Accelerating Best Practices in Peer Support Around the World

Program Development Guide

Developing Peer Support Protocols

Chapter Navigation

1. Starting a Peer Support Program

2. Developing Peer Support Protocols

3. Collaborating with Existing Peer Support Programs in the Community


Developing Peer Support Protocols

Peers for Progress’ project at Alivio Medical Center – Mi Salud es Primero Guide and flowchart
Transtheoretical Model of Behavior Change: A Guide for Asthma Coaches on Behaviors for Stages of Readiness and Recommended Intervention by Shemya Vaughn and colleagues at Washington University.
Depression Screening and Follow Up Flow Chart of the CHW-led diabetes program at the Gateway Community Health Center in Laredo TX.
Public Health Seattle and King County’s Community Health Worker protocols for their diabetes project (Peer-AID).
ENCOURAGE, a Peers for Progress grantee project in Alabama

A protocol is the “road map” for peer supporters to know how to carry out their tasks and work with others in a team setting. Depending on the host organization, a protocol can include information about frequency and timing of peer supporter contact, sample scripts for telephone support, and approaches to common challenges and potential solutions. Intervention protocols put the skills and knowledge of peer supporters into context by capturing their work “in action.” The development and implementation of a protocol also help establish quality assurance and quality improvement measures.


A well-developed protocol for peer support interventions should:

  • Describe key tasks and associated tools (e.g., action plan).
  • Detail various situations that a peer supporter may encounter when reaching or interacting with a participant, and how to react.
  • Outline scenarios during which a peer supporter should ask for help, and guidelines for how to address those issues with the supervisor or relevant team members.


Public Health – Seattle and King County’s CAS Guidelines This document outlines situations and guidelines for CHWs describing when to ask for help from their clinical team addressing asthma management concerns.
Guide for Asthma Coaches on Behaviors for Stage of Readiness and Recommended Intervention by Washington University Internal Medicine This document outlines common behaviors based on the six stages of change and the corresponding intervention ideas that can be incorporated into an asthma action plan.

© 2020 | Peers for Progress

e-Newsletter Signup
Thank you!

You have successfully subscribed to the Peers for Progress Newsletter.

To unsubscribe, click the unsubscribe link at the bottom of any e-Newsletter email.

Sorry, there was a problem.

We're sorry but there was a problem processesing your submission. Please try submitting again. If the problem persists, please contact us.

Please use this form to be added to the Peers for Progress e-Newsletter mailing list. Be the first to receive the latest news and resources on program development, state-of-the-art research, and networking opportunities.

Previous newsletters may be found at News & Events > Peers for Progress Newsletters.