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Henry L Halliday - One of the best experts on this subject based on the ideXlab platform.
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a rct of Peer Mentoring for first time mothers in socially disadvantaged areas the moments study
Archives of Disease in Childhood, 2011Co-Authors: Margaret Cupples, Andrew Percy, Moira Stewart, Peter Hepper, C Murphy, Henry L HallidayAbstract:Objective Interventions to reduce health inequalities for young children and their mothers are important: involving Peers is recommended, but evidence of value for this approach is limited. The authors aimed to examine the effect of an innovative tailored Peer-Mentoring programme, based on perceived needs, for first-time mothers in socio-economically deprived communities. Design Randomised controlled trial; parallel qualitative study with purposive samples using semistructured interviews. Setting Socio-economically disadvantaged areas, Belfast. Participants Primigravidae, aged 16–30 years, without significant co-morbidity. Intervention Peer-Mentoring by a lay-worker fortnightly during pregnancy and monthly for the following year, tailored to participants9 wishes (home visits/telephone contacts), additional to usual care. Main outcome measures Infant psychomotor and mental development (Bayley Scales of Infant Development (BSID-II)) at 1 year, assessed by an observer blinded to group allocation. Mothers9 health at 1 year postnatal (SF-36). Results Of 534 women invited, 343(64%) participated; 85%, with their children, completed outcome assessments (140 of 172 intervention; 152 of 171 controls). Intervention and control groups did not differ in BSID-II psychomotor (mean difference 1.64, 95% CI −0.94 to 4.21) or mental (−0.81, −2.78 to 1.16) scores, nor SF-36 physical functioning (−5.4, −11.6 to 0.7) or mental health (−1.8, −6.1 to 2.6). Women valued advice given in context of personal experience of child-rearing. Mentors gained health-related knowledge, personal skills and new employment opportunities. Conclusions Despite possible longer-term social advantage, this Peer-Mentoring programme showed no benefit for infant development or maternal health at 1 year. Further rigorous evaluation of important outcomes of complex interventions promoting health for children in socially disadvantaged communities is warranted. Trial registration no ISRCTN 55055030
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Peer Mentoring for first time mothers from areas of socio economic disadvantage a qualitative study within a randomised controlled trial
BMC Health Services Research, 2008Co-Authors: Christine A Murphy, Margaret Cupples, Andrew Percy, Henry L Halliday, Moira StewartAbstract:Background Non-professional involvement in delivering health and social care support in areas of socio-economic deprivation is considered important in attempting to reduce health inequalities. However, trials of Peer Mentoring programmes have yielded inconsistent evidence of benefit: difficulties in implementation have contributed to uncertainty regarding their efficacy. We aimed to explore difficulties encountered in conducting a randomised controlled trial of a Peer-Mentoring programme for first-time mothers in socially disadvantaged areas, in order to provide information relevant to future research and practice. This paper describes the experiences of lay-workers, women and health professionals involved in the trial.
Kathleen Martin A Ginis - One of the best experts on this subject based on the ideXlab platform.
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Peer Mentoring of adults with spinal cord injury a transformational leadership perspective
Disability and Rehabilitation, 2016Co-Authors: Mark R Beauchamp, Louisa Scarlett, Geralyn R Ruissen, Catherine E Connelly, Christopher B Mcbride, Sheila Casemore, Kathleen Martin A GinisAbstract:AbstractPurpose: Drawing from the tenets of transformational leadership theory, the purpose of this study was to examine the nature of effective Peer Mentoring of adults with a spinal cord injury (SCI) from the perspective of mentees.Methods: The study utilised a qualitative methodology (informed by a social constructionist approach), involving 15 adult mentees with a SCI (mean age = 47.2; mean time since injury = 14.5 years), in which data were obtained via semi-structured interviews.Results: The results revealed that effective Mentoring, as used by mentors with SCIs, closely aligns with the core components of transformational leadership. Specifically, all four dimensions of transformational leadership (idealised influence, inspirational motivation, individualised consideration and intellectual stimulation) as displayed by mentors with a SCI were evident in their interactions with mentees. Participants who perceived their mentors to use transformational leadership behaviours reported increases in motivat...
Robin A Hanks - One of the best experts on this subject based on the ideXlab platform.
