1
|
Wong ELY, Yau JHY, Sze LCY, Kanagawa HS, Leung DKY, Liu T, Wong GHY, Lum TYS. A core competency framework for mental health peer supporters of older adults in a Chinese community: cross-culturally informed Delphi study. BJPsych Bull 2024; 48:92-99. [PMID: 37309186 PMCID: PMC10985733 DOI: 10.1192/bjb.2023.45] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/28/2023] [Accepted: 04/23/2023] [Indexed: 06/14/2023] Open
Abstract
AIMS AND METHOD Non-Western literature on the core competencies of mental health peer supporters remains limited. Therefore, we used a three-round Delphi study with peer supporters, service users (i.e. someone using peer support services) and mental health professionals to develop a core competency framework for peer supporters in the Chinese context. RESULTS The final framework included 35 core competencies, the conceptual origins of which were local (14.3%), Western (20%) and both local and Western (65.7%). They were grouped into five categories in ascending peer supporter role specificity: (1) self-care and self-development, (2) general work ethics, (3) work with others, (4) work with service users and (5) peer support knowledge. CLINICAL IMPLICATIONS A culturally valid mental health peer support competency framework can minimise role confusion and refine training and practice guidelines. In a Chinese context, peer supporters were valued as generic support companions, whereas functions highlighted in the West, such as role modelling, were perceived as less critical.
Collapse
Affiliation(s)
- Edwin Lok Yan Wong
- Department of Social Work and Social Administration, The University of Hong Kong, Hong Kong
| | - Jessie Ho-Yin Yau
- Department of Social Work and Social Administration, The University of Hong Kong, Hong Kong
| | - Lesley Cai Yin Sze
- Department of Social Work and Social Administration, The University of Hong Kong, Hong Kong
| | - Hotinpo Sky Kanagawa
- Department of Social Work and Social Administration, The University of Hong Kong, Hong Kong
| | - Dara Kiu Yi Leung
- Department of Social Work and Social Administration, The University of Hong Kong, Hong Kong
| | - Tianyin Liu
- Department of Social Work and Social Administration, The University of Hong Kong, Hong Kong
| | - Gloria Hoi Yan Wong
- Department of Social Work and Social Administration, The University of Hong Kong, Hong Kong
| | - Terry Yat Sang Lum
- Department of Social Work and Social Administration, The University of Hong Kong, Hong Kong
- Sau Po Centre on Ageing, The University of Hong Kong, Hong Kong
| |
Collapse
|
2
|
Lam WWT, Ng DWL, Fielding R, Sin V, Tsang C, Chan WWL, Foo CC, Kwong A, Chan KKL. Implementing a nurse-led screening clinic for symptom distress with community-based referral for cancer survivors: A feasibility study. Psychooncology 2024; 33:e6261. [PMID: 38047720 DOI: 10.1002/pon.6261] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/17/2023] [Revised: 10/12/2023] [Accepted: 11/20/2023] [Indexed: 12/05/2023]
Abstract
INTRODUCTION This prospective, single-arm, pragmatic implementation study evaluated the feasibility of a nurse-led symptom-screening program embedded in routine oncology post-treatment outpatient clinics by assessing (1) the acceptance rate for symptom distress screening (SDS), (2) the prevalence of SDS cases, (3) the acceptance rate for community-based psychosocial support services, and (4) the effect of referred psychosocial support services on reducing symptom distress. METHODS Using the modified Edmonton Symptom Assessment System (ESAS-r), we screened patients who recently completed cancer treatment. Patients screening positive for moderate-to-severe symptom distress were referred to a nurse-led community-based symptom-management program involving stepped-care symptom/psychosocial management interventions using a pre-defined triage system. Reassessments were conducted at 3-months and 9-months thereafter. The primary outcomes included SDS acceptance rate, SDS case prevalence, intervention acceptance rate, and ESAS-r score change over time. RESULTS Overall, 2988/3742(80%) eligible patients consented to SDS, with 970(32%) reporting ≥1 ESAS-r symptom as moderate-to-severe (caseness). All cases received psychoeducational material, 673/970(69%) accepted psychosocial support service referrals. Among 328 patients completing both reassessments, ESAS-r scores improved significantly over time (p < 0.0001); 101(30.8%) of patients remained ESAS cases throughout the study, 112(34.1%) recovered at 3-month post-baseline, an additional 72(22%) recovered at 9-month post-baseline, while 43(12.2%) had resumed ESAS caseness at 9-month post-baseline. CONCLUSION Nurse-led SDS programs with well-structured referral pathways to community-based services and continued monitoring are feasible and acceptable in cancer patients and may help in reducing symptom distress. We intend next to develop optimal strategies for SDS implementation and referral within routine cancer care services.
