Loading...
Please wait, while we are loading the content...
Similar Documents
Peer-Led Self-Management of General Medical Conditions for Patients With Serious Mental Illnesses: A Randomized Trial.
| Content Provider | Semantic Scholar |
|---|---|
| Author | Druss, Benjamin G. Singh, Manasvini Esenwein, Silke A. Von Glick, Gretl E. Tapscott, Stephanie L. Tucker, Sherry Jenkins Lally, Cathy A. Sterling, Evelina Weidman |
| Copyright Year | 2018 |
| Abstract | OBJECTIVE Individuals with serious mental illnesses have high rates of general medical comorbidity and challenges in managing these conditions. A growing workforce of certified peer specialists is available to help these individuals more effectively manage their health and health care. However, few studies have examined the effectiveness of peer-led programs for self-management of general medical conditions for this population. METHODS This randomized study enrolled 400 participants with a serious mental illness and one or more chronic general medical conditions across three community mental health clinics. Participants were randomly assigned to the Health and Recovery Peer (HARP) program, a self-management program for general medical conditions led by certified peer specialists (N=198), or to usual care (N=202). Assessments were conducted at baseline and three and six months. RESULTS At six months, participants in the intervention group demonstrated a significant differential improvement in the primary study outcome, health-related quality of life. Specifically, compared with the usual care group, intervention participants had greater improvement in the Short-Form Health Survey physical component summary (an increase of 2.7 versus 1.4 points, p=.046) and mental component summary (4.6 versus 2.5 points, p=.039). Significantly greater six-month improvements in mental health recovery were seen for the intervention group (p=.02), but no other between-group differences in secondary outcome measures were significant. CONCLUSIONS The HARP program was associated with improved physical health- and mental health-related quality of life among individuals with serious mental illness and comorbid general medical conditions, suggesting the potential benefits of more widespread dissemination of peer-led disease self-management in this population. |
| Starting Page | 529 |
| Ending Page | 535 |
| Page Count | 7 |
| File Format | PDF HTM / HTML |
| Alternate Webpage(s) | https://bha.health.maryland.gov/Documents/Peer-Led%20self-management%20of%20general%20medical%20conditions%20for%20patients%20with%20SMI%20-%20a%20randomized%20trial.pdf |
| PubMed reference number | 29385952v1 |
| Alternate Webpage(s) | https://doi.org/10.1176/appi.ps.201700352 |
| DOI | 10.1176/appi.ps.201700352 |
| Journal | Psychiatric services |
| Volume Number | 69 |
| Issue Number | 5 |
| Language | English |
| Access Restriction | Open |
| Subject Keyword | Illness (finding) PersonNameUse - assigned benefit mental health |
| Content Type | Text |
| Resource Type | Article |
