IDEAS home Printed from https://ideas.repec.org/a/eee/socmed/v111y2014icp101-109.html
   My bibliography  Save this article

An explanatory model of peer education within a complex medicines information exchange setting

Author

Listed:
  • Klein, Linda A.
  • Ritchie, Jan E.
  • Nathan, Sally
  • Wutzke, Sonia

Abstract

Studies of the effectiveness and value of peer education abound, yet there is little theoretical understanding of what lay educators actually do to help their peers. Although different theories have been proposed to explain components of peer education, a more complete explanatory model has not been established empirically that encompasses the many aspects of peer education and how these may operate together. The Australian Seniors Quality Use of Medicines Peer Education Program was developed, in conjunction with community partners, to improve understanding and management of medicines among older people – an Australian and international priority. This research investigated how peer educators facilitated learning about quality use of medicines among older Australians. Participatory action research was undertaken with volunteer peer educators, using a multi-site case study design within eight geographically-defined locations. Qualitative data from 27 participatory meetings with peer educators included transcribed audio recordings and detailed observational and interpretive notes, which were analysed using a grounded theory approach. An explanatory model arising from the data grouped facilitation of peer learning into four broad mechanisms: using educator skills; offering a safe place to learn; pushing for change; and reflecting on self. Peer educators' life experience as older people who have taken medicines was identified as an overarching contributor to peer learning. As lay persons, peer educators understood the potential disempowerment felt when seeking medicines information from health professionals and so were able to provide unique learning experiences that encouraged others to be ‘active partners’ in their own medicines management. These timely findings are linked to existing education and behaviour change theories, but move beyond these by demonstrating how the different elements of what peer educators do fit together. In-depth examination of peer educators' practice in this context offers potential insights into the practice of lay workers in other related complex health promotion programs.

