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Everything’ll be Fine Together! Peer Support in the Pandemic: A Mixed Methods Study

Year 2025,
https://doi.org/10.17049/jnursology.1429829

Abstract

Objective: This study aims to examine the effects of a peer support program implemented for Health Sciences Faculty students who were isolated due to the COVID-19 pandemic on their levels of loneliness, stigma, and anxiety.

Methods: The study was conducted using a mixed-methods design between September 2020 and February 2022. The quantitative component included a sample of 66 students. Data were collected before and after the peer support program using sociodemographic information form, the UCLA Loneliness Scale, the Stigma Scale, and the Epidemic Anxiety Scale. Descriptive statistics and paired sample t-tests were used for data analysis in group comparisons. In the qualitative component, individual in-depth interviews were conducted with 11 students selected through purposive sampling in a face-to-face setting. The qualitative data were analyzed using thematic analysis, with themes and subthemes identified.

Results: The mean scores of the scales before and after the peer support program were, respectively, 15.18±2.57 and 14.56±2.48 for the UCLA Loneliness Scale, 38.69±11.00 and 35.66±11.47 for the Stigma Scale, and 50.50±13.36 and 46.24±15.69 for the Epidemic Anxiety Scale. After the program, there was a statistically significant decrease in the stigma and anxiety levels of the participants with peer support. The study identified two main themes: "Experiences related to the isolation process" and "Coping strategies during the isolation process."

Conclusion: It is recommended to develop global peer support education programs to support students' well-being in disaster situations such as pandemics.

