A narrative review of peer support barriers and facilitators in kidney care

Introduction Patients with CKD often experience emotional/mental challenges and benefit from peer support as it provides insight/information from others with the same condition. Previous studies show it is effective in improving health outcomes and aids in treatment decisions. Literature review There is low peer support uptake among patients with CKD in the UK and staff do not utilise it fully. Few studies within the UK have focused on peer support barriers/facilitators so this narrative review aimed to understand them from staff and patient perspectives. Material and methods A comprehensive search strategy and inclusion/exclusion criteria was applied with a two-step process of article selection employed, using two reviewers. Thematic analysis was applied. Results Five articles were included and six themes emerged. Low referrals and difficulty matching were staff barriers; concern regarding the relationship dynamic and the format/delivery were patient barriers. Promotion of the service aided the uptake from staff whilst patients valued inclusivity. Discussion Increased promotion of peer support benefits through training/awareness may improve staff referrals and there should be greater exposure nationally. A flexible format is essential to ensure ample opportunity for access. Implications for clinical practice Staff training should include peer support details and potential recipients should be empowered to access it in a way which suits their needs. A programme needs passionate individuals involved in the set-up/delivery. Conclusion This review highlights the current literature on peer support barriers/facilitators. Further study is needed to evidence which approaches best overcome staff- and patient-barriers.