Hostname: page-component-78c5997874-fbnjt Total loading time: 0 Render date: 2024-11-05T16:22:09.706Z Has data issue: false hasContentIssue false
  • English
  • Français

Effectiveness of one-to-one peer support for patients with severe mental illness – a randomised controlled trial

Published online by Cambridge University Press:  23 March 2020

C.I. Mahlke ,
S. Priebe ,
K. Heumann ,
A. Daubmann ,
K. Wegscheider  and
T. Bock
C.I. Mahlke*
Affiliation:
Center for Psychosocial Medicine, University Medical Center Hamburg Eppendorf Martinistr. 52, 20249Hamburg, Germany
S. Priebe
Affiliation:
Queen Mary University of London, Unit for Social and Community Psychiatry (WHO Collaborating Centre for Mental Health Service Development), Newham Centre for Mental Health, E13 8SPLondon, United Kingdom
K. Heumann
Affiliation:
Center for Psychosocial Medicine, University Medical Center Hamburg Eppendorf Martinistr. 52, 20249Hamburg, Germany
A. Daubmann
Affiliation:
University Medical Center Hamburg Eppendorf, Department of Medical Biometry and Epidemiology Martinistr. 52, Hamburg, 20249Germany
K. Wegscheider
Affiliation:
University Medical Center Hamburg Eppendorf, Department of Medical Biometry and Epidemiology Martinistr. 52, Hamburg, 20249Germany
T. Bock
Affiliation:
Center for Psychosocial Medicine, University Medical Center Hamburg Eppendorf Martinistr. 52, 20249Hamburg, Germany
*
*Corresponding author. Tel.: +49 0 40 74105 8933; fax: +49 0 40 74105 55455. E-mail address:[email protected] (C.I. Mahlke).
Get access

Abstract

Background

One-to-one peer support is a resource-oriented approach for patients with severe mental illness. Existing trials provided inconsistent results and commonly have methodological shortcomings, such as poor training and role definition of peer supporters, small sample sizes, and lack of blinded outcome assessments.

Methods

This is a randomised controlled trial comparing one-to-one peer support with treatment as usual. Eligible were patients with severe mental illnesses: psychosis, major depression, bipolar disorder or borderline personality disorder of more than two years’ duration. A total of 216 patients were recruited through in- and out-patient services from four hospitals in Hamburg, Germany, with 114 allocated to the intervention group and 102 to the control group. The intervention was one-to-one peer support, delivered by trained peers and according to a defined role specification, in addition to treatment as usual over the course of six months, as compared to treatment as usual alone. Primary outcome was self-efficacy measured on the General Self-Efficacy Scale at six-month follow-up. Secondary outcomes included quality of life, social functioning, and hospitalisations.

Results

Patients in the intervention group had significantly higher scores of self-efficacy at the six-month follow-up. There were no statistically significant differences on secondary outcomes in the intention to treat analyses.

Conclusions

The findings suggest that one-to-one peer support delivered by trained peer supporters can improve self-efficacy of patients with severe mental disorders over a one-year period. One-to-one peer support may be regarded as an effective intervention. Future research should explore the impact of improved self-efficacy on clinical and social outcomes.

Keywords

Peer supportSevere mental disorderSocial and cross-cultural psychiatry
Type
Original article
Information
European Psychiatry , Volume 42 , May 2017 , pp. 103 - 110
Copyright
Copyright © European Psychiatric Association 2017