Suggested Citation

  • Klein, Linda A. & Ritchie, Jan E. & Nathan, Sally & Wutzke, Sonia, 2014. "An explanatory model of peer education within a complex medicines information exchange setting," Social Science & Medicine, Elsevier, vol. 111(C), pages 101-109.
    • Handle: RePEc:eee:socmed:v:111:y:2014:i:c:p:101-109
    DOI: 10.1016/j.socscimed.2014.04.009
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S0277953614002330
    Download Restriction: Full text for ScienceDirect subscribers only
    File URL: https://libkey.io/10.1016/j.socscimed.2014.04.009?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Campbell, Catherine & MacPhail, Catherine, 2002. "Peer education, gender and the development of critical consciousness: participatory HIV prevention by South African youth," Social Science & Medicine, Elsevier, vol. 55(2), pages 331-345, July.
    2. Sarafian, Isabelle, 2012. "Process assessment of a peer education programme for HIV prevention among sex workers in Dhaka, Bangladesh : A social support framework," Social Science & Medicine, Elsevier, vol. 75(4), pages 668-675.
    3. Pinto, Rogério M. & da Silva, Sueli Bulhões & Soriano, Rafaela, 2012. "Community Health Workers in Brazil’s Unified Health System: A framework of their praxis and contributions to patient health behaviors," Social Science & Medicine, Elsevier, vol. 74(6), pages 940-947.
    4. Green, L.W., 2006. "Public health asks of systems science: To advance our evidence-based practice, can you help us get more practice-based evidence?," American Journal of Public Health, American Public Health Association, vol. 96(3), pages 406-409.
    5. Earp, J.A. & Eng, E. & O'Malley, M.S. & Altpeter, M. & Rauscher, G. & Mayne, L. & Mathews, H.F. & Lynch, K.S. & Qaqish, B., 2002. "Increasing use of mammography among older, rural African American women: Results from a community trial," American Journal of Public Health, American Public Health Association, vol. 92(4), pages 646-654.
    6. Pound, Pandora & Britten, Nicky & Morgan, Myfanwy & Yardley, Lucy & Pope, Catherine & Daker-White, Gavin & Campbell, Rona, 2005. "Resisting medicines: a synthesis of qualitative studies of medicine taking," Social Science & Medicine, Elsevier, vol. 61(1), pages 133-155, July.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. R. Tri Priyono Budi Santoso & Sony Heru Priyanto & I. Wayan Ruspendi Junaedi & Donald Samuel Slamet Santoso & Lasmono Tri Sunaryanto, 2023. "Project-based entrepreneurial learning (PBEL): a blended model for startup creations at higher education institutions," Journal of Innovation and Entrepreneurship, Springer, vol. 12(1), pages 1-22, December.
    2. Kyaien O. Conner & Tamara Cadet & Monique J. Brown & Joshua T. Barnett, 2018. "The Impact of Peer Support on the Risk of Future Hospital Readmissions among Older Adults with a Medical Illness and Co-Occurring Depression," Social Sciences, MDPI, vol. 7(9), pages 1-11, September.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Simon, Christian & Mosavel, Maghboeba & van Stade, Debbie, 2007. "Ethical challenges in the design and conduct of locally relevant international health research," Social Science & Medicine, Elsevier, vol. 64(9), pages 1960-1969, May.
    2. Allison Williams & Jac Kee Low & Elizabeth Manias & Kimberley Crawford, 2016. "The transplant team's support of kidney transplant recipients to take their prescribed medications: a collective responsibility," Journal of Clinical Nursing, John Wiley & Sons, vol. 25(15-16), pages 2251-2261, August.
    3. Rebecca J Bartlett Ellis & Janet L Welch, 2017. "Medication‐taking behaviours in chronic kidney disease with multiple chronic conditions: a meta‐ethnographic synthesis of qualitative studies," Journal of Clinical Nursing, John Wiley & Sons, vol. 26(5-6), pages 586-598, March.
    4. Jyh-Jeng Wu & Yueh-Mei Chen & Paul C. Talley & Kuang-Ming Kuo, 2021. "Does Online Community Participation Contribute to Medication Adherence? An Empirical Study of Patients with Chronic Diseases," IJERPH, MDPI, vol. 18(10), pages 1-16, May.
    5. Alfonso, Moya L. & Nickelson, Jen & Hogeboom, David L. & French, Jennifer & Bryant, Carol A. & McDermott, Robert J. & Baldwin, Julie A., 2008. "Assessing local capacity for health intervention," Evaluation and Program Planning, Elsevier, vol. 31(2), pages 145-159, May.
    6. Miller, Alison L. & Weston, Lauren E. & Perryman, Jamie & Horwitz, Talia & Franzen, Susan & Cochran, Shirley, 2014. "Parenting While Incarcerated: Tailoring the Strengthening Families Program for use with jailed mothers," Children and Youth Services Review, Elsevier, vol. 44(C), pages 163-170.
    7. Pronyk, Paul M. & Harpham, Trudy & Morison, Linda A. & Hargreaves, James R. & Kim, Julia C. & Phetla, Godfrey & Watts, Charlotte H. & Porter, John D., 2008. "Is social capital associated with HIV risk in rural South Africa?," Social Science & Medicine, Elsevier, vol. 66(9), pages 1999-2010, May.
    8. Dew, Kevin & Norris, Pauline & Gabe, Jonathan & Chamberlain, Kerry & Hodgetts, Darrin, 2015. "Moral discourses and pharmaceuticalised governance in households," Social Science & Medicine, Elsevier, vol. 131(C), pages 272-279.
    9. Gabe, Jonathan & Williams, Simon J. & Coveney, Catherine M., 2017. "Prescription hypnotics in the news: A study of UK audiences," Social Science & Medicine, Elsevier, vol. 174(C), pages 43-52.
    10. Prentice, Julia C., 2006. "Neighborhood effects on primary care access in Los Angeles," Social Science & Medicine, Elsevier, vol. 62(5), pages 1291-1303, March.
    11. Webster, Michelle, 2017. "Similarities and differences in the meanings children and their parents attach to epilepsy medications," Social Science & Medicine, Elsevier, vol. 177(C), pages 190-197.
    12. Campbell, Catherine & Andersen, Louise & Mutsikiwa, Alice & Pufall, Erica & Skovdal, Morten & Madanhire, Claudius & Nyamukapa, Connie & Gregson, Simon, 2015. "Factors shaping the HIV-competence of two primary schools in rural Zimbabwe," International Journal of Educational Development, Elsevier, vol. 41(C), pages 226-236.
    13. Paola Belingheri & Filippo Chiarello & Andrea Fronzetti Colladon & Paola Rovelli, 2021. "Twenty years of gender equality research: A scoping review based on a new semantic indicatorr," PLOS ONE, Public Library of Science, vol. 16(9), pages 1-27, September.
    14. Ridge, Damien & Kokanovic, Renata & Broom, Alex & Kirkpatrick, Susan & Anderson, Claire & Tanner, Claire, 2015. "“My dirty little habit”: Patient constructions of antidepressant use and the ‘crisis’ of legitimacy," Social Science & Medicine, Elsevier, vol. 146(C), pages 53-61.
    15. Gibson, Grant, 2016. "‘Signposts on the journey’; medication adherence and the lived body in men with Parkinson's disease," Social Science & Medicine, Elsevier, vol. 152(C), pages 27-34.
    16. Berry, Brandon & Apesoa-Varano, Ester Carolina, 2017. "Medication takeovers: Covert druggings and behavioral control in Alzheimer's," Social Science & Medicine, Elsevier, vol. 188(C), pages 51-59.
    17. Austrian, Karen & Muthengi, Eunice, 2014. "Can economic assets increase girls' risk of sexual harassment? Evaluation results from a social, health and economic asset-building intervention for vulnerable adolescent girls in Uganda," Children and Youth Services Review, Elsevier, vol. 47(P2), pages 168-175.
    18. Ceuterick, Melissa & Vandebroek, Ina, 2017. "Identity in a medicine cabinet: Discursive positions of Andean migrants towards their use of herbal remedies in the United Kingdom," Social Science & Medicine, Elsevier, vol. 177(C), pages 43-51.
    19. Jansen, Maria W.J. & De Vries, Nanne K. & Kok, Gerjo & Van Oers, Hans A.M., 2008. "Collaboration between practice, policy and research in local public health in the Netherlands," Health Policy, Elsevier, vol. 86(2-3), pages 295-307, May.
    20. Allen, Dawn & Wainwright, Megan & Hutchinson, Thomas, 2011. "'Non-compliance' as illness management: Hemodialysis patients' descriptions of adversarial patient-clinician interactions," Social Science & Medicine, Elsevier, vol. 73(1), pages 129-134, July.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:socmed:v:111:y:2014:i:c:p:101-109. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Catherine Liu (email available below). General contact details of provider: http://www.elsevier.com/wps/find/journaldescription.cws_home/315/description#description .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.