The use of peer support groups for emergency physicians during the COVID‐19 pandemic

Abstract Objective To test the feasibility, receptivity, and preliminary effectiveness of peer support groups for emergency medicine physicians during the COVID‐19 pandemic and gain a better understanding of their experiences with peer support. Methods This pilot study used a quasi‐experimental desi...

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Main Authors: Jill Nault Connors, Tanner Thornsberry, Julie Hayden, Kurt Kroenke, Patrick O. Monahan, Claire Draucker, Sally Wasmuth, Heather Kelker, Anne Whitehead, Julie Welch
Format: Article
Language:English
Published: Elsevier 2023-02-01
Series:Journal of the American College of Emergency Physicians Open
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Online Access:https://doi.org/10.1002/emp2.12897
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author Jill Nault Connors
Tanner Thornsberry
Julie Hayden
Kurt Kroenke
Patrick O. Monahan
Claire Draucker
Sally Wasmuth
Heather Kelker
Anne Whitehead
Julie Welch
author_facet Jill Nault Connors
Tanner Thornsberry
Julie Hayden
Kurt Kroenke
Patrick O. Monahan
Claire Draucker
Sally Wasmuth
Heather Kelker
Anne Whitehead
Julie Welch
author_sort Jill Nault Connors
collection DOAJ
description Abstract Objective To test the feasibility, receptivity, and preliminary effectiveness of peer support groups for emergency medicine physicians during the COVID‐19 pandemic and gain a better understanding of their experiences with peer support. Methods This pilot study used a quasi‐experimental design to assess change in symptoms of distress, anxiety, depression and burn‐out before and after participating in a virtual, group‐based peer support intervention for a duration of 8 weeks. Pre‐post change analyses were performed using two‐sided, paired t tests. Feasibility was measured by attendance data to demonstrate the use of the intervention. Receptivity was measured using a global change rating and net promoter score at the end of each session and 8‐week period, respectively. During the final session, qualitative data on physician experience was collected and then analyzed using conventional content analysis. Results Twenty‐four emergency medicine physicians participated in the pilot study. The attendance goal was met by 20 (24, 83%) physicians and 19 (22, 86%) physicians reported they would recommend peer support groups to a friend of colleague. Positive standardized response mean effect sizes indicated modest improvement in nine of 12 symptom measurements with marginal significance (p < 0.10) for improvement in guilt [20, Effect Size (ES) = 0.45] and depression (21, ES = 0.39). Qualitative findings revealed high overall benefit with few adverse impacts of participation. Conclusions Results demonstrate high physician receptivity, feasibility, and benefit from participation in peer support groups. Promising signs of improvement in distress, anxiety, depression, and burn out symptoms warrant additional studies with larger sample sizes and more robust research designs to establish the evidence base for peer support in the physician population.
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spelling doaj-art-df0d61828bed4081b9488a23aeb2a9372025-08-20T03:26:16ZengElsevierJournal of the American College of Emergency Physicians Open2688-11522023-02-0141n/an/a10.1002/emp2.12897The use of peer support groups for emergency physicians during the COVID‐19 pandemicJill Nault Connors0Tanner Thornsberry1Julie Hayden2Kurt Kroenke3Patrick O. Monahan4Claire Draucker5Sally Wasmuth6Heather Kelker7Anne Whitehead8Julie Welch9Department of Surgery Indiana University School of Medicine Indianapolis Indiana USADepartment of Surgery Indiana University School of Medicine Indianapolis Indiana USANational Alliance on Mental Illness of Greater Indianapolis, Inc Indianapolis Indiana USADepartment of Medicine Indiana University School of Medicine Indianapolis Indiana USADepartment of Biostatistics and Health Data Science Indiana University School of Medicine Indianapolis Indiana USAIndiana University School of Nursing Indianapolis Indiana USASchool of Health & Human Sciences Indiana University‐Purdue University at Indianapolis Indianapolis Indiana USADepartment of Emergency Medicine Indiana University School of Medicine Indianapolis Indiana USADepartment of Emergency Medicine Indiana University School of Medicine Indianapolis Indiana USADepartment of Emergency Medicine Indiana University School of Medicine Indianapolis Indiana USAAbstract Objective To test the feasibility, receptivity, and preliminary effectiveness of peer support groups for emergency medicine physicians during the COVID‐19 pandemic and gain a better understanding of their experiences with peer support. Methods This pilot study used a quasi‐experimental design to assess change in symptoms of distress, anxiety, depression and burn‐out before and after participating in a virtual, group‐based peer support intervention for a duration of 8 weeks. Pre‐post change analyses were performed using two‐sided, paired t tests. Feasibility was measured by attendance data to demonstrate the use of the intervention. Receptivity was measured using a global change rating and net promoter score at the end of each session and 8‐week period, respectively. During the final session, qualitative data on physician experience was collected and then analyzed using conventional content analysis. Results Twenty‐four emergency medicine physicians participated in the pilot study. The attendance goal was met by 20 (24, 83%) physicians and 19 (22, 86%) physicians reported they would recommend peer support groups to a friend of colleague. Positive standardized response mean effect sizes indicated modest improvement in nine of 12 symptom measurements with marginal significance (p < 0.10) for improvement in guilt [20, Effect Size (ES) = 0.45] and depression (21, ES = 0.39). Qualitative findings revealed high overall benefit with few adverse impacts of participation. Conclusions Results demonstrate high physician receptivity, feasibility, and benefit from participation in peer support groups. Promising signs of improvement in distress, anxiety, depression, and burn out symptoms warrant additional studies with larger sample sizes and more robust research designs to establish the evidence base for peer support in the physician population.https://doi.org/10.1002/emp2.12897peer supportphysician wellnessphysician mental health
spellingShingle Jill Nault Connors
Tanner Thornsberry
Julie Hayden
Kurt Kroenke
Patrick O. Monahan
Claire Draucker
Sally Wasmuth
Heather Kelker
Anne Whitehead
Julie Welch
The use of peer support groups for emergency physicians during the COVID‐19 pandemic
Journal of the American College of Emergency Physicians Open
peer support
physician wellness
physician mental health
title The use of peer support groups for emergency physicians during the COVID‐19 pandemic
title_full The use of peer support groups for emergency physicians during the COVID‐19 pandemic
title_fullStr The use of peer support groups for emergency physicians during the COVID‐19 pandemic
title_full_unstemmed The use of peer support groups for emergency physicians during the COVID‐19 pandemic
title_short The use of peer support groups for emergency physicians during the COVID‐19 pandemic
title_sort use of peer support groups for emergency physicians during the covid 19 pandemic
topic peer support
physician wellness
physician mental health
url https://doi.org/10.1002/emp2.12897
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