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Slade, M., Amering, M., Farkas, M., Hamilton, B., O’Hagan, M., Panther, G.et al.Uses and abuses of recovery: implementing recovery-oriented practices in mental health systems. World Psychiatry 2014;13:12–20.CrossRefGoogle ScholarPubMed
Stierlin, A.S., Herder, K., Helmbrecht, M.J., Prinz, S., Walendzik, J., Holzmann, M.et al.Effectiveness and efficiency of integrated mental health care programmes in Germany: study protocol of an observational controlled trial. BMC Psychiatry 2014;14:163.CrossRefGoogle ScholarPubMed
Priebe, S., Omer, S., Giacco, D., Slade, M.Resource-oriented therapeutic models in psychiatry: a conceptual review. Br J Psychiatry 2014;204:256–261.CrossRefGoogle ScholarPubMed
Faulkner, A., Basset, T.A long and honourable history. J Ment Health Train Educ Pract 2012;7:53–59.CrossRefGoogle Scholar
Wallcraft, J., Amering, M., Freidin, J.Partnerships for better mental health worldwide: WPA recommendations on best practices in working with service users and family carers. World Psychiatry 2011;10:229–236.CrossRefGoogle ScholarPubMed
Haro, J.M., Ayuso-Mateos, J.L., Bitter, I., Demotes-Mainard, J., Leboyer, M., Lewis, S.W.et al.ROAMER: a European roadmap for mental health research. Int J Meth Psychiatry Res 2014;23(Suppl. 1):1–13.CrossRefGoogle ScholarPubMed
Stamou, E.Reclaiming user leadership in peer support practice. J MH Train Ed Pract 2014;9:167–176.CrossRefGoogle Scholar
Chinman, M., George, P., Dougherty, R., Daniels, A., Ghose, S., Swift, A.et al.Peer support services for individuals with serious mental illnesses: assessing the evidence. Psychiatr Serv 2014;65:429–441.CrossRefGoogle ScholarPubMed
Mahlke, C., Krämer, U., Becker, T., Bock, T.Peer support in mental health services. Curr Opin Psychiatry 2014;27:276–281.CrossRefGoogle ScholarPubMed
Mead, S., Hilton, D., Curtis, L.Peer support: a theoretical perspective. Psychiatr Rehabil J 2001;25:134–141.CrossRefGoogle ScholarPubMed
Gillard, S., Gibson, S.L., Holley, J., Lucock, M.Developing a change model for peer worker interventions in mental health services: a qualitative research study. Epidemiol Psychiatr Sci 2014;1–11.Google ScholarPubMed
Luszczynska, A., Scholz, U., Schwarzer, R.The general self-efficacy scale: multicultural validation studies. J Psychol 2005;139:439–457.CrossRefGoogle ScholarPubMed
Fuhr, D.C., Salisbury, T.T., De Silva, M.J., Atif, N., van Ginneken, N., Rahman, A.et al.Effectiveness of peer-delivered interventions for severe mental illness and depression on clinical and psychosocial outcomes: a systematic review and meta-analysis. Soc Psychiatr Epidemiol 2014;49:1691–1702.CrossRefGoogle ScholarPubMed
Pitt, V., Lowe, D., Hill, S., Prictor, M., Hetrick, S.E., Ryan, R.et al.Consumer-providers of care for adult clients of statutory mental health services. Cochrane Database Syst Rev 2013 3.Google ScholarPubMed
Lloyd-Evans, B., Mayo- Wilson, E., Harrison, B.et al.A systematic review and meta-analysis of randomized controlled trials of peer support for people with severe mental illness. BMC Psychiatry 2014;39:1–12.Google Scholar
Doughty, C., Tse, S.Can consumer-led mental health services be equally effective? An integrative review of CLMH services in high-income countries. Community Ment Health J 2011;47:252–266.CrossRefGoogle ScholarPubMed
Gühne, U., Weinmann, S., Arnold, K., Becker, T., Riedel-Heller, S.G.S3 guideline on psychosocial therapies in severe mental illness: evidence and recommendations. Eur Arch Psychiatry Clin Neurosci 2015;265:173–188.CrossRefGoogle ScholarPubMed
