{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T11:21:48Z","timestamp":1787829708961,"version":"build-2784847793"},"reference-count":53,"publisher":"AOSIS","issue":"1","license":[{"start":{"date-parts":[[2024,7,30]],"date-time":"2024-07-30T00:00:00Z","timestamp":1722297600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:p>Background:\u00a0Adults with spinal cord injuries perceived peer support as beneficial in preventing secondary health conditions, but the role of peer support among adolescent learners with paraplegia in special schools is still unknown.\n\nObjectives:\u00a0To explore the perspectives of current and previous learners with paraplegia on peer support to prevent pressure ulcers in a special school.\n\nMethod:\u00a0A qualitative, exploratory, descriptive study design was used. The authors conducted 12 semi-structured telephonic, audio-recorded interviews and a focus group discussion with current and previous learners with paraplegia attending a special school. The interviews were transcribed verbatim and translated, and data were organised using the Nvivo-12 Pro program. Through conducting an inductive thematic analysis categories, sub-themes and themes were identified from the participants\u2019 narratives.\n\nResults:\u00a0The participants\u2019 perspectives included positive and challenging aspects of peer support reflected in four sub-themes: group-based support, individual peer mentoring, challenges with peer support and the roles of the school physiotherapist regarding peer support.\n\nConclusion:\u00a0Learners saw peer support as a crucial strategy in preventing and reducing pressure ulcers. Establishing a peer support system with group and individual components in special schools could be a game-changer to end pressure ulcers among learners with paraplegia and ensure better health and educational outcomes.\n\nClinical implications:\u00a0Physiotherapists in special schools should support peer support initiatives among learners with paraplegia to ensure successful pressure ulcer prevention.<\/jats:p>","DOI":"10.4102\/sajp.v80i1.2047","type":"journal-article","created":{"date-parts":[[2024,7,31]],"date-time":"2024-07-31T05:56:35Z","timestamp":1722405395000},"update-policy":"https:\/\/doi.org\/10.4102\/crossmark-policy","source":"Crossref","is-referenced-by-count":3,"title":["Peer support as pressure ulcer prevention strategy in special school learners with paraplegia"],"prefix":"10.4102","volume":"80","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-5232-9591","authenticated-orcid":false,"given":"Undine S.","family":"Rauter","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/003hsr719","id-type":"ROR","asserted-by":"publisher"}],"name":"Sefako Makgatho Health Sciences University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6840-0081","authenticated-orcid":false,"given":"Desmond","family":"Mathye","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/003hsr719","id-type":"ROR","asserted-by":"publisher"}],"name":"Sefako Makgatho Health Sciences University"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2580","published-online":{"date-parts":[[2024,7,30]]},"reference":[{"key":"ref0","doi-asserted-by":"crossref","unstructured":"Abedi, A., Biering-S\u00f8rensen, F., Chhabra, H.S., D\u2019Andr\u00e9a Greve, J.M., Khan, N.M., Koskinen, E. et al., 2022, \u2018An international survey of the structure and process of care for traumatic spinal cord injury in acute and rehabilitation facilities: Lessons learned from a pilot study\u2019, BMC Health Services Research 22(1), 1565. https:\/\/doi.org\/10.1186\/s12913-022-08847-w","DOI":"10.1186\/s12913-022-08847-w"},{"key":"ref1","unstructured":"Alexander, A.P., 2019, \u2018Lincoln and Guba\u2019s quality criteria for trustworthiness\u2019, IDC International Journal 6(4), 1\u20136."},{"key":"ref2","doi-asserted-by":"crossref","unstructured":"Andrade, C., 2021, \u2018The inconvenient truth about convenience and surposive samples\u2019, Indian Journal of Psychological Medicine 43(1), 86\u201388. https:\/\/doi.org\/10.1177\/0253717620977000","DOI":"10.1177\/0253717620977000"},{"key":"ref3","doi-asserted-by":"crossref","unstructured":"Barclay, L. & Hilton, G.M., 2019, \u2018A scoping review of peer-led interventions following spinal cord injury\u2019, Spinal Cord 57, 626\u2013635. https:\/\/doi.org\/10.1038\/s41393-019-0297-x","DOI":"10.1038\/s41393-019-0297-x"},{"key":"ref4","doi-asserted-by":"crossref","unstructured":"Best, K.L., Bourassa, S., Sweet, S.N. & Routhier, F., 2023, \u2018Expert consensus for a digital peer-led approach to improving physical activity among individuals with spinal cord injury who use manual wheelchairs\u2019, The Journal of Spinal Cord Medicine 46(1), 53\u201361. https:\/\/doi.org\/10.1080\/10790268.2021.1986308","DOI":"10.1080\/10790268.2021.1986308"},{"key":"ref5","unstructured":"Braun, V. & Clarke, V., 2012, \u2018Thematic analysis\u2019, in H. 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