.15-5.95). In low- and middle-income countries, compared to usual care, peer support increased the initiation of breastfeeding within the first hour of life (RR: 1.51, 95% CI: 1.04-2.21) and decreased the risk of prelacteal feeding (RR: 0.38, 95% CI: 0.33-0.45). Community-based peer support for mothers is effective in increasing the duration of exclusive breastfeeding, particularly for infants aged 3-6 months in low- and middle-income countries. Such support also encourages mothers to initiate breastfeeding early and prevents newborn prelacteal feeding.

  6. Improving the diagnosis and treatment of osteoporosis using a senior-friendly peer-led community education and mentoring model: a randomized controlled trial

    PubMed Central

    Kloseck, Marita; Fitzsimmons, Deborah A; Speechley, Mark; Savundranayagam, Marie Y; Crilly, Richard G

    2017-01-01

    Background This randomized controlled trial (RCT) evaluated a 6-month peer-led community education and mentorship program to improve the diagnosis and management of osteoporosis. Methods Ten seniors (74–90 years of age) were trained to become peer educators and mentors and deliver the intervention. In the subsequent RCT, 105 seniors (mean age =80.5±6.9; 89% female) were randomly assigned to the peer-led education and mentorship program (n=53) or control group (n=52). Knowledge was assessed at baseline and 6 months. Success was defined as discussing osteoporosis risk with their family physician, obtaining a bone mineral density assessment, and returning to review their risk profile and receive advice and/or treatment. Results Knowledge of osteoporosis did not change significantly. There was no difference in knowledge change between the two groups (mean difference =1.3, 95% confidence interval [CI] of difference −0.76 to 3.36). More participants in the intervention group achieved a successful outcome (odds ratio 0.16, 95% CI 0.06–0.42, P<0.001). Conclusion Peer-led education and mentorship can promote positive health behavior in seniors. This model was effective for improving osteoporosis risk assessment, diagnosis, and treatment in a community setting. PMID:28553091

  7. Community-based participatory research in a heavily researched inner city neighbourhood: Perspectives of people who use drugs on their experiences as peer researchers.

    PubMed

    Damon, Will; Callon, Cody; Wiebe, Lee; Small, Will; Kerr, Thomas; McNeil, Ryan

    2017-03-01

    Community-based participatory research (CBPR) has become an increasingly common approach to research involving people who use(d) drugs (PWUD), who are often employed as peer researchers on these projects. This paper seeks to understand the impact of CBPR on PWUD, particularly those living in heavily researched and stigmatized neighbourhoods where CBPR projects are often located. This study draws on 14 in-depth interviews with PWUD who had previous experience as both peer researchers and research participants in CBPR projects conducted between July 2010 and February 2011. The study employed a CBPR approach in its study design, recruitment, interviewing, and analysis. Our analysis indicates that participants were supportive of CBPR in principle and described the ways in which it helped contest stigmatizing assumptions and researcher bias. Participants also reported positive personal gains from participation in CBPR projects. However, many participants had negative experiences with CBPR projects, especially when CBPR principles were implemented in a superficial or incomplete manner. Participants emphasized the importance of inclusiveness and active deconstruction of hierarchy between researchers and community members to successful CBPR among drug using populations. CBPR has been widely adopted as a research approach within marginalized communities but has often been implemented inconsistently. Still, CBPR can empower communities to contest forms of social stigma that are often reproduced through academic research on marginalized communities. Our findings describe how the benefits of CBPR are maximized when CBPR principles are consistently applied and when community-based researchers are supported in ways that reduce power hierarchies. This suggests a need for capacity building within affected communities to develop independent support, training, and grievance processes for peer researchers.

  8. A Social Network Approach to Demonstrate the Diffusion and Change Process of Intervention from Peer Health Advocates to the Drug Using Community

    PubMed Central

    Li, Jianghong; Weeks, Margaret R.; Borgatti, Stephen P.; Clair, Scott; Dickson-Gomez, Julia

    2013-01-01

    Project RAP (Risk Avoidance Partnership) trained 112 active drug users to become peer health advocates (PHAs). Six months after baseline survey (Nbl = 522), 91.6% of PHAs and 56.6% of community drug users adopted the RAP innovation of giving peer intervention, and 59.5% of all participants (N6m = 367) were exposed to RAP innovation. Sociometric network analysis shows that adoption of and exposure to RAP innovation was associated with proximity to a PHA or a highly active interventionist (HAI), being directly linked to multiple PHAs/HAIs, and being located in a network sector where multiple PHAs/HAIs were clustered. RAP innovation has diffused into the Hartford drug-using community. PMID:22428816

  9. CES4Health.info: an online tool for peer reviewed publication and dissemination of diverse products of community-engaged scholarship.

    PubMed

    Jordan, Catherine; Seifer, Sarena D; Gelmon, Sherril B; Ryan, Katharine; McGinley, Piper

    2011-01-01

    Community-engaged scholarship (CES)-research, teaching, programmatic and other scholarly activities conducted through partnerships between academic and community partners-may result in innovative applied products such as manuals, policy briefs, curricula, videos, toolkits, and websites. Without accepted mechanisms for peer-reviewed publication and dissemination, these products often do not "count" toward faculty promotion and tenure (P&T) and have limited opportunities for broad impact. This paper reports on CES4Health.info, a unique online tool for peer-reviewed publication and dissemination of products of CES in forms other than journal articles. In its first year, CES4Health.info has published 24 products and documented the satisfaction of users, authors, and reviewers.

  10. Role of Parent and Peer Relationships and Individual Characteristics in Middle School Children's Behavioral Outcomes in the Face of Community Violence

    PubMed Central

    Salzinger, Suzanne; Rosario, Margaret; Feldman, Richard S.; Ng-Mak, Daisy S.

    2010-01-01

    This study examines processes linking inner-city community violence exposure to subsequent internalizing and externalizing problems. Hypothesized risk and protective factors from three ecological domains -- children's parent and peer relationships and individual characteristics -- were examined for mediating, moderating or independent roles in predicting problem behavior among 667 children over three years of middle school. Mediation was not found. However, parent and peer variables moderated the association between exposure and internalizing problems. Under high exposure, normally protective factors (e.g., attachment to parents) were less effective in mitigating exposure's effects than under low exposure; attachment to friends was more effective. Individual competence was independently associated with decreased internalizing problems. Variables from all domains, and exposure, were independently associated with externalizing problems. Protective factors (e.g., parent attachment) predicted decreased problems; risk factors (e.g., friends' delinquency) predicted increased problems. Results indicate community violence reduction as essential in averting inner-city adolescents' poor behavioral outcomes. PMID:21643493

  11. An evaluation of a refresher training intervention for HIV lay counsellors in Chongwe District, Zambia.

    PubMed

    Msisuka, Charles; Nozaki, Ikuma; Kakimoto, Kazuhiro; Seko, Motoko; Ulaya, Mercy M S

    2011-01-01

    To address a severe shortage of human resources for health, the Zambian Ministry of Health has begun to make use of lay counsellors for HIV counselling and testing. However, their skills and knowledge rarely have been reviewed or refreshed. We conducted a two-day refresher workshop for lay counsellors to review their performance and refresh their skills and knowledge. The objective of this study was to evaluate the refresher training intervention for HIV lay counsellors in the rural district of Chongwe in Zambia. The two-day refreshertraining workshop was held in November 2009. Twenty-five lay counsellors were selected by District Health Office and participated in the workshop. The workshop included: the opening, a pre-training exercise, lectures on quality assurance with regard to testing and safety precautions, lectures on counselling, filling the gap/Q&A session, and a post-training exercise. In both the pre- and post-training exercise, participants answered 25 true/false questions and tested 10 blood panel samples to demonstrate their knowledge and skill on HIV counselling and testing. The average overall knowledge test score increased from 79% to 95% (p<0.001). At the baseline, knowledge test scores in topic of standard precaution and post-exposure prophylaxis were relatively low (58%) but rose to 95% after the training (p<0.001). The per cent agreement of HIV testing by lay counsellors with reference laboratory was 99.2%. Participants' knowledge was improved during the workshop and skill at HIV testing was found to remain at a high level of accuracy. Relatively weak knowledge of standard precautions and post-exposure prophylaxis suggests that lay counsellors are at risk of nosocomial infections, particularly in the absence of refresher training interventions. We conclude that the refresher training was effective for improving the knowledge and skills of lay counsellors and provided an opportunity to monitor their performance.

  12. Analyzing the Latent Emotional Transfer Pattern (LETP) of a Learning Community in an Online Peer-Assessment Activity

    ERIC Educational Resources Information Center

    Hou, Huei-Tse; Cheng, Kun-Hung

    2012-01-01

    Peer assessment is utilized extensively in digital learning, and many studies have examined the positive influences of online peer assessment on learning (eg, Tseng & Tsai, 2007). However, other studies indicate that this type of activity has negative influences. For example, students may question the fairness of an assessment or disagree with…

  13. Analyzing the Latent Emotional Transfer Pattern (LETP) of a Learning Community in an Online Peer-Assessment Activity

    ERIC Educational Resources Information Center

    Hou, Huei-Tse; Cheng, Kun-Hung

    2012-01-01

    Peer assessment is utilized extensively in digital learning, and many studies have examined the positive influences of online peer assessment on learning (eg, Tseng & Tsai, 2007). However, other studies indicate that this type of activity has negative influences. For example, students may question the fairness of an assessment or disagree with…

  14. Effects of Communities of Reflecting Peers on Student-Teacher Development--Including In-Depth Case Studies

    ERIC Educational Resources Information Center

    Fund, Zvia

    2010-01-01

    Despite continuing interest in teacher reflection and an extensive body of research on peer assessment, the interaction between these areas has not been sufficiently investigated. This study on reflection and peer feedback is part of an ongoing action research addressing the design and pedagogical model of a theoretically oriented teacher training…

  15. Adolescent Peer Relationships and Emerging Adult Romantic Styles: A Longitudinal Study of Youth in an Italian Community

    ERIC Educational Resources Information Center

    Dhariwal, Amrit; Connolly, Jennifer; Paciello, Marinella; Caprara, Gian Vittorio

    2009-01-01

    This study extends understanding of romantic development in the emerging adult years by using an 8-year longitudinal design in Italy. Peer groups at age 13, interpersonal functioning and emotion regulation at age 17, and romantic styles at age 21 were measured in 388 youth. Early peer groups were shown to be indirectly associated with two romantic…

  16. Adolescent Peer Relationships and Emerging Adult Romantic Styles: A Longitudinal Study of Youth in an Italian Community

    ERIC Educational Resources Information Center

    Dhariwal, Amrit; Connolly, Jennifer; Paciello, Marinella; Caprara, Gian Vittorio

    2009-01-01

    This study extends understanding of romantic development in the emerging adult years by using an 8-year longitudinal design in Italy. Peer groups at age 13, interpersonal functioning and emotion regulation at age 17, and romantic styles at age 21 were measured in 388 youth. Early peer groups were shown to be indirectly associated with two romantic…

  17. Effectiveness of community-based peer support for mothers to improve their breastfeeding practices: A systematic review and meta-analysis

    PubMed Central

    Koyama, Momoko; Rai, Sarju Sing; Miyaguchi, Moe; Dhakal, Sumi; Sandy, Su; Sunguya, Bruno Fokas; Jimba, Masamine

    2017-01-01

    Breastfeeding is associated with reduced mortality in children aged less than 5 years. We conducted a systematic review and meta-analysis (registered as PROSPERO 2015: CRD42015019105) to examine the effectiveness of community-based peer support for mothers on their breastfeeding practices as compared to mothers who have not received such a support. Methods We searched for evidence regarding community-based peer support for mothers in databases, such as PubMed/MEDLINE, the Cochrane Library, CINAHL, Web of Science, SocINDEX, and PsycINFO. We selected three outcome variables for breastfeeding practices, namely, exclusive breastfeeding duration, breastfeeding within the first hour of life, and prelacteal feeding. We conducted meta-analyses of the included randomized controlled trials and quasi-experimental studies. Results For our review, we selected 47 articles for synthesis out of 1,855 retrieved articles. In low- and middle-income countries, compared to usual care, community-based peer support increased exclusive breastfeeding at 3 months (RR: 1.90, 95% CI: 1.62–2.22), at 5 months (RR: 9.55, 95% CI: 6.65–13.70) and at 6 months (RR: 3.53, 95% CI: 2.49–5.00). In high-income countries, compared to usual care, peer support increased exclusive breastfeeding at 3 months (RR: 2.61, 95% CI: 1.15–5.95). In low- and middle-income countries, compared to usual care, peer support increased the initiation of breastfeeding within the first hour of life (RR: 1.51, 95% CI: 1.04–2.21) and decreased the risk of prelacteal feeding (RR: 0.38, 95% CI: 0.33–0.45). Conclusions Community-based peer support for mothers is effective in increasing the duration of exclusive breastfeeding, particularly for infants aged 3–6 months in low- and middle-income countries. Such support also encourages mothers to initiate breastfeeding early and prevents newborn prelacteal feeding. PMID:28510603

  18. Counsellors' Focus on Competitive Employment for People with Severe Mental Illness: An Application of the Theory of Planned Behaviour in Vocational Rehabilitation Programmes

    ERIC Educational Resources Information Center

    Knaeps, Jeroen; Neyens, Inge; van Weeghel, Jaap; Van Audenhove, Chantal

    2016-01-01

    Although the evidence-based Individual Placement and Support programme highlights the importance of the vocational rehabilitation (VR) counsellors' focus on competitive employment during career counselling, studies have shown that counsellors do not always target such jobs. This study examines which determinants affect the counsellors' intentions…

  19. Counsellors' Focus on Competitive Employment for People with Severe Mental Illness: An Application of the Theory of Planned Behaviour in Vocational Rehabilitation Programmes

    ERIC Educational Resources Information Center

    Knaeps, Jeroen; Neyens, Inge; van Weeghel, Jaap; Van Audenhove, Chantal

    2016-01-01

    Although the evidence-based Individual Placement and Support programme highlights the importance of the vocational rehabilitation (VR) counsellors' focus on competitive employment during career counselling, studies have shown that counsellors do not always target such jobs. This study examines which determinants affect the counsellors' intentions…

  20. Impact of community based peer support in type 2 diabetes: a cluster randomised controlled trial of individual and/or group approaches.

    PubMed

    Simmons, David; Prevost, A Toby; Bunn, Chris; Holman, Daniel; Parker, Richard A; Cohn, Simon; Donald, Sarah; Paddison, Charlotte A M; Ward, Candice; Robins, Peter; Graffy, Jonathan

    2015-01-01

    Diabetes peer support, where one person with diabetes helps guide and support others, has been proposed as a way to improve diabetes management. We have tested whether different diabetes peer support strategies can improve metabolic and/or psychological outcomes. People with type 2 diabetes (n = 1,299) were invited to participate as either 'peer' or 'peer support facilitator' (PSF) in a 2x2 factorial randomised cluster controlled trial across rural communities (130 clusters) in England. Peer support was delivered over 8-12 months by trained PSFs, supported by monthly meetings with a diabetes educator. Primary end point was HbA1c. Secondary outcomes included quality of life, diabetes distress, blood pressure, waist, total cholesterol and weight. Outcome assessors and investigators were masked to arm allocation. Main factors were 1:1 or group intervention. Analysis was by intention-to-treat adjusting for baseline. The 4 arms were well matched (Group n = 330, 1:1(individual) n = 325, combined n = 322, control n = 322); 1035 (79·7%) completed the mid-point postal questionnaire and 1064 (81·9%) had a final HbA1c. A limitation was that although 92.6% PSFs and peers were in telephone contact, only 61.4% of intervention participants attended a face to face session. Mean baseline HbA1c was 57 mmol/mol (7·4%), with no significant change across arms. Follow up systolic blood pressure was 2·3 mm Hg (0.6 to 4.0) lower among those allocated group peer-support and 3·0 mm Hg (1.1 to 5.0) lower if the group support was attended at least once. There was no impact on other outcomes by intention to treat or significant differences between arms in self-reported adherence or medication. Group diabetes peer support over 8-12 months was associated with a small improvement in blood pressure but no other significant outcomes. Long term benefits should be investigated. ISRCTN.com ISRCTN6696362166963621.

  1. Religiosity Gap Reversed: How Religious Counsellors' Belief System Presents When Working with Clients in a Non-Religious Environment

    ERIC Educational Resources Information Center

    Motalová, Katarína; Rihácek, Tomáš

    2016-01-01

    Most studies exploring the religiosity gap are concerned with non-religious counsellors and religious clients. Approaching this phenomenon from a reversed perspective, this study explores how counsellors' religiosity presents when working with clients in a predominantly non-religious environment. Semi-structured interviews with 11 Czech…

  2. Assessment in the Digital Age: An Overview of Online Tools and Considerations for School Psychologists and School Counsellors

    ERIC Educational Resources Information Center

    Jellins, Laura

    2015-01-01

    With recent developments in technology, online tests and digital tools offer school psychologists and school counsellors alternate modes of assessment. These new technologies have the potential to increase accessibility to tests (through greater portability), allow school psychologists and school counsellors to service more students (through…

  3. The Effect of Career Counsellors on the Decision to Pursue Higher Education: A Mixed-Methods Investigation

    ERIC Educational Resources Information Center

    Menon Eliophotou, Maria

    2010-01-01

    The article examines the role of career counsellors in secondary education in Cyprus, with emphasis on their effect on students' career decisions. Survey research was used to collect information from 611 students and 36 career counsellors in Cyprus. Students were asked to rate the importance of several factors as influences on their career…

  4. Assessment in the Digital Age: An Overview of Online Tools and Considerations for School Psychologists and School Counsellors

    ERIC Educational Resources Information Center

    Jellins, Laura

    2015-01-01

    With recent developments in technology, online tests and digital tools offer school psychologists and school counsellors alternate modes of assessment. These new technologies have the potential to increase accessibility to tests (through greater portability), allow school psychologists and school counsellors to service more students (through…

  5. School Counsellor Training, Attitudes, and Perceptions of Preparedness to Provide Services to Students with Disabilities in Inclusive Schools in Turkey

    ERIC Educational Resources Information Center

    Cimsir, Elif; Carney, JoLynn V.

    2017-01-01

    The purpose of this study was to investigate the role of school counsellors' attitudes and training on their perceptions of preparedness to provide services to students with disabilities (SWD). Participants were 105 practicing school counsellors who completed the Attitudes toward Disabled Persons Scale Form-O (ATDP-O) as well as the School…

  6. The Effect of Career Counsellors on the Decision to Pursue Higher Education: A Mixed-Methods Investigation

    ERIC Educational Resources Information Center

    Menon Eliophotou, Maria

    2010-01-01

    The article examines the role of career counsellors in secondary education in Cyprus, with emphasis on their effect on students' career decisions. Survey research was used to collect information from 611 students and 36 career counsellors in Cyprus. Students were asked to rate the importance of several factors as influences on their career…

  7. "She's Not Going to Leave Me"--Counsellors' Feelings on Ending Therapy with Children

    ERIC Educational Resources Information Center

    Bamford, Judi; Akhurst, Jacqueline

    2014-01-01

    This study sought to explore the impact of ending therapy on counsellors working with children in schools. Five counsellors were interviewed and their responses were analysed using interpretative phenomenological analysis. Four master themes emerged, one of which, empathic identification, is the focus of this paper. The findings of this study…

  8. Peer Review.

    PubMed

    Wierzbinski-Cross, Heather

    Peer review for publication is fundamental to science-based fields, and nursing is no exception. Peer review provides benefits to the reviewer and the author(s) of the reviewed work. The purpose of this article is to provide readers with an explanation of how the peer review process works, what the responsibilities of a peer reviewer are, how to get involved in peer review, and the benefits of the review process.

  9. Improvement in diabetes care of underinsured patients enrolled in project dulce: a community-based, culturally appropriate, nurse case management and peer education diabetes care model.

    PubMed

    Philis-Tsimikas, Athena; Walker, Chris; Rivard, Lisa; Talavera, Gregory; Reimann, Joachim O F; Salmon, Michelle; Araujo, Rachel

    2004-01-01

    To improve clinical diabetes care, patient knowledge, and treatment satisfaction and to reduce health-adverse culture-based beliefs in underserved and underinsured populations with diabetes. A total of 153 high-risk patients with diabetes recruited from six community clinic sites in San Diego County, California were enrolled in a nurse case management (NCM) and peer education/empowerment group. Baseline and 1-year levels of HbA(1c), lipid parameters, systolic and diastolic blood pressure, knowledge of diabetes, culture-based beliefs in ineffective remedies, and treatment satisfaction were prospectively measured. The NCM and peer education/empowerment group was compared with 76 individuals in a matched control group (CG) derived from patients referred but not enrolled in Project Dulce. After 1 year in Project Dulce, the NCM and peer education/empowerment group had significant improvements in HbA(1c) (12.0-8.3%, P < 0.0001), total cholesterol (5.82-4.86 mmol/l, P < 0.0001), LDL cholesterol (3.39-2.79 mmol/l, P < 0.0001), and diastolic blood pressure (80-76 mmHg, P < 0.009), which were significantly better than in the CG, in which no significant changes were noted. Accepted American Diabetes Association standards of diabetes care, knowledge of diabetes (P = 0.024), treatment satisfaction (P = 0.001), and culture-based beliefs (P = 0.001) were also improved. A novel, culturally appropriate, community-based, nurse case management/peer education diabetes care model leads to significant improvement in clinical diabetes care, self-awareness, and understanding of diabetes in underinsured populations.

  10. Impact of Community Based Peer Support in Type 2 Diabetes: A Cluster Randomised Controlled Trial of Individual and/or Group Approaches

    PubMed Central

    Simmons, David; Prevost, A. Toby; Bunn, Chris; Holman, Daniel; Parker, Richard A.; Cohn, Simon; Donald, Sarah; Paddison, Charlotte A. M.; Ward, Candice; Robins, Peter; Graffy, Jonathan

    2015-01-01

    Background Diabetes peer support, where one person with diabetes helps guide and support others, has been proposed as a way to improve diabetes management. We have tested whether different diabetes peer support strategies can improve metabolic and/or psychological outcomes. Methods People with type 2 diabetes (n = 1,299) were invited to participate as either ‘peer’ or ‘peer support facilitator’ (PSF) in a 2x2 factorial randomised cluster controlled trial across rural communities (130 clusters) in England. Peer support was delivered over 8–12 months by trained PSFs, supported by monthly meetings with a diabetes educator. Primary end point was HbA1c. Secondary outcomes included quality of life, diabetes distress, blood pressure, waist, total cholesterol and weight. Outcome assessors and investigators were masked to arm allocation. Main factors were 1:1 or group intervention. Analysis was by intention-to-treat adjusting for baseline. Results The 4 arms were well matched (Group n = 330, 1:1(individual) n = 325, combined n = 322, control n = 322); 1035 (79•7%) completed the mid-point postal questionnaire and 1064 (81•9%) had a final HbA1c. A limitation was that although 92.6% PSFs and peers were in telephone contact, only 61.4% of intervention participants attended a face to face session. Mean baseline HbA1c was 57 mmol/mol (7•4%), with no significant change across arms. Follow up systolic blood pressure was 2•3mm Hg (0.6 to 4.0) lower among those allocated group peer-support and 3•0mm Hg (1.1 to 5.0) lower if the group support was attended at least once. There was no impact on other outcomes by intention to treat or significant differences between arms in self-reported adherence or medication. Conclusions Group diabetes peer support over 8–12 months was associated with a small improvement in blood pressure but no other significant outcomes. Long term benefits should be investigated. Trial Registration ISRCTN.com ISRCTN6696362166963621 PMID

  11. Blog enabled peer-to-peer learning.

    PubMed

    Hanson, Kami

    2011-01-01

    The purpose of this project was to simulate development of a community oral health plan using technology-based tools at the students' disposal. The specific research questions were: Will students use the Internet to identify community oral health issues and develop solutions to address the issues? Will blogs be a good tool to discuss and engage students in conversation with each other and to connect them with community oral health resources? How will blogging impact future academic and personal communications for the student? Dental hygiene students (n=30) participated in a community oral health course for 7 weeks. Students were asked to create a blog on which they would post weekly assignments and respond to 2 of their peer's blogs each week. Methods for data collection were post-treatment survey (15 items) analyzed for descriptive statistics and an analysis of written blog content according to a counting and coding scheme. Students used the Internet to identify issues and problem solving scenarios. Blogs were a good tool to engage students in discussions on oral health issues and peer-to-peer learning. Qualitative discourse analysis revealed evidence of critical thought and discourse throughout blog posts. Students referenced the Internet in blogs, while specific instances of resource sharing and provision of solutions to peers were less common. Students felt blogging encouraged them to engage with one another. Twenty percent of participating students have extended their use of blogging for both academic and personal purposes.

