Randomized controlled trial of peer-led recovery education using Building Recovery of Individual Dreams and Goals through Education and Support (BRIDGES)
Randomized controlled trial of peer-led recovery education using Building Recovery of Individual Dreams and Goals through Education and Support (BRIDGES)
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DOI：
10.1016/j.schres.2011.10.016
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发表时间：
2012-04-01
影响因子：
4.5
通讯作者：
Burke-Miller, Jane K.
中科院分区：
文献类型：
--
作者：
Cook, Judith A.;Steigman, Pamela;Burke-Miller, Jane K.
目的：本研究的目的是测试的同伴为主导的，精神疾病教育干预的有效性，通过教育和支持（BRIDGES）的个人梦想和目标的建设恢复。方法：主题被招募从门诊社区心理健康设置在田纳西州的8个社区。采用单盲、随机对照试验设计，在基线时对428名严重精神疾病（SMI）患者进行了访谈，并将其分配到BRIDGES或常规服务等待列表对照组。两个半小时的课程每周一次，为期8周，由经认证的BRIDGES教师同行授课。在干预后即刻和6个月后对受试者进行随访。主要结果是自我感觉的恢复，通过恢复评估量表（RAS）测量。次要结果是由国家希望量表（SHS）评估的幸福感。一个探索性的假设研究了抑郁症状对恢复outcome.Results的影响：百分之八十六的参与者进行了随访。与会者平均参加了五次会议。使用混合效应随机回归的意向治疗分析发现，与对照组相比，干预参与者报告：1）总RAS评分以及测量个人信心和可耐受症状的子量表的改善显著更大; 2）SHS的机构子量表评估的幸福感显著改善。虽然研究对象与高水平的抑郁症状有显着较差的结果，结果是上级的桥梁参与者，无论抑郁symptoms.Conclusions：同伴为主导的精神疾病教育提高了参与者的自我感知的恢复和随时间的推移，甚至控制抑郁症状的严重程度。(C)2011 Elsevier B. V.保留所有权利。
Objective: The purpose of this study was to test the efficacy of a peer-led, mental illness education intervention called Building Recovery of Individual Dreams and Goals through Education and Support (BRIDGES).Method: Subjects were recruited from outpatient community mental health settings in eight Tennessee communities. Using a single-blind, randomized controlled trial design, 428 individuals with serious mental illness (SMI) were interviewed at baseline and assigned to BRIDGES or to a services as usual wait list control condition. Two-and-one-half hour classes were taught once a week for 8 weeks by peers who were certified BRIDGES instructors. Subjects were followed-up at immediate post-intervention and 6-months later. The primary outcome was self-perceived recovery, measured by the Recovery Assessment Scale (RAS). A secondary outcome was hopefulness as assessed by the State Hope Scale (SHS). An exploratory hypothesis examined the impact of depressive symptoms on both recovery outcomes.Results: Eighty six percent of participants were followed up. On average, participants attended five sessions. Intent-to-treat analysis using mixed-effects random regression found that, compared to controls, intervention participants reported: 1) significantly greater improvement in total RAS scores as well as subscales measuring personal confidence and tolerable symptoms; and 2) significantly greater improvement in hopefulness as assessed by the agency subscale of the SHS. While study subjects with high levels of depressive symptoms had significantly poorer outcomes, outcomes were superior for BRIDGES participants regardless of depressive symptoms.Conclusions: Peer-led mental illness education improves participants' self-perceived recovery and hopefulness over time, even controlling for severity of depressive symptoms. (C) 2011 Elsevier B.V. All rights reserved.