References

  • 1. Jin Y, Sun T, Zheng P, An J. Mass quarantine and mental health during COVID-19: A meta-analysis. Journal of Affective Disorders. 2021;(295):1335-1346. https://doi.org/10.1016/j.jad.2021.08.067
  • 2. Banerjee D, Rai M. Social isolation in COVID-19: The impact of loneliness. Int J Soc Psychiatry. 2020;66(6):525–527. https://doi.org/10.1177/0020764020922269
  • 3. Çetin C, Anuk Ö. COVID-19 pandemic process and psychological resilience: sample of students from a public university. Eurasian J Res Soc Econ. 2020;21(1):170–189. https://dergipark.org.tr/en/download/article-file/1128129
  • 4. Savitsky B, Findling Y, Ereli A, Hendel T. Anxiety and coping strategies among nursing students during the COVID-19 pandemic. Nurse Educ Pract. 2020;46(June):102809. https://doi.org/10.1016/j.nepr.2020.102809
  • 5. Cheng P, Xia G, Pang P, et al. COVID-19 epidemic peer support and crisis intervention via social media. Community Ment Health J. 2020;56(5):786–792. https://doi.org/10.1007/s10597-020-00624-5
  • 6. Godfrey KM, Scott SD. At the heart of the pandemic: nursing peer support. Nurse Lead. 2021;19(2):188–193. https://doi.org/10.1016/j.mnl.2020.09.006
  • 7. Hope AA, Johnson AA, Mcpeake J, et al. Establishing a peer support program for survivors of COVID-19: A report from the critical and acute illness recovery organization. Am J Crit Care. 2021;30(2):17–19. https://doi.org/10.4037/ajcc2021675
  • 8. Bengtsson M. How to plan and perform a qualitative study using content analysis. NursingPlus Open. 2016;2:8–14. https://doi.org/10.1016/j.npls.2016.01.001
  • 9. Cirpan F, Cinar S. Assessment of the relationship between peer support and academic success among students of vocational school of healthcare services. J Marmara Univ Inst Heal Sci. 2013;1:191-199. https://dergipark.org.tr/en/pub/clinexphealthsci/issue/17856/187211
  • 10. Doǧan T, Çötok NA, Tekin EG. Reliability and validity of the Turkish version of the UCLA Loneliness Scale (ULS-8) among university students. Procedia - Soc Behav Sci. 2011;15:2058–2062. https://doi.org/10.1016/j.sbspro.2011.04.053
  • 11. Yaman E, Güngör H. Development of stigma scale, reliability and validity study. Değerler Eğitimi Dergisi. 2013;11(25):251-270. https://dergipark.org.tr/tr/pub/ded/issue/29175/312427
  • 12. Hızlı G, Ünübol H, Ünal Tutgun A, Tarhan N. Epidemic anxiety scale: Validity and reliability study. Curr Approaches Psychiatry. 2020;12(Suppl1):364–381. https://doi.org/10.18863/pgy.808280
  • 13. Daher A, Balfanz P, Cornelissen C, et al. Follow up of patients with severe coronavirus disease 2019 (COVID-19): Pulmonary and extrapulmonary disease sequelae. Respir Med. 2020;174:106197. https://doi.org/10.1016/j.rmed.2020.106197
  • 14. Goërtz YMJ, Van Herck M, Delbressine JM, et al. Persistent symptoms 3 months after a SARS-CoV-2 infection: The post-COVID-19 syndrome? ERJ Open Res. 2020;6(4):00542-2020. https://doi.org/10.1183/23120541.00542-2020
  • 15. Cellai M, O’Keefe JB. Characterization of prolonged COVID-19 symptoms in an outpatient telemedicine clinic. Open Forum Infect Dis. 2020;7(10):ofaa420. https://doi.org/10.1093/ofid/ofaa420
  • 16. Kamal M, Abo Omirah M, Hussein A, Saeed H. Assessment and characterisation of post-COVID-19 manifestations. Int J Clin Pract. 2021;75(3):e13746. https://doi.org/10.1111/ijcp.13746
  • 17. Huang C, Huang L, Wang Y, et al. 6-month consequences of COVID-19 in patients discharged from hospital: a cohort study. Lancet. 2021;397(10270):220–232. https://doi.org/10.1016/s0140-6736(20)32656-8
  • 18. Ahorsu DK, Lin CY, Imani V, Saffari M, Griffiths MD, Pakpour AH. The fear of COVID-19 scale: Development and initial validation. Int J Ment Health Addict. 2022;20(3):1537-1545. https://doi.org/10.1007/s11469-020-00270-8
  • 19. Cervin M, Perrin S, Olsson E, Claesdotter-Knutsson E, Lindvall M. Incompleteness, harm avoidance, and disgust: A comparison of youth with OCD, anxiety disorders, and no psychiatric disorder. J Anxiety Disord. 2020;69:102175. https://doi.org/10.1016/j.janxdis.2019.102175