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randomized controlled trial of Peer Mentoring for individuals with traumatic brain injury and their significant others
Archives of Physical Medicine and Rehabilitation, 2012Co-Authors: Robin A Hanks, Lisa J Rapport, Jeffrey Wertheimer, Carole KoviakAbstract:Abstract Hanks RA, Rapport LJ, Wertheimer J, Koviak C. Randomized controlled trial of Peer Mentoring for individuals with traumatic brain injury and their significant others. Objectives To examine the efficacy of a Peer-Mentoring program for persons with traumatic brain injury (TBI) and their significant others, and to determine the relationship of this Mentoring program to 3 main outcomes: (1) emotional well-being; (2) post-TBI quality of life; and (3) community integration. Design Randomized controlled trial. Setting Midwestern rehabilitation hospital. Participants Persons with TBI (n=96) and significant others/caregivers (n=62). Interventions Persons with TBI and friends/caregivers who knew the person prior to their injury were randomly assigned to a treatment (mentored) or no-treatment (no Mentoring) control group immediately prior to discharge from the rehabilitation unit and were mentored for up to 2 years. Main Outcome Measures Peer Mentoring Questionnaire; Brief Symptom Inventory-18; Family Assessment Device; Coping Inventory for Stressful Situations; Short Michigan Alcohol Screening Test; Medical Outcomes Study 12-Item Short-Form Health Survey; and Community Integration Measure. Results Eighty-eight percent of individuals who were involved in the Mentoring program reported positive experiences. t tests revealed that among persons with TBI, individuals who received Mentoring had significantly better behavioral control and less chaos in the living environment ( P =.04), lower alcohol use ( P =.01), less emotion-focused ( P =.04) and avoidance coping ( P =.03), and good physical quality of life ( P =.04) compared with those who did not receive Mentoring. Among significant others, mentored individuals demonstrated greater community integration ( P =.03) than the nonmentored control group. Conclusions Mentoring can be an effective way to benefit mood and healthy coping after TBI, and it can help to prevent maladaptive behaviors, such as substance abuse and behavioral dyscontrol, in the living situation.
Andrew Long - One of the best experts on this subject based on the ideXlab platform.
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Peer Mentoring evaluation of a novel programme in paediatrics
Archives of Disease in Childhood, 2014Co-Authors: Sarah Eisen, Seema Sukhani, Alex Brightwell, Sara Stoneham, Andrew LongAbstract:Background Mentoring is important for personal and professional development of doctors. Peer Mentoring is a core skill in the UK paediatric postgraduate curriculum. However, there is a paucity of Peer Mentoring programmes aimed at postgraduate doctors in training (postgraduate trainees), and there are no such schemes within paediatrics described in the literature. We developed a regional Peer Mentoring programme for postgraduate trainees in paediatrics to assess demand and need for Peer Mentoring and to explore the benefits for both Peer mentees and mentors. Programme design Junior postgraduate trainees, randomly selected from volunteers, received Peer Mentoring from more senior trainees for 1 year. Peer mentors were selected by competitive application and undertook tailored training followed by an experiential learning programme. The programme was evaluated using structured questionnaires. Results 90% (76/84) of first-year postgraduate trainees in paediatrics applied to participate, demonstrating high demand. 18 Peer mentor–mentee pairs were matched. Peer mentors and mentees reported high satisfaction rates, acquisition of new and transferable skills and changed behaviours. All Peer mentors intended to use the skills in their workplace and, later, as an educational supervisor. Conclusions Our programme represents a novel approach to meeting the demonstrated demand and the curriculum requirement for Peer Mentoring, and enabled Peer mentors and mentees to develop a valuable and versatile skill set. To our knowledge, it is the first such programme in paediatrics and provides a feasibility model that may be adapted locally to allow education providers to offer this important experience to postgraduate trainees.
