Peer Enriched Environment for Recovery (PEER)

Condition(s) studied

Investigational drug(s) / intervention(s)

Peer-Enriched Environment for Recovery (PEER): The PEER intervention is a post-stroke peer coaching intervention. Participants who undergo this intervention will have 5 coaching sessions, which are delivered by trained peer coaches in-person. In each session, peer coaches will practice psychoeducation, experience sharing, and interactive activity, to provide intervention recipients with psychosocial support. Each coaching session will focus on a specific topic related to post-stroke recovery.

Study summary

The goal of this interventional study is to assess whether a peer coaching intervention (PEER) can improve the well-being in individuals who experienced a stroke. The main questions it aims to answer are

1. Is the PEER intervention feasible and acceptable for the intervention recipients who receive the intervention?
2. Is the PEER intervention feasible and acceptable for the peer coaches who deliver the intervention?
3. Do intervention recipients show a higher level of quality of life at immediate, 4-week, and 8-week post-intervention?
4. Do intervention recipients display increases in measures of psycho-social-spiritual well-being at immediate, 4-week, and 8-week post-intervention? Peer coach participants will a) take training sessions, b) deliver 5 coaching sessions to an intervention recipient participant, c) complete surveys before training, after training, and after intervention delivery, and d) participate in a personal interview Intervention recipient participants will a) attend 5 coaching sessions delivered by a peer coach participant, b) complete surveys before intervention, immediately post intervention, 4-week post intervention, and 8 week post-intervention, and c) participate in a personal interview.

Eligibility

Primary outcome measure(s)

• Mental well-being of intervention recipients — From enrollment to 8-week post intervention
  This outcome will be assessed by the Short Warwick Edinburgh Mental Well-being Scale (SWEMBS), a validated 7-item questionnaire designed to measure positive mental wellbeing with a 5-point Likert scale. Scores of this scale range from 7 to 35, where higher scores indicate better mental well-being.
• Psychological distress of intervention recipients — From enrollment to 8-week post intervention
  This outcome will be assessed by the Hospital Anxiety and Depression Scale (HADS), a widely used 14-item questionnaire designed to detect anxiety and depression. Scores of this scale range from 0 to 21, where higher scores indicate higher levels of anxiety and depression.
• Hope of intervention recipients — From enrollment to 8-week post intervention
  This outcome will be assessed by the Herth Hope Index (HHI), a 12-item questionnaire developed to measure the level of hope. Scores of this scale range from 12 to 84, where higher scores indicate greater levels of hope.
• Resilience of intervention recipients — From enrollment to 8-week post intervention
  This outcome will be assessed by the Brief Resilience Scale (BRS), a 6-item measure designed to assess an individual's ability to bounce back or recover from stress, adversity, and challenging life circumstances. Scores of this scale range from 6 to 30, where higher scores indicate more resilience and a better ability to bounce back from stress and adversity.
• Stroke self-efficacy of intervention recipients — From enrollment to 8-week post intervention
  This outcome will be assessed by the Stroke Self-Efficacy Questionnaire (SSEQ), a 13-item tool used to measure a stroke survivor's confidence in performing functional activities and managing their condition. Scores of this scale range from 7 to 35, where higher scores indicate better mental well-being. Scores of this scale range from 0 to 39, where higher scores indicate better self-efficacy.
• Reintegration of intervention recipients — From enrollment to 8-week post intervention
  This outcome will be assessed by the Modified Reintegration to Normal Living Index (mRNLI), a validated 11-item assessment tool used to measure the degree to which individuals with chronic illnesses, disabilities, or traumatic injuries resume their normal social roles and activities. Scores of this scale range from 0 to 110, where higher scores indicate higher, more satisfying levels of reintegration.
• Social support of intervention recipients — From enrollment to 8-week post intervention
  This outcome will be assessed by the Inventory of Social Support, a 5-item questionnaire developed to assess the level of social support. Scores of this scale range from 5 to 25, where higher scores indicate higher levels of social support.
• Spiritual well-being of intervention recipients — From enrollment to 8-week post intervention
  This outcome will be assessed by the Functional Assessment of Chronic Illness Therapy-Spiritual Well-Being 12 Scale (FACIT-Sp-12), a widely used 12-item measure of spiritual wellbeing. Scores of this scale range from 0 to 48, where higher scores indicate greater spiritual well-being.
• Stroke specific quality of life of intervention recipients — From enrollment to 8-week post intervention
  This outcome will be assessed by the Stroke Specific Quality of Life Scale (SS-QOL), a 12-item questionnaire to assess health-related quality of life specifically for stroke survivors. Scores of this scale range from 12 to 60, where higher scores indicate better function and greater quality of life.

Trial sites (1)

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