  12. Effectiveness and Feasibility of Weekly Iron and Folic Acid Supplementation to Adolescent Girls and Boys through Peer Educators at Community Level in the Tribal Area of Gujarat

    PubMed Central

    Shah, Shobha P; Shah, Pankaj; Desai, Shrey; Modi, Dhiren; Desai, Gaytri; Arora, Honey

    2016-01-01

    Background: Anemia during adolescence affects growth and development of girls and boys increasing their vulnerability to dropping out-of-school. Hence investing in preventing anemia during adolescence is critical for their survival, growth and development. Objective: To find out the burden of anemia on adolescent age group in the tribal area of Jhagadia block and to assess the change in the hemoglobin level through the weekly Iron and Folic Acid IFA (DOTS) directly observed treatment supplementation under Supervision by Peer Educators at Community level among adolescents. Methods: Community based intervention study conducted with adolescents (117 girls and 127 boys) aged 10-19 years, through supplementation of IFA (DOTS) by trained Peer Educators for 52 weeks in 5 tribal villages of Jhagadia. Hemoglobin level was determined by HemoCue method before and after intervention and sickle cell anemia by Electrophoresis method. Primary data on hemoglobin and number of tablets consumed was collected and statistically analyzed in SPSS 16.0 software by applying paired t-test. Results: The overall findings suggest that the prevalence of anemia reduced from 79.5% to 58% among adolescent girls and from 64% to 39% among boys. Mean rise of hemoglobin seen was 1.5 g/dl among adolescent boys and 1.3 g/dl among girls. A significant association was found in change in hemoglobin before and after intervention (P = 0.000) Conclusion: Prevalence of anemia among girls and boys can be reduced in their adolescent phase of life, through weekly supplementation of iron folic acid tablets under direct supervision and Nutrition Education by Peer Educator at community level. PMID:27051093

  13. Peer Pressure

    MedlinePlus

    ... Surgery? A Week of Healthy Breakfasts Shyness Peer Pressure KidsHealth > For Teens > Peer Pressure A A A ... for the school play. previous continue When the Pressure's On Sometimes, though, the stresses in your life ...

  14. Co-creating a Peer Education program to improve skin health in older people from diverse communities: An innovation in health promotion.

    PubMed

    Ogrin, Rajna; Brasher, Kathleen; Occleston, Jessica; Byrne, Jennifer

    2017-06-01

    Chronic wounds, debilitating and costly to manage, are more common in older people. Prevention is possible through improving skin health. We developed, implemented and evaluated an innovative health promotion program to improve skin health of older adults. A one-hour, peer education program was co-created and delivered to culturally diverse community-dwelling older people. A mixed-methods evaluation approach comprised objective measures of skin health and barrier function at commencement and six weeks posteducation, and focus groups posteducation. Seventy-three participants participated in the study (mean age 74.38 ± 11.80 years). Hydration significantly improved at follow-up for English speaking participants (t(27) = -2.90, P = 0.007). The majority of participants reported the education to be informative and useful in supporting behaviour changes. The peer education program improved skin hydration in older English speaking individuals. Peer education may effectively deliver health promotion information in some groups. © 2017 AJA Inc.

  15. Training to Be a Volunteer Rape Crisis Counsellor: A Qualitative Study of Women's Experiences

    ERIC Educational Resources Information Center

    Rath, Jean

    2008-01-01

    This is an account of a qualitative study designed to elicit and analyse the narratives of women who had trained to be volunteer counsellors at a Rape Crisis centre. Little prior research has focused on the experiences of workers in Rape Crisis centres and this project was designed to explore women's experiences in ways that were meaningful to…

  16. School Counsellors' Perceptions on Working with Student High-Risk Behaviour

    ERIC Educational Resources Information Center

    Harris, Gregory E.; Jeffery, Gary

    2010-01-01

    The current exploratory-descriptive study used a survey design method to examine guidance counsellors' and educational psychologists' perceptions of their preparation, motivation, and effectiveness in preventing, assessing, and intervening into student high-risk behaviour. The study also explored training associated with addressing high-risk…

  17. Teacher and Counsellor Perceptions of a School-Based Counselling Service in South Wales

    ERIC Educational Resources Information Center

    Hamilton-Roberts, Amy

    2012-01-01

    This small-scale study, based in a semi-rural South Wales Local Authority, sought to explore how both school-based counsellors and link-teachers perceive their school-based counselling services. The research aimed to answer three research questions: 1) what are the perceived impacts of the service? 2) what are the perceived attributes of the…

  18. Establishing Best Practice in School Counselling via Collaborative Leadership in the Counsellor-School Administrator Dyad

    ERIC Educational Resources Information Center

    Reavie, Michael S.

    2015-01-01

    School counselling services in Canada are inconsistent due to differing provincial guidelines. The lack of a national school counselling model and inconsistent provincial guidelines results in limited awareness of best practice and inconsistent services for students. Administrators and school counsellors have differing perspectives related to the…

  19. Supervision and the Management of Vicarious Traumatisation among Australian Telephone and Online Counsellors

    ERIC Educational Resources Information Center

    Furlonger, Brett; Taylor, Wendy

    2013-01-01

    The present study investigated the effects of supervision on the management of vicarious traumatisation among telephone and online counsellors on BoysTown Helplines. BoysTown Helplines include Kids Helpline, a 24-hour national counselling service for young people aged 5-25 years of age, and Parentline (PL), a counselling service for parents in…

  20. Child Sexual Abuse Reporting Behaviour by School Counsellors and Their Need for Further Education

    ERIC Educational Resources Information Center

    Goldman, Juliette D. G.; Padayachi, Usha K.

    2005-01-01

    Objective: To examine a statewide sample of school counsellors' reporting behaviour of suspected cases of child sexual abuse, and their need for further education in this area. Design: A questionnaire using four hypothetical vignettes on child sexual abuse requested information on the degree of suspicion, reporting behaviour and familiarity with…

  1. Assessing Risk: Confrontation or Avoidance?What Is Taught on Counsellor Training Courses

    ERIC Educational Resources Information Center

    Reeves, Andrew; Wheeler, Sue; Bowl, Ric

    2004-01-01

    Recent mental health policy development has focused on the assessment and management of risk in vulnerable clients. Counsellors have a significant role to play in delivering mental health care in a range of settings, with clients sometimes presenting with suicidal ideation, self-injury and a risk of violence. The aim of this research was to…

  2. Social and Vocational Adjustment in a Multicultural Society: Implications for the School Counsellor

    ERIC Educational Resources Information Center

    Elliston, Inez

    1977-01-01

    The author states the prerequisites to effective counseling for the school counsellor in a multi-cultural context are acceptance of a philosophy of equal opportunity for all students; proper understanding of cultural value frames of reference, and understanding of how cultural discontinuity may affect the self-identity of the newcomer. (Author)

  3. Raising Achievement with Adolescents in Secondary Education--The School Counsellor's Perspective

    ERIC Educational Resources Information Center

    Ryan, Julie Anne

    2007-01-01

    This qualitative study used data from semi-structured interviews with eight school counsellors working with adolescents in secondary education and asked them how they perceived counselling interventions as helping to raise achievement. The present context in secondary education is perceived as results led. This adheres to government policy as…

  4. Exploring Counsellor Perceptions of the Impact of Counselling Supervision on Clients

    ERIC Educational Resources Information Center

    Vallance, Kate

    2004-01-01

    This qualitative study explores counsellors' experiences and perceptions of how counselling supervision impacts their clients. The literature review highlights little research in this area. Data collection combined open-ended questionnaires and semi-structured interviews. Analysis was phenomenological incorporating participant validation. The…

  5. Weekend Formats in Counsellor Education: A Case Example in the United States

    ERIC Educational Resources Information Center

    McCarthy, John; Silliker, S. Alan

    2006-01-01

    Various course and program formats have been developed to better meet the needs of graduate students. One of them is the development of weekend-only courses and programs. This article examines one weekend counsellor education format in the United States, the St. Bonaventure University program offered in the Buffalo (New York) area, in detail. This…

  6. Experiences of Burnout, Self-Care, and Recovery of Female University Counsellors in Taiwan

    ERIC Educational Resources Information Center

    Lin, Yii-Nii

    2012-01-01

    The purpose of this study was to describe the burnout, self-care, and recovery experiences of female university counsellors working at a university counselling centre in Taiwan. The 9 participants had an average age of 42.44 years and had worked at the centre for an average of 11.3 years. A qualitative method of phenomenology with in-depth…

  7. The Life Story Board: A Feasibility Study of a Visual Interview Tool for School Counsellors

    ERIC Educational Resources Information Center

    Chase, Robert M.; Medina, Maria Fernanda; Mignone, Javier

    2012-01-01

    The article describes the findings of a pilot study of the Life Story Board (LSB), a novel visual information system with a play board and sets of magnetic cards designed to be a practical clinical tool for counsellors, therapists, and researchers. The LSB is similar to a multidimensional genogram, and serves as a platform to depict personal…

  8. The Role of School Counsellors and Psychologists in Supporting Transgender People

    ERIC Educational Resources Information Center

    Riggs, Damien W.; Bartholomaeus, Clare

    2015-01-01

    As growing numbers of transgender people--including students, parents, and educators--become visible within schools, so comes with this the requirement that schools ensure their full inclusion. This article suggests that school counsellors and psychologists have an important role to play in supporting transgender people within schools. As an…

  9. Exploring Counsellor Perceptions of the Impact of Counselling Supervision on Clients

    ERIC Educational Resources Information Center

    Vallance, Kate

    2004-01-01

    This qualitative study explores counsellors' experiences and perceptions of how counselling supervision impacts their clients. The literature review highlights little research in this area. Data collection combined open-ended questionnaires and semi-structured interviews. Analysis was phenomenological incorporating participant validation. The…

  10. Effects of a Sexual Health Education Programme on School Psychological Counsellor Candidates' Sexism Tendencies in Turkey

    ERIC Educational Resources Information Center

    Kahraman, Hanife

    2017-01-01

    This study examined the effects of a sexual health curriculum developed for school psychological counsellors in Turkey on the sexual health knowledge of the participating candidates, their beliefs in sexual myths and their tendencies towards ambivalent sexism and sexism in romantic relationships. The study adopted a semi-experimental design. Study…

  11. Abusive Partner Relationships in Secondary Schools: Identification and Intervention Strategies for School Counsellors

    ERIC Educational Resources Information Center

    Protivnak, Jake J.; McRoberts, Jessica L.

    2011-01-01

    School counsellors occasionally encounter students who are involved in abusive partner relationships that negatively impact their academic, career, and personal/social development. This article will briefly discuss the prevalence and types of abusive student relationships, strategies to assess for both victim and perpetrator, and professional…

  12. Working with Clients Who Engage in Self-Harming Behaviour: Experiences of a Group of Counsellors

    ERIC Educational Resources Information Center

    Fox, Claudine

    2011-01-01

    This study aimed to explore the experiences of a group of counsellors regarding working with clients who engage in self-harming behaviour, in order to gain an understanding of what it is like to work with this client group. A series of six individual, semi-structured qualitative interviews were carried out, which were then transcribed and analysed…

  13. Supervision and the Management of Vicarious Traumatisation among Australian Telephone and Online Counsellors

    ERIC Educational Resources Information Center

    Furlonger, Brett; Taylor, Wendy

    2013-01-01

    The present study investigated the effects of supervision on the management of vicarious traumatisation among telephone and online counsellors on BoysTown Helplines. BoysTown Helplines include Kids Helpline, a 24-hour national counselling service for young people aged 5-25 years of age, and Parentline (PL), a counselling service for parents in…

  14. Child Sexual Abuse Reporting Behaviour by School Counsellors and Their Need for Further Education

    ERIC Educational Resources Information Center

    Goldman, Juliette D. G.; Padayachi, Usha K.

    2005-01-01

    Objective: To examine a statewide sample of school counsellors' reporting behaviour of suspected cases of child sexual abuse, and their need for further education in this area. Design: A questionnaire using four hypothetical vignettes on child sexual abuse requested information on the degree of suspicion, reporting behaviour and familiarity with…

  15. Suffering Loves and Needs Company: Buddhist and Daoist Perspectives on the Counsellor as Companion

    ERIC Educational Resources Information Center

    Cohen, Avraham; Bai, Heesoon

    2008-01-01

    Mindful of living in a multicultural and cross-cultural society, this article introduces and presents Buddhist and Daoist philosophy, psychology, and practice along with the potential for their application in psychotherapy within the context of the theme of the psychotherapist or counsellor accompanying the suffering person. The theoretical…

  16. Experiences of Burnout, Self-Care, and Recovery of Female University Counsellors in Taiwan

    ERIC Educational Resources Information Center

    Lin, Yii-Nii

    2012-01-01

    The purpose of this study was to describe the burnout, self-care, and recovery experiences of female university counsellors working at a university counselling centre in Taiwan. The 9 participants had an average age of 42.44 years and had worked at the centre for an average of 11.3 years. A qualitative method of phenomenology with in-depth…

  17. Spirituality and Counselling: Are Counsellors Prepared to Integrate Religion and Spirituality into Therapeutic Work with Clients?

    ERIC Educational Resources Information Center

    Plumb, Alison M.

    2011-01-01

    An online survey of 341 Registered Clinical Counsellors in British Columbia was used to understand how therapists view and integrate spirituality and religion in their practice. Therapists were asked about their education and training in this realm, and about their perceived abilities, comfort, and competence when working with religious and/or…

  18. The Role of School Counsellors and Psychologists in Supporting Transgender People

    ERIC Educational Resources Information Center

    Riggs, Damien W.; Bartholomaeus, Clare

    2015-01-01

    As growing numbers of transgender people--including students, parents, and educators--become visible within schools, so comes with this the requirement that schools ensure their full inclusion. This article suggests that school counsellors and psychologists have an important role to play in supporting transgender people within schools. As an…

  19. Working with Clients Who Engage in Self-Harming Behaviour: Experiences of a Group of Counsellors

    ERIC Educational Resources Information Center

    Fox, Claudine

    2011-01-01

    This study aimed to explore the experiences of a group of counsellors regarding working with clients who engage in self-harming behaviour, in order to gain an understanding of what it is like to work with this client group. A series of six individual, semi-structured qualitative interviews were carried out, which were then transcribed and analysed…

  20. Reconsidering Sexual Identities: Intersectionality Theory and the Implications for Educating Counsellors

    ERIC Educational Resources Information Center

    Cheshire, Liane C.

    2013-01-01

    Counselling programs in Canada provide minimal training relating to lesbian, gay, and bisexual (LGB) issues and cultures. This article presents a theoretical argument proposing that counselling programs move away from educating counsellors about LGB issues through specialized courses based on multicultural approaches of difference and diversity…

  1. Empathy and Emotional Intelligence among Eastern and Western Counsellor Trainees: A Preliminary Study

    ERIC Educational Resources Information Center

    Young Kaelber, Kara A.; Schwartz, Robert C.

    2014-01-01

    This study explored degree of empathy and emotional intelligence among Thai (n?=?48) and American (n?=?53) counsellor trainees to determine if differences in Eastern and Western cultural orientations (e.g., interdependent versus independent self-construals) affect foundational counselling skills. Results indicated that Western trainees showed…

  2. Empathy and Emotional Intelligence among Eastern and Western Counsellor Trainees: A Preliminary Study

    ERIC Educational Resources Information Center

    Young Kaelber, Kara A.; Schwartz, Robert C.

    2014-01-01

    This study explored degree of empathy and emotional intelligence among Thai (n?=?48) and American (n?=?53) counsellor trainees to determine if differences in Eastern and Western cultural orientations (e.g., interdependent versus independent self-construals) affect foundational counselling skills. Results indicated that Western trainees showed…

  3. Scottish Secondary School Students' Preferences for Location, Format of Counselling and Sex of Counsellor

    ERIC Educational Resources Information Center

    Cooper, Mick

    2006-01-01

    Within the United Kingdom there is a significant revival of therapeutic counselling services in schools. This study looks at three factors which may affect students' willingness to attend such a service: location of the service (school-based or external); format (individual or group); and sex of counsellor. The views of 584 students from four…

  4. Enhancing the Reading of Peer-Reviewed Research in the Teaching English as a Second Language Community

    ERIC Educational Resources Information Center

    Rossiter, Marian J.; Abbott, Marilyn L.; Hatami, Sarvenaz

    2013-01-01

    Adult ESL instructors' engagement with research can enhance instruction but is "a minority activity in our field" (Borg, 2010, p391). We explored instructors' engagement with research; applied linguists' and instructors' conceptions of teacher-friendly, peer-reviewed research articles; and academics' commitment…

  5. Demotivating infant feeding counselling encounters in southern Africa: do counsellors need more or different training?

    PubMed

    Buskens, I; Jaffe, A

    2008-03-01

    Ethnographic research was conducted in eleven low-resource settings across Swaziland, Namibia and South Africa to explore how the perceptions and experiences of counselling health workers, pregnant women and recent mothers could be used to improve infant feeding counselling in the context of mother to child transmission (MTCT) of HIV. We found many counselling encounters to be demotivating. Mothers often reported feeling judged, stigmatised and shamed. Counsellors complained of mothers' poor compliance and passive resistance and reported suffering from stress, depression and burnout. We observed a rift between the mothers and counselling nurses, with both parties holding opposing agendas grounded in conflicting realities, expectations, experiences and needs. While the clients framed the visit as a consultation, counsellors framed it as health education, towards one exclusive purpose; to save the baby. Two communication modes prevailed in the counselling encounter: in theory, the counselling format was non-directive and client-centred but, in practice, most encounters reverted to information-based health education. Neither counselling format enabled the counsellors to acknowledge the reality of the two opposing agendas in the conversation and manage its dynamics. In order to achieve success - which, for the health service, is framed as persuading mothers to test for HIV and disclose the result - counsellors often felt compelled to be prescriptive and authoritative and reverted at times to confronting, judging and shaming mothers. Yet to adhere to their feeding choice consistently, mothers need to be motivated towards the significant behaviour change that this implies: to change their traditional roles and identities as women. For infant feeding counselling in the context of HIV/AIDS to become effective in southern Africa, a different format is therefore required; one that can acknowledge and manage these opposing agendas and conflicting realities and also enable

  6. A Community-based Participatory Research Approach to the Development of a Peer Navigator Health Promotion Intervention for People with Spinal Cord Injury

    PubMed Central

    Newman, Susan D.; Gillenwater, Gwen; Toatley, Sherwood; Rodgers, Marka D.; Todd, Nathan; Epperly, Diane; Andrews, Jeannette O.

    2014-01-01

    Background Recent trends indicate research targeting outcomes of importance to people with disabilities, such as spinal cord injury (SCI), may be best informed by those individuals; however, there are very few published rehabilitation intervention studies that include people with disabilities in the research process in a role beyond study participant. Objective To describe a community-based participatory research (CBPR) approach to the development and pilot testing of an intervention using community-based Peer Navigators with SCI to provide health education to individuals with SCI, with the goal of reducing preventable secondary conditions and rehospitalizations, and improving community participation. Methods A CBPR framework guides the research partnership between academic researchers and a community-based team of individuals who either have SCI or provide SCI-related services. Using this framework, the processes of our research partnership supporting the current study are described including: partnership formation, problem identification, intervention development, and pilot testing of the intervention. Challenges associated with CBPR are identified. Results Using CBPR, the SCI Peer Navigator intervention addresses the partnership’s priority issues identified in the formative studies. Utilization of the framework and integration of CBPR principles into all phases of research have promoted sustainability of the partnership. Recognition of and proactive planning for challenges that are commonly encountered in CBPR, such as sharing power and limited resources, has helped sustain our partnership. Conclusions The CBPR framework provides a guide for inclusion of individuals with SCI as research partners in the development, implementation, and evaluation of interventions intended to improve outcomes after SCI. PMID:25224988

  7. Developmental Associations Between Externalizing Behaviors, Peer Delinquency, Drug Use, Perceived Neighborhood Crime, and Violent Behavior in Urban Communities

    PubMed Central

    Brook, David W.; Brook, Judith S.; Rubenstone, Elizabeth; Zhang, Chenshu; Saar, Naomi S.

    2011-01-01

    This study examines the precursors of violent behavior among urban, racial/ethnic minority adults. Data are from an on-going study of male and female African Americans and Puerto Ricans, interviewed at four time waves, Time 1-Time 4 (T1-T4), from adolescence to adulthood. Structural Equation Modeling was used to analyze the developmental pathways, beginning in mid-adolescence (T1; X̄ age=14.0 years), to violent behavior in adulthood (T4; X̄ age=29.2 years). The variables assessed were: components of externalizing behaviors (i.e., rebelliousness, delinquency; T1, T3); illicit drug use (T2); peer delinquency (T2); perceived neighborhood crime (T4); and violent behavior (T3, T4). Results showed that the participants' externalizing behaviors (rebelliousness and delinquency) were relatively stable from mid-adolescence (T1; X̄ age=14.0 years) to early adulthood (T3; X̄ age=24.4 years). The participants' externalizing behaviors in mid-adolescence also had a direct pathway to peer delinquency in late adolescence (T2; X̄ age=19.1 years). Peer delinquency, in turn, had a direct pathway to the participants' illicit drug use in late adolescence (T2), and to externalizing behaviors in early adulthood (T3). The participants' illicit drug use (T2; X̄ age=19.1 years) had both direct and indirect paths to violent behavior in adulthood (T4). The participants' externalizing behaviors in early adulthood (T3) were linked with violent behavior at T3, and perceived neighborhood crime (T4), both of which had direct pathways to violent behavior in adulthood (T4). The findings suggest developmental periods during which externalizing behaviors, exposure to delinquent peers, illegal drug use, and neighborhood crime could be targeted by prevention and intervention programs in order to reduce violent behavior. PMID:21544831

  8. Developmental associations between externalizing behaviors, peer delinquency, drug use, perceived neighborhood crime, and violent behavior in urban communities.

    PubMed

    Brook, David W; Brook, Judith S; Rubenstone, Elizabeth; Zhang, Chenshu; Saar, Naomi S

    2011-01-01

    This study examines the precursors of violent behavior among urban, racial/ethnic minority adults. Data are from an on-going study of male and female African Americans and Puerto Ricans, interviewed at four time waves, Time 1-Time 4 (T1-T4), from adolescence to adulthood. Structural Equation Modeling was used to analyze the developmental pathways, beginning in mid-adolescence (T1; age = 14.0 years), to violent behavior in adulthood (T4; age = 29.2 years). The variables assessed were: components of externalizing behaviors (i.e., rebelliousness, delinquency; T1, T3); illicit drug use (T2); peer delinquency (T2); perceived neighborhood crime (T4); and violent behavior (T3, T4). Results showed that the participants' externalizing behaviors (rebelliousness and delinquency) were relatively stable from mid-adolescence (T1; age = 14.0 years) to early adulthood (T3; age = 24.4 years). The participants' externalizing behaviors in mid-adolescence also had a direct pathway to peer delinquency in late adolescence (T2; age = 19.1 years). Peer delinquency, in turn, had a direct pathway to the participants' illicit drug use in late adolescence (T2), and to externalizing behaviors in early adulthood (T3). The participants' illicit drug use (T2; age = 19.1 years) had both direct and indirect paths to violent behavior in adulthood (T4). The participants' externalizing behaviors in early adulthood (T3) were linked with violent behavior at T3, and perceived neighborhood crime (T4), both of which had direct pathways to violent behavior in adulthood (T4). The findings suggest developmental periods during which externalizing behaviors, exposure to delinquent peers, illegal drug use, and neighborhood crime could be targeted by prevention and intervention programs in order to reduce violent behavior.

