Effectiveness of Peer-Led Self-Management Programmes for Adults with Schizophrenia and Other Psychotic Disorders: A Systematic Review

11.00
Hdl Handle:
http://hdl.handle.net/10755/243180
Category:
Abstract
Type:
Presentation
Title:
Effectiveness of Peer-Led Self-Management Programmes for Adults with Schizophrenia and Other Psychotic Disorders: A Systematic Review
Author(s):
Li, Ziqiang; Klainin-Yobas, Piyanee; Chan, Sally Wai-Chi
Author Details:
Li, Ziqiang, RN, RMN, BS, a0078756@nus.edu.sg; Klainin-Yobas, Piyanee , PhD, MSc, BS, RN; Chan, Sally Wai-Chi, RN (Psy), RMN, PhD, MSc, BSc;
Abstract:
Background and hypothesis

Peer-led self-management programmes (PLSMP) for mental illness have become widely used in the western countries. Many studies reported the benefits and effectiveness of such programmes in facilitating recovery in patients with schizophrenia or other psychotic disorders.

This review aimed to synthesise the current evidence on the effectiveness of PLSMPs for adults with schizophrenia and other psychotic disorders in participants’ empowerment, hopefulness, perceived recovery, self-advocacy, social support and symptom reduction.

 

Methods

A three-step search strategy and search terms were formulated based on the selection criteria on population, intervention and outcome measures. Independent critical appraisals on selected studies were undertaken. JBI CReMS and MAStARI were used in data extraction and meta-analysis.

 

Main results

A total of nine English studies were included for the review with six outcome measures were synthesised by meta-analysis. The synthesised evidence suggests that PLSMPs had a significant effect in improving participants’ empowerment (SMD=-0.31, 95% CI, -0.96 to-0.34; p=0.35), hopefulness (SMD=-0.37, 95% CI, -0.55 to-0.19; p<0.0001), perceived recovery (WMD=-3.20, 95% CI, -6.01 to-0.39; p=0.0258), self-advocacy (SMD=-0.49, 95% CI, -0.72 to-0.27; p<0.0001), social support (SMD=-0.29, 95% CI, -0.59 to 0.01, p=0.0562), and reducing symptom severity (SMD=0.33, 95% CI, 0.17 to0.49, p<0.0001). However, most of the studies lacked randomisation, control group, follow-up assessments, measures to reduce confounders and intention-to-treat analysis with considerable dropout rate.

 

Discussion

PLSMPs can be implemented with care in psychiatric service to promote patient’s recovery. These programmes may help improve patients’ psychosocial well-being and promote social integration. Future research studies need to utilise randomisation, control group, clear inclusion/exclusion criteria, follow-up assessments, and intention-to-treat analysis with multivariate statistical analysis.

Keywords:
self-management; Peer-to-peer; Schizophrenia
Repository Posting Date:
12-Sep-2012
Date of Publication:
12-Sep-2012
Conference Date:
2012
Conference Name:
23rd International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Brisbane, Australia

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titleEffectiveness of Peer-Led Self-Management Programmes for Adults with Schizophrenia and Other Psychotic Disorders: A Systematic Reviewen_GB
dc.contributor.authorLi, Ziqiangen_GB
dc.contributor.authorKlainin-Yobas, Piyaneeen_GB
dc.contributor.authorChan, Sally Wai-Chien_GB
dc.author.detailsLi, Ziqiang, RN, RMN, BS, a0078756@nus.edu.sg; Klainin-Yobas, Piyanee , PhD, MSc, BS, RN; Chan, Sally Wai-Chi, RN (Psy), RMN, PhD, MSc, BSc;en_GB
dc.identifier.urihttp://hdl.handle.net/10755/243180-
dc.description.abstract<b><i>Background and hypothesis</i></b><p>Peer-led self-management programmes (PLSMP) for mental illness have become widely used in the western countries. Many studies reported the benefits and effectiveness of such programmes in facilitating recovery in patients with schizophrenia or other psychotic disorders. <p>This review aimed to synthesise the current evidence on the effectiveness of PLSMPs for adults with schizophrenia and other psychotic disorders in participants&rsquo; empowerment, hopefulness, perceived recovery, self-advocacy, social support and symptom reduction. <p><b><i>&nbsp;</i></b><p><b><i>Methods</i></b><p>A three-step<i> </i>search strategy and search terms were formulated based on the selection criteria on population, intervention and outcome measures. Independent critical appraisals on selected studies were undertaken. JBI CReMS and MAStARI were used in data extraction and meta-analysis. <p><b><i>&nbsp;</i></b><p><b><i>Main results </i></b><p>A total of nine English studies were included for the review with six outcome measures were synthesised by meta-analysis. The synthesised evidence suggests that PLSMPs had a significant effect in improving participants&rsquo; empowerment (SMD=-0.31, 95% CI, -0.96 to-0.34; p=0.35), hopefulness (SMD=-0.37, 95% CI, -0.55 to-0.19; p&lt;0.0001), perceived recovery (WMD=-3.20, 95% CI, -6.01 to-0.39; p=0.0258), self-advocacy (SMD=-0.49, 95% CI, -0.72 to-0.27; p&lt;0.0001), social support (SMD=-0.29, 95% CI, -0.59 to 0.01, p=0.0562), and reducing symptom severity (SMD=0.33, 95% CI, 0.17 to0.49, p&lt;0.0001). However, most of the studies lacked randomisation, control group, follow-up assessments, measures to reduce confounders and intention-to-treat analysis with considerable dropout rate.<b><i></i></b><p><b><i>&nbsp;</i></b><p><b><i>Discussion</i></b><p>PLSMPs can be implemented with care in psychiatric service to promote patient&rsquo;s recovery. These programmes may help improve patients&rsquo; psychosocial well-being and promote social integration. Future research studies need to utilise randomisation, control group, clear inclusion/exclusion criteria, follow-up assessments, and intention-to-treat analysis with multivariate statistical analysis.<b><i></i></b>en_GB
dc.subjectself-managementen_GB
dc.subjectPeer-to-peeren_GB
dc.subjectSchizophreniaen_GB
dc.date.available2012-09-12T09:18:38Z-
dc.date.issued2012-09-12-
dc.date.accessioned2012-09-12T09:18:38Z-
dc.conference.date2012en_GB
dc.conference.name23rd International Nursing Research Congressen_GB
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen_GB
dc.conference.locationBrisbane, Australiaen_GB
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