Effectiveness of a peer-led self-management programme for people with schizophrenia: Protocol for a randomized controlled trial

Sally Wai Chi Chan*, Ziqiang Li, Piyanee Klainin-Yobas, Steven Ting, Moon Fai Chan, Pui Wai Eu

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

5 Citations (Scopus)

Abstract

Aim: To determine the effectiveness of a peer-led self-management programme for people with schizophrenia in reducing psychotic symptom severity, hospital readmission and psychiatric consultation and in enhancing cognition, empowerment, functioning level, medication adherence, perceived recovery, quality of life and social support. Background: Several self-management programmes have been developed to empower patients with severe mental illness in achieving recovery. Research suggests that peer-led self-management programmes have positive effects on patient recovery. However, the existing evidence is inconclusive, due to a lack of credible evidence and long-term follow-up evaluations. Design: A stratified randomized controlled trial will be conducted at six community mental health rehabilitation centres Methods: A sample of 242 adults with schizophrenia will be recruited. A peer-led self-management programme, comprising six 2-hour sessions, will be implemented in the intervention group and a standard rehabilitation programme in the control group. Outcomes will be measured at baseline, postintervention and at the 6- and 12-month follow-ups. The measures will include cognition, empowerment, functioning level, medication adherence, perceived recovery, quality of life, social support, symptom severity, hospital readmission and psychiatric consultation. A mixed effects model will be used to analyse the results. Semi-structured interviews will be conducted to explore the peer-trainers' and participants' perspectives on the programme. Research Ethics Committee approval was obtained in December 2011 and funding was obtained in January 2012. Conclusion: This study will provide evidence on the effectiveness of a peer-led self-management programme for patient recovery. It will identify a clinically useful and potentially effective intervention that incorporates empowerment concept.

Original languageEnglish
Pages (from-to)1425-1435
Number of pages11
JournalJournal of Advanced Nursing
Volume70
Issue number6
DOIs
Publication statusPublished - Jun 2014
Externally publishedYes

Keywords

  • Empowerment
  • Nurse
  • Peer-led
  • Peer-to-peer
  • Protocol
  • Randomized controlled trial
  • Recovery
  • Schizophrenia
  • Self-management

ASJC Scopus subject areas

  • Nursing(all)

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