Abstracts
Résumé
Objectif : Les groupes de soutien permettent de rejoindre des personnes atteintes de troubles anxieux qui ne sont pas desservies ou ne le sont que partiellement par les services de la santé. La présente étude porte sur le recours à des pairs aidants pour l’animation d’un programme d’autotraitement (Zéro-ATAQ). Leur point de vue sur ce programme a été documenté de manière à déterminer les aspects qui pourraient en être améliorés.
Méthode : Onze pairs aidants ont animé les 12 sessions du programme qui a été dispensé dans quatre régions du Québec auprès de 32 personnes atteintes du trouble panique avec agoraphobie. La perspective de dix pairs animateurs a été documentée à partir d’une entrevue semi-structurée au terme du programme, puis, après plus de six mois, par un focus group réunissant les pairs animateurs de l’ensemble des groupes. Les commentaires recueillis ont été transcrits et ont fait l’objet d’une analyse de contenu thématique.
Résultats : L’ensemble des animateurs rapportent avoir apprécié leur participation. Avoir pu ainsi venir en aide à des personnes éprouvant un trouble anxieux et avoir pu améliorer leurs connaissances caractérisent les propos rapportés. La quasi-totalité des pairs animateurs ont fait valoir l’importance de pouvoir compter sur la supervision d’un professionnel au besoin.
Conclusion : L’étude a mis en lumière (1) la faisabilité d’implanter un programme de ce type en partenariat avec des pairs, (2) les qualifications requises pour l’animation de ce programme, (3) les besoins sur le plan de la formation et du matériel requis, et (4) l’importance de la supervision.
Mots-clés :
- troubles anxieux,
- trouble panique,
- pairs aidants,
- formation,
- autotraitement
Abstract
Objective: Support groups can help to reach individuals with anxiety disorders who are not or are only partly obtaining health services. The present study is based on a program that involves peer helpers as animators of a self-treatment group (Zéro-ATAQ). Their perspective has been documented in order to identify the aspects of the program which can be improved.
Methods: Eleven peer helpers led the 12 sessions of the program, which was dispensed in four regions of Quebec for 32 persons having panic disorders with agoraphobia. The perspectives of ten peer animators were documented based on a semi-structured interview that took place at the end of the program, and a focus group that was held over six months later with peer animators from each of the groups. Their comments were transcribed and a thematic content analysis was conducted.
Results: All of the peer helper animators reported that they enjoyed participating in the program, that they appreciated being able to help others having an anxiety disorder, and that the program helped them in their role as animators of these types of activities. Nearly all of the peer helpers emphasized the importance of being able to count on the supervision of a professional when needed.
Conclusion: This study revealed (1) the feasibility of implementing a program of this kind in partnership with peers, (2) the qualifications necessary to lead this type of program, (3) the requirements in terms of training and available material, and (4) the importance of supervision.
Keywords:
- anxiety disorders,
- panic disorder,
- peer helpers,
- training,
- self-treatment
Appendices
Bibliographie
- Berman, J. S., & Norton, N. C. (1985). Does professional training make a therapist more effective ? Psychological Bulletin, 98(2), 401-407.
- Chartier-Otis, M. (2010). Utilisation de l’internet et formation de pairs-aidants pour surmonter les obstacles au traitement des troubles anxieux. Thèse, Thesis, Université du Québec à Montréal, Montréal.
- Chartier-Otis, M. (2011). Utilisation de l’Internet et formation de pairs-aidants pour surmonter les obstacles en traitement des troubles anxieux. Université du Québec à Montréal. [En ligne], http://www.archipel.uqam.ca/4144/1/D2135.pdf
- Chartier-Otis, M., Bélanger, C., Perreault, M., & Marchand, A. (2015). Formation de pairs aidants dans le traitement des troubles anxieux. Soins, 792, 21-25.
- Chartier-Otis, M., Perreault, M., & Bélanger, C. (2010). Determinants of barriers to treatment for anxiety disorders. Psychiatric Quaterly, 81(2), 127-138.
