Models of Peer Support to Remediate Post-Intensive Care Syndrome: A Report Developed by the Society of Critical Care Medicine Thrive International Peer Support Collaborative

Joanne McPeake, Eliotte L. Hirshberg, Leeann M. Christie, Kelly Drumright, Kimberley Haines, Catherine L. Hough, Joel Meyer, Dorothy Wade, Adair Andrews, Rita Bakhru, Samantha Bates, John A. Barwise, Julie Bastarache, Sarah J. Beesley, Leanne M. Boehm, Sheryl Brown, Alison S. Clay, Penelope Firshman, Steven Greenberg, Wendy HarrisChristopher Hill, Carol Hodgson, Clare Holdsworth, Aluko A. Hope, Ramona O. Hopkins, David C.J. Howell, Anna Janssen, James C. Jackson, Annie Johnson, Erin K. Kross, Daniela Lamas, Belinda MacLeod-Smith, Ruth Mandel, John Marshall, Mark E. Mikkelsen, Megan Nackino, Tara Quasim, Carla M. Sevin, Andrew Slack, Rachel Spurr, Mary Still, Carol Thompson, Gerald Weinhouse, M. Elizabeth Wilcox, Theodore J. Iwashyna

Research output: Contribution to journalArticlepeer-review


Objectives: Patients and caregivers can experience a range of physical, psychologic, and cognitive problems following critical care discharge. The use of peer support has been proposed as an innovative support mechanism. Design: We sought to identify technical, safety, and procedural aspects of existing operational models of peer support, among the Society of Critical Care Medicine Thrive Peer Support Collaborative. We also sought to categorize key distinctions between these models and elucidate barriers and facilitators to implementation. Subjects and Setting: Seventeen Thrive sites from the United States, United Kingdom, and Australia were represented by a range of healthcare professionals. Measurements and Main Results: Via an iterative process of in-person and email/conference calls, members of the Collaborative defined the key areas on which peer support models could be defined and compared, collected detailed self-reports from all sites, reviewed the information, and identified clusters of models. Barriers and challenges to implementation of peer support models were also documented. Within the Thrive Collaborative, six general models of peer support were identified: community based, psychologist-led outpatient, models-based within ICU follow-up clinics, online, groups based within ICU, and peer mentor models. The most common barriers to implementation were recruitment to groups, personnel input and training, sustainability and funding, risk management, and measuring success. Conclusions: A number of different models of peer support are currently being developed to help patients and families recover and grow in the postcritical care setting.

Original languageEnglish (US)
Pages (from-to)E21-E27
JournalCritical care medicine
Issue number1
StatePublished - Jan 1 2019
Externally publishedYes


  • long-term outcomes
  • peer support
  • post-intensive care syndrome
  • rehabilitation

ASJC Scopus subject areas

  • Critical Care and Intensive Care Medicine


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