TY - JOUR
T1 - Effectiveness of a peer-led self-management programme for people with schizophrenia
T2 - Protocol for a randomized controlled trial
AU - Chan, Sally Wai Chi
AU - Li, Ziqiang
AU - Klainin-Yobas, Piyanee
AU - Ting, Steven
AU - Chan, Moon Fai
AU - Eu, Pui Wai
PY - 2014/6
Y1 - 2014/6
N2 - 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.
AB - 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.
KW - Empowerment
KW - Nurse
KW - Peer-led
KW - Peer-to-peer
KW - Protocol
KW - Randomized controlled trial
KW - Recovery
KW - Schizophrenia
KW - Self-management
UR - http://www.scopus.com/inward/record.url?scp=84898847909&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84898847909&partnerID=8YFLogxK
U2 - 10.1111/jan.12306
DO - 10.1111/jan.12306
M3 - Article
C2 - 24224787
AN - SCOPUS:84898847909
SN - 0309-2402
VL - 70
SP - 1425
EP - 1435
JO - Journal of Advanced Nursing
JF - Journal of Advanced Nursing
IS - 6
ER -