Reciprocity was experienced differently both across and within peer support dyads, as partners could experience the same peer click here relationship differently. The negative aspects of these concepts, along with the concept of emotional entanglement, broaden the range of potential negative effects of peer support identified by Dennis [16]. Stakeholder-specific experiences: As noted above, while a number of concepts had meaning for both mentors and mentees, other concepts had pertinence for only one stakeholder category. While the prevalence of mentor-specific concepts may suggest that articles focused on reporting the experiences

of this stakeholder category, a greater number of articles, in fact, examined peer support experiences from mentees’ perspectives LDN-193189 chemical structure ( Table 1). The broader range of

concepts specific to mentors suggests that a diverse range of factors shaped mentors’ experience of peer support, as in many cases, they were both providers and recipients of support. Concepts with relevance across participant categories may have different meanings for mentors and mentees. While mentees could find meaning by re-evaluating their lives in the context of peer support interventions, the very act of providing peer support might be a way of finding meaning for mentors. Hence, not only were interventions experienced in heterogeneous ways, but mentors and mentees could give meaning to seemingly shared experiences in different ways. Power relations: Mentor- and mentee-specific concepts may assume different and uneven power relations as well. Sharing, a largely egalitarian concept, denoting the exchange of disease-related experiences by mentees with each other, is the only mentee-specific concept. In contrast, the mentor-specific concepts of helping and role satisfaction, are imbued with hierarchy and power. Helping refers to the unidirectional provision of assistance by mentors; role satisfaction

is closely associated with it. While the rationale for peer support Adenosine triphosphate is based on the assumption that relationships between peers with experiential knowledge of disease are more egalitarian than relationships between patients and professionals, it would seem that peer support itself has the potential to replicate traditional power dynamics. Indeed, peer support interventions themselves establish such hierarchies by training mentors to provide help to mentees. Such training is intended to enhance mentors’ capacity to provide something of value, which it is assumed the receiver lacks. However, the synthesis indicates that initially asymmetrical relationships have the potential to become more symmetrical over time.