Whole Health Action Management: A Randomized Controlled Trial of a Peer-Led Health Promotion Intervention
| Autor: | Elliott Morris, Destiny L Powers, Ike Powell, Jacqueline B Wolfgang, Jessica A. Jonikas, Marie M. Hamilton, Larry Fricks, Judith A. Cook, Sherry Jenkins Tucker, Joni Weidenaar, Jane K. Burke-Miller |
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| Rok vydání: | 2020 |
| Předmět: |
Adult
medicine.medical_specialty Georgia Health Promotion law.invention 03 medical and health sciences 0302 clinical medicine Randomized controlled trial law Intervention (counseling) medicine Humans 030212 general & internal medicine Psychiatry High rate business.industry Mental Disorders Medical comorbidity Multimorbidity Mental illness medicine.disease 030227 psychiatry Psychiatry and Mental health Cross-Sectional Studies Health promotion Action (philosophy) Illinois business Patient education |
| Zdroj: | Psychiatric Services. 71:1039-1046 |
| ISSN: | 1557-9700 1075-2730 |
| DOI: | 10.1176/appi.ps.202000012 |
| Popis: | Adults with serious mental illness have high rates of general medical comorbidity and encounter challenges in dealing with multiple health conditions. Chronic illness self-management programs may help them more effectively cope with comorbid illnesses, especially when instructors are certified peer specialists. This study assessed the longitudinal effectiveness of a peer-delivered health promotion program.Community mental health program clients in Georgia and Illinois with serious mental illness and health impairments were randomly assigned to receive either Whole Health Action Management (WHAM), a medical illness self-management program led by peer specialists, or care as usual, resulting in a sample of N=139 (WHAM N=68, control N=71). Assessments were conducted at study baseline and at 3 and 6 months. Generalized estimating equations were used to examine change over time in the primary outcome of patient activation and secondary outcomes of general health, hope, and employment.Longitudinal analysis indicated that compared with control participants, WHAM participants demonstrated significantly greater improvement over time in patient activation for health care. Intervention participants also demonstrated greater improvement in their self-assessed general health, overall hopefulness, and paid employment. Reactions to the WHAM program were positive, with 97% reporting being very or somewhat satisfied, and almost two-thirds (63%) reporting that their health was better than before they joined the program.The WHAM program improved patient activation, perceived general medical health, hopefulness, and likelihood of paid employment among people with serious mental illness and co-occurring medical conditions. Results suggest that peer-delivered health self-management education is effective and well received by participants. |
| Databáze: | OpenAIRE |
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