A brief desk-based review of wider evidence and experience of Peer Support Worker training was completed prior to data collection for the ImROC peer support worker training evaluation to both inform the approach we take to the evaluation and provide useful contextual information.
The key questions the scoping review aimed to answer were as follows:
This review was completed by Dr Audrey Buelo with support from Dr Simon Bradstreet for Matter of Focus.
This scoping review was a very pragmatic, condensed version of more traditional systematic review methods. To search for relevant papers that answered one or more of the research questions above, a search in Google and Google Scholar was carried out using terms such as "peer support worker training evaluation", "experiences of peer support worker training" and similar evaluations. The ImROC evaluation steering group were also asked for literature recommendations. We were open to grey literature but mainly primary research was found. The first 5 to 10 pages of Google and Google Scholar were hand-searched by title and abstract. Potentially relevant references were downloaded into Mendeley and then a more detailed review of relevance took place. Reference lists of included papers were also searched.
Data extraction took place in OutNav. Outcomes (mainly in the results section of the included papers) were added into the appropriate Matter of Focus headers as stepping stones. For example, if a paper did a qualitative evaluation of the training and people spoke about feeling more confident as a result of the training, 'Increased confidence' was added into the 'How they feel' header as a stepping stone. Each paper's specific training programme was added into the 'What we do' header.
EX-IN training [Hegedues 2016 & 2021]
Recovery Innovations [Gerry 2011]
PSW Training [Alan 2014]
Peer Work Project [Franke 2010]
ENRICH [Gillard 2022]
Training program [Meehan 2002]
Warmline training [Tse 2014]
META Peer Support Training [Hutchinson 2006]
ImROC training [Watson 2016]
Queensland training [Sanchez-Moscona 2021]
Training team
Trainees
Wider organisations (employing trainees)
Hopeful and more positive
Empowered - my illness is actually a strength or asset
I feel prepared to support others in this role
I feel proud of myself
I believe in myself
This training is useful
Trainees feel positively about the trainers
I feel less shame and self-doubt
Introspection
Increased self-efficacy
Increased stigma resistance
Increased confidence
New skills to apply to own mental distress
Feel prepared to handle workplace culture
The importance of boundaries in building relationships
Learn and apply key PSW values to role
More personal recovery
Communicate better (generally)
PSW enter employment (paid or unpaid)
Trainees recommend training to peers
Ask for help when needed
Better illness management skills
Improved physical health
Improved mental health
Trainees continue in employment as a PSW or elsewhere
This pragmatic method of scoping the evaluation literature on peer support worker training programmes has allowed us to understand how evaluators around the globe have assessed the impact peer support worker training, and key findings from their work. This provided a sense-check for our own evaluation of the ImROC peer support worker training programme, to ensure that our outcome map aligns with what's been developed previously (or if it doesn't align, to be able to explore this and justify it). We found that our outcome map reflected previous evaluation findings.
This process of doing a literature review in OutNav had some useful benefits:
There were also a few limitations to this scoping review and using OutNav:
Overall, using OutNav as a literature review framework has a lot of potential and ability to personalise it according to your needs.