  • 20. Can N, Bakan İ, Erşahan B, Büyükbeşe T. The relationship between fear of COVID-19, individual stress and life satisfaction: A field study. J Soc Sci Kahramanmaraş Sütçü İmam Univ. 2022;19(1):266-286. https://dergipark.org.tr/tr/pub/ksusbd/article/1105138
  • 21. Shepardson RL, Johnson EM, Possemato K, Arigo D, Funderburk JS. Perceived barriers and facilitators to implementation of peer support in veterans health administration primary care-mental health ıntegration settings. Psychol Serv. 2019;16(3):433-444. https://doi.org/10.1037/ser0000242
  • 22. Bu F, Steptoe A, Fancourt D. Loneliness during a strict lockdown: Trajectories and predictors during the COVID-19 pandemic in 38,217 United Kingdom adults. Soc Sci Med. 2020;265:113521. https://doi.org/10.1016/j.socscimed.2020.113521
  • 23. Barreto M, Victor C, Hammond C, Eccles A, Richins MT, Qualter P. Loneliness around the world: Age, gender, and cultural differences in loneliness. Pers Individ Dif. 2021;169:110066. https://doi.org/10.1016/j.paid.2020.110066
  • 24. Losada-Baltar A, Márquez-González M, Jiménez-Gonzalo L, Pedroso-Chaparro MS, Gallego-Alberto L, Fernandes-Pires J. Differences in anxiety, sadness, loneliness and comorbid anxiety and sadness as a function of age and self-perceptions of aging during the lock-out period due to COVID-19. Rev Esp Geriatr Gerontol. 2020;55(5):272–278. https://doi.org/10.1016/j.regg.2020.05.005
  • 25. Gärtner L, Asbrock F, Euteneuer F, Rief W, Salzman S. Self-stigma among people with mental health problems in terms of warmth and competence. Front Psychol. 2022;13:877491. https://doi.org/10.3389/fpsyg.2022.877491
  • 26. Suresh R, Alam A, Karkossa Z. Using peer support to strengthen mental health during the COVID-19 pandemic: A review. Front Psychiatry. 2021;12:714181. https://doi.org/10.3389/fpsyt.2021.714181
  • 27. Taşdelen R, Ayik B, Kaya H, Ercis M, Ertekin E. Psychological reactions of Turkish healthcare workers during COVID-19 outbreak: The impact of stigmatization. Noropsikiyatri Ars. 2022;59(2):133-138. https://doi.org/10.29399/npa.27785
  • 28. Pietrabissa G, Simpson SG. Psychological consequences of social isolation during COVID-19 outbreak. Front Psychol. 2020;11:2201. https://doi.org/10.3389/fpsyg.2020.02201
  • 29. Singh S, Roy D, Sinha K, Parveen S, Sharma G, Joshi G. Impact of COVID-19 and lockdown on mental health of children and adolescents: A narrative review with recommendations. Psychiatry Res. 2020;293:113429. https://doi.org/10.1016/j.psychres.2020.113429
  • 30. Bendau A, Kunas SL, Wyka S, et al. Longitudinal changes of anxiety and depressive symptoms during the COVID-19 pandemic in Germany: The role of pre-existing anxiety, depressive, and other mental disorders. J Anxiety Disord. 2021;79:102377. https://doi.org/10.1016/j.janxdis.2021.102377
  • 31. Malesza M, Kaczmarek MC. Predictors of anxiety during the COVID-19 pandemic in Poland. Pers Individ Dif. 2021;170:110419. https://doi.org/10.1016/j.paid.2020.110419
  • 32. Wiederhold BK. Using social media to our advantage: Alleviating anxiety during a pandemic. Cyberpsychology, Behav Soc Netw. 2020;23(4):197–198. https://doi.org/10.1089/cyber.2020.29180.bkw
  • 33. Larsen TB, Urke H, Tobro M, et al. Promoting mental health and preventing loneliness in upper secondary school in Norway: Effects of a randomized controlled trial. Scand J Educ Res. 2021;65(2):181–194. https://doi.org/10.1080/00313831.2019.1659405
  • 34. Dikici A, Sarıtürk M, Haberveren HK, Şahin R, Yardım Ö. Determining the psychological strength levels of university students during the COVID-19 pandemic period. J High Educ Sci. 2023;13(1):86–92. https://doi.org/10.5961/higheredusci.1170212
  • 35. AbdElmagied Elsayed A, Mahmoud R, Mohamed Abdrabou H. Peer support and its’ influence on academic engagement among nursing students. Egypt J Heal Care. 2023;14(3):417-427. https://doi.org/10.21608/ejhc.2023.317564