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g05 a paediatric Peer Mentoring programme offers significant benefits to both junior and senior trainees
Archives of Disease in Childhood, 2013Co-Authors: Sarah Eisen, Seema Sukhani, Alex Brightwell, Sara Stoneham, Andrew LongAbstract:Aim Mentoring has been identified as an important process in personal and professional development for doctors. Peer Mentoring is a core skill specified within the RCPCH curriculum. We developed, implemented and evaluated a Programme for provision of Peer Mentoring within our School of Paediatrics. Methods 18 junior trainees received individual Peer Mentoring from a specifically trained senior trainee over a one year period. 18 Peer Mentees were randomly selected from volunteers recruited at the regional ST1 Induction. 18 Peer Mentors of ST5 level upwards were recruited and selected by anonymised competitive application. Peer Mentors undertook a tailored programme of training, with defined learning objectives, mapped against established standards. This was subsequently reinforced by experiential learning which included regular meetings with the Peer Mentee, completion of a reflective portfolio and attendance at facilitated Action Learning Sets. Results 90% of ST1 trainees expressed interest in participating in the Programme. We recruited to capacity and 16/18 pairs successfully completed the Programme. Satisfaction was high: 100% of Peer Mentors and 82% of mentees enjoyed the experience of participating in the Programme. 100% of Peer Mentors and 94% of mentees felt the Programme to be useful. Subjects discussed in sessions were predominantly work-related; professional development and accessing learning opportunities were discussed by 94% of pairs, followed by work-life balance and performance issues (both 82%). Both Peer Mentors and Mentees reported acquisition of a wide range of skills useful for a range of applications. 94% of Peer Mentors wished to continue in this role and all intended to use the skills in their workplace and, later, as an Educational Supervisor. 77% of Peer Mentees reported greater proactivity in seeking new learning opportunities and improved decision-making skills. Improved stress management was also mentioned. 75% reported enhanced ability to deal with new situations and 88% reported improved self-confidence. 76% reported a positive change in their overall outlook and approach to their professional lives. Conclusion Our successful Programme represents a novel and sustainable approach to meeting both the demonstrated demand and the RCPCH curriculum requirement for Peer Mentoring. Both Peer mentors and mentees developed versatile and sustainable skills for the future.
Margaret Cupples - One of the best experts on this subject based on the ideXlab platform.
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a rct of Peer Mentoring for first time mothers in socially disadvantaged areas the moments study
Archives of Disease in Childhood, 2011Co-Authors: Margaret Cupples, Andrew Percy, Moira Stewart, Peter Hepper, C Murphy, Henry L HallidayAbstract:Objective Interventions to reduce health inequalities for young children and their mothers are important: involving Peers is recommended, but evidence of value for this approach is limited. The authors aimed to examine the effect of an innovative tailored Peer-Mentoring programme, based on perceived needs, for first-time mothers in socio-economically deprived communities. Design Randomised controlled trial; parallel qualitative study with purposive samples using semistructured interviews. Setting Socio-economically disadvantaged areas, Belfast. Participants Primigravidae, aged 16–30 years, without significant co-morbidity. Intervention Peer-Mentoring by a lay-worker fortnightly during pregnancy and monthly for the following year, tailored to participants9 wishes (home visits/telephone contacts), additional to usual care. Main outcome measures Infant psychomotor and mental development (Bayley Scales of Infant Development (BSID-II)) at 1 year, assessed by an observer blinded to group allocation. Mothers9 health at 1 year postnatal (SF-36). Results Of 534 women invited, 343(64%) participated; 85%, with their children, completed outcome assessments (140 of 172 intervention; 152 of 171 controls). Intervention and control groups did not differ in BSID-II psychomotor (mean difference 1.64, 95% CI −0.94 to 4.21) or mental (−0.81, −2.78 to 1.16) scores, nor SF-36 physical functioning (−5.4, −11.6 to 0.7) or mental health (−1.8, −6.1 to 2.6). Women valued advice given in context of personal experience of child-rearing. Mentors gained health-related knowledge, personal skills and new employment opportunities. Conclusions Despite possible longer-term social advantage, this Peer-Mentoring programme showed no benefit for infant development or maternal health at 1 year. Further rigorous evaluation of important outcomes of complex interventions promoting health for children in socially disadvantaged communities is warranted. Trial registration no ISRCTN 55055030
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Peer Mentoring for first time mothers from areas of socio economic disadvantage a qualitative study within a randomised controlled trial
BMC Health Services Research, 2008Co-Authors: Christine A Murphy, Margaret Cupples, Andrew Percy, Henry L Halliday, Moira StewartAbstract:Background Non-professional involvement in delivering health and social care support in areas of socio-economic deprivation is considered important in attempting to reduce health inequalities. However, trials of Peer Mentoring programmes have yielded inconsistent evidence of benefit: difficulties in implementation have contributed to uncertainty regarding their efficacy. We aimed to explore difficulties encountered in conducting a randomised controlled trial of a Peer-Mentoring programme for first-time mothers in socially disadvantaged areas, in order to provide information relevant to future research and practice. This paper describes the experiences of lay-workers, women and health professionals involved in the trial.