Experiences of peer counselling during inpatient rehabilitation of patients with spinal cord injuries

Spinal Cord Series and Cases, 2019 · DOI: https://doi.org/10.1038/s41394-018-0144-x · Published: January 1, 2019

Spinal Cord Injury Rehabilitation Social Support

Simple Explanation

This study explores the experiences of patients with spinal cord injuries (SCI) who participated in peer counseling during their inpatient rehabilitation. It investigates how these patients perceived the peer counseling process and how it influenced their feelings of empowerment. The research also examines the perspectives of the peer counselors themselves, focusing on their perceptions of their role in supporting patients and the challenges they face in providing counseling. Ultimately, the study aims to understand how peer counseling can be optimized to enhance the rehabilitation experience and promote a self-determined life for individuals with SCI.

Study Duration

5 months

Participants

6 patients with SCI and 4 peer counselors

Evidence Level

Qualitative study

Key Findings

1
Patients valued the solution-oriented, practical, and motivating nature of peer counseling, particularly appreciating the authentic and open demeanor of the peer counselors.
2
Unplanned meetings between patients and peer counselors were found to be highly valued, providing opportunities for addressing questions and exchanging experiences in an informal setting.
3
Peer counselors identified the initial visit with patients with high-level quadriplegia as a significant challenge, highlighting the importance of appropriate timing and tailored support.

Research Summary

This qualitative study evaluated peer counseling during inpatient rehabilitation of patients with spinal cord injuries (SCI) from the perspective of both patients and peer counselors. Patients experienced peer counseling as solution-oriented, practical, and motivating, appreciating the authenticity of the counselors and finding support in conversations about recreational activities and personal interests. Peer counselors faced challenges, particularly during initial visits with patients with high-level quadriplegia, and highlighted the importance of unplanned meetings and the need for ongoing support and training.

Practical Implications

Timing of Initial Visits

Special attention should be given to the timing of the initial peer counseling visit, particularly for patients with high-level quadriplegia, to ensure they are ready and receptive to the interaction.

Importance of Unplanned Interactions

Rehabilitation programs should facilitate and encourage unplanned meetings between patients and peer counselors, recognizing their value in addressing immediate questions and fostering informal support.

Support and Training for Peer Counselors

Healthcare facilities should provide adequate support and training for peer counselors to help them manage stressful situations and effectively support patients throughout their rehabilitation journey.

Study Limitations

1
The study consisted of a small sample size (six patient interviews and one focus group interview).
2
The sample size did not allow to check, if saturation was reached
3
It may have been helpful to have several analysts studying the material with regard to the inter-observer reliability

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