Collapse
Affiliation(s)
- Wendy Wing Tak Lam
- Centre for Psycho-Oncology Research and Trainig, Division of Behavioural Sciences, School of Public Health, LKS Faculty of Medicine, The University of Hong Kong, Hong Kong, SAR, China
- LKS Faculty of Medicine Jockey Club Institute of Cancer Care, The University of Hong Kong, Hong Kong, SAR, China
| | - Danielle W L Ng
- Centre for Psycho-Oncology Research and Trainig, Division of Behavioural Sciences, School of Public Health, LKS Faculty of Medicine, The University of Hong Kong, Hong Kong, SAR, China
- LKS Faculty of Medicine Jockey Club Institute of Cancer Care, The University of Hong Kong, Hong Kong, SAR, China
| | - Richard Fielding
- Centre for Psycho-Oncology Research and Trainig, Division of Behavioural Sciences, School of Public Health, LKS Faculty of Medicine, The University of Hong Kong, Hong Kong, SAR, China
- LKS Faculty of Medicine Jockey Club Institute of Cancer Care, The University of Hong Kong, Hong Kong, SAR, China
| | - Vivian Sin
- LKS Faculty of Medicine Jockey Club Institute of Cancer Care, The University of Hong Kong, Hong Kong, SAR, China
| | - Catherine Tsang
- LKS Faculty of Medicine Jockey Club Institute of Cancer Care, The University of Hong Kong, Hong Kong, SAR, China
| | - Wendy W L Chan
- Department of Clinical Oncology, LKS Faculty of Medicine, School of Clinical Medicine, The University of Hong Kong, Hong Kong, SAR, China
| | - Chi Chung Foo
- Department of Surgery, LKS Faculty of Medicine, School of Clinical Medicine, The University of Hong Kong, Hong Kong, SAR, China
| | - Ava Kwong
- Department of Surgery, LKS Faculty of Medicine, School of Clinical Medicine, The University of Hong Kong, Hong Kong, SAR, China
| | - Karen K L Chan
- Department of Obstetrics and Gynaecology, LKS Faculty of Medicine, School of Clinical Medicine, The University of Hong Kong, Hong Kong, SAR, China
| |
Collapse
|
3
|
Shek DTL, Lin L. Trajectories of Personal Well-Being Attributes Among High School Students in Hong Kong. Appl Res Qual Life 2016; 12:841-866. [PMID: 29201250 PMCID: PMC5694527 DOI: 10.1007/s11482-016-9492-5] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 06/21/2016] [Accepted: 10/14/2016] [Indexed: 06/07/2023]
Abstract
How personal well-being of adolescents changes over the high school period is not entirely clear in the scientific literature. Using 15 positive youth development (PYD) attributes as indicators of well-being, the current study investigated the related developmental trajectories among a large sample of Hong Kong adolescents from Grade 7 to Grade 12. Individual growth curve modeling revealed that while variation existed across different PYD attributes, nine out of 15 positive youth development attributes declined in the early adolescence but showed a rebound or a slower rate of decline in the late adolescence. The current study serves as a pioneering attempt to chart the normative profiles of Chinese adolescents' personal well-being over time. The theoretical and practical implications of the findings are discussed.
Collapse
Affiliation(s)
- Daniel T. L. Shek
- Department of Applied Social Sciences, The Hong Kong Polytechnic University, Hong Kong, Hong Kong
| | - Li Lin
- Department of Applied Social Sciences, The Hong Kong Polytechnic University, Hong Kong, Hong Kong
| |
Collapse
|