  9. Chicago community-based asthma intervention trial: feasibility of delivering peer education in an inner-city population.

    PubMed

    Persky, V; Coover, L; Hernandez, E; Contreras, A; Slezak, J; Piorkowski, J; Curtis, L; Turyk, M; Ramakrishnan, V; Scheff, P

    1999-10-01

    The most effective means of educating children with asthma and their families has not been clearly demonstrated in previous studies. Peer education is uniquely suited to the complex problems encountered in underserved populations. The purpose of this study was to show the feasibility of delivering a peer education program for children with asthma and the effect of the program on indoor allergen levels in an inner-city population in Chicago. Overall, the program was well received. Baseline allergen levels were consistent with some previous studies in showing low levels of mite allergens and high levels of cockroach allergens, with 79.6% of samples having levels > 8 U/g. A total of 28.2% of samples had cat allergen levels > 2 microg/g, although only 9.7% of homes had cats, confirming previous reports that cat allergen is ubiquitous. Mold levels were seasonal, with the highest levels in the summer. Results from this study suggest that intervention programs should focus more on elimination of cockroaches than was previously appreciated, while minimizing the use of pesticides, and on identification of the sources of cat allergen. Structural and psychosocial issues in homes need to be addressed in future studies. This study has demonstrated the feasibility of delivering peer education in a inner-city population and highlighted the need for comprehensive intervention strategies addressing complex issues facing underserved neighborhoods.

  10. Let’s talk about sex: helping substance abuse counsellors address HIV prevention with men who have sex with men

    PubMed Central

    Spector, Anya Y.; Pinto, Rogério M.

    2012-01-01

    Integrating HIV prevention into substance abuse counselling is recommended to ameliorate the health outcomes of men who have sex with men. However, culture-based countertransferences (CBCs) may hamper this effort. Using a case illustration, this paper will explain the manifestation of CBCs held among substance abuse counsellors and how they hinder counsellors’ work with men who have sex with men. The following CBCs will be explored: distancing, topic avoidance, heteronormativity, assumptions and denying client strengths. These CBCs allow counsellors to avoid discussions about sexual practices and curtail HIV prevention counselling, while undermining the counsellor-client relationship. Based on the empirical literature on HIV and substance abuse prevention with men who have sex with men, we provide recommendations to help counsellors overcome CBCs and integrate HIV prevention consistently with men who are in treatment for substance abuse. PMID:21308577

  11. Integrating the public in mosquito management: active education by community peers can lead to significant reduction in peridomestic container mosquito habitats.

    PubMed

    Healy, Kristen; Hamilton, George; Crepeau, Taryn; Healy, Sean; Unlu, Isik; Farajollahi, Ary; Fonseca, Dina M

    2014-01-01

    Mosquito species that utilize peridomestic containers for immature development are commonly aggressive human biters, and because they often reach high abundance, create significant nuisance. One of these species, the Asian tiger mosquito Aedes albopictus, is an important vector of emerging infectious diseases, such as dengue, chikungunya, and Zika fevers. Integrated mosquito management (IMM) of Ae. albopictus is particularly difficult because it requires access to private yards in urban and suburban residences. It has become apparent that in the event of a public health concern due to this species, homeowners will have to be active participants in the control process by reducing mosquito habitats in their properties, an activity known as source reduction. However, limited attempts at quantifying the effect of source reduction by homeowners have had mixed results. Of note, many mosquito control programs in the US have some form of education outreach, however the primary approach is often passive focusing on the distribution of education materials as flyers. In 2010, we evaluated the use of active community peer education in a source reduction program, using AmeriCorps volunteers. The volunteers were mobilized over a 4-week period, in two areas with approximately 1,000 residences each in urban Mercer and suburban Monmouth counties in New Jersey, USA. The volunteers were first provided training on peridomestic mosquitoes and on basic approaches to reducing the number of container habitats for mosquito larvae in backyards. Within the two treatment areas the volunteers successfully engaged 758 separate homes. Repeated measures analysis of variance showed a significant reduction in container habitats in the sites where the volunteers actively engaged the community compared to untreated control areas in both counties. Our results suggest that active education using community peer educators can be an effective means of source reduction, and a critical tool in the arsenal

  12. Integrating the Public in Mosquito Management: Active Education by Community Peers Can Lead to Significant Reduction in Peridomestic Container Mosquito Habitats

    PubMed Central

    Healy, Kristen; Hamilton, George; Crepeau, Taryn; Healy, Sean; Unlu, Isik; Farajollahi, Ary; Fonseca, Dina M.

    2014-01-01

    Mosquito species that utilize peridomestic containers for immature development are commonly aggressive human biters, and because they often reach high abundance, create significant nuisance. One of these species, the Asian tiger mosquito Aedes albopictus, is an important vector of emerging infectious diseases, such as dengue, chikungunya, and Zika fevers. Integrated mosquito management (IMM) of Ae. albopictus is particularly difficult because it requires access to private yards in urban and suburban residences. It has become apparent that in the event of a public health concern due to this species, homeowners will have to be active participants in the control process by reducing mosquito habitats in their properties, an activity known as source reduction. However, limited attempts at quantifying the effect of source reduction by homeowners have had mixed results. Of note, many mosquito control programs in the US have some form of education outreach, however the primary approach is often passive focusing on the distribution of education materials as flyers. In 2010, we evaluated the use of active community peer education in a source reduction program, using AmeriCorps volunteers. The volunteers were mobilized over a 4-week period, in two areas with approximately 1,000 residences each in urban Mercer and suburban Monmouth counties in New Jersey, USA. The volunteers were first provided training on peridomestic mosquitoes and on basic approaches to reducing the number of container habitats for mosquito larvae in backyards. Within the two treatment areas the volunteers successfully engaged 758 separate homes. Repeated measures analysis of variance showed a significant reduction in container habitats in the sites where the volunteers actively engaged the community compared to untreated control areas in both counties. Our results suggest that active education using community peer educators can be an effective means of source reduction, and a critical tool in the arsenal

  13. Peer review.

    PubMed

    Micheli, A J; Modest, S

    1995-06-01

    Peer review is a major component of a professional practice and shared governance model in which professional staff nurses are given responsibility for practice and patient outcomes. Careful planning is necessary for the development of a peer-review program. Components include definition of roles, responsibilities, and performance standards, as well as the development of an evaluation tool and process. Peer review affords nurses many opportunities for growth and development and allows them to develop communication, evaluation, and presentation skills. The concept of peer review may expand to meet the needs of changing health-care delivery models.

  14. Early adolescent peer ecologies in rural communities: bullying in schools that do and do not have a transition during the middle grades.

    PubMed

    Farmer, Thomas W; Hamm, Jill V; Leung, Man-Chi; Lambert, Kerrylin; Gravelle, Maggie

    2011-09-01

    The transition to middle school is considered to be a heightened period for involvement in bullying because the lack of a defined dominance hierarchy is thought to promote jockeying for social positions among students. Accordingly, this study examined bullying in peer ecologies at the beginning of the middle grade years in rural schools that did and did not have a transition to middle school. Thirty-six schools (20 with transitions, 16 without transitions) participated in this research with a sample of 1,800 participants (52% female) who were in sixth grade during the second year of data collection. Overall, 67% were White, 19% African American, 7% Latino, 2% Native American, and 5% other (multi-racial, Asian, unknown). Compared to schools without a transition, schools with a transition had fewer bullies following the move from fifth to sixth grade and the social dynamics in schools with a transition appeared to be less supportive of bullying. Further, students in schools with a transition reported being bullied less frequently in sixth grade and they perceived the sixth grade peer ecology as being more protective against bullying than did students in schools without a transition. In addition, proportionally more youth had controversial sociometric status in schools without a transition during sixth grade than in schools with a transition. Collectively, these findings suggest that risk for involvement in bullying may be elevated in schools that do not have a transition to middle school. They also bring into question the conventional view of the small K-8 or K-12 rural school as a peaceful and supportive peer community.

  15. Mother's perceptions and experiences of infant feeding within a community-based peer counselling intervention in South Africa.

    PubMed

    Nor, Barni; Ahlberg, Beth Maina; Doherty, Tanya; Zembe, Yanga; Jackson, Debra; Ekström, Eva-Charlotte

    2012-10-01

    Exclusive breastfeeding (EBF) has the potential to significantly reduce infant mortality, but is frequently not practiced in low-income settings where infants are vulnerable to malnutrition and infections including human immunodeficiency virus (HIV). This study explores mothers' experiences of infant feeding after receiving peer counselling promoting exclusive breast or formula feeding. This qualitative study was embedded in a cluster randomized peer counselling intervention trial in South Africa that aimed to evaluate the effect of peer counselling on EBF. Participants were selected from the three districts that were part of the trial reflecting different socio-economic conditions, rural-urban locations and HIV prevalence rates. Seventeen HIV-positive and -negative mothers allocated to intervention clusters were recruited. Despite perceived health and economic benefits of breastfeeding, several barriers to EBF remained, which contributed to a preference for mixed feeding. The understanding of the promotional message of 'exclusive' feeding was limited to 'not mixing two milks': breast or formula and did not address early introduction of foods and other liquids. Further, a crying infant or an infant who did not sleep at night were given as strong reasons for introducing semi-solid foods as early as 1 month. In addition, the need to adhere to the cultural practice of 'cleansing' and the knowledge that this practice is not compatible with EBF appeared to promote the decision to formula feed in HIV-positive mothers. Efforts to reduce barriers to EBF need to be intensified and further take into account the strong cultural beliefs that promote mixed feeding.

  16. Feasibility of the trial procedures for a randomized controlled trial of a community-based peer-led wheelchair training program for older adults.

    PubMed

    Best, Krista L; Miller, William C; Routhier, François; Eng, Janice J

    2018-01-01

    A novel peer-led manual wheelchair (MWC) training program may support the training needs of older adults, but establishing program feasibility is a pragmatic first step. The purpose of this study was to evaluate the feasibility of a peer-led Wheelchair training Self-Efficacy Enhanced for Use (WheelSeeU) program. Forty MWC users (mean age 65 years) were randomly assigned to the experimental (WheelSeeU) or control group. Feasibility indicators of process, resources, management, and safety were collected throughout the study. The consent rate was 49%. Participant retention rate was 90% post-intervention and 87.5% at follow-up (6 months). All participants reported perceived benefits from WheelSeeU. Participants and trainers adhered to the study protocol (>90%), and fidelity of the WheelSeeU intervention was attained (>90%). There were no adverse events. WheelSeeU is an innovative and feasible approach for providing MWC training to older adults that is accessible beyond initial rehabilitation without increased clinician burden. With minor modifications, it is feasible that WheelSeeU can be administered to older adults living in the community. NCT01838135.

  17. Pollution Prevention through Peer Education: A Community Health Worker and Small and Home-Based Business Initiative on the Arizona-Sonora Border.

    PubMed

    Ramírez, Denise Moreno; Ramírez-Andreotta, Mónica D; Vea, Lourdes; Estrella-Sánchez, Rocío; Wolf, Ann Marie A; Kilungo, Aminata; Spitz, Anna H; Betterton, Eric A

    2015-09-09

    Government-led pollution prevention programs tend to focus on large businesses due to their potential to pollute larger quantities, therefore leaving a gap in programs targeting small and home-based businesses. In light of this gap, we set out to determine if a voluntary, peer education approach led by female, Hispanic community health workers (promotoras) can influence small and home-based businesses to implement pollution prevention strategies on-site. This paper describes a partnership between promotoras from a non-profit organization and researchers from a university working together to reach these businesses in a predominately Hispanic area of Tucson, Arizona. From 2008 to 2011, the promotora-led pollution prevention program reached a total of 640 small and home-based businesses. Program activities include technical trainings for promotoras and businesses, generation of culturally and language appropriate educational materials, and face-to-face peer education via multiple on-site visits. To determine the overall effectiveness of the program, surveys were used to measure best practices implemented on-site, perceptions towards pollution prevention, and overall satisfaction with the industry-specific trainings. This paper demonstrates that promotoras can promote the implementation of pollution prevention best practices by Hispanic small and home-based businesses considered "hard-to-reach" by government-led programs.

  18. Pollution Prevention through Peer Education: A Community Health Worker and Small and Home-Based Business Initiative on the Arizona-Sonora Border

    PubMed Central

    Moreno Ramírez, Denise; Ramírez-Andreotta, Mónica D.; Vea, Lourdes; Estrella-Sánchez, Rocío; Wolf, Ann Marie A.; Kilungo, Aminata; Spitz, Anna H.; Betterton, Eric A.

    2015-01-01

    Government-led pollution prevention programs tend to focus on large businesses due to their potential to pollute larger quantities, therefore leaving a gap in programs targeting small and home-based businesses. In light of this gap, we set out to determine if a voluntary, peer education approach led by female, Hispanic community health workers (promotoras) can influence small and home-based businesses to implement pollution prevention strategies on-site. This paper describes a partnership between promotoras from a non-profit organization and researchers from a university working together to reach these businesses in a predominately Hispanic area of Tucson, Arizona. From 2008 to 2011, the promotora-led pollution prevention program reached a total of 640 small and home-based businesses. Program activities include technical trainings for promotoras and businesses, generation of culturally and language appropriate educational materials, and face-to-face peer education via multiple on-site visits. To determine the overall effectiveness of the program, surveys were used to measure best practices implemented on-site, perceptions towards pollution prevention, and overall satisfaction with the industry-specific trainings. This paper demonstrates that promotoras can promote the implementation of pollution prevention best practices by Hispanic small and home-based businesses considered “hard-to-reach” by government-led programs. PMID:26371028

  19. Exploring the Meso-System: The Roles of Community, Family, and Peers in Adolescent Delinquency and Positive Youth Development

    ERIC Educational Resources Information Center

    Smith, Emilie Phillips; Faulk, Monique; Sizer, Monteic A.

    2016-01-01

    Community contexts are important ecological settings related to problem behavior and positive youth development (PYD). While substantial work has focused on neighborhood disadvantage, the current study explores the role of community assets, specifically linkages to important institutional resources and people in those settings. These concepts are…

  20. Exploring the Meso-System: The Roles of Community, Family, and Peers in Adolescent Delinquency and Positive Youth Development

    ERIC Educational Resources Information Center

    Smith, Emilie Phillips; Faulk, Monique; Sizer, Monteic A.

    2016-01-01

    Community contexts are important ecological settings related to problem behavior and positive youth development (PYD). While substantial work has focused on neighborhood disadvantage, the current study explores the role of community assets, specifically linkages to important institutional resources and people in those settings. These concepts are…

  1. Peer Assessment

    ERIC Educational Resources Information Center

    Topping, Keith J.

    2009-01-01

    Peer assessment is an arrangement for learners to consider and specify the level, value, or quality of a product or performance of other equal-status learners. Products to be assessed can include writing, oral presentations, portfolios, test performance, or other skilled behaviors. Peer assessment can be summative or formative. A formative view is…

  2. Internal and external factors in professional burnout of substance abuse counsellors in Croatia.

    PubMed

    Tatalović Vorkapić, Sanja; Mustapić, Jelena

    2012-01-01

    In this study, burnout and its internal and external factors were investigated among substance abuse counsellors (no. = 68) who worked in Centres for Prevention and Substance Abuse Treatment (no. = 18) in Croatia. Maslach Burnout Inventory was used which measured three burnout dimensions: emotional exhaustion, depersonalization and personal accomplishment; and questionnaire of internal and external burnout factors. The higher levels of emotional exhaustion and depersonalization, and the higher level of personal accomplishment were determined. Factors such as work conditions, emotions about us and work, work organization and certain personality traits showed significant relationship with three burnout dimensions. Overall, findings implicated a certain specificity of professional burnout in substance abuse counsellors, and the need for specific design of mental health care for them.

  3. Opportunities, ethical challenges, and lessons learned from working with peer research assistants in a multi-method HIV community-based research study in Ontario, Canada.

    PubMed

    Logie, Carmen; James, Llana; Tharao, Wangari; Loutfy, Mona R

    2012-10-01

    We discuss ethical challenges and opportunities experienced by peer research assistants (PRAs) in a multi-method HIV community-based research study in Ontario, Canada. We review lessons learned and best practices based on our experience conducting a qualitative investigation of research priorities with diverse women living with HIV (WLWH) and implementation of a cross-sectional survey with African, Caribbean, and Black WLWH. While some opportunities were similar across research phases for PRAs (e.g., skill building), distinct challenges emerged in qualitative and quantitative phases. For example, our training did not adequately prepare PRAs with focus group facilitation skills; at times, survey implementation became counseling sessions. Researchers should assess how best to support PRAs as part of multi-method research processes.

  4. Peer review and the publication process.

    PubMed

    Ali, Parveen Azam; Watson, Roger

    2016-10-01

    To provide an overview of the peer review process, its various types, selection of peer reviewers, the purpose and significance of the peer review with regard to the assessment and management of quality of publications in academic journals. Discussion paper. This paper draws on information gained from literature on the peer review process and the authors' knowledge and experience of contributing as peer reviewers and editors in the field of health care, including nursing. There are various types of peer review: single blind; double blind; open; and post-publication review. The role of the reviewers in reviewing manuscripts and their contribution to the scientific and academic community remains important.

  5. Positive Peer Support or Negative Peer Influence? The Role of Peers among Adolescents in Recovery High Schools

    PubMed Central

    Karakos, Holly

    2014-01-01

    Evidence from previous research suggests that peers at times exert negative influence and at other times exert positive influence on drug and alcohol use among adolescents in recovery. This study explores recovery high school staff members' perceptions of peer support among students in recovery high schools using qualitative interview data. Themes of peer support are discussed in terms of positive peer support, negative peer influence, peer relationships, and sense of community. In general, recovery school staff members discuss peers in the school as sources of positive support and peers outside the schools as sources of risky influence. Themes and quotes are presented to highlight the diverse ways that staff members discussed peer influence. Limitations of this study and suggestions for future research are discussed. PMID:24839335

  6. The establishment of core competencies for canadian genetic counsellors: validation of practice based competencies.

    PubMed

    Ferrier, Raechel Ann; Connolly-Wilson, Mary; Fitzpatrick, Jennifer; Grewal, Sonya; Robb, Laura; Rutberg, Julie; Lilley, Margaret

    2013-12-01

    Numerous groups of health professionals have undertaken the task of defining core competencies for their profession. The goal of establishing core competencies is to have a defined standard for such professional needs as practice guidelines, training curricula, certification, continuing competency and re-entry to practice. In 2006, the Canadian Association of Genetic Counsellors (CAGC) recognized the need for uniform practice standards for the profession in Canada, given the rapid progress of genetic knowledge and technologies, the expanding practice of genetic counsellors and the increasing demand for services. We report here the process by which the CAGC Practice Based Competencies were developed and then validated via two survey cycles, the first within the CAGC membership, and the second with feedback from external stakeholders. These competencies were formally approved in 2012 and describe the integrated skills, attitudes and judgment that genetic counsellors in Canada require in order to perform the services and duties that fall within the practice of the profession responsibly, safely, effectively and ethically.

  7. Contributions of Peer Support to Health, Health Care, and Prevention: Papers from Peers for Progress.

    PubMed

    Fisher, Edwin B; Ayala, Guadalupe X; Ibarra, Leticia; Cherrington, Andrea L; Elder, John P; Tang, Tricia S; Heisler, Michele; Safford, Monika M; Simmons, David

    2015-08-01

    SUBSTANTIAL: evidence documents the benefits of peer support provided by community health workers, lay health advisors, promotores de salud, and others. The papers in this supplement, all supported by the Peers for Progress program of the American Academy of Family Physicians Foundation, contribute to the growing body of literature addressing the efficacy, effectiveness, feasibility, reach, sustainability, and adoption of peer support for diabetes self-management. They and additional papers supported by Peers for Progress contribute to understanding how peer support can be implemented in real world settings. Topics include examination of the peers who provide peer support, reaching the hardly reached, success factors in peer support interventions, proactive approaches, attention to emotions, peer support in behavioral health, dissemination models and their application in China, peer support in the patient-centered medical home, research challenges, and policy implications.

  8. Contributions of Peer Support to Health, Health Care, and Prevention: Papers from Peers for Progress

    PubMed Central

    Fisher, Edwin B.; Ayala, Guadalupe X.; Ibarra, Leticia; Cherrington, Andrea L.; Elder, John P.; Tang, Tricia S.; Heisler, Michele; Safford, Monika M.; Simmons, David

    2015-01-01

    SUBSTANTIAL evidence documents the benefits of peer support provided by community health workers, lay health advisors, promotores de salud, and others. The papers in this supplement, all supported by the Peers for Progress program of the American Academy of Family Physicians Foundation, contribute to the growing body of literature addressing the efficacy, effectiveness, feasibility, reach, sustainability, and adoption of peer support for diabetes self-management. They and additional papers supported by Peers for Progress contribute to understanding how peer support can be implemented in real world settings. Topics include examination of the peers who provide peer support, reaching the hardly reached, success factors in peer support interventions, proactive approaches, attention to emotions, peer support in behavioral health, dissemination models and their application in China, peer support in the patient-centered medical home, research challenges, and policy implications. PMID:26304968

  9. Patients' self-efficacy within online health communities: facilitating chronic disease self-management behaviors through peer education.

    PubMed

    Willis, Erin

    2016-01-01

    In order to combat the growing burden of chronic disease, evidence-based self-management programs have been designed to teach patients about the disease and its affect on their lives. Self-efficacy is a key component in chronic disease self-management. This research used online ethnography and discourse analysis (N = 8,231) to examine self-efficacy within the computer-mediated communication (CMC) of four online health communities used by people with arthritis. Specifically, online opinion leaders were identified for examination. Across the four communities, there was a cyclical process that involved "disease veterans" sharing their experiences and gaining credibility within the community, new(er) members suffering from disease symptoms and sharing their experiences online, and finally, asking others for help with arthritis self-management behaviors. Three themes follow: (1) sharing disease experience, (2) suffering from disease symptoms, and (3) asking for help. Practical implications for health promotion and education are discussed.

  10. [Influence of Counsellor- and Intervention Variables on Motivation to Change Following a Brief Motivational Intervention to Reduce Risky Alcohol Use].

    PubMed

    Diestelkamp, Silke; Wartberg, Lutz; Arnaud, Nicolas; Thomasius, Rainer

    2016-09-01

    Influence of Counsellor- and Intervention Variables on Motivation to Change Following a Brief Motivational Intervention to Reduce Risky Alcohol Use Brief interventions are recommended for prevention and early intervention of risky alcohol use. However, evidence of their effectiveness, in particular for children and adolescents, is heterogeneous. Analysis of counsellor and intervention variables may provide insights into mechanisms of action in brief interventions and thereby contribute to an enhanced effectiveness. We analyzed data of N = 141 children and adolescents who were treated for acute alcohol intoxication in the emergency department. Study participants received a brief motivational intervention to reduce risky alcohol use during hospitalization. We applied multiple regression analysis to examine counsellor variables (empathy, affirmation, competence, congruence) and intervention variables (readiness and confidence ruler, decisional balance, goal agreement) as predictors of motivation to change. Higher scores on the basic therapeutic skill "positive affirmation" (R2 = 7.1 %; p < .01), finishing the intervention with a written goal agreement (R2 = 2.9 %; p < .05) and younger age were associated with greater readiness to change (R2 = 10.2 %; p < .01). Therefore, a special focus should be put on the counsellor skill "positive affirmation" when training new counsellors. Results also indicate that younger patients respond stronger to a brief intervention in this context.

  11. Predictive Effects of Social Anxiety on Increases in Future Peer Victimization for a Community Sample of Middle-School Youth

    ERIC Educational Resources Information Center

    Mulder, Saskia F.; Hutteman, Roos; van Aken, Marcel A. G.

    2017-01-01

    This longitudinal study focused on clarifying the direction of effects between social anxiety and victimization in a community-based sample. In addition, we studied the moderating effect of gender on this association. A total of 1,649 children (45% boys, approximately 12 years old) of 65 secondary-school classes participated in the study.…

  12. The Role of Community, Family, Peer, and School Factors in Group Bullying: Implications for School-Based Intervention

    ERIC Educational Resources Information Center

    Mann, Michael J.; Kristjansson, Alfgeir L.; Sigfusdottir, Inga Dora; Smith, Megan L.

