Improving Propensity for Patient Self-Advocacy Through Wellness Recovery Action Planning: Results of a Randomized Controlled Trial
Improving Propensity for Patient Self-Advocacy Through Wellness Recovery Action Planning: Results of a Randomized Controlled Trial
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DOI：
10.1007/s10597-011-9475-9
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发表时间：
2013-06-01
影响因子：
2.7
通讯作者：
Cook, Judith A.
中科院分区：
文献类型：
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作者：
Jonikas, Jessica A.;Grey, Dennis D.;Cook, Judith A.
严重精神疾病患者成功的疾病自我管理的一个基本方面是能够在健康和康复环境中为自己辩护。本研究报告了一项随机对照试验的结果，比较了接受同伴主导的精神疾病自我管理干预的患者（称为健康恢复行动计划（WRAP））和接受常规护理的患者的自我倡导倾向。结果是自我报告参与与服务提供者的自我宣传，以及患者自我宣传与其他关键康复结果之间的关系。在多变量分析中，在干预后立即和6个月的随访中，WRAP参与者比对照组更有可能报告与他们的服务提供者进行自我宣传。在干预组中，更高的自我倡导也与更大的希望、更好的环境生活质量和更少的精神症状有关。这些发现为同伴主导的疾病自我管理对心理健康恢复的积极影响提供了额外的支持。
A fundamental aspect of successful illness self-management for people with serious mental illnesses is the ability to advocate for themselves in health and rehabilitation settings. This study reports findings from a randomized controlled trial comparing propensity for patient self-advocacy among those who received a peer-led mental illness self-management intervention called Wellness Recovery Action Planning (WRAP) and those who received usual care. Outcomes were self-reported engagement in self-advocacy with service providers, and the relationship between patient self-advocacy and other key recovery outcomes. In a multivariable analysis, at immediate post-intervention and 6-month follow-up, WRAP participants were significantly more likely than controls to report engaging in self-advocacy with their service providers. Higher self-advocacy also was associated with greater hopefulness, better environmental quality of life, and fewer psychiatric symptoms among the intervention group. These findings provide additional support for the positive impact of peer-led illness self-management on mental health recovery.