Her Şey Birlikte Güzel Olacak! Pandemide Akran Desteği: Bir Karma Yöntem Çalışması

Year 2025,
https://doi.org/10.17049/jnursology.1429829

Abstract

Amaç: Bu çalışma, COVID-19 pandemisi nedeniyle izolasyona alınan Sağlık Bilimleri Fakültesi öğrencileri için uygulanan akran destek programının yalnızlık, damgalanma ve kaygı düzeyleri üzerindeki etkilerini incelemeyi amaçlamaktadır.

Yöntemler: Araştırma, Eylül 2020 ile Şubat 2022 tarihleri arasında karma yöntem deseniyle gerçekleştirilmiştir. Nicel bölümde örneklem 66 öğrenci ile oluşturulmuştur. Veriler, akran desteği programı öncesi ve sonrası sosyodemografik bilgi formu, UCLA Yalnızlık Ölçeği, Stigma Ölçeği ve Salgın Hastalık Kaygı Ölçeği ile toplanmıştır. Verilerin analizinde tanımlayıcı istatistikler ve gruplar arası karşılaştırmalarda eşleştirilmiş örneklem t testi kullanılmıştır. Nitel bölümde ise yüz yüze ortamda, amaçlı örneklem doğrultusunda 11 öğrenci ile bireysel derinlemesine görüşme yapılmıştır. Nitel veriler tematik analiz ile analiz edilerek tema ve alt temalar oluşturulmuştur.

Bulgular: Ölçeklerin akran destek programı öncesi ve sonrası ortalama puanları sırasıyla UCLA Yalnızlık Ölçeği için 15.18±2.57 ve 14.56±2.48, Stigma Ölçeği için 38.69±11.00 ve 35.66±11.47, Salgın Hastalık Kaygı Ölçeği için ise 50.50±13.36 ve 46.24±15.69 olarak bulunmuştur. Program sonrasında akran desteği alan katılımcıların damgalanma ve anksiyete düzeylerinde istatistiksel olarak anlamlı bir azalma tespit edilmiştir. Çalışmada iki ana tema belirlenmiştir: "İzolasyon sürecine ilişkin deneyimler" ve "İzolasyon sürecinde başa çıkma stratejileri."

Sonuç: Pandemi gibi afet durumlarında öğrencilerin iyilik halini desteklemek için küresel akran desteği eğitim programlarının geliştirilmesi önerilmektedir.

