Participants in a peer-based nutrition and health program in Zimbabwe value dialogue, peer support, and tangible action: A qualitative exploration of peer group experiences.

Peer support groups are implemented globally, and viewed as cost-effective, scalable platforms for delivering health and nutrition programming. Quality is important for participation and achieving social and behavior change goals. Little research has explored the perspectives of peer group participa...

Full description

Saved in:
Bibliographic Details
Main Authors: S Riley Auer, Newton Matandirotya, Prince Mathe, Musawenkosi Moyo, Lisa Sherburne, Katherine L Dickin
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2024-01-01
Series:PLOS Global Public Health
Online Access:https://doi.org/10.1371/journal.pgph.0003525
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1850252250282196992
author S Riley Auer
Newton Matandirotya
Prince Mathe
Musawenkosi Moyo
Lisa Sherburne
Katherine L Dickin
author_facet S Riley Auer
Newton Matandirotya
Prince Mathe
Musawenkosi Moyo
Lisa Sherburne
Katherine L Dickin
author_sort S Riley Auer
collection DOAJ
description Peer support groups are implemented globally, and viewed as cost-effective, scalable platforms for delivering health and nutrition programming. Quality is important for participation and achieving social and behavior change goals. Little research has explored the perspectives of peer group participants on quality. This manuscript describes community-based implementation research, and associated findings, which was conducted to learn how participants of a nutrition and health program define quality peer groups and how they suggest improving peer groups. In-depth interviews on experiences, benefits, and challenges were conducted with participants of health and nutrition peer groups, including group members (n = 64) and facilitators (n = 30), in three districts in Zimbabwe. Qualitative data were analyzed thematically and preliminary results were presented in six follow-up focus group discussions with interviewees to provide input on results and interpretation. Peer groups met some of participants' needs for knowledge, social support, and visible improvements in their lives and homes. Participants described generally positive experiences that sustained participation and motivated behavior change. They highlighted group dynamics, interactive facilitation, and community recognition which support the credibility and motivation of group facilitators. Implementation could be improved by strengthening family engagement and more hands-on learning for encouraging participation. Local adaptation of group activities can address influences on behavior change and increase relevance to participants' needs. The perspectives of core stakeholders are essential to understand what aspects of peer groups are most important to implement the approach with quality across contexts. Implementation research and continued monitoring to understand participant perspectives should be an integral part of all programs to ensure the application of adult learning principles and an appropriate balance between fidelity and adaptation for local relevance and engagement.
format Article
id doaj-art-e0014a08205d406784631ac402d4df37
institution OA Journals
issn 2767-3375
language English
publishDate 2024-01-01
publisher Public Library of Science (PLoS)
record_format Article
series PLOS Global Public Health
spelling doaj-art-e0014a08205d406784631ac402d4df372025-08-20T01:57:40ZengPublic Library of Science (PLoS)PLOS Global Public Health2767-33752024-01-01410e000352510.1371/journal.pgph.0003525Participants in a peer-based nutrition and health program in Zimbabwe value dialogue, peer support, and tangible action: A qualitative exploration of peer group experiences.S Riley AuerNewton MatandirotyaPrince MatheMusawenkosi MoyoLisa SherburneKatherine L DickinPeer support groups are implemented globally, and viewed as cost-effective, scalable platforms for delivering health and nutrition programming. Quality is important for participation and achieving social and behavior change goals. Little research has explored the perspectives of peer group participants on quality. This manuscript describes community-based implementation research, and associated findings, which was conducted to learn how participants of a nutrition and health program define quality peer groups and how they suggest improving peer groups. In-depth interviews on experiences, benefits, and challenges were conducted with participants of health and nutrition peer groups, including group members (n = 64) and facilitators (n = 30), in three districts in Zimbabwe. Qualitative data were analyzed thematically and preliminary results were presented in six follow-up focus group discussions with interviewees to provide input on results and interpretation. Peer groups met some of participants' needs for knowledge, social support, and visible improvements in their lives and homes. Participants described generally positive experiences that sustained participation and motivated behavior change. They highlighted group dynamics, interactive facilitation, and community recognition which support the credibility and motivation of group facilitators. Implementation could be improved by strengthening family engagement and more hands-on learning for encouraging participation. Local adaptation of group activities can address influences on behavior change and increase relevance to participants' needs. The perspectives of core stakeholders are essential to understand what aspects of peer groups are most important to implement the approach with quality across contexts. Implementation research and continued monitoring to understand participant perspectives should be an integral part of all programs to ensure the application of adult learning principles and an appropriate balance between fidelity and adaptation for local relevance and engagement.https://doi.org/10.1371/journal.pgph.0003525
spellingShingle S Riley Auer
Newton Matandirotya
Prince Mathe
Musawenkosi Moyo
Lisa Sherburne
Katherine L Dickin
Participants in a peer-based nutrition and health program in Zimbabwe value dialogue, peer support, and tangible action: A qualitative exploration of peer group experiences.
PLOS Global Public Health
title Participants in a peer-based nutrition and health program in Zimbabwe value dialogue, peer support, and tangible action: A qualitative exploration of peer group experiences.
title_full Participants in a peer-based nutrition and health program in Zimbabwe value dialogue, peer support, and tangible action: A qualitative exploration of peer group experiences.
title_fullStr Participants in a peer-based nutrition and health program in Zimbabwe value dialogue, peer support, and tangible action: A qualitative exploration of peer group experiences.
title_full_unstemmed Participants in a peer-based nutrition and health program in Zimbabwe value dialogue, peer support, and tangible action: A qualitative exploration of peer group experiences.
title_short Participants in a peer-based nutrition and health program in Zimbabwe value dialogue, peer support, and tangible action: A qualitative exploration of peer group experiences.
title_sort participants in a peer based nutrition and health program in zimbabwe value dialogue peer support and tangible action a qualitative exploration of peer group experiences
url https://doi.org/10.1371/journal.pgph.0003525
work_keys_str_mv AT srileyauer participantsinapeerbasednutritionandhealthprograminzimbabwevaluedialoguepeersupportandtangibleactionaqualitativeexplorationofpeergroupexperiences
AT newtonmatandirotya participantsinapeerbasednutritionandhealthprograminzimbabwevaluedialoguepeersupportandtangibleactionaqualitativeexplorationofpeergroupexperiences
AT princemathe participantsinapeerbasednutritionandhealthprograminzimbabwevaluedialoguepeersupportandtangibleactionaqualitativeexplorationofpeergroupexperiences
AT musawenkosimoyo participantsinapeerbasednutritionandhealthprograminzimbabwevaluedialoguepeersupportandtangibleactionaqualitativeexplorationofpeergroupexperiences
AT lisasherburne participantsinapeerbasednutritionandhealthprograminzimbabwevaluedialoguepeersupportandtangibleactionaqualitativeexplorationofpeergroupexperiences
AT katherineldickin participantsinapeerbasednutritionandhealthprograminzimbabwevaluedialoguepeersupportandtangibleactionaqualitativeexplorationofpeergroupexperiences