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Name of Media:

Models of Peer Support to Remediate Post-Intensive Care Syndrome: A Report Developed by the SCCM Thrive International Peer Support Collaborative


Joanne McPeake, PhD, MSc, BN (Hons), RGN; Eliotte L Hirshberg, MD, MS; Leeann M Christie, MSN, RN; Kelly Drumright, RN, MSN, CNL; Kimberley Haines, PhD, BHSc (Physiotherapy); Catherine L. Hough, MD, MSc; Joel Meyer, BM, BCh, DM, MRCP, AHEA, FFICM; Dorothy Wade, PhD, MSc; Adair Andrews, RN, M.A.T.D; Rita Bakhru, MD, MS; Samantha Bates, RN.; John A Barwise, MB ChB; Julie Bastarache, MD; Sarah J Beesley, MD; Boehm LM, PhD, RN, ACNS-BC; Sheryl Brown, BSN, RN, CCRN; Alison S. Clay, MD; Penelope Firshman, BSc; Steven Greenberg, MD, FCCP, FCCM; Wendy Harris, RGN; Christopher Hill, M.Div, BCC; Carol Hodgson, PhD, FACP, BAppSc(PT), MPhil; Clare Holdsworth, BPhys (Hons); Aluko Hope, MD; Ramona. O. Hopkins, PhD; David CJ. Howell, PhD, FFICM FRCP; Anna Janssen, PhD, DClinPsy, CPsychol; James C. Jackson, PsyD; Annie Johnson, APRN, ACNP-BC, CCRN; Erin K. Kross, MD; Daniela Lamas, MD; Belinda MacLeod-Smith; Ruth Mandel, LCSW; John Marshall, PharmD, BCPS, BCCCP, FCCM; Mark E. Mikkelsen, MD, MSCE; Megan Nackino, RN, BSN; Tara Quasim, MD, MPH, MBChB; Carla M. Sevin, MD.; Andrew Slack, MBBS, MRCP, EDIC, MD; Rachel Spurr, BSc, RGN.; Mary Still, APRN, ACNS, ANP-BS, CCRN, FCCM; Carol Thompson, PhD, DNP, ACNP; Gerald Weinhouse, MD; M. Elizabeth Wilcox, MD, MPH; and Theodore J Iwashyna, MD, PhD.

Publisher or Source:

Crit Care Med

Type of Media:

Medical Journal

Media Originally for:

Critical Care Physicians, Nurses and/or Other Critical Care Medical Professionals

Country of Origin:

United States

Primary Focus of Media:

Post Intensive Care Syndrome (PICS)

COVID-19 Related:



Objective: Patients and caregivers can experience a range of physical, psychological, and cognitive problems following critical care discharge. The use of peer support has been proposed as an innovative support mechanism.
Design: We sought to identify technical, safety and procedural aspects of existing operational models of peer support, among the Society of Critical Care Medicine Thrive Peer Support Collaborative. We also sought to categorize key distinctions between these models and elucidate barriers and facilitators to implementation.
Subjects: 17 Thrive sites from the USA, UK, and Australia were represented by a range of healthcare professionals.
Interventions: Via an iterative process of in-person and email/conference calls, members of the Collaborative, defined the key areas on which peer support models could be defined and compared; collected detailed self-reports from all sites; reviewed the information and identified clusters of models. Barriers and challenges to implementation of peer support models were also documented.
Results: Within the Thrive Collaborative, six general models of peer support were identified:
Community based, Psychologist-led outpatient, Models based within ICU follow-up clinics, Online, Groups based within ICU and Peer mentor models. The most common barriers to implementation were: recruitment to groups, personnel input and training: sustainability and funding, risk management and measuring success.
Conclusion: A number of different models of peer support are currently being developed to help patients and families recover and grow in the post-critical care setting.

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