Developing the Evidence Base for Peer-Led Services: Changes among Participants following Wellness Recovery Action Planning (WRAP) Education in Two Statewide Initiatives
Developing the Evidence Base for Peer-Led Services: Changes among Participants following Wellness Recovery Action Planning (WRAP) Education in Two Statewide Initiatives
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DOI：
10.2975/34.2.2010.113.120
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发表时间：
2010-09-01
影响因子：
1.9
通讯作者：
Nichols, William H.
中科院分区：
文献类型：
--
作者：
Cook, Judith A.;Copeland, Mary Ellen;Nichols, William H.
目的：这项分析的目的是评估在佛蒙特州和明尼苏达州的两个全州范围内的举措的结果，其中精神疾病的自我管理是由同龄人在心理健康恢复使用健康恢复行动计划（WRAP）教。研究方法：对381名参与者的报告进行了前后比较（佛蒙特州147人，明尼苏达州234人）采用一项调查工具，评估自我管理的三个方面：1）态度，如对康复的希望和对自己健康的责任; 2）知识，关于失代偿和症状触发的早期预警信号等主题;以及3）技能，例如识别社会支持网络和使用健康工具。结果如下：佛蒙特州参与者完成的项目（17项调查中的13项）的76%和明尼苏达州参与者完成的项目（13项中的11项）的85%观察到自我管理态度，技能和行为的显着积极变化。在这两个州，参与者报告了以下方面的显著增加：1）他们对自己康复的关注; 2）对自己失代偿早期预警信号的认识; 3）在日常生活中使用健康工具; 4）对自己症状触发因素的认识; 5）制定危机计划; 6）制定处理症状的计划; 7）拥有社会支持系统。8、对自己的健康负责。结论：鉴于这种干预在美国和国际上的快速增长，这些结果有助于为同伴主导的服务提供证据基础，并表明未来有必要进行更严格的调查。
Objective: The purpose of this analysis was to evaluate the outcomes of two statewide initiatives in Vermont and Minnesota, in which self-management of mental illness was taught by peers to people in mental health recovery using Wellness Recovery Action Planning (WRAP). Methods: Pre-post comparisons were made of reports from 381 participants (147 in Vermont and 234 in Minnesota) on a survey instrument that assessed three dimensions of self-management: 1) attitudes, such as hope for recovery and responsibility for one's own wellness; 2) knowledge, regarding topics such as early warning signs of decompensation and symptom triggers; and 3) skills, such as identification of a social support network and use of wellness tools. Results: Significant positive changes in self-management attitudes, skills and behaviors were observed on 76% of items completed by Vermont participants (13 of 17 survey items), and 85% of items completed by Minnesota participants (11 of 13 items). In both states, participants reported significant increases in: 1) their hopefulness for their own recovery; 2) awareness of their own early warning signs of decompensation; 3) use of wellness tools in their daily routine; 4) awareness of their own symptom triggers; 5) having a crisis plan in place; 6) having a plan for dealing with symptoms; 7) having a social support system; and 8) ability to take responsibility for their own wellness. Conclusions: Given the rapid growth of this intervention in the U.S. and internationally, these results contribute to the evidence base for peer-led services, and suggest that more rigorous investigations are warranted in the future.