    2015-01-01

    Background: Although an ecological perspective suggests the importance of multiple levels of intervention, most bullying research has emphasized individual- and school-focused strategies. This study investigated community and family factors that influence school efforts to reduce odds of group bullying behavior and victimization. Methods: We used…

  13. The Role of Community, Family, Peer, and School Factors in Group Bullying: Implications for School-Based Intervention

    ERIC Educational Resources Information Center

    Mann, Michael J.; Kristjansson, Alfgeir L.; Sigfusdottir, Inga Dora; Smith, Megan L.

    2015-01-01

    Background: Although an ecological perspective suggests the importance of multiple levels of intervention, most bullying research has emphasized individual- and school-focused strategies. This study investigated community and family factors that influence school efforts to reduce odds of group bullying behavior and victimization. Methods: We used…

  14. Students on Academic Probation at Bronx Community College: A Project in Peer-Mediated Self-Management Contracts. Report II.

    ERIC Educational Resources Information Center

    Santa Rita, Emilio

    The study described in this report was launched in Fall 1978 at Bronx Community College (BCC) to determine the efficacy of two procedures for enhancing the academic survival and study skills of students in academic difficulty. Introductory material looks at BCC's Operation Second Chance (OSC), one of these treatment procedures, which employs…

  15. The Comparison of the Effects of a Didactic Stress Management Program and Group Counselling on the Coping Strategies of School Counsellors

    ERIC Educational Resources Information Center

    Coban, Aysel Esen; Hamamci, Zeynep

    2009-01-01

    The aim of this study was to compare the effects of a didactic stress management program, group counselling, and a control group on school counsellors' stress coping strategies. Thirty-four school counsellors were randomly assigned to either a didactic stress management group, group counselling, or a control group. The didactic stress management…

  16. The Comparison of the Effects of a Didactic Stress Management Program and Group Counselling on the Coping Strategies of School Counsellors

    ERIC Educational Resources Information Center

    Coban, Aysel Esen; Hamamci, Zeynep

    2009-01-01

    The aim of this study was to compare the effects of a didactic stress management program, group counselling, and a control group on school counsellors' stress coping strategies. Thirty-four school counsellors were randomly assigned to either a didactic stress management group, group counselling, or a control group. The didactic stress management…

  17. Plausible role for CHW peer support groups in increasing care-seeking in an integrated community case management project in Rwanda: a mixed methods evaluation.

    PubMed

    Langston, Anne; Weiss, Jennifer; Landegger, Justine; Pullum, Thomas; Morrow, Melanie; Kabadege, Melene; Mugeni, Catherine; Sarriot, Eric

    2014-08-01

    The Kabeho Mwana project (2006-2011) supported the Rwanda Ministry of Health (MOH) in scaling up integrated community case management (iCCM) of childhood illness in 6 of Rwanda's 30 districts. The project trained and equipped community health workers (CHWs) according to national guidelines. In project districts, Kabeho Mwana staff also trained CHWs to conduct household-level health promotion and established supervision and reporting mechanisms through CHW peer support groups (PSGs) and quality improvement systems. The 2005 and 2010 Demographic and Health Surveys were re-analyzed to evaluate how project and non-project districts differed in terms of care-seeking for fever, diarrhea, and acute respiratory infection symptoms and related indicators. We developed a logit regression model, controlling for the timing of the first CHW training, with the district included as a fixed categorical effect. We also analyzed qualitative data from the final evaluation to examine factors that may have contributed to improved outcomes. While there was notable improvement in care-seeking across all districts, care-seeking from any provider for each of the 3 conditions, and for all 3 combined, increased significantly more in the project districts. CHWs contributed a larger percentage of consultations in project districts (27%) than in non-project districts (12%). Qualitative data suggested that the PSG model was a valuable sub-level of CHW organization associated with improved CHW performance, supervision, and social capital. The iCCM model implemented by Kabeho Mwana resulted in greater improvements in care-seeking than those seen in the rest of the country. Intensive monitoring, collaborative supervision, community mobilization, and CHW PSGs contributed to this success. The PSGs were a unique contribution of the project, playing a critical role in improving care-seeking in project districts. Effective implementation of iCCM should therefore include CHW management and social support

  18. Peer-Assisted Learning.

    ERIC Educational Resources Information Center

    Topping, Keith, Ed.; Ehly, Stewart, Ed.

    Peer-Assisted Learning (PAL) involves students consciously assisting others to learn, and in so doing, learning more effectively themselves. PAL encompasses peer tutoring, peer modeling, peer education, peer counseling, peer monitoring, and peer assessment, which are differentiated from other more general "cooperative learning" methods.…

  19. Peer-Assisted Learning.

    ERIC Educational Resources Information Center

    Topping, Keith, Ed.; Ehly, Stewart, Ed.

    Peer-Assisted Learning (PAL) involves students consciously assisting others to learn, and in so doing, learning more effectively themselves. PAL encompasses peer tutoring, peer modeling, peer education, peer counseling, peer monitoring, and peer assessment, which are differentiated from other more general "cooperative learning" methods.…

  20. Promoting Darfuri women’s psychosocial health: developing a war trauma counsellor training programme tailored to the person

    PubMed Central

    2013-01-01

    Women are considered special groups who are uniquely vulnerable in the context of war exposures. To effectively target the resources aimed at mitigating mental health consequences and optimising and maximising the use of mental health provisions, culturally relevant war trauma counsellor training is required. The objectives of this study are to promote a new philosophy in the Sudanese mental health care by introducing an integrative approach for targeted prevention and tailored treatments to the Darfuri person in a cost-effective way. Furthermore, the study provides evidence- and theory-based guidelines for developing a war trauma counsellor training programme in Sudan, mainly based on qualitative and quantitative studies among war-affected Darfuri female students. Cultural conceptualisations such as gender roles and religious expectations as well as theories that emphasise resilience and other psychosocial adaptation skills have been operationalised to reflect the totality of the Darfuri women’s experiences. Furthermore, the results of four interrelated studies among war-traumatised undergraduate Darfuri women who are internally displaced provide the basis that guides an outline for qualification development, capacity building and skills consolidation among Sudanese mental health care providers. Explicit war-related psychosocial needs assessment tools, specific war-related trauma counsellor training and particular counsellor characteristics, qualities and awareness that pertain to strengthening the efficacy of war trauma Sudanese counsellors are recommended. The aim is to produce expertly trained war trauma counsellors working with war-affected Darfuri women in particular and with regards to their helpfulness in responding to the psychosocial needs of war-exposed Sudanese in general. PMID:23531430

  1. Being "chill" with teachers and "frozen" by peers in science: overcoming social and educational barriers in a learning community

    NASA Astrophysics Data System (ADS)

    Kim, Hannah; Scantlebury, Kathryn

    2013-09-01

    This forum discusses the issue of `othering' and how intersectionality is a useful analytical framework for understanding the students' immigrant experiences in, and out of, the science classroom. We use a feminist perspective to discuss Minjung's study because gender is a key aspect of one's identity other aspects such as race, religion, socio-economic status, and age have assumed a significant status in gender studies. Lastly we examine the supports and barriers that cliques can produce and propose the importance of building a learning community in the science classroom to engage all students.

  2. The role of community, family, peer, and school factors in group bullying: implications for school-based intervention.

    PubMed

    Mann, Michael J; Kristjansson, Alfgeir L; Sigfusdottir, Inga Dora; Smith, Megan L

    2015-07-01

    Although an ecological perspective suggests the importance of multiple levels of intervention, most bullying research has emphasized individual- and school-focused strategies. This study investigated community and family factors that influence school efforts to reduce odds of group bullying behavior and victimization. We used multilevel logistic regression to analyze data from the 2009 Youth in Iceland population school survey (N = 7084, response rate: 83.5%, 50.8% girls). Parental support and time spent with parents were protective against group bullying behavior while worsening relationships with teachers and disliking school increased the likelihood of such behavior. Knowing kids in the area increased the likelihood of group bullying while intergenerational closure was a protective factor. Normlessness was consistently positively related to group bullying. We found no indication of higher-level relationships across the bullying models. Parental support was protective against victimization. Disliking school, intergenerational closure, and anomie/normlessness were strongly and negatively related to victimization. We found some indication of multilevel relationships for victimization. Findings support efforts to increase family and community connection, closure, and support as a part of school-based intervention. These factors become more important as young people participate in or experience greater odds of group bullying behavior and victimization. © 2015, American School Health Association.

  3. Differences between children and adolescents who commit suicide and their peers: A psychological autopsy of suicide victims compared to accident victims and a community sample

    PubMed Central

    2012-01-01

    Background The purpose of this study was to gain knowledge about the circumstances related to suicide among children and adolescents 15 years and younger. Methods We conducted a psychological autopsy, collecting information from parents, hospital records and police reports on persons below the age of 16 who had committed suicide in Norway during a 12-year period (1993-2004) (n = 41). Those who committed suicide were compared with children and adolescents who were killed in accidents during the same time period (n = 43) and with a community sample. Results: Among the suicides 25% met the criteria for a psychiatric diagnosis and 30% had depressive symptoms at the time of death. Furthermore, 60% of the parents of the suicide victims reported the child experienced some kind of stressful conflict prior to death, whereas only 12% of the parents of the accident victims reported such conflicts. Conclusion One in four suicide victims fulfilled the criteria for a psychiatric diagnosis. The level of sub-threshold depression and of stressful conflict experienced by youths who committed suicide did not appear to differ substantially from that of their peers, and therefore did not raise sufficient concern for referral to professional help. PMID:22216948

  4. HIV peer counseling and the development of hope: perspectives from peer counselors and peer counseling recipients.

    PubMed

    Harris, Gregory E; Larsen, Denise

    2007-11-01

    Peer counseling is becoming an increasingly viable treatment option when working with people living with HIV and AIDS, especially during the diagnostic process. Unfortunately, little research has looked at the perceived benefits of peer counseling from the perspectives of clients receiving the services and those providing the services. In addition, research suggests that hope can help people living with HIV to deal with the HIV diagnosis and to improve their lifestyles; however, the authors were unable to locate any research exploring the benefits of peer counseling in fostering the hope of people living with HIV/AIDS. The present paper, following a community-based research paradigm embedded within a qualitative case study methodology explores the benefits of peer support counseling from the perspective of 12 participants living with HIV who have had experiences with peer counseling. Participants identified several thematic benefits of peer support counseling, including the role of peer counselors in the process of fostering hope. Roles and benefits of peer counseling, in relation to the facilitation of hope for people living with HIV/AIDS, suggest potentially interesting implications for future research and practice in HIV/AIDS care.

  5. Dealing with Peer Pressure

    MedlinePlus

    ... Video: Getting an X-ray Dealing With Peer Pressure KidsHealth > For Kids > Dealing With Peer Pressure Print ... talk about how to handle it. Defining Peer Pressure Peers influence your life, even if you don' ...

  6. Dealing with Peer Pressure

    MedlinePlus

    ... Happens in the Operating Room? Dealing With Peer Pressure KidsHealth > For Kids > Dealing With Peer Pressure A ... talk about how to handle it. Defining Peer Pressure Peers influence your life, even if you don' ...

  7. Canadian Community College Counselling Services--How Are They Staffed?

    ERIC Educational Resources Information Center

    Johnston, E. F.; Miles, F. A.

    1975-01-01

    Because little is known about counselling services in Canadian community colleges, the authors sent questionnaires to 179 post-secondary, non-university, educational institutions and received replies from 83. Data on numbers of counseling personnel, their educational level, salaries, counsellor-student ratios, support staff, and other relevant…

  8. Plausible role for CHW peer support groups in increasing care-seeking in an integrated community case management project in Rwanda: a mixed methods evaluation

    PubMed Central

    Langston, Anne; Weiss, Jennifer; Landegger, Justine; Pullum, Thomas; Morrow, Melanie; Kabadege, Melene; Mugeni, Catherine; Sarriot, Eric

    2014-01-01

    ABSTRACT Background: The Kabeho Mwana project (2006–2011) supported the Rwanda Ministry of Health (MOH) in scaling up integrated community case management (iCCM) of childhood illness in 6 of Rwanda's 30 districts. The project trained and equipped community health workers (CHWs) according to national guidelines. In project districts, Kabeho Mwana staff also trained CHWs to conduct household-level health promotion and established supervision and reporting mechanisms through CHW peer support groups (PSGs) and quality improvement systems. Methods: The 2005 and 2010 Demographic and Health Surveys were re-analyzed to evaluate how project and non-project districts differed in terms of care-seeking for fever, diarrhea, and acute respiratory infection symptoms and related indicators. We developed a logit regression model, controlling for the timing of the first CHW training, with the district included as a fixed categorical effect. We also analyzed qualitative data from the final evaluation to examine factors that may have contributed to improved outcomes. Results: While there was notable improvement in care-seeking across all districts, care-seeking from any provider for each of the 3 conditions, and for all 3 combined, increased significantly more in the project districts. CHWs contributed a larger percentage of consultations in project districts (27%) than in non-project districts (12%). Qualitative data suggested that the PSG model was a valuable sub-level of CHW organization associated with improved CHW performance, supervision, and social capital. Conclusions: The iCCM model implemented by Kabeho Mwana resulted in greater improvements in care-seeking than those seen in the rest of the country. Intensive monitoring, collaborative supervision, community mobilization, and CHW PSGs contributed to this success. The PSGs were a unique contribution of the project, playing a critical role in improving care-seeking in project districts. Effective implementation of i

  9. Recommendations for peer-to-peer support for NICU parents

    PubMed Central

    Hall, S L; Ryan, D J; Beatty, J; Grubbs, L

    2015-01-01

    Peer-to-peer support provided by ‘veteran' neonatal intensive care unit (NICU) parents to those with current NICU babies is a legitimate and unique form of support that can complement or supplement, but not replace, services provided by professional NICU staff. Peer support can be delivered through hospital- or community-based programs that offer one-to-one in-person or telephone matches, or support groups that meet in-person or via the Internet. Issues in program development, volunteer training and program operation are discussed. Recommendations for offering peer support to all NICU parents as an integral component of family-centered care and comprehensive family support are presented. PMID:26597805

  10. Secondary Trauma and Job Burnout and Associated Factors among HIV Lay Counsellors in Nkangala District, South Africa

    ERIC Educational Resources Information Center

    Peltzer, Karl; Matseke, Gladys; Louw, Julia

    2014-01-01

    The aim of this study was to evaluate secondary trauma and job burnout and associated factors in a sample of 71 HIV lay counsellors in South Africa. Results indicate that 49.5% were not satisfied with their work environment and 51.4% were potentially secondary traumatic stress cases. In univariate analysis, seeing more HIV counselling and testing…

  11. "Have You Talked with a Teacher Yet?": How Helpline Counsellors Support Young Callers Being Bullied at School

    ERIC Educational Resources Information Center

    Danby, Susan; Butler, Carly W.; Emmison, Michael

    2011-01-01

    When seeking help and support about being bullied, children and young people weigh up the benefits and risks of talking to their friends, parents, teachers and counsellors about their experiences. The focus of this article is calls to an Australian helpline for children and young people where the strategy of "talking to the teacher" is…

  12. Personality Traits and Socio-Demographic Variables as Correlates of Counselling Effectiveness of Counsellors in Enugu State, Nigeria

    ERIC Educational Resources Information Center

    Onyekuru, Bruno U.; Ibegbunam, Josephat

    2015-01-01

    Quality personality traits and socio-demographic variables are essential elements of effective counselling. This correlational study investigated personality traits and socio-demographic variables as predictors of counselling effectiveness of counsellors in Enugu State. The instruments for data collection were Personality Traits Assessment Scale…

  13. The School Counsellor and Students' Career Choice in High School: The Assessor's Perspective in a Ghanaian Case

    ERIC Educational Resources Information Center

    Amoah, Samuel Asare; Kwofie, Isaac; Kwofie, Faustina Akosua Agyeiwaa

    2015-01-01

    School counsellors play significant role in the total development of students in respect to career choices. In view of that career development interventions are provide to support the provision of information to guide students make well informed choices in personal, academic and social aspects. This study thus, aimed to examine whether the role of…

  14. Dimensions of Cognitive Dissonance and the Level of Job Satisfaction among Counsellors in Delta and Edo States, Nigeria

    ERIC Educational Resources Information Center

    Oduh, William Akporobaroh

    2016-01-01

    This study examined the dimensions of cognitive dissonance and the extent to which cognitive dissonance could influence the level of job satisfaction of guidance counsellors. The study was guided by three research questions and one null hypothesis. The design of the study was correlational survey. The population of the study was 158 practising…

  15. Buying into the Profession: Looking at the Impact on Students of Expert Videotape Demonstrations in Counsellor Education

    ERIC Educational Resources Information Center

    Keats, Patrice A.

    2008-01-01

    From analysing qualitative questionnaires, a group interview, and instructor interviews, this study explores the impact of viewing expert demonstration videotapes on students' learning processes, their identification as counsellors, and understanding of the counselling profession. Commonly, students selectively choose what they see and how they…

  16. The Effects of Counsellor Gender and Problem Type on Help-Seeking Attitudes among Turkish High School Students

    ERIC Educational Resources Information Center

    Yilmaz-Gozu, Hamide

    2013-01-01

    The present study explores gender differences in help-seeking attitudes and the effects of counsellor gender and problem type on those attitudes among Turkish high school students. The Attitudes towards Seeking Help Scale and a survey instrument concerning related factors were administered to 342 adolescents. ANOVAs show that male and female…

  17. Stress Coping Strategies among Guidance Counsellors in the Performance of Their Jobs in Secondary Schools Delta North Senatorial District

    ERIC Educational Resources Information Center

    Onoyase, Anna

    2015-01-01

    The study was set out to investigate stress coping strategies among Guidance Counsellors in the performance of their jobs. One research question and four hypotheses were formulated to guide the study. Two instruments were used to collect data for the study. One hundred and ten copies of the instruments were administered on one hundred and ten…

  18. Buying into the Profession: Looking at the Impact on Students of Expert Videotape Demonstrations in Counsellor Education

    ERIC Educational Resources Information Center

    Keats, Patrice A.

    2008-01-01

    From analysing qualitative questionnaires, a group interview, and instructor interviews, this study explores the impact of viewing expert demonstration videotapes on students' learning processes, their identification as counsellors, and understanding of the counselling profession. Commonly, students selectively choose what they see and how they…

  19. Secondary Trauma and Job Burnout and Associated Factors among HIV Lay Counsellors in Nkangala District, South Africa

    ERIC Educational Resources Information Center

    Peltzer, Karl; Matseke, Gladys; Louw, Julia

    2014-01-01

    The aim of this study was to evaluate secondary trauma and job burnout and associated factors in a sample of 71 HIV lay counsellors in South Africa. Results indicate that 49.5% were not satisfied with their work environment and 51.4% were potentially secondary traumatic stress cases. In univariate analysis, seeing more HIV counselling and testing…

  20. International Registry of Counsellor Education Programs: CACREP's Contribution to the Development of Counseling as a Global Profession

    ERIC Educational Resources Information Center

    Stanard, Rebecca Powell

    2013-01-01

    This article addresses the issues and challenges involved in the development of the counseling profession internationally and the role that quality assurance plays in its development. It chronicles the development of the International Registry for Counsellor Education Programs and its contributions, a critical analysis of the strengths and…

  1. The Effects of Counsellor Gender and Problem Type on Help-Seeking Attitudes among Turkish High School Students

    ERIC Educational Resources Information Center

    Yilmaz-Gozu, Hamide

    2013-01-01

    The present study explores gender differences in help-seeking attitudes and the effects of counsellor gender and problem type on those attitudes among Turkish high school students. The Attitudes towards Seeking Help Scale and a survey instrument concerning related factors were administered to 342 adolescents. ANOVAs show that male and female…

  2. Psycho-Educational Assessment of Specific Learning Disabilities: Views and Practices of Australian Psychologists and Guidance Counsellors

    ERIC Educational Resources Information Center

    Meteyard, John D.; Gilmore, Linda

    2015-01-01

    This article reports an investigation of the views and practices of 203 Australian psychologists and guidance counsellors with respect to psycho-educational assessment of students with specific learning disabilities (SLDs). Results from an online survey indicated that practitioners draw upon a wide range of theoretical perspectives when…

  3. Psycho-Educational Assessment of Specific Learning Disabilities: Views and Practices of Australian Psychologists and Guidance Counsellors

    ERIC Educational Resources Information Center

    Meteyard, John D.; Gilmore, Linda

    2015-01-01

    This article reports an investigation of the views and practices of 203 Australian psychologists and guidance counsellors with respect to psycho-educational assessment of students with specific learning disabilities (SLDs). Results from an online survey indicated that practitioners draw upon a wide range of theoretical perspectives when…

  4. International Registry of Counsellor Education Programs: CACREP's Contribution to the Development of Counseling as a Global Profession

    ERIC Educational Resources Information Center

    Stanard, Rebecca Powell

    2013-01-01

    This article addresses the issues and challenges involved in the development of the counseling profession internationally and the role that quality assurance plays in its development. It chronicles the development of the International Registry for Counsellor Education Programs and its contributions, a critical analysis of the strengths and…

  5. Digital Divide in the Utilization of Information and Communication Technology (ICT) in Counsellor Education in Nigerian Universities

    ERIC Educational Resources Information Center

    Eyo, Mfon

    2014-01-01

    This study investigated digital divide in the utilization of Information and Communication Technology (ICT) in counsellor education in Nigerian universities. It had two research questions and two hypotheses tested at 0.05 level of significance. It adopted a survey design and used ICT Utilization Questionnaire (IUQ) in gathering data from the…

  6. CDMRP: Fostering Innovation Through Peer Review

    DTIC Science & Technology

    2010-01-01

    objectives. Research proposals (applications) are reviewed using a two-tiered process that includes peer review panels that evaluate scientific merit...that will have an impact on the communities affected by the relevant illness, injury, or disorder. Scientific peer review is executed using a dynamic...CDMRP’s peer review processes support the organization’s mission to fund innovative, high-impact research.

  7. From parent to 'peer facilitator': a qualitative study of a peer-led parenting programme.

    PubMed

    Thomson, S; Michelson, D; Day, C

    2015-01-01

    Peer-led interventions are increasingly common in community health settings. Although peer-led approaches have proven benefits for service users, relatively little is known about the process and outcomes of participation for peer leaders. This study investigated experiences of parents who had participated as 'peer facilitators' in Empowering Parents, Empowering Communities (EPEC), a peer-led programme designed to improve access to evidence-based parenting support in socially disadvantaged communities. A qualitative cross-sectional design was used. Semi-structured interviews were conducted with 14 peer facilitators and scrutinized using thematic analysis. Peer facilitators developed their knowledge and skills through personal experience of receiving parenting support, participation in formal training and supervised practice, access to an intervention manual, and peer modelling. Peer facilitators described positive changes in their own families, confidence and social status. Transformative personal gains reinforced peer facilitators' role commitment and contributed to a cohesive 'family' identity among EPEC staff and service users. Peer facilitators' enthusiasm, openness and mutual identification with families were seen as critical to EPEC's effectiveness and sustainability. Peer facilitators also found the training emotionally and intellectually demanding. There were particular difficulties around logistical issues (e.g. finding convenient supervision times), managing psychosocial complexity and child safeguarding. The successful delivery and sustained implementation of peer-led interventions requires careful attention to the personal qualities and support of peer leaders. Based on the findings of this study, support should include training, access to intervention manuals, regular and responsive supervision, and logistical/administrative assistance. Further research is required to elaborate and extend these findings to other peer-led programmes. © 2014 John Wiley

  8. Peer support: a theoretical perspective.

    PubMed

    Mead, S; Hilton, D; Curtis, L

    2001-01-01

    This article offers one theoretical perspective of peer support and attempts to define the elements that, when reinforced through education and training, provide a new cultural context for healing and recovery. Persons labeled with psychiatric disability have become victims of social and cultural ostracism and consequently have developed a sense of self that reinforces the "patient" identity. Enabling members of peer support to understand the nature and impact of these cultural forces leads individuals and peer communities toward a capacity for personal, relational, and social change. It is our hope that consumers from all different types of programs (e.g. drop-in, social clubs, advocacy, support, outreach, respite), traditional providers, and policy makers will find this article helpful in stimulating dialogue about the role of peer programs in the development of a recovery based system.