References

  • 1. Jin Y, Sun T, Zheng P, An J. Mass quarantine and mental health during COVID-19: A meta-analysis. Journal of Affective Disorders. 2021;(295):1335-1346. https://doi.org/10.1016/j.jad.2021.08.067
  • 2. Banerjee D, Rai M. Social isolation in COVID-19: The impact of loneliness. Int J Soc Psychiatry. 2020;66(6):525–527. https://doi.org/10.1177/0020764020922269
  • 3. Çetin C, Anuk Ö. COVID-19 pandemic process and psychological resilience: sample of students from a public university. Eurasian J Res Soc Econ. 2020;21(1):170–189. https://dergipark.org.tr/en/download/article-file/1128129
  • 4. Savitsky B, Findling Y, Ereli A, Hendel T. Anxiety and coping strategies among nursing students during the COVID-19 pandemic. Nurse Educ Pract. 2020;46(June):102809. https://doi.org/10.1016/j.nepr.2020.102809
  • 5. Cheng P, Xia G, Pang P, et al. COVID-19 epidemic peer support and crisis intervention via social media. Community Ment Health J. 2020;56(5):786–792. https://doi.org/10.1007/s10597-020-00624-5
  • 6. Godfrey KM, Scott SD. At the heart of the pandemic: nursing peer support. Nurse Lead. 2021;19(2):188–193. https://doi.org/10.1016/j.mnl.2020.09.006
  • 7. Hope AA, Johnson AA, Mcpeake J, et al. Establishing a peer support program for survivors of COVID-19: A report from the critical and acute illness recovery organization. Am J Crit Care. 2021;30(2):17–19. https://doi.org/10.4037/ajcc2021675
  • 8. Bengtsson M. How to plan and perform a qualitative study using content analysis. NursingPlus Open. 2016;2:8–14. https://doi.org/10.1016/j.npls.2016.01.001
  • 9. Cirpan F, Cinar S. Assessment of the relationship between peer support and academic success among students of vocational school of healthcare services. J Marmara Univ Inst Heal Sci. 2013;1:191-199. https://dergipark.org.tr/en/pub/clinexphealthsci/issue/17856/187211
  • 10. Doǧan T, Çötok NA, Tekin EG. Reliability and validity of the Turkish version of the UCLA Loneliness Scale (ULS-8) among university students. Procedia - Soc Behav Sci. 2011;15:2058–2062. https://doi.org/10.1016/j.sbspro.2011.04.053
  • 11. Yaman E, Güngör H. Development of stigma scale, reliability and validity study. Değerler Eğitimi Dergisi. 2013;11(25):251-270. https://dergipark.org.tr/tr/pub/ded/issue/29175/312427
  • 12. Hızlı G, Ünübol H, Ünal Tutgun A, Tarhan N. Epidemic anxiety scale: Validity and reliability study. Curr Approaches Psychiatry. 2020;12(Suppl1):364–381. https://doi.org/10.18863/pgy.808280
  • 13. Daher A, Balfanz P, Cornelissen C, et al. Follow up of patients with severe coronavirus disease 2019 (COVID-19): Pulmonary and extrapulmonary disease sequelae. Respir Med. 2020;174:106197. https://doi.org/10.1016/j.rmed.2020.106197
  • 14. Goërtz YMJ, Van Herck M, Delbressine JM, et al. Persistent symptoms 3 months after a SARS-CoV-2 infection: The post-COVID-19 syndrome? ERJ Open Res. 2020;6(4):00542-2020. https://doi.org/10.1183/23120541.00542-2020
  • 15. Cellai M, O’Keefe JB. Characterization of prolonged COVID-19 symptoms in an outpatient telemedicine clinic. Open Forum Infect Dis. 2020;7(10):ofaa420. https://doi.org/10.1093/ofid/ofaa420
  • 16. Kamal M, Abo Omirah M, Hussein A, Saeed H. Assessment and characterisation of post-COVID-19 manifestations. Int J Clin Pract. 2021;75(3):e13746. https://doi.org/10.1111/ijcp.13746
  • 17. Huang C, Huang L, Wang Y, et al. 6-month consequences of COVID-19 in patients discharged from hospital: a cohort study. Lancet. 2021;397(10270):220–232. https://doi.org/10.1016/s0140-6736(20)32656-8
  • 18. Ahorsu DK, Lin CY, Imani V, Saffari M, Griffiths MD, Pakpour AH. The fear of COVID-19 scale: Development and initial validation. Int J Ment Health Addict. 2022;20(3):1537-1545. https://doi.org/10.1007/s11469-020-00270-8
  • 19. Cervin M, Perrin S, Olsson E, Claesdotter-Knutsson E, Lindvall M. Incompleteness, harm avoidance, and disgust: A comparison of youth with OCD, anxiety disorders, and no psychiatric disorder. J Anxiety Disord. 2020;69:102175. https://doi.org/10.1016/j.janxdis.2019.102175
  • 20. Can N, Bakan İ, Erşahan B, Büyükbeşe T. The relationship between fear of COVID-19, individual stress and life satisfaction: A field study. J Soc Sci Kahramanmaraş Sütçü İmam Univ. 2022;19(1):266-286. https://dergipark.org.tr/tr/pub/ksusbd/article/1105138
