Randomized trial of a brief peer support intervention for individuals with schizophrenia transitioning from hospital to community
| Autor: | Chris McKinney, Sandra Yan, Sean A. Kidd, George Mihalakakos, Sidney Lichtenstein, Gursharan Virdee, Christina Mutschler, Dawn I. Velligan, Fionna Blair, Tony P. George, Tim Guimond, Aristotle N. Voineskos, Larry Davidson, April Collins |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Psychological intervention Aftercare Context (language use) Community integration Peer support law.invention 03 medical and health sciences Social support 0302 clinical medicine Randomized controlled trial law Intervention (counseling) Medicine Humans Biological Psychiatry business.industry Hospitals Patient Discharge 030227 psychiatry 3. Good health Psychiatry and Mental health Crisis Intervention Physical therapy Quality of Life Schizophrenia Brief intervention business 030217 neurology & neurosurgery |
| Zdroj: | Schizophrenia research. 231 |
| ISSN: | 1573-2509 |
| Popis: | This phase 2 randomized trial examined the outcomes of a brief, transitional, peer support intervention designed to address the poor outcomes that are common for individuals with schizophrenia spectrum illnesses in the period immediately following hospitalization. In the context of treatment-as-usual, participants were provided with a peer support intervention, 'the Welcome Basket,' in which participants received 1-2 sessions of peer support in the two weeks before discharge and met weekly for a month post-discharge. The study also piloted a brief version of this intervention with only one community session post-discharge with the same pre-discharge process. It was hypothesized that the full intervention would improve community transition outcomes, with community functioning (Multnomah Community Ability Scale) being the primary measure and secondary measures including symptomatology, community integration, personal recovery, quality of life, and social support. The examination of the brief intervention was exploratory. Measures were completed at baseline, 1-month post-discharge, and follow-up at 6 months. A total of 110 participants were randomized to one of three interventions, with outcome data obtained from 82 and follow-up from 74. While feasible, we did not find that the Welcome Basket intervention was superior to treatment as usual for any of our primary or secondary outcome measures. Future work is needed to determine whether a more extended intervention is required and whether specific subgroups of patients may benefit (e.g. those without access to immediate psychiatric care or those better able to engage with a peer). |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect