title: Peer education for advance care planning: volunteers' perspectives on training and community engagement activities.
abstract: BACKGROUND
  Peer education by volunteers may aid attitudinal change, but there is little understanding of factors assisting the preparation of peer educators. This study contributes to conceptual understandings of how volunteers may be prepared to work as peer educators by drawing on an evaluation of a training programme for peer education for advance care planning (ACP).
  
  
  OBJECTIVE
  To report on volunteers' perspectives on the peer education training programme, their feelings about assuming the role of volunteer peer educators and the community engagement activities with which they engaged during the year after training. To examine broader implications for peer education.
  
  
  METHODS
  Participatory action research employing mixed methods of data collection.
  
  
  METHODS
  Twenty-four older volunteers and eight health and social care staff.
  
  
  METHODS
  Evaluative data were gathered from information provided during and at the end of training, a follow-up survey 4 months post-training; interviews and focus groups 6 and 12 months post-training.
  
  
  RESULTS
  Volunteers' personal aims ranged from working within their communities to using what they had learnt within their own families. The personal impact of peer education was considerable. Two-thirds of volunteers reported community peer education activities 1 year after the training. Those who identified strongly with a community group had the most success.
  
  
  CONCLUSIONS
  We reflect on the extent to which the programme aided the development of 'critical consciousness' among the volunteers: a key factor in successful peer education programmes. More research is needed about the impact on uptake of ACP in communities.
authors: School of Nursing, Midwifery and Physiotherapy, University of Nottingham, Nottingham, UK. jane.seymour@nottingham.ac.uk
authors: Jane E
authors: JE
authors: Seymour
authors: Kathryn
authors: K
authors: Almack
authors: Sheila
authors: S
authors: Kennedy
authors: Katherine
authors: K
authors: Froggatt
references: Br J Community Nurs. 2004 May;9(5):195-200
references: 15187899
references: JAMA. 2010 Jan 20;303(3):269-70
references: 20085956
references: JAMA. 1999 Nov 3;282(17):1670-2
references: 10553796
references: Australas J Ageing. 2009 Mar;28(1):7-11
references: 19243369
references: Int J Palliat Nurs. 2006 May;12(5):214, 216-23
references: 16835561
references: Health Commun. 2005;18(1):1-22
references: 15918788
references: Sociol Health Illn. 2007 Sep;29(6):872-90
references: 17986020
references: Am J Community Psychol. 1997 Jun;25(3):289-323
references: 9332965
references: Sociol Health Illn. 2008 Jan;30(1):35-54
references: 18254832
references: Public Health Nurs. 1999 Oct;16(5):367-73
references: 10528508
references: Am J Community Psychol. 2009 Sep;44(1-2):123-35
references: 19521765
references: Soc Sci Med. 2004 Jul;59(1):57-68
references: 15087143
references: Soc Sci Med. 2008 Feb;66(4):982-93
references: 18158212
references: J Pain Symptom Manage. 2010 Dec;40(6):857-69
references: 20813494
references: Soc Sci Med. 2010 Sep;71(6):1102-9
references: 20621405
references: Palliat Med. 2004 Jul;18(5):460-7
references: 15332424
references: J Adolesc. 1999 Aug;22(4):555-66
references: 10469518
references: Soc Sci Med. 2009 Jun;68(11):2002-9
references: 19362763
references: J Gen Intern Med. 1999 Jan;14(1):21-6
references: 9893087
references: J Health Psychol. 2007 Nov;12(6):949-60
references: 17956973
references: J Am Geriatr Soc. 2009 Sep;57(9):1547-55
references: 19682120
references: Soc Sci Med. 2006 Jul;63(2):320-34
references: 16459004
references: Health Educ Res. 1999 Apr;14(2):235-47
references: 10387503
references: Soc Sci Med. 2002 Jul;55(2):331-45
references: 12144146