  • 21. Shepardson RL, Johnson EM, Possemato K, Arigo D, Funderburk JS. Perceived barriers and facilitators to implementation of peer support in veterans health administration primary care-mental health ıntegration settings. Psychol Serv. 2019;16(3):433-444. https://doi.org/10.1037/ser0000242
  • 22. Bu F, Steptoe A, Fancourt D. Loneliness during a strict lockdown: Trajectories and predictors during the COVID-19 pandemic in 38,217 United Kingdom adults. Soc Sci Med. 2020;265:113521. https://doi.org/10.1016/j.socscimed.2020.113521
  • 23. Barreto M, Victor C, Hammond C, Eccles A, Richins MT, Qualter P. Loneliness around the world: Age, gender, and cultural differences in loneliness. Pers Individ Dif. 2021;169:110066. https://doi.org/10.1016/j.paid.2020.110066
  • 24. Losada-Baltar A, Márquez-González M, Jiménez-Gonzalo L, Pedroso-Chaparro MS, Gallego-Alberto L, Fernandes-Pires J. Differences in anxiety, sadness, loneliness and comorbid anxiety and sadness as a function of age and self-perceptions of aging during the lock-out period due to COVID-19. Rev Esp Geriatr Gerontol. 2020;55(5):272–278. https://doi.org/10.1016/j.regg.2020.05.005
  • 25. Gärtner L, Asbrock F, Euteneuer F, Rief W, Salzman S. Self-stigma among people with mental health problems in terms of warmth and competence. Front Psychol. 2022;13:877491. https://doi.org/10.3389/fpsyg.2022.877491
  • 26. Suresh R, Alam A, Karkossa Z. Using peer support to strengthen mental health during the COVID-19 pandemic: A review. Front Psychiatry. 2021;12:714181. https://doi.org/10.3389/fpsyt.2021.714181
  • 27. Taşdelen R, Ayik B, Kaya H, Ercis M, Ertekin E. Psychological reactions of Turkish healthcare workers during COVID-19 outbreak: The impact of stigmatization. Noropsikiyatri Ars. 2022;59(2):133-138. https://doi.org/10.29399/npa.27785
  • 28. Pietrabissa G, Simpson SG. Psychological consequences of social isolation during COVID-19 outbreak. Front Psychol. 2020;11:2201. https://doi.org/10.3389/fpsyg.2020.02201
  • 29. Singh S, Roy D, Sinha K, Parveen S, Sharma G, Joshi G. Impact of COVID-19 and lockdown on mental health of children and adolescents: A narrative review with recommendations. Psychiatry Res. 2020;293:113429. https://doi.org/10.1016/j.psychres.2020.113429
  • 30. Bendau A, Kunas SL, Wyka S, et al. Longitudinal changes of anxiety and depressive symptoms during the COVID-19 pandemic in Germany: The role of pre-existing anxiety, depressive, and other mental disorders. J Anxiety Disord. 2021;79:102377. https://doi.org/10.1016/j.janxdis.2021.102377
  • 31. Malesza M, Kaczmarek MC. Predictors of anxiety during the COVID-19 pandemic in Poland. Pers Individ Dif. 2021;170:110419. https://doi.org/10.1016/j.paid.2020.110419
  • 32. Wiederhold BK. Using social media to our advantage: Alleviating anxiety during a pandemic. Cyberpsychology, Behav Soc Netw. 2020;23(4):197–198. https://doi.org/10.1089/cyber.2020.29180.bkw
  • 33. Larsen TB, Urke H, Tobro M, et al. Promoting mental health and preventing loneliness in upper secondary school in Norway: Effects of a randomized controlled trial. Scand J Educ Res. 2021;65(2):181–194. https://doi.org/10.1080/00313831.2019.1659405
  • 34. Dikici A, Sarıtürk M, Haberveren HK, Şahin R, Yardım Ö. Determining the psychological strength levels of university students during the COVID-19 pandemic period. J High Educ Sci. 2023;13(1):86–92. https://doi.org/10.5961/higheredusci.1170212
  • 35. AbdElmagied Elsayed A, Mahmoud R, Mohamed Abdrabou H. Peer support and its’ influence on academic engagement among nursing students. Egypt J Heal Care. 2023;14(3):417-427. https://doi.org/10.21608/ejhc.2023.317564
There are 35 citations in total.

Details

Primary Language English
Subjects Nurse Education, Nursing (Other)
Journal Section Research Articles
Authors

Sevim Şen Olgay 0000-0003-3301-4153

Hediye Arslan 0000-0002-9328-8263

Begüm Kırık 0000-0002-0092-6538

Ceren Zeren 0000-0003-3760-1099

Early Pub Date March 14, 2025
Publication Date
Submission Date February 1, 2024
Acceptance Date February 10, 2025
Published in Issue Year 2025

Cite

AMA Şen Olgay S, Arslan H, Kırık B, Zeren C. Everything’ll be Fine Together! Peer Support in the Pandemic: A Mixed Methods Study. Journal of Nursology. Published online March 1, 2025. doi:10.17049/jnursology.1429829

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