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Peer support—emotional, informational, and practical assistance by people with lived experience—offers a promising but underused strategy. This review evaluates peer and patient programs, including community groups, transplant-candidate interventions, and peer navigator integration, and summarizes evidence on engagement, reduced isolation, and improved self-efficacy.",{"@graph":14,"@context":73},[15,34,56],{"@type":16,"itemListElement":17},"BreadcrumbList",[18,23,27,31],{"item":19,"name":20,"@type":21,"position":22},"https://docshare.wps.com","Home","ListItem",1,{"item":24,"name":25,"@type":21,"position":26},"https://docshare.wps.com/document/","Document",2,{"item":28,"name":29,"@type":21,"position":30},"https://docshare.wps.com/document/healthcare/","Healthcare",3,{"item":32,"name":10,"@type":21,"position":33},"https://docshare.wps.com/document/enhancing-care-in-alcohol-associated-liver-disease-through-peer-support-for-alcohol-use-disorder/461753/",4,{"url":32,"name":10,"@type":35,"image":36,"author":41,"headline":10,"publisher":44,"fileFormat":47,"inLanguage":8,"description":12,"dateModified":48,"datePublished":49,"encodingFormat":47,"isAccessibleForFree":50,"interactionStatistic":51},"DigitalDocument",{"url":37,"@type":38,"width":39,"height":40},"https://docshare.wps.com/thumbnails/enhancing-care-in-alcohol-associated-liver-disease-through-peer-support-for-alcohol-use-disorder/461753.png","ImageObject",300,407,{"name":42,"@type":43},"moss~","Person",{"url":19,"name":45,"@type":46},"DocShare","Organization","application/pdf","2026-10-30","2026-09-30",true,{"@type":52,"interactionType":53,"userInteractionCount":55},"InteractionCounter",{"@type":54},"ViewAction",7,{"@type":57,"mainEntity":58},"FAQPage",[59,65,69],{"name":60,"@type":61,"acceptedAnswer":62},"Why is care for people with AUD and ALD still suboptimal despite medical advances?","Question",{"text":63,"@type":64},"Care remains suboptimal due to ongoing gaps in psychosocial support, stigma, and limited integration between behavioral health services for AUD and hepatology.","Answer",{"name":66,"@type":61,"acceptedAnswer":67},"What forms of peer support does the review discuss?",{"text":68,"@type":64},"The review covers emotional, informational, and practical peer support, including community-based programs such as Alcoholics Anonymous and SMART Recovery, structured interventions for transplant candidates, and peer navigators in medical settings.",{"name":70,"@type":61,"acceptedAnswer":71},"What benefits does peer support provide for recovery in AUD and ALD?",{"text":72,"@type":64},"Evidence suggests peer support improves recovery by increasing engagement, reducing isolation, and strengthening 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through peer support for alcohol use disorder  \nJenn Jones 1 | Lorrinda Gray-Davis2 | Lorenzo Leggio3,4,5,6 | Andrea DiMartini7,8,9 | Suthat Liangpunsakul 10,11, 12   \n1Sober Livers, Fatty Liver Foundation, Denver, Colorado, USA 2Transplant Recipient International, Temple, Texas, USA  \n3Clinical Psychoneuroendocrinology and Neuropsychopharmacology Section, Translational Addiction Medicine Branch, National Institute on Drug Abuse Intramural Research Program and National Institute on Alcohol Abuse and Alcoholism Division of Intramural Clinical and Biological Research, National Institutes of Health, Baltimore, Maryland, USA  \n4Department of Behavioral and Social Sciences, Center for Alcohol and Addiction Studies, Brown University, Providence, Rhode Island, USA 5Department of Medicine, Division of Addiction Medicine, School of Medicine, Johns Hopkins University, Baltimore, Maryland, USA  \n6Department of Neuroscience, Georgetown University Medical Center, Washington, District of Columbia, USA 7Starzl Transplantation Institute, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA 8Department of Surgery, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA 9Department of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA  \n10Division of Gastroenterology and Hepatology, Department of Medicine, Indiana University School of Medicine, Indianapolis, Indiana, USA 11Department of Biochemistry and Molecular Biology, Indiana University School of Medicine, Indianapolis, Indiana, USA  \n12Roudebush Veterans Administration Medical Center, Indianapolis, Indiana, USA  \nCorrespondence  \nAndrea DiMartini, Western Psychiatric Institute and Clinic, 3811 O’Hara Street, Pittsburgh, PA 15213, USA.  \nEmail: [dimartiniaf@upmc.edu](dimartiniaf@upmc.edu)  \nSuthat Liangpunsakul, Division of Gastroenterology and Hepatology, Department of Medicine, Indiana University School of Medicine, Indianapolis, IN 46202, USA.  \nEmail: [sliangpu@iu.edu](sliangpu@iu.edu)  \n\n|  | Abstract |  |\n| --- | --- | --- |\n| | Alcohol use disorder (AUD) and alcohol-associated liver disease (ALD) are interconnected conditions that contribute significantly to global morbidity and mortality. Despite advances in medical management, care for individuals with AUD and ALD remains suboptimal due to persistent gaps in psychosocial support, stigma, and limited integration between behavioral health care including AUD treatment services and hepatology. Peer support, emotional, informational, and practical assistance provided by individuals with lived experience, has emerged as a promising, though underutilized, strategy to address these challenges. This review examines the evolving role of peer and patient support programs, including community-based groups such as Alcoholics Anonymous and SMART Recovery, structured interventions for transplant candidates, and the integration of peer navigators within medical settings. Evidence suggests that peer support fosters recovery by enhancing engagement, reducing isolation, and promoting self-efficacy. |  |\n|  |  |  |\n\nAbbreviations: AA, Alcoholics Anonymous; AUD, alcohol use disorder; ALD, alcohol-associated liver disease; AI, artificial intelligence; CBT, cognitive-behavioral therapy; RCT, randomized controlled trial; SMART Recovery, Self-Management and Recovery Training.  \nJenn Jones and Lorinda Gray-Davis contributed equally to this article.  \n-- ----- ----- ----- ----- ----- ----- ----- ----- ----- ----- ----- ----- ----- ----- ----- ----- ----- ----- ----- ----- -  \nThis is an open access article distributed under the Creative Commons Attribution License 4.0 (CCBY), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.  \nCopyright © 2026 The Author(s) . Published by Wolters Kluwer Health, Inc. on behalf of the","cbCais11XXAQjQho","https://ap.wps.com/l/cbCais11XXAQjQho","pdf",271819,13,"English","# Abstract\n# Peer support approaches in AUD and ALD\n## Community-based groups\n## Transplant-candidate structured interventions\n## Peer navigators in medical settings\n# Evidence and impact on recovery\n## Engagement and social support\n## Self-efficacy\n# Future directions and implementation challenges","[{\"question\":\"Why is care for people with AUD and ALD still suboptimal despite medical advances?\",\"answer\":\"Care remains suboptimal due to ongoing gaps in psychosocial support, stigma, and limited integration between behavioral health services for AUD and hepatology.\"},{\"question\":\"What forms of peer support does the review discuss?\",\"answer\":\"The review covers emotional, informational, and practical peer support, including community-based programs such as Alcoholics Anonymous and SMART Recovery, structured interventions for transplant candidates, and peer navigators in medical settings.\"},{\"question\":\"What benefits does peer support provide for recovery in AUD and ALD?\",\"answer\":\"Evidence suggests peer support improves recovery by increasing engagement, reducing isolation, and strengthening self-efficacy.\"}]","Enhancing care in alcohol-associated liver disease through peer support for alcohol use disorder | PDF",1790762307,33]