- Christensen, A., & Jacobson, N. S. (1994). WHO (OR WHAT) CAN DO PSYCHOTHERAPY : The Status and Challenge of Nonprofessional Therapies. Psychological Science, 5(1), 8-14.
- Coull, G., & Morris, P. G. (2011). The clinical effectiveness of CBT-based guided self-help interventions for anxiety and depressive disorders : a systematic review. Psychological Medicine, 41(11), 2239-2252.
- Davidson, L., Chinman, M., Sells, D., & Rowe, M. (2006). Peer support among adults with serious mental illness : a report from the field. Schizophrenia Bulletin, 32(3), 443-450.
- den Boer, P. C., Wiersma, D., Russo, S., & van den Bosch, R. J. (2005). Paraprofessionals for Anxiety and Depressive Disorders. Cochrane Database of Systematic Reviews, (2) CD004688.
- Dennis, C. L. (2003). Peer support within a health care context : a concept analysis. International Journal of Nursing Studies, 40(3), 321-332.
- Fors, S. W., & Jarvis, S. (1995). Evaluation of a peer-led drug abuse risk reduction project for runaway/homeless youths. J Drug Educ, 25(4), 321-333.
- Goldstrom, I. D., Campbell, J., Rogers, J. A., Lambert, D. B., Blacklow, B., Henderson, M. J., & Manderscheid, R. W. (2006). National estimates for mental health mutual support groups, self-help organizations, and consumer-operated services. Administration in Policy and Mental Health and Mental Health Services Research, 33(1), 92-103.
- Goudreau, A., & Côté, G. (2001). La bibliothérapie : Comment favoriser l’alliance thérapeutique. Revue québécoise de psychologie, 22(3), 7-25.
- Haug, T., Nordgreen, T., Ost, L. G., & Havik, O. E. (2012). Self-help treatment of anxiety disorders : a meta-analysis and meta-regression of effects and potential moderators. Clin Psychol Rev, 32(5), 425-445.
- Health Resources and Services Administration. (2005). Service delivery and HIV-positive peers. [En ligne] http://hab.hrsa.gov/newspublications/archivedissues.html
- Israel, B. A., & McLeroy, K. R. (1985). Social networks and social support : implications for health education. Introduction. Health Education Quaterly, 12(1), 1-4.
- Ito, L. M., de Araujo, L. A., Tess, V. L., de Barros-Neto, T. P., Asbahr, F. R., & Marks, I. (2001). Self-exposure therapy for panic disorder with agoraphobia : randomised controlled study of external v. interoceptive self-exposure. British Journal of Psychiatry, 178 331-336.
- Katzman, M. A., Bleau, P., Blier, P., Chokka, P., Kjernisted, K., Van Ameringen, M., . . . Walker, J. R. (2014). Canadian clinical practice guidelines for the management of anxiety, posttraumatic stress and obsessive-compulsive disorders. BMC Psychiatry, 14 Suppl 1, S1. [En ligne] http://www.ncbi.nlm.nih.gov/pubmed/25081580
- Komaroff, J., & Perreault, M. (2013). Toutes les organisations ne sont pas égales quant au pouvoir décisionnel de leurs pairs aidants ! Drogues, santé et société, 12(1), 41-56.
- Krueger, R. A. (1994). Focus groups : A practical guide for applied research (2nd ed.). Thousand Oaks : Sage.
- Krueger, R. A. (1998). Analysing and reporting focus group results : focus group Kit 6. California : Sage.
- L’Écuyer, R. (1988). L’analyse de contenu : notion et étapes. In J. P. Deslauriers (Ed.), Les méthodes de la recherche qualitative (p. 49-65). Sillery, Québec : Les Presses de l’Université du Québec.
- Lapalme, M., Audet, D., Bouchard, S., Zacchia, C., & Perreault, M. (2012). Programme d’auto-traitement du trouble panique avec pairs-aidants – Rapport du projet pilote Zéro-ATAQ, (p. 28). Montréal : Association des troubles anxieux du Québec et Phobies-Zéro.