Repper, J. Peer support workers: a practical guide to implementation. Implementing Recovery through Organisational Change, Briefing Paper. 2013;7http://www.imroc.org/media/publications.Google Scholar
Moran, G., Russinova, Z., Gidugu, V., Gagne, C.Challenges experienced by paid peer providers in mental health recovery. Community Ment Health J 2013;49:281–291.CrossRefGoogle ScholarPubMed
Kemp, V., Henderson, A.R.Challenges faced by mental health peer support workers: peer support from the peer supporter's point of view. Psychiatr Rehabil J 2012;35:337–340.CrossRefGoogle ScholarPubMed
Utschakowski, J. Training programme for people with experience in mental health crisis to work as trainer and peer supporter. Ex-In Curriculum. 2007 Available at: http://www.adam-europe.eu/prj/1871/prd/3/1/Curriculum_english%20i.pdf. [last: 11.09.2016]Google Scholar
Schwarzer, R., Jerusalem, M.Generalized Self-Efficacy scale In: Weinman, J.Wright, S., Johnston, M., editors. Measures in health psychology: a user's portfolio. Causal and control beliefs. Windsor, UK: NFER-NELSON; 1995. p. 35–37.Google Scholar
Schwarzer, R.General perceived self-efficacy in 14 cultures [online-publication]. Berlin: Freie Universität Berlin; 2001. Available at: http://www.userpage.fuberlin.de/∼health/world14.htm. [Last: 18.05.2016]Google Scholar
Pukrop, R.Modulares System zur Lebensqualität. In: Schumacher, J., Klaiberg, A., Brähler, E., Diagnostische Verfahren zu Lebensqualität und Wohlbefinden Bern, Toronto S: Göttingen; 2003. p. 227–232.Google Scholar
EuroQol Group EuroQol – a new facility for the measurement of health-related quality of life. Health Policy 1990;16:199–208.CrossRefGoogle Scholar
Sass, H., Wittchen, H.U., Zaudig, M.Diagnostisches und statistisches manual psychischer Störungen DSM-IV. Göttingen, Bern, Toronto, Seattle: Hogrefe; 2001.Google Scholar
National Institute of Mental Health Clinical global impressions. In: Guy, W., editor. ECDEU Assessment for psychopharmacology Maryland: Rev. Ed. Rockville; 1976. 217–222.Google Scholar
Brown, H., Prescott, R.Repeated measures data. In: Applied mixed models in medicine New York, NY: John Wiley & Sons; 2015. p. 231–288.Google Scholar
IBM Corp, IBM SPSS Statistics for Windows, Version 20. 0. Armonk, NY: IBM Corp; 2011.Google Scholar
Schwarzer, R., Bäßler, J., Kwiatek, P., Schröder, K., Zhang, J.X.The assessment of optimistic self-beliefs: comparison of the German, Spanish, and Chinese versions of the General Self-Efficacy Scale. Appl Psychol Int Rev 1997;46:69–88.CrossRefGoogle Scholar
Vauth, R., Kleim, B., Wirtz, M., Corrigan, P.W.Self-efficacy and empowerment as outcomes of self-stigmatizing and coping in schizophrenia. Psyciatr Res 2007;150:71–80.CrossRefGoogle Scholar
Castelein, S., Bruggeman, R., van Busschbach, J.T., van der Gaag, M., Stant, A.D., Knegtering, H.et al.The effectiveness of peer support groups in psychosis: a randomized controlled trial. Acta Psychiatr Scand 2008;118:64–72.CrossRefGoogle ScholarPubMed
van Gestel-Timmermans, H., Brouwers, E.P.M., van Assen, M., van Nieuwenhuizen, C.Effects of a peer-run course on recovery from serious mental illness: a randomized controlled trial. Psychiatr Serv 2012;63:54–60.CrossRefGoogle ScholarPubMed
Bock, T., Priebe, S.Psychosis-seminars, an unconventional approach for how users, carers and professionals can learn from each other. Psychiatr Serv 2005;56:1441–1443.CrossRefGoogle Scholar
Amering, M., Mikus, M., Steffen, S.Recovery in Austria: mental health trialogue. Int Rev Psychiatry 2012;24:11–18.CrossRefGoogle ScholarPubMed
Submit a response

Comments

No Comments have been published for this article.