Evaluating the Impact of a Peer Support Program on Participants' Well-Being: Finding Belongingness Through the Women Veterans Network.

IF 3.3 2区 医学 Q1 HEALTH CARE SCIENCES & SERVICES
Medical Care Pub Date : 2024-12-01 Epub Date: 2024-11-11 DOI:10.1097/MLR.0000000000002039
Tara E Galovski, Amy E Street, Caroline C Cooney, Michael R Winters
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引用次数: 0

Abstract

Background: Loss of belongingness may be particularly pronounced for women veterans, representing a threat to long-term well-being. Improvements in social support through engagement in a structured peer support program may mitigate the negative effects of loss of belongingness on well-being.

Objective: We assessed the impact of participation in a peer-led, structured, social support group-based network on outcomes related to well-being [i.e., belongingness, social support, quality of life, posttraumatic stress disorder (PTSD), depression]. Subgroup analyses examined relative impact among those who completed the intervention and those reporting clinical levels of PTSD and depression symptoms.

Methods: We analyzed survey data consisting of reliable and valid measures collected at baseline, postgroup and 3-month follow-up among 393 participants in the Woven Veterans Network's (WoVeN) group program.

Results: We observed improvements in posttraumatic stress disorder (PTSD) symptoms over time. We observed additional benefits among those who received an adequate dose of the intervention (significant improvements on PTSD, belongingness) and those with clinical levels of mental health symptoms (significant improvements on PTSD, depression, belongingness, quality of life).

Conclusions: Impacts on social support may have been masked due to ceiling effects given wide dispersion baseline social support in this sample. This social support network had particularly profound impacts on well-being for those veterans who suffered from conditions for which isolation and loneliness are particularly salient.

评估同伴支持计划对参与者幸福感的影响:通过女退伍军人网络寻找归属感。
背景:女性退伍军人的归属感缺失可能尤为明显,这对她们的长期幸福感构成了威胁。通过参与有组织的同伴支持计划来改善社会支持,可以减轻归属感丧失对幸福感的负面影响:我们评估了参与由同伴领导的结构化社会支持小组网络对幸福感相关结果(即归属感、社会支持、生活质量、创伤后应激障碍(PTSD)、抑郁)的影响。分组分析研究了完成干预的人与报告创伤后应激障碍和抑郁症状临床水平的人之间的相对影响:我们对 Woven 退伍军人网络(WoVeN)小组项目的 393 名参与者在基线、小组活动后和 3 个月随访期间收集的可靠有效的调查数据进行了分析:结果:我们观察到,随着时间的推移,创伤后应激障碍(PTSD)症状有所改善。我们观察到,在接受足够剂量干预的人群中(创伤后应激障碍和归属感有显著改善),以及有临床水平精神健康症状的人群中(创伤后应激障碍、抑郁、归属感和生活质量有显著改善),获得了额外的益处:结论:由于该样本的社会支持基线非常分散,对社会支持的影响可能被天花板效应所掩盖。这种社会支持网络对那些患有孤独和寂寞症状的退伍军人的福祉影响尤为深远。
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来源期刊
Medical Care
Medical Care 医学-公共卫生、环境卫生与职业卫生
CiteScore
5.20
自引率
3.30%
发文量
228
审稿时长
3-8 weeks
期刊介绍: Rated as one of the top ten journals in healthcare administration, Medical Care is devoted to all aspects of the administration and delivery of healthcare. This scholarly journal publishes original, peer-reviewed papers documenting the most current developments in the rapidly changing field of healthcare. This timely journal reports on the findings of original investigations into issues related to the research, planning, organization, financing, provision, and evaluation of health services.
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