Specialty Care at Kaiser Permanente



Peer Support Offers Patients Practical Help and Hope

photo of Sophea Real with her peer support navigator Judey Miller Sophea Real (right) with her peer navigator Judey Miller

When 36-year-old Sophea Real was diagnosed with Stage 3 breast cancer last summer, she had the unfailing love and assistance of her family. But she said the support she received from the Kaiser Permanente Oakland Breast Care Center peer navigation program was different — like a light in the darkness.

Real is a licensed vocational nurse at Kaiser Permanente San Francisco and the mother of two school-aged children.

“My husband and my family were amazing, but they had never been through breast cancer,” she said. “I felt I could ask my peer navigator anything. Questions like, ‘How do I tell my kids?’ ‘What’s the treatment process like?’ ‘Is chemotherapy scary?’”

Peer navigators are volunteers who have completed their own cancer treatment and are trained to offer newly diagnosed breast cancer patients practical and emotional support. They can help problem-solve, arrange additional resources, or accompany patients to doctor visits, surgery, or treatment. And perhaps most important, they offer hope.

“They’ve been through cancer, and they’re still alive. They’re there to help us get through it, too,” Real said.

Offering support, building trust

The Kaiser Permanente Oakland Medical Center’s peer navigation program is based on the Kaiser Permanente program in South Sacramento, which started in 2013. The Oakland program has nine navigators who helped 17 women in 2016, and the South Sacramento program now has 15 navigators who assisted 30 women last year.

Several other Kaiser Permanente medical centers across the country are also planning or offering in-person or online peer support for patients dealing with a variety of medical conditions and procedures, including post-partum depression, organ transplant and traumatic brain injury.

East Bay Breast Care Center Director Veronica Shim, MD, worked with a group of five breast cancer survivors to launch the breast cancer peer navigation program at Kaiser Permanente Oakland in 2014.

“For patients, there’s something very powerful about speaking with someone who had a similar diagnosis and received treatment at the same medical center,” Dr. Shim said. “They feel supported by the peer navigators every step of the way, and I think they feel a deeper trust in their clinicians and the health care system.”

Dr. Shim added that research shows patients who feel supported live longer. She pointed to a recent study by Candyce Kroenke, ScD, Kaiser Permanente Division of Research, that found breast cancer patients with strong social networks have significantly lower breast cancer death rates and lower rates of recurrence than women who are more socially isolated.

Healing for navigators, too

The Kaiser Permanente peer navigators who provide social support for breast cancer patients say they also benefit.

After Dexter Borrowman, Kaiser Permanente director of National Service Quality, was diagnosed with breast cancer in 2012, she studied the peer navigation program in South Sacramento and helped launch the project in Oakland. She has formally navigated seven women with breast cancer and acts as a champion to encourage the development of other Kaiser Permanente peer navigation programs across the country.

“I’ve been able to take what felt like trauma and use it for a higher good. There is tremendous healing for the person I’m navigating, and it’s healing for me, too,” Borrowman said.

Oakland peer navigator Judey Miller has had a similar experience. She described the volunteering she does at Kaiser Permanente Oakland with newly diagnosed women as something that “feeds me in a deep way.”

After the retired university administrator completed her breast cancer treatment in 2010, she worked with the team that launched the Oakland program. She now volunteers as a peer navigator and helps support a community of breast cancer patients and survivors at the medical center.

“I am so grateful that Kaiser Permanente saved my life,” she said. “This is one way I have to give back.”

By Dolores Radding