A Qualitative Exploration of End-User and Facilitator Experiences of Digital Peer Interventions for Mental Health
Year: 2026
Type: dissertation
Abstract: This thesis comprises four sections. The first presents a systematic literature review exploring adults’ experiences of using online peer support (OPS) for mental health concerns, focusing on the end-user journey. Following a systematic search, 15 relevant papers were identified and analysed using thematic synthesis. Three themes were generated: (1) Pathways to OPS Use, (2) Forms of Interaction within OPS (3) Flexible Use and Engagement. Findings suggest that OPS can offer a flexible, alternative resource for those who experience offline support as limited or insufficient. However, they also highlight that negative patterns such as overreliance during increased distress and poor moderation could occur more readily. Overall, the review concludes that OPS shows promise and could be implemented more widely, provided that potential risks are carefully managed. The second section presents a reflexive thematic synthesis which explores peer mentors’ experience of delivering a hybrid digital programme for mental health, with a focus on how a similarity matching process influences mentors’ delivery. Twelve peer mentors were recruited from one hybrid programme in the United Kingdom (UK). This programme was intentionally selected as it was the only identified UK service providing the particular combination of approaches examined in this study. Participants were interviewed about their experiences, which were subsequently analysed using reflexive thematic analysis. Two themes were generated: (1) The Evolving Peer Mentor Journey (2) It “Lightens the load a little bit”: The Impact of Matching on Connection. Findings suggested that mentors viewed their role as one of value and development, whilst difficulties included balancing structure and flexibility. Matching processes facilitated initial connection, but peer-to-peer relational aspects sustained connection. This study highlights the importance of staff support within hybrid programmes. The third section presents a critical appraisal of the overall thesis findings and offers reflections on ethical issues and the research journey.
Author: Johnston, Tara
Language: English
Subfield: General Health Professions
Field: Health Professions
Domain: Health Sciences
Open Access status: green
OpenAlex ID: W7214098607