  9. The "Peer" in "Peer Review"

    USGS Publications Warehouse

    Perry, Gad; Bertoluci, Jaime; Bury, Bruce; Hansen, Robert W.; Jehle, Robert; Measey, John; Moon, Brad R.; Muths, Erin; Zuffi, Marco A.L.

    2011-01-01

    Peer review is the best available mechanism for assessing and improving the quality of scientific work. As herpetology broadens its disciplinary and geographic boundaries, high-quality external review is ever more essential. We are writing this editorial jointly because the review process has become increasingly difficult. The resulting delays slow publication times, negatively affect performance reviews, tenure, promotions, and grant proposal success. It harms authors, agencies, and institutions (Ware 2011).

  10. Peer Tutoring--an Effective Coaching Tool.

    ERIC Educational Resources Information Center

    Parker, Micah; Sharpe, Tom

    1995-01-01

    Using a peer tutoring strategy can help school and community athletic coaches and physical education teachers improve the frequency of instructional and social support behavior during practice and game situations. The paper describes and summarizes documentation of a peer instructional strategy in a small liberal arts college that was designed to…

  11. Writing Quality Peer Reviews of Research Manuscripts

    ERIC Educational Resources Information Center

    Ward, Phillip; Graber, Kim C.; van der Mars, Hans

    2015-01-01

    Peer review is an important mechanism for advancing knowledge in a manner deemed as acceptable by the research community. It can also serve the function of providing guidance to an author(s) to improve the likelihood that manuscripts will be accepted in peer reviewed journals. There is, however, little assistance for new or existing reviewers of…

  12. Writing Quality Peer Reviews of Research Manuscripts

    ERIC Educational Resources Information Center

    Ward, Phillip; Graber, Kim C.; van der Mars, Hans

    2015-01-01

    Peer review is an important mechanism for advancing knowledge in a manner deemed as acceptable by the research community. It can also serve the function of providing guidance to an author(s) to improve the likelihood that manuscripts will be accepted in peer reviewed journals. There is, however, little assistance for new or existing reviewers of…

  13. Opposites Detract: Middle School Peer Group Antipathies

    ERIC Educational Resources Information Center

    Laursen, Brett; Bukowski, William M.; Nurmi, Jari-Eri; Marion, Donna; Salmela-Aro, Katariina; Kiuru, Noona

    2010-01-01

    This study examines variability in patterns of peer group antipathy. Same-grade adolescent peer groups were identified from sociometric nominations of preferred affiliates in a community sample of 600 Finnish ninth-grade middle school students (mean age = 15.0 years). Hierarchical linear modeling determined characteristics of youths in actor…

  14. Peer Managed Token Economies: Evaluation and Description.

    ERIC Educational Resources Information Center

    Bedell, Jeffrey R.; Archer, Robert P.

    1980-01-01

    Results indicate equivalent levels of patient performance when contingent reinforcement in a residential token economy program was controlled by either patient peer groups or staff. Patients in a peer-managed program showed positive ward behavior, reductions in psychosocial problems, and increase in potential for adjusting to community life.…

  15. Opposites Detract: Middle School Peer Group Antipathies

    ERIC Educational Resources Information Center

    Laursen, Brett; Bukowski, William M.; Nurmi, Jari-Eri; Marion, Donna; Salmela-Aro, Katariina; Kiuru, Noona

    2010-01-01

    This study examines variability in patterns of peer group antipathy. Same-grade adolescent peer groups were identified from sociometric nominations of preferred affiliates in a community sample of 600 Finnish ninth-grade middle school students (mean age = 15.0 years). Hierarchical linear modeling determined characteristics of youths in actor…

  16. "Peer but not peer": considering the context of infant feeding peer counseling in a high HIV prevalence area.

    PubMed

    Nor, Barni; Zembe, Yanga; Daniels, Karen; Doherty, Tanya; Jackson, Debra; Ahlberg, Beth Maina; Ekström, Eva-Charlotte

    2009-11-01

    Postnatal transmission of HIV through breastfeeding remains an unsolved problem in resource poor settings, where refraining from breastfeeding is neither feasible nor safe. This study describes how women experienced infant-feeding peer counseling within a community-based intervention trial in 3 settings in South Africa. In total, 17 interviews and 10 observations were done with HIV-infected and uninfected women. The findings raise questions on the concept of "peer." Some women feared the peer counselor visits and questioned their intentions. Others, especially HIV-infected women, valued peer counseling for the emotional support provided. Being HIV infected with limited or no network of support appeared stressful for most women. The effects of data collection on the delivery and uptake of peer counseling are discussed. The findings underline the contextual barriers facing peer counselors and show that these challenges could have important implications for the effectiveness of infant-feeding counseling in high HIV prevalence countries.

  17. Counsellors contact dementia caregivers - predictors of utilisation in a longitudinal study

    PubMed Central

    2010-01-01

    Background Counselling of family members is an established procedure in the support of dementia patients' relatives. In absence of widespread specialised dementia care services in most countries, however, counselling services are often not taken up or only very late in the course of the disease. Object In order to promote acceptance of this service, a new counselling concept was implemented where general practitioners recommended family counsellors, who then actively contacted the family caregivers to offer counselling ("Counsellors Contact Caregivers", CCC). The research questions were: To what extent can the rate of family counselling be increased by CCC? What are the predictors for usage of this form of family counselling? Methods The study started in June 2006 in Middle Franconia for patients with mild to moderate dementia. At baseline, 110 family caregivers were offered counselling based on the CCC guideline. Data was analysed from 97 patient-caregiver dyads who received counselling for one year. The mean age of the patients with dementia (67 women and 30 men) was 80.7 years (SD = 6.2). The mean age of their primary family caregivers (68 women, 23 men) was 60.8 years (SD = 13.8). Results 35 family members (36%) made use of more extensive counselling (more than one personal contact). By contrast, 29 family members (30%) had no personal contact or only one personal contact (33 cases, 34%). The factors "spouse" (p = .001) and "degree of care" (p = .005) were identified as significant predictors for acceptance of extensive counselling. Conclusions Actively contacting patients and their caregivers is a successful means of establishing early and frequent contact with family members of patients with mild to moderate dementia. Use of extensive counselling is made especially by spouses of patients requiring intensified care. Trial Registration ISRCTN68329593 PMID:20470365

  18. Peer review in forensic science.

    PubMed

    Ballantyne, Kaye N; Edmond, Gary; Found, Bryan

    2017-08-01

    Peer review features prominently in the forensic sciences. Drawing on recent research and studies, this article examines different types of peer review, specifically: editorial peer review; peer review by the scientific community; technical and administrative review; and verification (and replication). The article reviews the different meanings of these quite disparate activities and their utility in relation to enhancing performance and reducing error. It explains how forensic practitioners should approach and use peer review, as well as how it should be described in expert reports and oral testimony. While peer review has considerable potential, and is a key component of modern quality management systems, its actual value in most forensic science settings has yet to be determined. In consequence, forensic practitioners should reflect on why they use specific review procedures and endeavour to make their actual practices and their potential value transparent to consumers; whether investigators, lawyers, jurors or judges. Claims that review increases the validity of a scientific technique or accuracy of opinions within a particular case should be avoided until empirical evidence is available to support such assertions. Copyright © 2017 Elsevier B.V. All rights reserved.

  19. A Model for Foxy Peer-to-Peer Network Investigations

    NASA Astrophysics Data System (ADS)

    Ieong, Ricci; Lai, Pierre; Chow, Kam-Pui; Law, Frank; Kwan, Michael; Tse, Kenneth

    In recent years, peer-to-peer (P2P) applications have become the dominant form of Internet traffic. Foxy, a Chinese community focused filesharing tool, is increasingly being used to disseminate private data and sensitive documents in Hong Kong. Unfortunately, its scattered design and a highly distributed network make it difficult to locate a file originator. This paper proposes an investigative model for analyzing Foxy communications and identifying the first uploaders of files. The model is built on the results of several experiments, which reveal behavior patterns of the Foxy protocol that can be used to expose traces of file originators.

  20. Peer Response That Works.

    ERIC Educational Resources Information Center

    Schaffer, Jane

    1996-01-01

    Describes a method of peer review in which peers read each other's papers while writing questions to inspire invention and elaboration in their partners. Describes a four-day sequence for introducing the peer-review method. (TB)

  1. How can we build resilience in primary school aged children? The importance of social support from adults and peers in family, school and community settings.

    PubMed

    Stewart, D; Sun, J

    2004-01-01

    This study examines the association between firstly, student resiliency and their perceptions of social support from parents/caregivers, teachers, and peers, and secondly, between student's perception of their general health status and their social support. A cross-sectional research project was designed and conducted in 2003 in an urban and remote area of Queensland, Australia. The study population comprised of 2580 students (Years three, five, and seven) across 20 primary schools. The main outcome measures were self-reported health status and resiliency behaviours. Independent variables included student perceptions of support from parents/caregivers, teachers, school peers, and prosocial groups. Students who perceived parents, teachers, and peers as supportive were more likely to have higher resiliency behaviour in communication and cooperation, self-esteem, empathy, help-seeking, goals and aspirations. Students who considered that their parents, peers at school and prosocial groups were supportive, were more likely to feel healthy. Findings suggest that providing adult and peer support to students at primary school age is a vital strategy in promoting student resiliency and general health for children of primary school age.

  2. Measuring the quality of editorial peer review.

    PubMed

    Jefferson, Tom; Wager, Elizabeth; Davidoff, Frank

    2002-06-05

    The quality of a process can only be tested against its agreed objectives. Editorial peer-review is widely used, yet there appears to be little agreement about how to measure its effects or processes. To identify outcome measures used to assess editorial peer review as performed by biomedical journals, we analyzed studies identified from 2 systematic reviews that measured the effects of editorial peer review on the quality of the output (ie, published articles) or of the process itself (eg, reviewers' comments). Ten studies used a variety of instruments to assess the quality of articles that had undergone peer review. Only 1, nonrandomized study compared the quality of articles published in peer-reviewed and non-peer-reviewed journals. The others measured the effects of variations in the peer-review process or used a before-and-after design to measure the effects of standard peer review on accepted articles. Eighteen studies measured the quality of reviewers' reports under different conditions such as blinding or after training. One study compared the time and cost of different review processes. Until we have properly defined the objectives of peer-review, it will remain almost impossible to assess or improve its effectiveness. The research needed to understand the broader effects of peer review poses many methodologic problems and would require the cooperation of many parts of the scientific community.

  3. Peer-review: An IOP Publishing Perspective

    NASA Astrophysics Data System (ADS)

    Smith, Timothy

    2015-03-01

    Online publishing is challenging, and potentially changing, the role of publishers in both managing the peer-review process and disseminating the work that they publish in meeting contrasting needs from diverse groups of research communities. Recognizing the value of peer-review as a fundamental service to authors and the research community, the underlying principles of managing the process for journals published by IOP Publishing remain unchanged and yet the potential and demand for alternative models exists. This talk will discuss the traditional approach to peer-review placed in the context of this changing demand.

  4. A systematic review of education and evidence-based practice interventions with health professionals and breast feeding counsellors on duration of breast feeding.

    PubMed

    Spiby, Helen; McCormick, Felicia; Wallace, Louise; Renfrew, Mary J; D'Souza, Lalitha; Dyson, Lisa

    2009-02-01

    to examine the effects of training, education and practice change interventions with health professionals and lay breast feeding educator/counsellors on duration of breast feeding. this was part of a series of reviews of interventions that affect duration of breast feeding. Full details of methods used, including search strategy, are reported separately. SELECTION CRITERIA FOR INCLUDED STUDIES: randomised controlled trials, non randomised controlled trials with concurrent controls and before after studies (cohort or cross-sectional), undertaken in a developed country, published between 1980 and 2003 in any language. The primary outcome was duration of breast feeding. Secondary and process outcomes, including attitude, knowledge and behaviour change of participants, were included from papers that also reported breast feeding duration outcomes. STUDY-QUALITY ASSESSMENT: inclusion and exclusion criteria were applied, data extracted and study quality assessments made by one reviewer and independently checked by another, with a third reviewer to resolve differences, as recommended by the NHS Centre for Reviews and Dissemination's guidance for reviews. the search identified nine papers. All were before after studies that included the education of health professionals; no studies were identified that related to breast feeding counsellors. In six of the studies, the participants were working with mothers and babies in hospitals (three in the UK, two in Italy and one in France); in three studies, the participants were working in community settings (Canada, Spain and the USA). Two UK studies and two non-UK studies (Spain and USA) involved mothers living in disadvantaged areas. Most interventions aimed to increase knowledge and change professional practice in support of breast feeding. many of the studies reviewed have methodological limitations. Study settings and contexts vary and lack comparability. Evidence from these studies was insufficient to draw conclusions about

  5. Community-based approaches for prevention of mother to child transmission in resource-poor settings: a social ecological review

    PubMed Central

    Busza, Joanna; Walker, Damilola; Hairston, Alana; Gable, Alicia; Pitter, Christian; Lee, Stephen; Katirayi, Leila; Simiyu, Rogers; Mpofu, Daphne

    2012-01-01

    Introduction Numerous barriers to optimal uptake of prevention of mother to child transmission (PMTCT) services occur at community level (i.e., outside the healthcare setting). To achieve elimination of paediatric HIV, therefore, interventions must also work within communities to address these barriers and increase service use and need to be informed by evidence. This paper reviews community-based approaches that have been used in resource-limited settings to increase rates of PMTCT enrolment, retention in care and successful treatment outcomes. It aims to identify which interventions work, why they may do so and what knowledge gaps remain. Methods First, we identified barriers to PMTCT that originate outside the health system. These were used to construct a social ecological framework categorizing barriers to PMTCT into the following levels of influence: individual, peer and family, community and sociocultural. We then used this conceptual framework to guide a review of the literature on community-based approaches, defined as interventions delivered outside of formal health settings, with the goal of increasing uptake, retention, adherence and positive psychosocial outcomes in PMTCT programmes in resource-poor countries. Results Our review found evidence of effectiveness of strategies targeting individuals and peer/family levels (e.g., providing household HIV testing and training peer counsellors to support exclusive breastfeeding) and at community level (e.g., participatory women’s groups and home-based care to support adherence and retention). Evidence is more limited for complex interventions combining multiple strategies across different ecological levels. There is often little information describing implementation; and approaches such as “community mobilization” remain poorly defined. Conclusions Evidence from existing community approaches can be adapted for use in planning PMTCT. However, for successful replication of evidence-based interventions to

  6. Community-based approaches for prevention of mother to child transmission in resource-poor settings: a social ecological review.

    PubMed

    Busza, Joanna; Walker, Damilola; Hairston, Alana; Gable, Alicia; Pitter, Christian; Lee, Stephen; Katirayi, Leila; Simiyu, Rogers; Mpofu, Daphne

    2012-07-11

    Numerous barriers to optimal uptake of prevention of mother to child transmission (PMTCT) services occur at community level (i.e., outside the healthcare setting). To achieve elimination of paediatric HIV, therefore, interventions must also work within communities to address these barriers and increase service use and need to be informed by evidence. This paper reviews community-based approaches that have been used in resource-limited settings to increase rates of PMTCT enrolment, retention in care and successful treatment outcomes. It aims to identify which interventions work, why they may do so and what knowledge gaps remain. First, we identified barriers to PMTCT that originate outside the health system. These were used to construct a social ecological framework categorizing barriers to PMTCT into the following levels of influence: individual, peer and family, community and sociocultural. We then used this conceptual framework to guide a review of the literature on community-based approaches, defined as interventions delivered outside of formal health settings, with the goal of increasing uptake, retention, adherence and positive psychosocial outcomes in PMTCT programmes in resource-poor countries. Our review found evidence of effectiveness of strategies targeting individuals and peer/family levels (e.g., providing household HIV testing and training peer counsellors to support exclusive breastfeeding) and at community level (e.g., participatory women's groups and home-based care to support adherence and retention). Evidence is more limited for complex interventions combining multiple strategies across different ecological levels. There is often little information describing implementation; and approaches such as "community mobilization" remain poorly defined. Evidence from existing community approaches can be adapted for use in planning PMTCT. However, for successful replication of evidence-based interventions to occur, comprehensive process evaluations are

  7. Adaptive search in mobile peer-to-peer databases

    NASA Technical Reports Server (NTRS)

    Wolfson, Ouri (Inventor); Xu, Bo (Inventor)

    2010-01-01

    Information is stored in a plurality of mobile peers. The peers communicate in a peer to peer fashion, using a short-range wireless network. Occasionally, a peer initiates a search for information in the peer to peer network by issuing a query. Queries and pieces of information, called reports, are transmitted among peers that are within a transmission range. For each search additional peers are utilized, wherein these additional peers search and relay information on behalf of the originator of the search.

  8. St. Louis Job Corps Peer Mentor and Peer Mediation "Students Helping Students" Program

    ERIC Educational Resources Information Center

    Tindall, Judith A.; Chatman, Herbert; Foster, Robin

    2010-01-01

    Peer Resources is at the heart of positive youth development. Trained youth serving in roles such as mentor, tutor, mediator, leader, and educator can change the norms of a school and community. Utilizing people as resources is an important concept to embrace. During the last seven years, peer mentors have reduced the drop-out rate of 16- and…

  9. ESL Students' Perceptions of Their English Writing Proficiency and the Effects of Peer Review Training among Three Types of Students in a Community College ESL Composition Course

    ERIC Educational Resources Information Center

    Goldburg, Maxine E.

    2012-01-01

    Learner-centered methodology like peer review is problematic in the pluralism of the ESL classroom when teaching academic English composition. A distinct complication is the form writing instruction should take given the interaction and variations between ESL students' L1 background, experiences, schema, and the meaning of academic literacy in…

  10. Youth Who are "Disconnected" and Those Who Then Reconnect: Assessing the Influence of Family, Programs, Peers and Communities. Research Brief. Publication #2009-37

    ERIC Educational Resources Information Center

    Hair, Elizabeth C.; Moore, Kristin A.; Ling, Thomson J.; McPhee-Baker, Cameron; Brown, Brett V.

    2009-01-01

    The transition to adulthood can be a turbulent time. To succeed in this transition, adolescents and emerging adults must advance in several areas of development, such as education, work, financial autonomy, romantic relationships, peer involvement, citizenship, and avoidance of destructive health behaviors. However, some young people who have…

  11. Straddling the Gap: How Second-Year Peers Empower First-Year Students to Participate in a Community of Independent Learning by Means of the Educative

    ERIC Educational Resources Information Center

    Green, Alison

    2008-01-01

    Transition from school or college to university is a time of great anxiety for many first-year undergraduates: some studies illustrate the emphasis which students place on finding new friends and securing a consistent social life; the importance of which resonates more with peers than with parents or lecturers. This has to be accomplished…

  12. Youth Who are "Disconnected" and Those Who Then Reconnect: Assessing the Influence of Family, Programs, Peers and Communities. Research Brief. Publication #2009-37

    ERIC Educational Resources Information Center

    Hair, Elizabeth C.; Moore, Kristin A.; Ling, Thomson J.; McPhee-Baker, Cameron; Brown, Brett V.

    2009-01-01

    The transition to adulthood can be a turbulent time. To succeed in this transition, adolescents and emerging adults must advance in several areas of development, such as education, work, financial autonomy, romantic relationships, peer involvement, citizenship, and avoidance of destructive health behaviors. However, some young people who have…

  13. Counselling, Suicide Risk Assessment, and Retention in a Community College (2004-2009)

    ERIC Educational Resources Information Center

    Porter, Shirley

    2010-01-01

    This study focused on Suicide Risk Assessment (SRA) protocols completed by counsellors for 153 students who presented with suicidal ideation at a community college counselling centre during a five year period. This study sought to: determine the number of students presenting with suicidal ideation annually; identify the types of interventions used…

  14. Reflections on Ideological Consistency between Community-Based Research and Counselling Practice

    ERIC Educational Resources Information Center

    Harris, Gregory E.

    2009-01-01

    Community-based research (CBR) and counselling practice share multiple skill sets and ideological tenets. In addition, CBR offers an approach to research that can be highly conducive to effective counselling-related research. Despite these consistencies and benefits, counsellors and counselling students have underutilized this approach to…

  15. Peer-review thoughts

    NASA Astrophysics Data System (ADS)

    Barnes, Bill; Goodman, Maurice

    2016-03-01

    In reply to the news article on challenges for peer-review by Michael Banks “Peer review under the spotlight” (February pp12-13), the editorial by Matin Durrani “Handle with care” cautioning against reforming peer review too fast (February p15) and Robert P Crease's article “Peer review's value” (February p17).

  16. Trends in Peer Learning

    ERIC Educational Resources Information Center

    Topping, Keith J.

    2005-01-01

    Developments in forms of peer learning 1981-2006 are reviewed, focusing mainly on peer tutoring, cooperative learning, and peer assessment. Types and definitions of peer learning are explored, together with questions of implementation integrity and consequent effectiveness and cost-effectiveness. Benefits to helpers are now emphasised at least as…

  17. Peer Relations in Childhood

    ERIC Educational Resources Information Center

    Hay, Dale F.; Payne, Alexandra; Chadwick, Andrea

    2004-01-01

    We present a developmental model that describes normal peer relations and highlights processes that underlie the emergence of problems with peers in childhood. We propose that children's relationships with peers begin in the first years of life, with stable individual differences and preferences for particular peers emerging by three years of age.…

  18. Opposites Detract: Middle School Peer Group Antipathies

    PubMed Central

    Laursen, Brett; Bukowski, William M.; Nurmi, Jari-Eri; Marion, Donna; Salmela-Aro, Katariina; Kiuru, Noona

    2010-01-01

    This study examines variability in patterns of peer group antipathy. Same-grade adolescent peer groups were identified from sociometric nominations of preferred affiliates in a community sample of 600 Finnish 9th grade middle school students (M = 15.0 years-old). Hierarchical linear modeling determined characteristics of youth in actor groups (nominators) that predicted antipathy for youth in target groups (nominatees) on the basis of target group characteristics. Most antipathies were based on dissimilarity between groups representing the mainstream culture and groups opposed to it. The higher a peer group's school burnout, the more its members disliked students in peer groups with higher school grades and students in peer groups with higher sports participation. Conversely, the higher a peer group's school grades, the more its members disliked students in peer groups with higher school burnout. Students in peer groups with less problem behavior disliked students in peer groups with more problem behavior. There was some evidence of rivalry within the mainstream culture: The higher a group's school grades, the more its members disliked those in groups whose members participated in sports. PMID:20378125

  19. Opposites detract: middle school peer group antipathies.

    PubMed

    Laursen, Brett; Bukowski, William M; Nurmi, Jari-Eri; Marion, Donna; Salmela-Aro, Katariina; Kiuru, Noona

    2010-08-01

    This study examines variability in patterns of peer group antipathy. Same-grade adolescent peer groups were identified from sociometric nominations of preferred affiliates in a community sample of 600 Finnish ninth-grade middle school students (mean age=15.0 years). Hierarchical linear modeling determined characteristics of youths in actor groups (nominators) that predicted antipathy for youths in target groups (nominatees) on the basis of target group characteristics. Most antipathies were based on dissimilarity between groups representing the mainstream culture and groups opposed to it. The higher a peer group's school burnout, the more its members disliked students in peer groups with higher school grades and students in peer groups with higher sports participation. Conversely, the higher a peer group's school grades, the more its members disliked students in peer groups with higher school burnout. Students in peer groups with less problem behavior disliked students in peer groups with more problem behavior. There was some evidence of rivalry within the mainstream culture: The higher a group's school grades, the more its members disliked groups whose members participated in sports.

