Table 2Selection Criteria for Clinical Research Questions

Criteria Inclusion Exclusion
Population Youth (aged between 12 and 25 years) with mental health concerns (including but not limited to depression, anxiety, suicidality, eating disorders, posttraumatic stress disorder) either self-identified or formally diagnosed.

Subgroups of interest:

  • age
  • PROGRESS-Plus factors,23,33 including but not limited to place of residence; race, ethnicity, culture, or language; gender or sex; and socioeconomic status
  • mental health condition (e.g., depression, eating disorders)
  • type of peer support (e.g., 1:1 vs. group, in person vs. virtual).

  • Age < 12 years or > 25 years.
  • Substance use disorders or addictions as the primary concern and reason for delivering or accessing peer support.
  • Neurodevelopmental disorders such as attention-deficit/hyperactivity disorder, autism, and learning disabilities as the primary concern and reason for delivering and accessing peer support.
Intervention(s) Formal peer support programsa
  • Peer support programs that do not fulfill the definition (e.g., do not include formal training, shared lived experience).
  • Support in the form of peer communication, peer-to-peer support (mutual support), or support helplines.
Comparator(s) Interventions without formal peer support (e.g., informal or unstructured peer support interventions, support helplines, self-help group); no intervention (including waitlist); no comparatorNot applicable
Outcomes Question 1

Any outcomes in the following domains, irrespective of the follow-up duration and outcome ascertainment method:

  • personal recovery (e.g., self-efficacy, reduced stigma, HRQoL, coping strategies, client goal achievement, empowerment)
  • clinical outcomes (e.g., recovery rates, burden of symptoms)
  • health care resource utilization (e.g., hospitalizations, ED visits, need for other interventions)
  • social outcomes (e.g., employment, education, stable housing, social support, social isolation).
Question 2

Any outcomes in the following domains, irrespective of the follow-up duration and ascertainment method:

  • treatment-emergent adverse events (e.g., worsening of symptoms), over-dependence, withdrawal or discontinuation from the program, adherence, other harms (e.g., stigmatization, increased shame).b

Not applicable
Study designs Randomized and non-randomized study designs, including:
  • randomized controlled trials
  • non-randomized controlled clinical trials
  • cohort studies (controlled or uncontrolled)
  • case-control studies
  • before-and-after studies (controlled or uncontrolled)
  • interrupted time series studies (controlled or uncontrolled)
  • Cross-sectional studies
  • Case reports
  • Case series
  • Qualitative studies and qualitative evidence from mixed-methods studies
  • Evidence syntheses
  • Protocols and trial registers
  • Editorials, letters, and commentaries
  • Studies of any design published as conference abstracts, presentations, thesis documents, or preprints
Time frame 2006 to presentcBefore 2006

ED = emergency department; HRQoL = health-related quality of life.

a

Formal peer support programs are those delivered by formal community- or health care–based organizations that offer peer support to peer service users by trained peer support workers who share lived experience relating to mental health.

b

If the included studies report on outcomes assessed in peer support workers, those findings will be extracted and summarized.

c

Kirby report,34 the first national report on the mental health system of Canada, was published in 2006. The recovery model, necessary for peer support, proposed by the report was widely accepted and the report led to significant changes in Canadian mental health strategies.35

From: Peer Support Programs for Youth Mental Health

Cover of Peer Support Programs for Youth Mental Health
Peer Support Programs for Youth Mental Health: Health Technology Assessment [Internet].
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