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Accepted for/Published in: JMIR Human Factors

Date Submitted: Oct 31, 2024
Date Accepted: Jan 28, 2025

The final, peer-reviewed published version of this preprint can be found here:

Exploring the Impact of Digital Peer Support Services on Meeting Unmet Needs Within an Employee Assistance Program: Retrospective Cohort Study

Nagra H, Mines RA, Dana Z

Exploring the Impact of Digital Peer Support Services on Meeting Unmet Needs Within an Employee Assistance Program: Retrospective Cohort Study

JMIR Hum Factors 2025;12:e68221

DOI: 10.2196/68221

PMID: 39998863

PMCID: 11897672

Exploring the Impact of Digital Peer Support Services on Meeting Unmet Needs Within an Employee Assistance Program: A Retrospective Cohort Study.

  • Harpreet Nagra; 
  • Robert A. Mines; 
  • Zara Dana

ABSTRACT

Background:

The World Health Organization’s estimate that 1 in 4 people globally will experience mental or neurological disorders in their lifetime, [1] stresses the need for a ready treatment ecosystem.

Objective:

This study evaluated the impact of integrating digital peer support (DPS) within an employee assistance program (EAP).

Methods:

Utilization rates, including changes in therapy session utilization within a 5-session EAP model, sentiment changes during chats, and social return on investment (SROI) were all evaluated.

Results:

Overall utilization data revealed that 432 out of 587 (73.59%) peer support chats occurred after business hours, with significant (p >.001) sentiment reductions in sadness (57.50%), loneliness (55.04%), and stress (56.47%) amongst participants, showcasing the crucial after-hours availability of DPS. Incorporating digital 24-7 peer support led to a reduction in therapy sessions within a small matched cohort sample, averaging a decrease of 2.07 sessions per participant (p < .001), with a large effect size (Cohen’s d = 1.77). SROI analysis revealed social, environmental, and economic value ranging from $1.66(loneliness) to $2.50 (stress) to $2.58 (sadness) to every dollar of investment.

Conclusions:

The integration of DPS into an emotional health ecosystem offers substantial benefits, including increased availability, significant sentiment changes, and invaluable social return on investment. Clinical Trial: N/A


 Citation

Please cite as:

Nagra H, Mines RA, Dana Z

Exploring the Impact of Digital Peer Support Services on Meeting Unmet Needs Within an Employee Assistance Program: Retrospective Cohort Study

JMIR Hum Factors 2025;12:e68221

DOI: 10.2196/68221

PMID: 39998863

PMCID: 11897672

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