  20. The uncertain future of lay counsellors: continuation of HIV services in Lesotho under pressure.

    PubMed

    Bemelmans, Marielle; Goux, Delphine; Baert, Saar; van Cutsem, Gilles; Motsamai, Mabaruti; Philips, Mit; van Damme, Wim; Mwale, Hilary; Biot, Marc; van den Akker, Thomas

    2016-06-01

    Between 2006 and 2011, when antiretroviral therapy (ART) was scaled up in a context of severe human resources shortages, transferring responsibility for elements in human immunodeficiency virus (HIV) care from conventional health workers to lay counsellors (LCs) contributed to increased uptake of HIV services in Lesotho. HIV tests rose from 79 394 in 2006 to 274 240 in 2011 and, in that same period, the number of people on ART increased from 17 352 to 83 624. However, since 2012, the jobs of LCs have been at risk because of financial and organizational challenges. We studied the role of LCs in HIV care in Lesotho between 2006 and 2013, and discuss potential consequences of losing this cadre. Methods included a case study of LCs in Lesotho based on: (1) review of LC-related health policy and planning documents, (2) HIV programme review and (3) workload analysis of LCs. LCs are trained to provide HIV testing and counselling (HTC) and ART adherence support. Funded by international donors, 487 LCs were deployed between 2006 and 2011. However, in 2012, the number of LCs decreased to 165 due to a decreasing donor funds, while administrative and fiscal barriers hampered absorption of LCs into the public health system. That same year, ART coverage decreased from 61% to 51% and facility-based HTC decreased by 15%, from 253 994 in 2011 to 215 042 tests in 2012. The workload analysis indicated that LCs work averagely 77 h per month, bringing considerable relief to the scarce professional health workforce. HIV statistics in Lesotho worsened dramatically in the recent era of reduced support to LCs. This suggests that in order to ensure access to HIV care in an under-resourced setting like Lesotho, a recognized and well-supported counsellor cadre is essential. The continued presence of LCs requires improved prioritization, with national and international support. © The Author 2015. Published by Oxford University Press. All rights reserved. For permissions, please email

  1. Medical journal peer review: process and bias.

    PubMed

    Manchikanti, Laxmaiah; Kaye, Alan D; Boswell, Mark V; Hirsch, Joshua A

    2015-01-01

    Scientific peer review is pivotal in health care research in that it facilitates the evaluation of findings for competence, significance, and originality by qualified experts. While the origins of peer review can be traced to the societies of the eighteenth century, it became an institutionalized part of the scholarly process in the latter half of the twentieth century. This was a response to the growth of research and greater subject specialization. With the current increase in the number of specialty journals, the peer review process continues to evolve to meet the needs of patients, clinicians, and policy makers. The peer review process itself faces challenges. Unblinded peer review might suffer from positive or negative bias towards certain authors, specialties, and institutions. Peer review can also suffer when editors and/or reviewers might be unable to understand the contents of the submitted manuscript. This can result in an inability to detect major flaws, or revelations of major flaws after acceptance of publication by the editors. Other concerns include potentially long delays in publication and challenges uncovering plagiarism, duplication, corruption and scientific misconduct. Conversely, a multitude of these challenges have led to claims of scientific misconduct and an erosion of faith. These challenges have invited criticism of the peer review process itself. However, despite its imperfections, the peer review process enjoys widespread support in the scientific community. Peer review bias is one of the major focuses of today's scientific assessment of the literature. Various types of peer review bias include content-based bias, confirmation bias, bias due to conservatism, bias against interdisciplinary research, publication bias, and the bias of conflicts of interest. Consequently, peer review would benefit from various changes and improvements with appropriate training of reviewers to provide quality reviews to maintain the quality and integrity of

  2. Evaluating a diabetes self-management support peer leader training programme for the English- and Punjabi-speaking South-Asian community in Vancouver.

    PubMed

    Tang, T S; Sohal, P S; Garg, A K

    2013-06-01

    The purpose of this single-cohort study was to implement and evaluate a programme that trains peers to deliver a diabetes self-management support programme for South-Asian adults with Type 2 diabetes and to assess the perceived efficacy of and satisfaction with this programme. We recruited eight South-Asian adults who completed a 20-h peer-leader training programme conducted over five sessions (4 h per session). The programme used multiple instructional methods (quizzes, group brainstorming, skill building, group sharing, role-play and facilitation simulation) and provided communication, facilitation, and behaviour change skills training. To graduate, participants were required to achieve the pre-established competency criteria in four training domains: active listening, empowerment-based facilitation, five-step behavioural goal-setting, and self-efficacy. Participants were given three attempts to pass each competency domain. On the first attempt six (75%), eight (100%), five (63%) and five (63%) participants passed active listening, empowerment-based facilitation, five-step behavioural goal-setting, and self-efficacy, respectively. Those participants who did not pass a competency domain on the first attempt were successful in passing on the second attempt. As a result, all eight participants graduated from the training programme and became peer leaders. Satisfaction ratings for programme length, balance between content and skills development, and preparation for leading support activities were uniformly high. Ratings for the instructional methods ranged between effective and very effective. Findings suggest it is feasible to train and graduate peer leaders with the necessary skills to facilitate a diabetes self-management support intervention. © 2013 The Authors. Diabetic Medicine © 2013 Diabetes UK.

  3. Peer Grouping: The Refinement of Performance Indicators

    ERIC Educational Resources Information Center

    Hom, Willard

    2008-01-01

    Community colleges operate under much scrutiny these days, and these institutions have experienced a growing emphasis on performance indicators as paths to institutional accountability. California's system of 109 community colleges recently developed and implemented an innovative accountability program that used peer group comparison as one of its…

  4. PKI-based security for peer-to-peer information sharing

    SciTech Connect

    Berket, Karlo; Essiari, Abdelilah; Muratas, Artur

    2004-05-02

    The free flow of information is the feature that has made peer-to-peer information sharing applications popular. However, this very feature holds back the acceptance of these applications by the corporate and scientific communities. In these communities it is important to provide confidentiality and integrity of communication and to enforce access control to shared resources. We present a number of security mechanisms that can be used to satisfy these security requirements. Our solutions are based on established and proven security techniques and we utilize existing technologies when possible. As a proof of concept, we have developed an information sharing system, called scishare, which integrates a number of these security mechanisms to provide a secure environment for information sharing. This system will allow a broader set of user communities to benefit from peer-to-peer information sharing.

  5. Peer-to-Peer Science Data Environment

    NASA Astrophysics Data System (ADS)

    Byrnes, J. B.; Holland, M. P.

    2004-12-01

    The goal of P2PSDE is to provide a convenient and extensible Peer-to-Peer (P2P) network architecture that allows: distributed science-data services-seamlessly incorporating collaborative value-added services with search-oriented access to remote science data. P2PSDE features the real-time discovery of data-serving peers (plus peer-groups and peer-group services), in addition to the searching for and transferring of science data. These features are implemented using "Project JXTA", the first and only standardized set of open, generalized P2P protocols that allow arbitrary network devices to communicate and collaborate as peers. The JXTA protocols standardize the manner in which peers discover each other, self-organize into peer groups, advertise and discover network services, and securely communicate with and monitor each other-even across network firewalls. The key benefits include: Potential for dramatic improvements in science-data dissemination; Real-time-discoverable, potentially redundant (reliable), science-data services; Openness/Extensibility; Decentralized use of small, inexpensive, readily-available desktop machines; and Inherently secure-with ability to create variable levels of security by group.

  6. Enriching Patient-Centered Medical Homes Through Peer Support.

    PubMed

    Daaleman, Timothy P; Fisher, Edwin B

    2015-08-01

    Peer supporters are recognized by various designations-community health workers, promotores de salud, lay health advisers-and are community members who work for pay or as volunteers in association with health care systems or nonprofit community organizations and often share ethnicity, language, and socioeconomic status with the mentees that they serve. Although emerging evidence demonstrates the efficacy of peer support at the community level, the adoption and implementation of this resource into patient-centered medical homes (PCMHs) is still under development. To accelerate that integration, this article addresses three major elements of peer support interventions: the functions and features of peer support, a framework and programmatic strategies for implementation, and fiscal models that would support the sustained viability of peer support programs within PCMHs. Key functions of peer support include assistance in daily management of health-related behaviors, social and emotional support, linkage to clinical care, and longitudinal or ongoing support. An organizational model of innovation implementation provides a useful framework for determining how to implement and evaluate peer support programs in PCMHs. Programmatic strategies that can be useful in developing peer support programs within PCMHs include peer coaching or mentoring, group self-management training, and programs designed around the telephone and information technology. Fiscal models for peer support programs include linkages with hospital or health care systems, service- or community-based nonprofit organizations, and partnerships between health care systems and community groups. Peer support promises to enrich PCMHs by activating patients in their self-care, providing culturally sensitive outreach, and opening the way for partnerships with community-based organizations.

  7. Coaching mental health peer advocates for rural LGBTQ people.

    PubMed

    Willging, Cathleen E; Israel, Tania; Ley, David; Trott, Elise M; DeMaria, Catherine; Joplin, Aaron; Smiley, Verida

    Lesbian, gay, bisexual, transgender, and queer or questioning (LGBTQ) people are affected by mental health disparities, especially in rural communities. We trained peer advocates in rural areas in the fundamentals of mental health, outreach, education, and support for this population. The peer advocates were coached by licensed mental health professionals. We evaluated this process through iterative qualitative analysis of semi-structured interviews and written logs from coaches and advocates. The six major themes comprising the results centered on (1) coaching support, (2) peer advocate skills and preparation, (3) working with help seekers, (4) negotiating diversity, (5) logistical challenges in rural contexts, and (6) systemic challenges. We concluded that peer advocacy for LGBTQ people with mental distress offers an affirmative, community-based strategy to assist the underserved. To be successful, however, peer advocates will likely require ongoing training, coaching, and infrastructural support to negotiate contextual factors that can influence provision of community resources and support to LGBTQ people within rural communities.

  8. AQUATOX Peer Review Documents

    EPA Pesticide Factsheets

    AQUATOX Release 2 underwent an external peer review in early 2003, and Release 3 underwent an external peer review in late 2008. Reviewers stated model enhancements have made AQUATOX one of the most exciting tools in aquatic ecosystem management.

  9. Towards Understanding Peer Conflict.

    ERIC Educational Resources Information Center

    Laursen, Brett; And Others

    1996-01-01

    Examines the nature and significance of peer relations among children, focusing on social psychological theories of close relationships, a social relational model of social development, research on conflict management, and progress toward understanding peer conflict. (MDM)

  10. Communities.

    ERIC Educational Resources Information Center

    Ruth, Amy, Ed.

    1995-01-01

    This issue of the Goldfinch focuses on communities. Ethnic groups, religious groups, schools, families, even the Internet, are used as examples of communities in Iowa. Forced communities are exemplified by migration, law, natural disasters, and sometimes education. Photographs from Iowa's past show the changing nature of communities and encourage…

  11. A Study of the Effects of the Implementation of Small Peer Led Collaborative Group Learning on Students in Developmental Mathematics Courses at a Tribal Community College

    ERIC Educational Resources Information Center

    Hooker, Dianna Dawn Tiahrt

    2010-01-01

    College students needing remediation in mathematics are a problem at nearly all colleges and universities but are immense at community colleges where large numbers of students enroll in developmental mathematics courses. This issue for Native American students at Tribal Community Colleges has an enormous effect on future opportunities in…

  12. Behavioral adaptation among youth exposed to community violence: a longitudinal multidisciplinary study of family, peer and neighborhood-level protective factors.

    PubMed

    Jain, Sonia; Cohen, Alison Klebanoff

    2013-12-01

    Several studies across fields have documented the detrimental effects of exposure to violence and, separately, the power of developmental assets to promote positive youth development. However, few have examined the lives of youth exposed to violence who demonstrate resilience (that is, positive adjustment despite risk), and hardly any have examined how developmental assets may shape resilient trajectories into adulthood for youth exposed to violence. What are these resources and relationships that high-risk youth can leverage to tip the balance from vulnerability in favor of resilience? We used generalized estimating equations to examine multilevel longitudinal data from 1,114 youth of ages 11-16 from the Project on Human Development in Chicago Neighborhoods. Behavioral adaptation was a dynamic process that varied over time and by level of violence exposure. In the short term, being a victim was associated with increased aggression and delinquency. In the long term though, both victims and witnesses to violence had higher odds of behavioral adaptation. Baseline family support and family boundaries, friend support, neighborhood support, and collective efficacy had positive main effects for all youth. Additionally, having family support, positive peers, and meaningful opportunities for participation modified the effect of exposure to violence and increased odds of behavioral adaptation over time. Policies, systems, and programs across sectors should focus on building caring relationships/supports with family members and friends, positive peers, and meaningful opportunities especially for witnesses and victims of violence, to promote behavioral resilience and related outcomes into adulthood for high-risk youth.

  13. The Peer Influence Process.

    ERIC Educational Resources Information Center

    Hallinan, Maureen T.

    1981-01-01

    Outlining a conceptual scheme specifying how peer influences mediate the effects of organizational characteristics of schools on student outcomes, with social psychological theories of interpersonal attraction and influence as the basis for the outline, is the aim of this paper. Selection of peers and influence of peers is outlined. (CE)

  14. Peer relations in childhood.

    PubMed

    Hay, Dale F; Payne, Alexandra; Chadwick, Andrea

    2004-01-01

    We present a developmental model that describes normal peer relations and highlights processes that underlie the emergence of problems with peers in childhood. We propose that children's relationships with peers begin in the first years of life, with stable individual differences and preferences for particular peers emerging by three years of age. Social skills that facilitate peer relationships consolidate in the preschool years, during which time peer groups become structured with respect to friendship groups, gender, and dominance relations; some children begin to be rejected by their peers. In later childhood some children develop entrenched problems with peer relationships, in terms of loneliness, bullying and victimisation. Underlying cognitive and emotional processes that facilitate successful peer relationships at all ages are identified, and the extent to which peer relations play a causal role in the genesis of disorder is evaluated. A review of the evidence suggests that, rather than a simple pathway from problematic peer relations to disorder, there is a reciprocal relationship between children's problems with peers and their psychological problems from infancy to adolescence.

  15. Peer Influence and Recovery

    ERIC Educational Resources Information Center

    Collier, Crystal; Simpson, Shelly; Najera, John; Weiner, Lauren

    2012-01-01

    Research has shown that peer influence can be negative, by increasing the likelihood that a youth will engage in high-risk behaviors and make risky decisions. However, peer influence can also be positive and protect a youth from these same high-risk activities. This article examines the extent of peer influence and then describes the Alternative…

  16. Peer Tutoring for Inclusion

    ERIC Educational Resources Information Center

    Temple, Viviene A.; Lynnes, Michelle D.

    2008-01-01

    Peer tutoring is a pedagogical technique that has promise to improve outcomes for students with a disability within existing resource constraints. Published empirically-based papers on peer-tutoring were descriptively analysed. Synthesis of these studies revealed that peer tutoring is effective in inclusive physical education contexts. Evidence…

  17. Peer Leadership Manual.

    ERIC Educational Resources Information Center

    Lovell, Nikki; Hachmeister, Paula

    This is a manual for peer counselors and parents in an alcohol and drug abuse prevention program for teenagers. The document opens with the training objectives for the peer helpers: to know yourself, to be a resource, and to promote and establish a drug-free peer group and drug-free activities in school. Discussion on these topics is provided: (1)…

  18. Peer Influence and Recovery

    ERIC Educational Resources Information Center

    Collier, Crystal; Simpson, Shelly; Najera, John; Weiner, Lauren

    2012-01-01

    Research has shown that peer influence can be negative, by increasing the likelihood that a youth will engage in high-risk behaviors and make risky decisions. However, peer influence can also be positive and protect a youth from these same high-risk activities. This article examines the extent of peer influence and then describes the Alternative…

  19. Nuevo Amanecer: Results of a Randomized Controlled Trial of a Community-Based, Peer-Delivered Stress Management Intervention to Improve Quality of Life in Latinas With Breast Cancer

    PubMed Central

    Ortíz, Carmen; Santoyo-Olsson, Jasmine; Stewart, Anita L.; Gregorich, Steven; Lee, Howard E.; Durón, Ysabel; McGuire, Peggy; Luce, Judith

    2015-01-01

    Objectives. We evaluated a community-based, translational stress management program to improve health-related quality of life in Spanish-speaking Latinas with breast cancer. Methods. We adapted a cognitive–behavioral stress management program integrating evidence-based and community best practices to address the needs of Latinas with breast cancer. Spanish-speaking Latinas with breast cancer were randomly assigned to an intervention or usual-care control group. Trained peers delivered the 8-week intervention between February 2011 and February 2014. Primary outcomes were breast cancer–specific quality of life and distress, and general symptoms of distress. Results. Of 151 participants, 95% were retained at 6 months (between May 2011 and May 2014). Improvements in quality of life from baseline to 6 months were greater for the intervention than the control group on physical well-being, emotional well-being, breast cancer concerns, and overall quality of life. Decreases from baseline to 6 months were greater for the intervention group on depression and somatization. Conclusions. Results suggest that translation of evidence-based programs can reduce psychosocial health disparities in Latinas with breast cancer. Integration of this program into community-based organizations enhances its dissemination potential. PMID:25905829

  20. NASA Product Peer Review Process

    NASA Technical Reports Server (NTRS)

    Jenks, Ken

    2009-01-01

    This viewgraph presentation describes NASA's product peer review process. The contents include: 1) Inspection/Peer Review at NASA; 2) Reasons for product peer reviews; 3) Different types of peer reviews; and 4) NASA requirements for peer reviews. This presentation also includes a demonstration of an actual product peer review.

  1. PEER REVIEW PROGRAM

    SciTech Connect

    MOGHISSI, A ALAN; LOVE, BETTY R; STRAJA, SORIN R

    2007-09-29

    The Institute for Regulatory Science (RS) and the American Society of Mechanical Engineers (ASME) jointly estab lished a peer-review program. As the program evolved, four types of review were established. A process for stakeholder participation in peer review eetings was also developed. While a committee established by the ASME provided oversight to the peer-review process, the RSI managed the day-to-day operations of peer review panels. In addition to the reports resulting from peer review of specific projects, several documents were prepared to facilitate the review process, all of which were widely distributed.

  2. The future of mental health care: peer-to-peer support and social media.

    PubMed

    Naslund, J A; Aschbrenner, K A; Marsch, L A; Bartels, S J

    2016-04-01

    People with serious mental illness are increasingly turning to popular social media, including Facebook, Twitter or YouTube, to share their illness experiences or seek advice from others with similar health conditions. This emerging form of unsolicited communication among self-forming online communities of patients and individuals with diverse health concerns is referred to as peer-to-peer support. We offer a perspective on how online peer-to-peer connections among people with serious mental illness could advance efforts to promote mental and physical wellbeing in this group. In this commentary, we take the perspective that when an individual with serious mental illness decides to connect with similar others online it represents a critical point in their illness experience. We propose a conceptual model to illustrate how online peer-to-peer connections may afford opportunities for individuals with serious mental illness to challenge stigma, increase consumer activation and access online interventions for mental and physical wellbeing. People with serious mental illness report benefits from interacting with peers online from greater social connectedness, feelings of group belonging and by sharing personal stories and strategies for coping with day-to-day challenges of living with a mental illness. Within online communities, individuals with serious mental illness could challenge stigma through personal empowerment and providing hope. By learning from peers online, these individuals may gain insight about important health care decisions, which could promote mental health care seeking behaviours. These individuals could also access interventions for mental and physical wellbeing delivered through social media that could incorporate mutual support between peers, help promote treatment engagement and reach a wider demographic. Unforeseen risks may include exposure to misleading information, facing hostile or derogatory comments from others, or feeling more uncertain

  3. The future of mental health care: peer-to-peer support and social media

    PubMed Central

    Naslund, J. A.; Aschbrenner, K. A.; Marsch, L. A.; Bartels, S. J.

    2016-01-01

    Aims People with serious mental illness are increasingly turning to popular social media, including Facebook, Twitter or YouTube, to share their illness experiences or seek advice from others with similar health conditions. This emerging form of unsolicited communication among self-forming online communities of patients and individuals with diverse health concerns is referred to as peer-to-peer support. We offer a perspective on how online peer-to-peer connections among people with serious mental illness could advance efforts to promote mental and physical wellbeing in this group. Methods In this commentary, we take the perspective that when an individual with serious mental illness decides to connect with similar others online it represents a critical point in their illness experience. We propose a conceptual model to illustrate how online peer-to-peer connections may afford opportunities for individuals with serious mental illness to challenge stigma, increase consumer activation and access online interventions for mental and physical well-being. Results People with serious mental illness report benefits from interacting with peers online from greater social connectedness, feelings of group belonging and by sharing personal stories and strategies for coping with day-to-day challenges of living with a mental illness. Within online communities, individuals with serious mental illness could challenge stigma through personal empowerment and providing hope. By learning from peers online, these individuals may gain insight about important health care decisions, which could promote mental health care seeking behaviours. These individuals could also access interventions for mental and physical wellbeing delivered through social media that could incorporate mutual support between peers, help promote treatment engagement and reach a wider demographic. Unforeseen risks may include exposure to misleading information, facing hostile or derogatory comments from others, or

  4. The Healthy Activity Program lay counsellor delivered treatment for severe depression in India: systematic development and randomised evaluation

    PubMed Central

    Chowdhary, Neerja; Anand, Arpita; Dimidjian, Sona; Shinde, Sachin; Weobong, Benedict; Balaji, Madhumitha; Hollon, Steven D.; Rahman, Atif; Wilson, G. Terence; Verdeli, Helena; Araya, Ricardo; King, Michael; Jordans, Mark J. D.; Fairburn, Christopher; Kirkwood, Betty; Patel, Vikram

    2016-01-01

    Background Reducing the global treatment gap for mental disorders requires treatments that are economical, effective and culturally appropriate. Aims To describe a systematic approach to the development of a brief psychological treatment for patients with severe depression delivered by lay counsellors in primary healthcare. Method The treatment was developed in three stages using a variety of methods: (a) identifying potential strategies; (b) developing a theoretical framework; and (c) evaluating the acceptability, feasibility and effectiveness of the psychological treatment. Results The Healthy Activity Program (HAP) is delivered over 6–8 sessions and consists of behavioral activation as the core psychological framework with added emphasis on strategies such as problem-solving and activation of social networks. Key elements to improve acceptability and feasibility are also included. In an intention-to-treat analysis of a pilot randomised controlled trial (55 participants), the prevalence of depression (Beck Depression Inventory II ⩾19) after 2 months was lower in the HAP than the control arm (adjusted risk ratio = 0.55, 95% CI 0.32–0.94, P = 0.01). Conclusions Our systematic approach to the development of psychological treatments could be extended to other mental disorders. HAP is an acceptable and effective brief psychological treatment for severe depression delivered by lay counsellors in primary care. PMID:26494875

  5. Peer support for stroke survivors: a case study

    PubMed Central

    2014-01-01

    Background Innovative and sustainable programs are required to support the well-being of stroke survivors. Peer support is a potentially low cost way to enhance well-being of recent stroke survivors and the well-being and community reintegration of their peer supporters. This article describes the perceptions of stroke survivors, care partners, peer supporters, and professionals of an individual peer support program. Methods An instrumental case study design was used to examine a volunteer peer support program that provides acute care visits and telephone follow-up post-discharge. In particular, a) type of support provided, b) benefits for the stroke survivor and care partner, c) potential harms to the stroke survivor, d) impact of providing support on the peer supporter, and e) required processes were considered. Semi-structured interviews were carried out with 16 new stroke survivors and 8 care partners immediately following hospital discharge and then 6 months later, and with 7 peer supporters, 3 program co-ordinators and 4 health professionals to gather feedback from multiple stakeholders. Results Emotional, affirmational and informational support were perceived as being offered by the peer supporters. Peer visits were perceived as providing encouragement, motivation, validation, and decreased feelings of being alone. However, the visits were not perceived as beneficial to all stroke survivors. The impact on the peer supporters included increased social connections, personal growth, enjoyment, and feelings of making a difference in the lives of others. Involvement of the healthcare team, peer supporter training and a skilled coordinator were crucial to the success this program. Conclusions Peer support can potentially enhance service to stroke survivors and promote community reintegration for peer volunteers. Further research is needed to determine the preferred format and timing of peer support, and the characteristics of stroke survivors most likely to

