Objective:The aim was to examine stroke survivors’ and carers’ experiences of peer support groups during hospital-based rehabilitation.Design:Retrospective assessment using qualitative methodology; Inductive Thematic Analysis supplemented by questionnaire ratings.Setting:A hospital stroke rehabilitation unit.Participants:Seven stroke survivors and three carers who had attended at least two open group sessions.Method:Semi-structured interviews were recorded and analysed by inductive thematic analysis to obtain ‘in-depth’ information. Participants also answered questions taken from a standardised therapeutic factors questionnaire.Results:Five main themes emerged. Three were related to group processes; practical issues (three sub-themes), staff presence, similarity-difference, comparison to other group members. The fourth, value of peers (five sub-themes), was mainly concerned with beneficial outcomes. In the main participants were positive about processes and outcomes. Only the similarity-difference theme and four sub-themes of ‘value of peers’ were related to items from the therapeutic factors questionnaire. The therapeutic factors questionnaire revealed a consensus about several statements that did not emerge as themes; feeling secure in the group, being able to express emotions, helping others and increased independence.Conclusions:Participation in the group brought a number of benefits including helpful information, advice, new connections and increased awareness of stroke. Informants identified a number of important group processes, and distinguished between helpful and unhelpful aspects in a way that permitted recommendations for change to be formulated. Responses to the therapeutic factors inventory suggested that attendance brought some therapeutic benefits, but the emergence of themes unrelated to therapeutic factors indicated that it had a broad impact.
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