Peer leaders are increasingly involved in health-related programmes due to the perceived benefits that they bring to the group process. This exploratory study examined the experiences of peer leaders in the University of Queensland Driver Retirement Initiative, an educational support group for older people undergoing driving cessation.
Method
Semi-structured interviews were conducted with five peer leaders (two men, three women, age range: 67–81 years) regarding their role and involvement as a peer leader in the University of Queensland Driver Retirement Initiative programme as well as their positive and negative experiences.
Results
Inductive thematic analysis revealed three themes: diversity of peer leaders, drawing on personal strengths and experiences, and taking the middle ground.
Conclusion
This study revealed that peer leaders drew from their diverse range of personal resources and experiences to perform the role of peer leader, using varying approaches to perform the role successfully. The provision of broad guidelines in training allowed individual approaches to be developed and this contributed to a positive experience for peer leaders in the University of Queensland Driver Retirement Initiative. These findings have implications for the development of future peer-led driving cessation programmes and the selection of their peer leaders.
ArberA (2006) Reflexity: a challenge for the researcher as practitioner?Journal of Research in Nursing11(2): 147–158.
2.
BarlowJHBancroftGVTurnerAP (2005) Volunteer, lay tutors’ experiences of the chronic disease self-management course: being valued and adding value. Health Education Research20(2): 128–135.
3.
Berg-WegerMMeuserTMStoweJ (2013) Addressing individual differences in mobility transition counseling with older adults. Journal of Gerontological Social Work56(3): 201–218.
4.
BrownCHenningsJCaressAL (2007) Lay educators in asthma self management: reflections on their training and experiences. Patient Education and Counselling68(2): 131–138.
5.
CatalanoTKendallEVandenbergA (2009) The experiences of leaders of self-management courses in Queensland: exploring health professional and peer leaders’ perceptions of working together. Health and Social Care in the Community17(2): 105–115.
6.
ChodoshJMortonSCMojicaW (2005) Meta-analysis: chronic disease self-management programs for older adults. Annals of Internal Medicine143(6): 427–438.
7.
Dedoose (Version 4.3.86) [Web application]. Los Angeles, CA: SocioCultural Research Consultants.
8.
DiCicco-BloomBCrabtreeBF (2006) The qualitative research interview. Medical Education40(4): 314–321.
9.
DutcherMVPhicilSNGoldenkranzSB (2011) “Positive examples”: a bottom-up approach to identifying best practices in HIV care and treatment based on the experiences of peer educators. AIDS Patient Care and STDs25(7): 403–411.
10.
EbyDWMolnarLJKartjePS (2009) Maintaining Safe Mobility in an Aging Society, Boca Raton: CRC Press.
11.
EisenhandlerSA (1990) The asphalt identikit: old age and the driver’s license. International Journal of Aging and Human Development30(1): 1–14.
12.
FosterGTaylorSJCEldridgeS (2007) Self-management education programmes by lay leaders for people with chronic conditions. Cochrane Database of Systematic Reviews4: CD005108.
13.
GriffithsCFosterGRamsayJ (2007) How effective are expert patient (lay led) education programmes for chronic disease?British Medical Journal334(7606): 1254–1256.
14.
GustafssonLLiddleJLiangP (2012) Use of a driving cessation program to identify and improve transport and lifestyle issues of older retired and retiring drivers. International Journal of Psychogeriatrics24(5): 794–802.
15.
GustafssonLALiddleJMLuaS (2011) Participant feedback and satisfaction with the UQDRIVE groups for driving cessation. Canadian Journal of Occupational Therapy78(2): 110–117.
16.
HainsworthJBarlowJH (2001) Volunteers’ experiences of becoming an arthritis self-management lay-leader: ‘It’s almost as if I’ve stopped ageing and started to get younger!’. Arthritis Care and Research45(4): 378–383.
17.
HillerHHDiLuzioL (2004) The participants and the research interview: analysing a neglected dimension in research. Canadian Review of Sociology41(1): 1–26.
18.
KennedyAReevesDBowerP (2007) The effectiveness and cost effectiveness of a national lay-led self care support programme for patients with long-term conditions: a pragmatic randomised controlled trial. Journal of Epidemiology and Community Health61(3): 254–261.
19.
KielhofnerG (2002) Model of Human Occupation, 3rd ed. Philadelphia: Lippincott Williams & Wilkins.
20.
LawMCooperBStrongS (1996) The person-environment-occupation model: a transactive approach to occupational performance. Canadian Journal of Occupational Therapy63(1): 9–23.
21.
LiddleJHaynesMPachanaNA (2014) Effect of a group intervention to promote older adults’ adjustment to driving cessation on community mobility: a randomized controlled trial. The Gerontologist54(3): 409–422.
22.
LiddleJMcKennaKBarlettH (2007) Improving outcomes for older retired drivers: the UQDRIVE program. Australian Occupational Therapy Journal54(4): 303–306.
23.
LiddleJTurpinMCarlsonG (2008) The needs and experiences related to driving cessation for older people. British Journal of Occupational Therapy71(9): 379–388.
24.
MacdonaldWKontopantelisEBowerP (2009) What makes a successful volunteer expert patients programme tutor? Factors predicting satisfaction, productivity and intention to continue tutoring of a new public health workforce in the United Kingdom. Patient Education and Counselling75(1): 128–134.
25.
MarottoliRAMendes de LeonCFGlassTA (1997) Driving cessation and increased depressive symptoms: prospective evidence from the New Haven EPESE. Journal of the American Geriatrics Society45(2): 202–206.
26.
MerrellJ (2000) Ambiguity: exploring the complexity of roles and boundaries when working with volunteers in well woman clinics. Social Science & Medicine51(1): 93–102.
27.
MerriamSB (2001) Andragogy and self-directed learning: pillars of adult learning theory. New Directions for Adult and Continuing Education89: 3–14.
28.
MezukBRebokGW (2008) Social integration and social support among older adults following driving cessation. The Journals of Gerontology63(5): 298–303.
29.
MilneJOrberleK (2005) Enhancing rigor in qualitative description: a case study. Journal of Wound, Ostomy and Continence Nursing32(6): 413–420.
30.
MolnarLJEbyDWSt LouisRM (2007) Promising Approaches for Promoting Lifelong Community Mobility, Ann Arbor, MI: Transport Research Institute, University of Michigan.
31.
NeergaardMAOlesenFAndersenRS (2009) Qualitative description – the poor cousin of health research?BMC Medical Research Methodology9: 52.
32.
PattonMQ (2002) Qualitative Research and Evaluation Methods, 3rd ed. Thousand Oaks, CA: SAGE Publications.
33.
PeelNMWarburtonJ (2009) Using senior volunteers as peer educators: what is the evidence of effectiveness in falls prevention?Australasian Journal on Ageing28(1): 7–11.
34.
SimoniJMFranksJCLehavotK (2011) Peer interventions to promote health: conceptual considerations. American Journal of Orthopsychiatry81(3): 351–359.
35.
ThomasDR (2006) A general inductive approach for analyzing qualitative evaluation data. American Journal of Evaluation27(2): 237–246.
36.
WebelAROkonskyJTrompetaJ (2010) A systematic review of the effectiveness of peer-based interventions on health-behaviors in adults. American Journal of Public Health100(2): 247–253.