  6. Defining Peer-to-Peer Learning--From an Old "Art of Practice" to a New Mode of Forest Owner Extension?

    ERIC Educational Resources Information Center

    Hamunen, Katri; Appelstrand, Marie; Hujala, Teppo; Kurttila, Mikko; Sriskandarajah, Nadarajah; Vilkriste, Lelde; Westberg, Lotten; Tikkanen, Jukka

    2015-01-01

    Purpose: This paper explores the concept of peer-to-peer learning (P2PL) in the context of North-European small-scale forest owners. The aim is to develop a framework for initiating new and evaluating already existing forest owners' P2PL communities. Design: Previous studies of peer-learning are used to determine and justify eight dimensions for…

  7. Defining Peer-to-Peer Learning--From an Old "Art of Practice" to a New Mode of Forest Owner Extension?

    ERIC Educational Resources Information Center

    Hamunen, Katri; Appelstrand, Marie; Hujala, Teppo; Kurttila, Mikko; Sriskandarajah, Nadarajah; Vilkriste, Lelde; Westberg, Lotten; Tikkanen, Jukka

    2015-01-01

    Purpose: This paper explores the concept of peer-to-peer learning (P2PL) in the context of North-European small-scale forest owners. The aim is to develop a framework for initiating new and evaluating already existing forest owners' P2PL communities. Design: Previous studies of peer-learning are used to determine and justify eight dimensions for…

  8. Peer to Peer Information System Management

    DTIC Science & Technology

    2002-02-01

    theory to lookup problem causes based on the current set of symptoms. This gives a (claimed) performance improvement of a factor of 100 over other...turn initiates actions by the receiving peer system. Occasionally, the relationship is extended all the way to the ultimate target managed object...validation is based first on CORBA mechanisms, followed by the server supplying the receiving peer system with an appropriate user identity

  9. Peer Victimization and Substance Use Among African American Adolescents and Emerging Adults on Chicago's Southside.

    PubMed

    Hong, Jun Sung; Voisin, Dexter R; Cho, Sujung; Smith, Douglas C; Resko, Stella M

    2017-03-13

    Urban African-American youth residing in poorly resourced communities are at a heightened risk of peer victimization, which consequently increases their likelihood of risky behaviors such as substance use. The present study examined whether there was a direct relationship between peer victimization and substance use and whether it was mediated by negative peer norms, internalizing problems, and bullying perpetration. African-American youth (n = 638) completed a self-administered questionnaire on age, biological sex, socioeconomic status, lifetime substance use, peer victimization and bullying perpetration, negative peer norms, and internalizing problems. There were no direct effects between peer victimization and substance use. However, negative peer norms and bullying were both independently associated with substance use, although internalizing problems were not significant. In addition, peer victimization increased the odds of internalizing problems. Social services must be expended in low-income communities to effectively address peer victimization and substance use among urban African-American youth. (PsycINFO Database Record

  10. "The Weight of Class": Clients' Experiences of How Perceived Differences in Social Class between Counsellor and Client Affect the Therapeutic Relationship

    ERIC Educational Resources Information Center

    Balmforth, Jane

    2009-01-01

    The impact of a difference in social class on the therapeutic relationship has received less attention than other differences between counsellor and client, such as gender, race and sexual orientation. In this qualitative research study six clients who identified as working class were interviewed about their experience of a therapeutic…

  11. School Counsellors and Cultural Diversity Management in Spanish Secondary Schools: The Role of Relations with Other Educators and Intervention Models Used in Care of Immigrant Students

    ERIC Educational Resources Information Center

    González-Falcón, Inmaculada; Coronel, José M.; Correa, R. Ignacio

    2016-01-01

    During the last 20 years, the influx of immigrant pupils in Spanish schools has taken up much of school counsellors' agendas. This leads us to reflect upon the status and role of educational guidance in terms of cultural diversity management, particularly focusing on two elements that may potentially help understand the situation: relations with…

  12. Lay Counsellor-Based Risk Reduction Intervention with HIV Positive Diagnosed Patients at Public HIV Counselling and Testing Sites in Mpumalanga, South Africa

    ERIC Educational Resources Information Center

    Peltzer, Karl; Tabane, Cily; Matseke, Gladys; Simbayi, Leickness

    2010-01-01

    Objective: To evaluate the feasibility, fidelity, and effect of a human immunodeficiency virus (HIV) risk reduction intervention delivered to HIV-infected patients by lay counsellors during routine HIV counselling and testing (HCT) public service in Mpumalanga, South Africa. Methods: A total of 488 HIV-infected patients, aged 18 years and older,…

  13. As They Like It--Culture-Centred Counsellor Education in the Context of Aotearoa New Zealand: A Play on Bicultural Pluralism

    ERIC Educational Resources Information Center

    Lang, Steve K. W.; Gardiner, Brent D.

    2014-01-01

    Against a backdrop of social struggles to rebalance power between colonisers and indigenous peoples, counsellor education at a university in Aotearoa New Zealand is undergoing a transformation. This article explores the creation and application of a framework that results from listening to the voices of indigenous peoples and counselling…

  14. Ethical Dilemmas Experienced by Psychological Counsellors Working at Different Institutions and Their Attitudes and Behaviours as a Response to These Dilemmas

    ERIC Educational Resources Information Center

    Kolay Akfert, Serpil

    2012-01-01

    The purpose of this study is to determine the ethical dilemmas experiencing by the counsellors who work at different conditions and what they do to solve these dilemmas as well as the obstacles they have to deal with while resolving the dilemmas. This is a qualitative study in which multi-state pattern was used. For this research, 40 counsellors…

  15. As They Like It--Culture-Centred Counsellor Education in the Context of Aotearoa New Zealand: A Play on Bicultural Pluralism

    ERIC Educational Resources Information Center

    Lang, Steve K. W.; Gardiner, Brent D.

    2014-01-01

    Against a backdrop of social struggles to rebalance power between colonisers and indigenous peoples, counsellor education at a university in Aotearoa New Zealand is undergoing a transformation. This article explores the creation and application of a framework that results from listening to the voices of indigenous peoples and counselling…

  16. An Assessment of the Professional Capacity Needs of Counsellors to Cope with Poverty-Prone at Risk Secondary School Students in Osun State, Nigeria

    ERIC Educational Resources Information Center

    Adefunke, Ehindero Serifat

    2015-01-01

    The study assessed the professional capacity needs of counselor and difference in the capacity needs to cope with at risk students in terms of their sex, age and years of professional experience with a view to assisting the counsellors to improve service delivery in secondary schools. The study adopted survey design. The population for the study…

  17. Lay Counsellor-Based Risk Reduction Intervention with HIV Positive Diagnosed Patients at Public HIV Counselling and Testing Sites in Mpumalanga, South Africa

    ERIC Educational Resources Information Center

    Peltzer, Karl; Tabane, Cily; Matseke, Gladys; Simbayi, Leickness

    2010-01-01

    Objective: To evaluate the feasibility, fidelity, and effect of a human immunodeficiency virus (HIV) risk reduction intervention delivered to HIV-infected patients by lay counsellors during routine HIV counselling and testing (HCT) public service in Mpumalanga, South Africa. Methods: A total of 488 HIV-infected patients, aged 18 years and older,…

  18. "The Weight of Class": Clients' Experiences of How Perceived Differences in Social Class between Counsellor and Client Affect the Therapeutic Relationship

    ERIC Educational Resources Information Center

    Balmforth, Jane

    2009-01-01

    The impact of a difference in social class on the therapeutic relationship has received less attention than other differences between counsellor and client, such as gender, race and sexual orientation. In this qualitative research study six clients who identified as working class were interviewed about their experience of a therapeutic…

  19. "At Risk of Harm"? An Exploratory Survey of School Counsellors in the UK, Their Perceptions of Confidentiality, Information Sharing and Risk Management

    ERIC Educational Resources Information Center

    Jenkins, Peter; Palmer, Joanne

    2012-01-01

    The primary objective of this study was to explore perceptions of UK school counsellors of confidentiality and information sharing in therapeutic work with children and young people, using qualitative methods. The research design employed a two-stage process, using questionnaires and follow-up interviews, with a small, non-random sample of school…

  20. School Counsellors and Cultural Diversity Management in Spanish Secondary Schools: The Role of Relations with Other Educators and Intervention Models Used in Care of Immigrant Students

    ERIC Educational Resources Information Center

    González-Falcón, Inmaculada; Coronel, José M.; Correa, R. Ignacio

    2016-01-01

    During the last 20 years, the influx of immigrant pupils in Spanish schools has taken up much of school counsellors' agendas. This leads us to reflect upon the status and role of educational guidance in terms of cultural diversity management, particularly focusing on two elements that may potentially help understand the situation: relations with…

  1. "It's important to take your medication everyday okay?" An evaluation of counselling by lay counsellors for ARV adherence support in the Western Cape, South Africa.

    PubMed

    Dewing, S; Mathews, C; Schaay, N; Cloete, A; Louw, J; Simbayi, L

    2013-01-01

    There is growing interest in standard care programmes for antiretroviral (ARV) adherence support. In South Africa, individual counselling following ARV initiation is a main strategy for supporting adherence in the public sector. Egan's client-centred "Skilled Helper" counselling model is the predominant model used in HIV counselling in this context. This study evaluated counselling delivered by lay ARV adherence counsellors in Cape Town in terms of adherence to Egan's model. Thirty-eight transcripts of counselling sessions with non-adherent patients were analysed based on the methods of content analysis. These sessions were conducted by 30 counsellors. Generally counsellors' practice adhered neither to Egan's model nor a client-centred approach. Inconsistent with evidence-based approaches to counselling for ARV adherence support, counsellors mainly used information-giving and advice as strategies for addressing clients' non-adherence. Recommendations for improving practice are made. The question as to how appropriate strategies from developed countries are for this setting is also raised.

  2. Clarifying the role of the mental health peer specialist in Massachusetts, USA: insights from peer specialists, supervisors and clients.

    PubMed

    Cabral, Linda; Strother, Heather; Muhr, Kathy; Sefton, Laura; Savageau, Judith

    2014-01-01

    Mental health peer specialists develop peer-to-peer relationships of trust with clients to improve their health and well-being, functioning in ways similar to community health workers. Although the number of peer specialists in use has been increasing, their role in care teams is less defined than that of the community health worker. This qualitative study explored how the peer specialist role is defined across different stakeholder groups, the expectations for this role and how the peer specialist is utilised and integrated across different types of mental health services. Data were collected through interviews and focus groups conducted in Massachusetts with peer specialists (N = 44), their supervisors (N = 14) and clients (N = 10) between September 2009 and January 2011. A consensus coding approach was used and all data outputs were reviewed by the entire team to identify themes. Peer specialists reported that their most important role is to develop relationships with clients and that having lived mental health experience is a key element in creating that bond. They also indicated that educating staff about the recovery model and peer role is another important function. However, they often felt a lack of clarity about their role within their organisation and care team. Supervisors valued the unique experience that peer specialists bring to an organisation. However, without a defined set of expectations for this role, they struggled with training, guiding and evaluating their peer specialist staff. Clients reported that the shared lived experience is important for the relationship and that working with a peer specialist has improved their mental health. With increasing support for person-centred integrated healthcare delivery models, the demand for mental health peer specialist services will probably increase. Therefore, clearer role definition, as well as workforce development focused on team orientation, is necessary for peer specialists to be fully integrated

  3. Academic Peer Instruction: Reference and Training Manual (with Answers)

    ERIC Educational Resources Information Center

    Zaritsky, Joyce; Toce, Andi

    2013-01-01

    This manual consists of an introduction to our Academic Peer Instruction (API) program at LaGuardia Community College, a compilation of the materials we have developed and use for training of our tutors (with answers), and a bibliography. API is based on an internationally recognized peer tutoring program, Supplemental Instruction. (Contains 6…

  4. Parents and Peers as Social Influences to Deter Antisocial Behavior

    ERIC Educational Resources Information Center

    Cook, Emily C.; Buehler, Cheryl; Henson, Robert

    2009-01-01

    Growth curve analyses were used to investigate parents' and peers' influence on adolescents' choice to abstain from antisocial behavior in a community-based sample of 416 early adolescents living in the Southeastern United States. Participants were primarily European American (91%) and 51% were girls. Both parents and peers were important…

  5. Professionalizing the Role of Peer Leaders in STEM

    ERIC Educational Resources Information Center

    Bowling, Bethany; Doyle, Maureen; Taylor, Jennifer; Antes, Alison

    2015-01-01

    Efforts to improve retention in science, technology, engineering, and mathematics (STEM) majors frequently utilize peer mentors and/or leaders. At Northern Kentucky University, the STEM Ambassador (SA) program involves students in the creation of a STEM community through multifaceted roles as mentors, peer-learning facilitators, and social…

  6. Professionalizing the Role of Peer Leaders in STEM

    ERIC Educational Resources Information Center

    Bowling, Bethany; Doyle, Maureen; Taylor, Jennifer; Antes, Alison

    2015-01-01

    Efforts to improve retention in science, technology, engineering, and mathematics (STEM) majors frequently utilize peer mentors and/or leaders. At Northern Kentucky University, the STEM Ambassador (SA) program involves students in the creation of a STEM community through multifaceted roles as mentors, peer-learning facilitators, and social…

  7. The vacuum shouts back: postpublication peer review on social media.

    PubMed

    Faulkes, Zen

    2014-04-16

    Social media has created new pathways for postpublication peer review, which regularly leads to corrections. Such online discussions are often resisted by authors and editors, however, and efforts to formalize postpublication peer review have not yet resonated with scientific communities. Copyright © 2014 Elsevier Inc. All rights reserved.

  8. Literacy and Community. The Twentieth Yearbook: A Peer Reviewed Publication of the College Reading Association, 1998. [Papers from the College Reading Association Conference, 1997].

    ERIC Educational Resources Information Center

    Sturtevant, Elizabeth G., Ed.; Dugan, JoAnn, Ed.; Linder, Patricia, Ed.; Linek, Wayne M., Ed.

    This 20th Yearbook of the College Reading Association reflects the theme of "community" again and again, in diverse ways. First in the yearbook are the Presidential Address by Marino C. Alvarez, "Adolescent Literacy: Are We in Contact?" and the three Keynote Addresses: "My Life in Reading" (J. Chall); "A…

  9. Building Literacy Communities. The Thirty-Second Yearbook: A Doubled Peer Reviewed Publication of the Association of Literacy Educators and Researchers

    ERIC Educational Resources Information Center

    Szabo, Susan, Ed.; Morrison, Timothy, Ed.; Martin, Linda, Ed.; Boggs, Merry, Ed.; Raine, I. LaVerne, Ed.

    2010-01-01

    For its 53rd annual meeting, the Association of Educators and Researchers met in Charlotte, North Carolina at the Marriott Charlotte City Center. This year's conference theme was "Building Literacy Communities", which was also used as the title for this year's Yearbook, Volume 32. This organization has long been the home of some of the nation's…

  10. A Case Study of an Undergraduate Engineering Peer Tutoring Group: An Investigation of the Structure of a Community of Practice and the Value Members Gain from Participation

    ERIC Educational Resources Information Center

    Clarke Douglas, Tameka Sharona

    2010-01-01

    "Shaping the Future", the 1996 report to the National Science Foundation (NSF), called for the research community to identify and characterize practical solutions for developing "supportive" and "excellent" learning experiences for all students in Science, Technology, Engineering and Mathematics (SME). The recommendation was that we "start with…

  11. Developing Internet Communication and Peer Support in a Statewide Child Care Community for Participants in a Child Development Associate (CDA) Training Program.

    ERIC Educational Resources Information Center

    Stahl, Steven

    This applied dissertation project was designed to improve communication systems among child care providers previously and currently enrolled in a statewide Child Development Associate (CDA) training program as a pilot project to promote communication among the statewide child care community as a whole. Communications systems within the CDA…

  12. A Case Study of an Undergraduate Engineering Peer Tutoring Group: An Investigation of the Structure of a Community of Practice and the Value Members Gain from Participation

    ERIC Educational Resources Information Center

    Clarke Douglas, Tameka Sharona

    2010-01-01

    "Shaping the Future", the 1996 report to the National Science Foundation (NSF), called for the research community to identify and characterize practical solutions for developing "supportive" and "excellent" learning experiences for all students in Science, Technology, Engineering and Mathematics (SME). The recommendation was that we "start with…

  13. Assessing peer advisor intervention fidelity using video skits in a peer support implementation trial.

    PubMed

    Lewis, Marquita W; Cherrington, Andrea L; Gamboa, Christopher M; Halanych, Jewell H; Martin, Michelle Y; Safford, Monika M

    2014-09-01

    In community-based interventions involving lay health workers, or "community health workers," peer-client interactions are not typically observed by investigators, creating challenges in assessing intervention fidelity. In the context of a community-based randomized controlled trial of the effectiveness of peer support on diabetes outcomes of people with diabetes in rural Alabama, a region characterized by poverty and low literacy, we developed a video assessment tool that assessed participant perceptions of peer-client interactions. The video assessment consisted of four short skits on areas of emphasis during peer training: directive versus nondirective counseling style and setting a specific versus a more general goal. The video tool was evaluated for association with questionnaire-derived measures of counseling style and goal setting among 102 participants. For counseling style, 44% of participants reported that their peer advisor was most similar to the nondirective skit. For goal setting, 42% reported that their peer advisor was most similar to the specific goal skit. There was no statistically significant relationship between skit selection and questionnaire-derived measures. The video assessment was feasible, but results suggest that video and questionnaire assessments in this population yield different results. Further validation to better understand the differences between questionnaire reports and video assessment is warranted.

  14. Peer-to-Peer Training Facilitator’s Guide

    DTIC Science & Technology

    2009-01-01

    SUBJECT TERMS Peer -to- Peer Training Peer Collaboration Peer Learning Unit Training Program Video-Teleconference Facilitation SECURITY...Adults learn best when they are working on current, real-life challenges and exchanging feedback with others in similar situations (Senge, 1990...programs, peers often can schedule and locate their own learning sessions which makes the sessions very accommodating to busy schedules (Authenticity

  15. Keyword Search in Unstructured Peer-to-Peer Networks

    NASA Astrophysics Data System (ADS)

    Han, Dingyi; Yu, Yong

    Keyword search is a preliminary application for peer-to-peer (P2P) networks. It is important for users to find relevant resources in the highly dynamic system. Many factors affect the results of keyword search, including the underlying structure of peer-to-peer network, the dynamics of peers, the distribution of resources, etc.

  16. Adolescent Peer Victimization, Peer Status, Suicidal Ideation, and Nonsuicidal Self-Injury: Examining Concurrent and Longitudinal Associations

    ERIC Educational Resources Information Center

    Heilbron, Nicole; Prinstein, Mitchell J.

    2010-01-01

    This study examined concurrent and longitudinal associations among peer victimization, peer status, and self-injurious thoughts and behaviors (i.e., suicidal ideation and nonsuicidal self-injury [NSSI]) over a 2-year period. A community sample of 493 adolescents (51% girls) in Grades 6-8 participated in the study. Participants completed measures…

  17. Adolescent Peer Victimization, Peer Status, Suicidal Ideation, and Nonsuicidal Self-Injury: Examining Concurrent and Longitudinal Associations

    ERIC Educational Resources Information Center

    Heilbron, Nicole; Prinstein, Mitchell J.

    2010-01-01

    This study examined concurrent and longitudinal associations among peer victimization, peer status, and self-injurious thoughts and behaviors (i.e., suicidal ideation and nonsuicidal self-injury [NSSI]) over a 2-year period. A community sample of 493 adolescents (51% girls) in Grades 6-8 participated in the study. Participants completed measures…

  18. A Fresh Approach to Peer Victimization

    ERIC Educational Resources Information Center

    Dominguez, John

    2013-01-01

    Bullying often persists in spite of formal programs targeting this problem. Supportive school and classroom communities enlist brave peers in consoling, encouraging, and befriending victims, which removes the status that fuels bullies. For the past 18 years, this author has worked in multiple children's agencies and schools, studying bullying…

  19. Editorial Peer Review: Is Nursing at Risk?

    ERIC Educational Resources Information Center

    Fondiller, Shirley H.

    1994-01-01

    Certain problems are associated with the intensified use of external reviewers for journals in scientific disciplines. A survey of editors regarding fraudulent publication in the nursing community found that most journals do not have an orientation program for new referees and that there are inadequate mechanisms for evaluating peer reviewer…

  20. CHAMPS: Peer Leadership Program. Training Manual.

    ERIC Educational Resources Information Center

    Vallenari, Alison; Epps, Pat

    CHAMPS Peer Leadership is a program for the prevention of drug, alcohol, and tobacco use, and other negative behaviors and issues facing children. The program asks children to take responsibility for themselves and make positive changes in their schools and communities. Students who have process skills such as goal setting, team building,…

  1. A Fresh Approach to Peer Victimization

    ERIC Educational Resources Information Center

    Dominguez, John

    2013-01-01

    Bullying often persists in spite of formal programs targeting this problem. Supportive school and classroom communities enlist brave peers in consoling, encouraging, and befriending victims, which removes the status that fuels bullies. For the past 18 years, this author has worked in multiple children's agencies and schools, studying bullying…

  2. Community.

    ERIC Educational Resources Information Center

    Grauer, Kit, Ed.

    1995-01-01

    Art in context of community is the theme of this newsletter. The theme is introduced in an editorial "Community-Enlarging the Definition" (Kit Grauer). Related articles include: (1) "The Children's Bridge is not Destroyed: Heart in the Middle of the World" (Emil Robert Tanay); (2) "Making Bridges: The Sock Doll…

  3. Robust Reputations for Peer-to-peer Markets

    DTIC Science & Technology

    2007-05-24

    Robust Reputations for Peer-to-peer Markets Jonathan David Traupman Electrical Engineering and Computer Sciences University of California at Berkeley...DATES COVERED 00-00-2007 to 00-00-2007 4. TITLE AND SUBTITLE Robust Reputations for Peer-to-peer Markets 5a. CONTRACT NUMBER 5b. GRANT NUMBER 5c...line reputation systems for peer-to-peer markets and presents a number of systems which increase robustness against attacks on individual reputations

  4. Peer Review in Class: Metrics and Variations in a Senior Course

    ERIC Educational Resources Information Center

    Yankulov, Krassimir; Couto, Richard

    2012-01-01

    Peer reviews are the generally accepted mode of quality assessment in scholarly communities; however, they are rarely used for evaluation at college levels. Over a period of 5 years, we have performed a peer review simulation at a senior level course in molecular genetics at the University of Guelph and have accumulated 393 student peer reviews.…

  5. Peer Review in Class: Metrics and Variations in a Senior Course

    ERIC Educational Resources Information Center

    Yankulov, Krassimir; Couto, Richard

    2012-01-01

    Peer reviews are the generally accepted mode of quality assessment in scholarly communities; however, they are rarely used for evaluation at college levels. Over a period of 5 years, we have performed a peer review simulation at a senior level course in molecular genetics at the University of Guelph and have accumulated 393 student peer reviews.…

  6. The Adolescent Relational Dialectic and the Peer Roots of Adult Social Functioning

    ERIC Educational Resources Information Center

    Allen, Joseph P.; Chango, Joanna; Szwedo, David

    2014-01-01

    The long-term import of a fundamental challenge of adolescent social development--establishing oneself as a desirable peer companion while avoiding problematic behaviors often supported within peer groups--was examined in a community sample of 184 adolescents, followed from ages 13 to 23, along with parents, peers, and romantic partners. The…

  7. The Perceived Impact of Peer Leadership Experiences on College Academic Performance

    ERIC Educational Resources Information Center

    Skipper, Tracy L.; Keup, Jennifer R.

    2017-01-01

    Open-ended data from the 2009 National Survey of Peer Leaders were analyzed to explore the impact of peer leadership on academic performance. While most participants suggested the experience had no effect on academics, perceptions varied by role. Peer leaders in academic and community service roles described increased skills and understanding of…

  8. Task-shifting to community health workers: evaluation of the performance of a peer-led model in an antiretroviral program in Uganda.

