title: The Experience of Peer Mentors in an Intervention to Promote Smoking Cessation in Persons with Psychiatric Illness.
abstract: Peer support is an important component of services for persons with psychiatric illness but the experience of peer mentors is not well understood. This study explored the experiences of peer mentors, all former smokers and persons with psychiatric illness, who provided smoking cessation counseling as part of a 6 month professionally-led intervention. Data was obtained from 383 contact log entries and in-depth interviews with eight peer mentors. Qualitative analysis indicated that mentor roles were unexpectedly varied beyond the focus on smoking cessation. Of the two aspects of "peer-ness," shared smoking history was more prominent, while the shared experience of psychiatric illness was sometimes overlooked. Peer mentors experienced multiple challenges trying to help participants to change their smoking behaviors. Nonetheless, they described their experience as personally rewarding. Future interventions may be improved by anticipating peer mentor role complexity and the inherent tension between providing person-centered support and promoting behavior change.
authors.affiliation: Stanley Research Program, Sheppard Pratt Health System, 6501 North Charles St, Baltimore, MD, 21204, USA. fdickerson@sheppardpratt.org.
authors.forename: Faith
authors.initials: F
authors.lastname: Dickerson
authors.affiliation: Stanley Research Program, Sheppard Pratt Health System, 6501 North Charles St, Baltimore, MD, 21204, USA.
authors.forename: Christina L G
authors.initials: CL
authors.lastname: Savage
authors.affiliation: Stanley Research Program, Sheppard Pratt Health System, 6501 North Charles St, Baltimore, MD, 21204, USA.
authors.forename: Lucy A B
authors.initials: LA
authors.lastname: Schweinfurth
authors.affiliation: Mental Illness Research, Education and Clinical Center, Veterans Affairs Capitol Health Care Network (Veterans Integrated Service Network 5), Baltimore, MD, 21201, USA.|Department of Psychiatry, University of Maryland School of Medicine, Baltimore, MD, 21201, USA.
authors.forename: Richard W
authors.initials: RW
authors.lastname: Goldberg
authors.affiliation: Mental Illness Research, Education and Clinical Center, Veterans Affairs Capitol Health Care Network (Veterans Integrated Service Network 5), Baltimore, MD, 21201, USA.|Department of Psychiatry, University of Maryland School of Medicine, Baltimore, MD, 21201, USA.
authors.forename: Melanie
authors.initials: M
authors.lastname: Bennett
authors.affiliation: Department of Psychiatry, Columbia University School of Medicine, New York, NY, 10032, USA.
authors.forename: Lisa
authors.initials: L
authors.lastname: Dixon
authors.affiliation: Welch Center for Prevention, Epidemiology, and Clinical Research, Johns Hopkins School of Medicine, Baltimore, MD, 21287, USA.
authors.forename: Gail
authors.initials: G
authors.lastname: Daumit
authors.affiliation: Mental Illness Research, Education and Clinical Center, Veterans Affairs Pittsburgh Health Care Network (Veterans Integrated Service Network 4), Pittsburgh, PA, 15213, USA.|Rand Corporation, Pittsburgh, PA, 15213, USA.
authors.forename: Matthew
authors.initials: M
authors.lastname: Chinman
authors.affiliation: Mental Illness Research, Education and Clinical Center, Veterans Affairs Capitol Health Care Network (Veterans Integrated Service Network 5), Baltimore, MD, 21201, USA.|Department of Psychiatry, University of Maryland School of Medicine, Baltimore, MD, 21201, USA.
authors.forename: Alicia
authors.initials: A
authors.lastname: Lucksted
mesh_terms: D000328:Adult; D005260:Female; D006293:Health Promotion / Q000379:methods; D006801:Humans; D007398:Interpersonal Relations; D001523:Mental Disorders / Q000523:psychology* / Q000628:therapy; D008611:Mentors / Q000523:psychology*; D008875:Middle Aged; D016540:Smoking Cessation / Q000379:methods / Q000523:psychology*; D055815:Young Adult
keywords: Mentor; Peer; Psychiatric illness; Smoking cessation