- Lapalme, M., Perreault, M., Lévesque, D., & Lessard, L. (2012). Partenariat entre pairs-aidants et professionnels dans l’implantation d’un programme d’auto-traitement pour le trouble panique. Paper presented at the Congrès de l’AQRP, Montreal. http://aqrp-sm.org/wp-content/uploads/2013/05/colloque-xvie-e03-atelier-ppt.pdf
- Lawn, S., Battersby, M. W., Pols, R. G., Lawrence, J., Parry, T., & Urukalo, M. (2007). The mental health expert patient : findings from a pilot study of a generic chronic condition self-management programme for people with mental illness. International Journal of Social Psychiatry, 53(1), 63-74.
- Lidren, D. M. (1993). The differential efficacy of self-help and group therapy in the treatment of panic disorder and agoraphobia : a treatment comparison study : (Unpublished thesis), Washington State University, Washington, Department of Psychology.
- Macvean, M. L., White, V. M., & Sanson-Fisher, R. (2008). One-to-one volunteer support programs for people with cancer : a review of the literature. Patient Education and Counseling, 70(1), 10-24.
- Marcus, H. P., & Runge, C. M. (1990). Community-based services for agoraphobics, Families in society. The Journal of Contemporary Human Services, 71(10), 602-606.
- Moran, G. S., Russinova, Z., Gidugu, V., Yim, J. Y., & Sprague, C. (2012). Benefits and mechanisms of recovery among peer providers with psychiatric illnesses. [Research Support, Non-U.S. Gov’t]. Qualitative Health Research, 22(3), 304-319.
- Murphy, M. T., Michelson, L. K., Marchione, K., Marchione, N., & Testa, S. (1998). The role of self-directed in vivo exposure in combination with cognitive therapy, relaxation training, or therapist-assisted exposure in the treatment of panic disorder with agoraphobia. Journal of Anxiety Disorders, 12(2), 117-138.
- Nassar-McMillan, S. C., Wyer, M., Oliver-Hoyo, M., & Ryder-Burge, A. (2010). Using focus groups in preliminary instrument development : expected and unexpected lessons learned. The Qualitative Report 15(6), 1621-1634.
- Patton, M. Q. (1987). How to use qualitative methods in evaluation. Newbury Park : Sage Publications.
- Perreault, M., Julien, D., White, N. D., Belanger, C., Marchand, A., Katerelos, T., & Milton, D. (2013). Treatment Modality Preferences and Adherence to Group Treatment for Panic Disorder with Agoraphobia. Psychiatric Quaterly, 10. [En ligne] http://www.ncbi.nlm.nih.gov/pubmed/24136085
- Repper, J., & Carter, T. (2010). Using Personal Experience to Support Others with Similar Difficulties : A Review of the Literature on Peer Support in Mental Health Services. 24. [En ligne] http://www.together-uk.org/wp-content/uploads/downloads/2011/11/usingpersexperience.pdf
- Rhodes, S. D., Foley, K. L., Zometa, C. S., & Bloom, F. R. (2007). Lay health advisor interventions among Hispanics/Latinos : a qualitative systematic review. American Journal of Preventive Medicine, 33(5), 418-427.
- Simoni, J. M., Franks, J. C., Lehavot, K., & Yard, S. S. (2011). Peer interventions to promote health : conceptual considerations. American Journal of Orthopsychiatry, 81 (3) 351-359.
- Swider, S. M. (2002). Outcome effectiveness of community health workers : an integrative literature review. Public Health Nursing, 19(1), 11-20.
- Titov, N., Andrews, G., Johnston, L., Robinson, E., & Spence, J. (2010). Transdiagnostic Internet treatment for anxiety disorders : A randomized controlled trial. Behaviour Research and Therapy, 48(9), 890-899.
- Turner, G., & Shepherd, J. (1999). A method in search of a theory : peer education and health promotion. Health Education Research, 14(2), 235-247.
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