    PubMed

    Alamo, Stella; Wabwire-Mangen, Fred; Kenneth, Ekoru; Sunday, Pamella; Laga, Marie; Colebunders, Robert Leon

    2012-02-01

    Task shifting to community health workers (CHW) has received recognition. We examined the performance of community antiretroviral therapy and tuberculosis treatment supporters (CATTS) in scaling up antiretroviral therapy (ART) in Reach Out, a community-based ART program in Uganda. Retrospective data on home visits made by CATTS were analyzed to examine the CATTS ability to perform home visits to patients based on the model's standard procedures. Qualitative interviews conducted with 347 randomly selected patients and 47 CATTS explored their satisfaction with the model. The CATTS ability to follow-up with patients worsened from patients requiring daily, weekly, monthly, to three-monthly home visits. Only 26% and 15% of them correctly home visited patients with drug side effects and a missed clinic appointment, respectively. Additionally, 83% visited stable pre-ART and ART patients (96%) more frequently than required. Six hundred eighty of the 3650 (18%) patients were lost to follow-up (LTFU) during the study period. The mean number of patients LTFU per CATTS was 40.5. Male (p = 0.005), worked for longer durations (p = 0.02), and had lower education (p = 0.005). An increased number of patients (p = 0.01) were associated with increased LTFU. Ninety-two percent of the CATTS felt the model could be improved by reducing the workload. CATTS who were HIV positive, female, not residing in the same village as their patients, more educated, married, on ART, and spent less time with the patients were rated better by their patients. The Reach-Out CHW model is labor-intensive. Triaged home visits could improve performance and allow CATTS time to focus on patients requiring more intensive follow-up.

  9. Peer Review Undergoing Revitalization

    ERIC Educational Resources Information Center

    Sawchuk, Stephen

    2009-01-01

    Established in the 142,000-student Montgomery County, Maryland, district in 1999, peer assistance and review (PAR)--or "peer review," as it is occasionally called--is actually an old idea. In 1981, the then-president of the Toledo Federation of Teachers, Dal Lawrence, helped create the first PAR program. Almost 30 years later, only a…

  10. Peer-Mediated Instruction.

    ERIC Educational Resources Information Center

    Rosenbaum, Peter S.

    The concept of peer-mediated instruction (PMI) grew out of the author's earlier research on applying techniques of drill and practice computer-assisted instruction (CAI) to language skills learning. Peer-mediated instruction directs pupils to work in pairs, interacting with one another according to structured pattern of dialogue. This book…

  11. Converting Peer Pressure.

    ERIC Educational Resources Information Center

    Gartner, Audrey

    1997-01-01

    Reports on research on peer helping programs and describes a peer tutoring program in three New York City high schools. Results illustrate the importance of youth participation in meaningful roles. Notes that programs in which youth help youth could do many positive things, especially in urban schools. (SLD)

  12. Temperament and Peer Relationships

    ERIC Educational Resources Information Center

    Ma, Imei

    2006-01-01

    Peer relationships play an important role in socialization during childhood and young adolescence. Negative relationships may pose multiple difficulties for children related to their development that can have lifelong influences. Research indicates that the quality of peer relationships is associated with a variety of outcomes, such as social…

  13. Peer review of teaching.

    PubMed

    Fernandez, Charles E; Yu, Jenny

    2007-01-01

    This article provides an overview and description of peer review of teaching for faculty members and administrators who would like to implement a peer review program. This may include classroom and clinical settings. A brief overview, procedure, and a teaching competence evaluation rubric are provided.

  14. Gender and Peer Response

    ERIC Educational Resources Information Center

    Tomlinson, Elizabeth

    2009-01-01

    This case study examines written peer response materials generated by small groups with varying gender compositions. Based on those observations, the author offers several pedagogical implications. She suggests that groups' gender make-up often does influence written feedback provided by group members during peer response sessions. By better…

  15. Peer Review Undergoing Revitalization

    ERIC Educational Resources Information Center

    Sawchuk, Stephen

    2009-01-01

    Established in the 142,000-student Montgomery County, Maryland, district in 1999, peer assistance and review (PAR)--or "peer review," as it is occasionally called--is actually an old idea. In 1981, the then-president of the Toledo Federation of Teachers, Dal Lawrence, helped create the first PAR program. Almost 30 years later, only a…

  16. Converting Peer Pressure.

    ERIC Educational Resources Information Center

    Gartner, Audrey

    1997-01-01

    Reports on research on peer helping programs and describes a peer tutoring program in three New York City high schools. Results illustrate the importance of youth participation in meaningful roles. Notes that programs in which youth help youth could do many positive things, especially in urban schools. (SLD)

  17. Peer review statement

    NASA Astrophysics Data System (ADS)

    2017-09-01

    Peer review statement All papers published in this volume of Journal of Physics: Conference Series have been peer reviewed through processes administered by the proceedings Editors. Reviews were conducted by expert referees to the professional and scientific standards expected of a proceedings journal published by IOP Publishing.

  18. Temperament alters susceptibility to negative peer influence in early adolescence.

    PubMed

    Mrug, Sylvie; Madan, Anjana; Windle, Michael

    2012-02-01

    The role of deviant peers in adolescent antisocial behavior has been well documented, but less is known about individual differences in susceptibility to negative peer influence. This study examined whether specific temperament dimensions moderate the prospective relationship between peer deviance and delinquent behavior in early adolescence. Participants included 704 adolescents recruited from the community. At baseline, parents provided information on adolescents' temperament and youth reported on their own and their friends' delinquent behavior. Self-reports of adolescents' delinquent behavior were collected again 16 months later. Peer deviance was related to delinquent behavior over time more strongly for adolescents with low levels of task orientation, flexibility, and positive mood, compared to youth with high levels of task orientation, flexibility, and positive mood. Analyses of gender differences indicated that low flexibility increased susceptibility to negative peer influence only for males, but not females. General activity level and sleep rhythmicity did not moderate the effect of peer behavior on delinquency.

  19. What is the role of a case manager in community aged care? A qualitative study in Australia.

    PubMed

    You, Emily Chuanmei; Dunt, David; Doyle, Colleen

    2016-07-01

    This study aimed to explore the perceptions of case managers about their roles in providing community aged care in Australia. Purposeful sampling was used and 33 qualitative semi-structured interviews with 47 participants were conducted. Participants were drawn from a list of all case managers working in aged care organisations that provided publicly funded case-managed community aged care programmes in the State of Victoria, Australia. Participant selection criteria included age, gender, job titles, professional backgrounds, practice locations, organisational attributes and organisational size. Data collection was implemented between September 2012 and March 2013. Thematic analysis was performed. Participants believed that case managers performed diverse roles based on clients' needs. They also articulated 16 important roles of case managers, including advisors, advocates, carers, communicators, co-ordinators, educators, empowering clients, engaging clients and families, liaising with people, managing budgets, navigators, negotiators, networking with people, facilitators, problem solvers and supporters. However, they were concerned about brokers, mediators and counsellors in terms of the terminology or case managers' willingness to perform these roles. Moreover, they perceived that neither gatekeepers nor direct service provision was case managers' role. The findings of this study suggest that case managers working in community aged care sectors may be more effective if they practised the 16 roles aforementioned. With the value of helping rather than obstructing clients to access services, they may not act as gatekeepers. In addition, they may not provide services directly as opposed to their peers working in medical care settings. The findings will also assist organisations to design job descriptions specifying case managers' roles and associated job responsibilities. Clear job descriptions will further benefit the organisations in staff recruitment, orientation

  20. Peer mentoring: untapped potential.

    PubMed

    Dennison, Susan

    2010-06-01

    Peer mentoring is a potential solution to the many challenges that nursing education is faced with today, including increasing class sizes, rising competency requirements, decreasing number of faculty, tightening budgets, and shrinking clinical placement opportunities. This article describes a successful peer mentoring program in the nursing clinical learning center at a southern Ontario university. The benefits to mentors, students, and the educational institution are discussed. In their role, peer mentors develop an increase in confidence with skills as well as with leadership and teaching abilities. Peer mentors provide a student-centered service that results in frequent positive feedback from students in all levels of the nursing program. A suggestion for the future potential of this role also is offered to expand undergraduate nursing students' exposure to peer mentoring.

  1. Peer-to-Peer Magnetron Locking

    NASA Astrophysics Data System (ADS)

    Cruz, Edward Jeffrey

    The viability of coherent power combination of multiple high-efficiency, moderate power magnetrons requires a thorough understanding of frequency and phase control. Injection locking of conventional magnetrons, and other types of oscillators, employing a master-to-slave configuration has been studied theoretically and experimentally. This dissertation focuses on the peer-to-peer locking, where each oscillator acts as a master of and slave to all others, between two conventional magnetrons, where the general condition for locking was recently derived. The experiments performed on peer-to-peer locking of two 1-kW magnetrons verify the recently developed theory on the condition under which the two nonlinear oscillators may be locked to a common frequency and relative phase. This condition reduces to Adler's classical locking condition (master-slave) if the coupling is one way. Dependent on the degree of coupling, the frequency of oscillation when locking occurs was found to not necessarily lie between the two magnetrons' free running frequencies. Likewise, when the locking condition was violated, the beat of the spectrum was not necessarily found to be equal to the difference between the free running frequencies. The frequency of oscillation and relative phase between the two magnetrons when locking did occur were found to correspond to one of two solution modes given by the recent theory. The accessibility of the two possible modes is yet to be determined. This work was supported by ONR, AFRL, AFOSR, L-3 Communications Electron Devices Division and Northrop-Grumman Corporation.

  2. The professional experiences of peer specialists in the Georgia Mental Health Consumer Network.

    PubMed

    Ahmed, Anthony O; Hunter, Kristin M; Mabe, Alex P; Tucker, Sherry J; Buckley, Peter F

    2015-05-01

    There has been an increase in the number of peer-led services within the mental health care system. There however remains little information about the experiences of peers serving in such helping roles. This study explored the professional experiences of peer specialists including the basic roles, benefits, and potential challenges of the peer specialist role. Peer specialists (N = 84) completed a battery of surveys and questionnaires. Qualitative analysis of participants' responses indicated that peer specialists face difficulties such as poor compensation, limited employment opportunities, work stress, emotional stress in helping others, and maintaining personal wellness. Quantitative analyses revealed that recovery attitudes may confer clinical and psychosocial benefits for peer specialists and employment may contribute to hope, empowerment, social engagement, and competence. Peer specialists would benefit from resources and supports aimed at their continued training and supervision. Fostering the vocational advancement of peer specialists could potentially enhance their experiential recovery and community functioning.

  3. Child Pornography in Peer-to-Peer Networks

    ERIC Educational Resources Information Center

    Steel, Chad M. S.

    2009-01-01

    Objective: The presence of child pornography in peer-to-peer networks is not disputed, but there has been little effort done to quantify and analyze the distribution and nature of that content to-date. By performing an analysis of queries and query hits on the largest peer-to-peer network, we are able to both quantify and describe the nature of…

  4. Child Pornography in Peer-to-Peer Networks

    ERIC Educational Resources Information Center

    Steel, Chad M. S.

    2009-01-01

    Objective: The presence of child pornography in peer-to-peer networks is not disputed, but there has been little effort done to quantify and analyze the distribution and nature of that content to-date. By performing an analysis of queries and query hits on the largest peer-to-peer network, we are able to both quantify and describe the nature of…

  5. Peer outreach work as economic activity: implications for HIV prevention interventions among female sex workers.

    PubMed

    George, Annie; Blankenship, Kim M

    2015-01-01

    Female sex workers (FSWs) who work as peer outreach workers in HIV prevention programs are drawn from poor socio-economic groups and consider outreach work, among other things, as an economic activity. Yet, while successful HIV prevention outcomes by such programs are attributed in part to the work of peers who have dense relations with FSW communities, there is scant discussion of the economic implications for FSWs of their work as peers. Using observational data obtained from an HIV prevention intervention for FSWs in south India, we examined the economic benefits and costs to peers of doing outreach work and their implications for sex workers' economic security. We found that peers considered their payment incommensurate with their workload, experienced long delays receiving compensation, and at times had to advance money from their pockets to do their assigned peer outreach work. For the intervention these conditions resulted in peer attrition and difficulties in recruitment of new peer workers. We discuss the implications of these findings for uptake of services, and the possibility of reaching desired HIV outcomes. Inadequate and irregular compensation to peers and inadequate budgetary outlays to perform their community-based outreach work could weaken peers' relationships with FSW community members, undermine the effectiveness of peer-mediated HIV prevention programs and invalidate arguments for the use of peers.

  6. Avoiding Greediness in Cooperative Peer-to-Peer Networks

    NASA Astrophysics Data System (ADS)

    Brust, Matthias R.; Ribeiro, Carlos H. C.; Mesit, Jaruwan

    In peer-to-peer networks, peers simultaneously play the role of client and server. Since the introduction of the first file-sharing protocols, peer-to-peer networking currently causes more than 35% of all internet network traffic— with an ever increasing tendency. A common file-sharing protocol that occupies most of the peer-to-peer traffic is the BitTorrent protocol. Although based on cooperative principles, in practice it is doomed to fail if peers behave greedily. In this work-in-progress paper, we model the protocol by introducing the game named Tit-for-Tat Network Termination (T4TNT) that gives an interesting access to the greediness problem of the BitTorrent protocol. Simulations conducted under this model indicate that greediness can be reduced by solely manipulating the underlying peer-to-peer topology.

  7. Unstructured Peer-to-Peer Network Architectures

    NASA Astrophysics Data System (ADS)

    Jin, Xing; Chan, S.-H. Gary

    With the rapid growth of the Internet, peer-to-peer P2P networks have been widely studied and deployed. According to CacheLogic Research, P2P traffic has dominated the Internet traffic in 2006, by accounting for over 72% Internet traffic. In this chapter, we focus on unstructured P2P networks, one key type of P2P networks. We first present several unstructured P2P networks for the file sharing application, and then investigate some advanced issues in the network design. We also study two other important applications, i.e., media streaming and voice over Internet Protocol (VoIP). Finally, we discuss unstructured P2P networks over wireless networks.

  8. EERE Peer Review Guide

    SciTech Connect

    2009-01-18

    The primary purpose of this guide is to provide managers and staff guidance in establishing formal in-progress peer review that provides intellectually fair expert evaluation of EERE RD3 and supporting business administration programs, both retrospective and prospective.

  9. Peer Instruction for Astronomy

    NASA Astrophysics Data System (ADS)

    Green, P. J.; Morgan, W. A., Jr.

    2000-12-01

    How can instructors achieve real-time pace matching with students during large class lectures? How can students become more invested in their own in-class learning? Peer Instruction, coming into widespread use for undergraduate physics courses across the U.S., and now for astronomy as well, can help resolve these perennial questions. As a crucial part of Peer Instruction, teachers pose a question that probes students' conceptual understanding and may also highlight common misconceptions (a ConcepTest). The ConcepTests become the subject of small interactive peer group debates in class. We are compiling a library of ConcepTests to facilitate the implementation of Peer Instruction in introductory undergraduate astronomy. We describe the ConcepTest library, tell you how to access it, and discuss modes of evaluation.

  10. Issues in Peer Review.

    ERIC Educational Resources Information Center

    Sawamura, Mark H.

    2001-01-01

    Based on concerns raised at a workshop at the Southern California College of Optometry, addresses critical issues in the process of peer review of faculty teaching and possible alternatives to these issues as applied to an optometric institution. (EV)

  11. The Potential of Peer Review

    ERIC Educational Resources Information Center

    Johnson, Susan Moore; Fiarman, Sarah E.

    2012-01-01

    Peer review of teachers is controversial for several reasons. Some say peer reviewers encroach on the rightful domain of the principal as instructional leader. Others argue that, because peer evaluators are fellow teachers, they may be biased or unwilling to make hard decisions. Many teachers find the prospect of peer evaluation unsettling because…

  12. The Potential of Peer Review

    ERIC Educational Resources Information Center

    Johnson, Susan Moore; Fiarman, Sarah E.

    2012-01-01

    Peer review of teachers is controversial for several reasons. Some say peer reviewers encroach on the rightful domain of the principal as instructional leader. Others argue that, because peer evaluators are fellow teachers, they may be biased or unwilling to make hard decisions. Many teachers find the prospect of peer evaluation unsettling because…

  13. The Peer Counselor's Pocket Book.

    ERIC Educational Resources Information Center

    Sturkie, Joan; Gibson, Valerie

    Peer counselors are individuals who have been trained in communication skills and who have learned how to apply these skills in helping another person. This booklet was written by a peer counselor and peer counseling teacher to fill a frequently expressed need for a quick, easy-to-read reference. Its purpose is to make available to peer counselors…

  14. Analysis of online social networking peer health educators.

    PubMed

    Young, Sean D

    2012-01-01

    This study seeks to determine whether peer leaders can be recruited to deliver a community-based health intervention using social media. African American and Latino men who have sex with men (MSM) were recruited as peer leaders for either an HIV prevention or general health intervention using social networking technologies. Peer leaders attended 3 training sessions on how to use social media for health behaviour change. Baseline and post-training questionnaires were given to ensure that peer leaders were qualified in using social media to communicate health information. Repeated measures ANOVA models and χ2 tests assessed differences in peer leader knowledge and comfort using social networking technologies pre- and post-training. Post-training, peer leaders were significantly more comfortable using social media to discuss sexual positions. Almost all peer leaders reported being comfortable using social media. There were no significant pre- and post-training differences on other knowledge or comfort measures. Results suggest that peer leaders can be recruited to conduct health interventions using social networking technologies. The discussed training plan can be adapted to health domains to ensure that peer leaders are qualified to conduct health interventions using social media.

  15. Promoting Physical Understanding through Peer Mentoring

    NASA Astrophysics Data System (ADS)

    Nossal, S. M.; Huesmann, A.; Hooper, E.; Moore, C.; Watson, L.; Trestrail, A.; Weber, J.; Timbie, P.; Jacob, A.

    2015-12-01

    The Physics Learning Center at the University of Wisconsin-Madison provides a supportive learning community for students studying introductory physics, as well as teaching and leadership experience for undergraduate Peer Mentor Tutors who receive extensive training and supervision. Many of our Peer Tutors were former Physics Learning Center participants. A central goal of the Physics Learning Center is to address achievement/equity gaps (e.g. race, gender, socio-economic status, disability, age, transfer status, etc.) for undergraduate students pursuing majors and coursework in STEM fields. Students meet twice a week in small learning teams of 3-8 students, facilitated by a trained Peer Mentor Tutor or staff member. These active learning teams focus on discussing core physical concepts and practicing problem-solving. The weekly training of the tutors addresses both teaching and mentoring issues in science education such as helping students to build confidence, strategies for assessing student understanding, and fostering a growth mindset. A second weekly training meeting addresses common misconceptions and strategies for teaching specific physics topics. For non-science majors we have a small Peer Mentor Tutor program for Physics in the Arts. We will discuss the Physics Learning Center's approaches to promoting inclusion, understanding, and confidence for both our participants and Peer Mentor Tutors, as well as examples from the geosciences that can be used to illustrate introductory physics concepts.

  16. Inspiring peer-to-peer educations with film

    NASA Astrophysics Data System (ADS)

    Vachon, R. W.

    2014-12-01

    Oceans are vast, complicated, often inaccessible, three-dimensional and dark (for the most part). The value, vulnerabilities and dynamics of marine systems are quite far removed from the consciousness of many people. However, these reasons are not alibis for not understanding and appreciating oceans deep-rooted influences on our lives. Currently, the Nereus Program, a fellowship of climate, fisheries and computer modeling scientists, are accessing school systems in person and virtually, motivating teens to tell stories about their local understanding of the ocean's influence on their communities (even if they live in a landlocked location). In it's first iteration, we are soliciting youth to communicate through the popular medium of film. These films will be assembled into an on-line digital field guide. In part, this program is designed to be a peer-to-peer educational technique, where civilians are teaching other civilians about local or regional ocean dynamics. Additionally, the act of teaching through film is a proven method for deepening engagement, learning and empowerment of the individuals producing the films.

  17. Evaluation of the CHOICES program of peer-to-peer tobacco education and advocacy.

    PubMed

    Williams, Jill M; Dwyer, Martha; Verna, Marie; Zimmermann, Mia Hanos; Gandhi, Kunal K; Galazyn, Magdalena; Szkodny, Nancy; Molnar, Margaret; Kley, Robert; Steinberg, Marc L

    2011-06-01

    CHOICES is a consumer driven program for addressing tobacco in people with mental illness that employs mental health peer counselors. Since 2005, CHOICES has conducted over 298 community visits reaching more than 10,000 smokers with mental illness (about 2500/year). A telephone based outcome study was conducted in 102 outpatient smokers who received a CHOICES peer-to-peer session. At 1-month follow up participants (N = 86; 84%) reported smoking an average of 13 cigarettes per day which was significantly reduced from a baseline of 19 (P < 0.001). Twenty-five individuals (29%) tried to quit smoking in the month after the peer session and another 47 (55%) reduced their smoking. Feedback from smokers about the program was positive. Most (N = 59, 71%) said it was a lot easier to talk with a consumer about smoking compared to their psychiatrist or staff. Peer-to-peer communication about tobacco use can be effective to increase awareness and change smoking behaviors.

  18. Peer Outreach Work as Economic Activity: Implications for HIV Prevention Interventions among Female Sex Workers

    PubMed Central

    George, Annie; Blankenship, Kim M.

    2015-01-01

    Female sex workers (FSWs) who work as peer outreach workers in HIV prevention programs are drawn from poor socio-economic groups and consider outreach work, among other things, as an economic activity. Yet, while successful HIV prevention outcomes by such programs are attributed in part to the work of peers who have dense relations with FSW communities, there is scant discussion of the economic implications for FSWs of their work as peers. Using observational data obtained from an HIV prevention intervention for FSWs in south India, we examined the economic benefits and costs to peers of doing outreach work and their implications for sex workers’ economic security. We found that peers considered their payment incommensurate with their workload, experienced long delays receiving compensation, and at times had to advance money from their pockets to do their assigned peer outreach work. For the intervention these conditions resulted in peer attrition and difficulties in recruitment of new peer workers. We discuss the implications of these findings for uptake of services, and the possibility of reaching desired HIV outcomes. Inadequate and irregular compensation to peers and inadequate budgetary outlays to perform their community-based outreach work could weaken peers’ relationships with FSW community members, undermine the effectiveness of peer-mediated HIV prevention programs and invalidate arguments for the use of peers. PMID:25775122

  19. Peer Review and Surgical Innovation: Robotic Surgery and Its Hurdles

    PubMed Central

    Vyas, Dinesh; Cronin, Sean

    2016-01-01

    The peer review processes as outlined in the Health Care Quality Improvement Act (HCQIA) is meant ensure quality standard of care through a self-policing mechanism by the medical community. This process grants immunity for people filing a peer review, which is meant to protect whistleblowers. However, it also creates a loophole that can be used maliciously to hinder competition. This is accentuated when surgeons are integrating new technologies, such as robotic surgery, into their practice. With more than 2000 da Vinci robots in use and more than 300 new units being shipped each year, robotic surgery has become a mainstay in the surgical field. The applications for robots continue to expand as surgeons discover their expanding capability. We need a better peer review process. That ensures the peer review is void of competitive bias. Peer reviewers need to be familiar with the procedure and the technology. The current process could stymie innovation in the name of competition. PMID:27517092

  20. Peer Review and Surgical Innovation: Robotic Surgery and Its Hurdles.

    PubMed

    Vyas, Dinesh; Cronin, Sean

    2015-12-01

    The peer review processes as outlined in the Health Care Quality Improvement Act (HCQIA) is meant ensure quality standard of care through a self-policing mechanism by the medical community. This process grants immunity for people filing a peer review, which is meant to protect whistleblowers. However, it also creates a loophole that can be used maliciously to hinder competition. This is accentuated when surgeons are integrating new technologies, such as robotic surgery, into their practice. With more than 2000 da Vinci robots in use and more than 300 new units being shipped each year, robotic surgery has become a mainstay in the surgical field. The applications for robots continue to expand as surgeons discover their expanding capability. We need a better peer review process. That ensures the peer review is void of competitive bias. Peer reviewers need to be familiar with the procedure and the technology. The current process could stymie innovation in the name of competition.