A Peer-Led Electronic Mental Health Recovery App in an Adult Mental Health Service: Study Protocol for a Pilot Trial

Gulliver, Amelia; Banfield, Michelle; Reynolds, Julia; Miller, Sarah; Galati, Connie; Morse, Alyssa R.

doi:10.2196/resprot.8795

Cited by 4 publications

(7 citation statements)

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“…The participants were 6 consumers and 5 health service staff. As per the protocol [17], because of the small sample and study location, no demographic data were collected to minimize the chance of identifying individuals. Consumer participants were people with moderate-to-severe mental illness attending a community-based public mental health service for treatment.…”

Section: Methodsmentioning

confidence: 99%

“…The evaluation of the current project was designed to be exploratory [17], examining the elements of the program that were useful and the barriers and facilitators to implementation in the service, and an investigation of the effectiveness of the program overall. The evaluation involved both the postintervention quantitative evaluation of a single cohort of participants and qualitative interviews with the peer worker and mental health service staff.…”

Section: Methodsmentioning

confidence: 99%

“…The evaluation involved both the postintervention quantitative evaluation of a single cohort of participants and qualitative interviews with the peer worker and mental health service staff. A focus group to collect further qualitative data from participants was planned [17], but we did not proceed as no consumers from the participant pool agreed to participate. The protocol for the study has been published previously [17].…”

Section: Methodsmentioning

confidence: 99%

“…A focus group to collect further qualitative data from participants was planned [17], but we did not proceed as no consumers from the participant pool agreed to participate. The protocol for the study has been published previously [17].…”

Section: Methodsmentioning

confidence: 99%

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A Peer-Led Electronic Mental Health Recovery App in a Community-Based Public Mental Health Service: Pilot Trial

Gulliver¹,

Banfield²,

Morse³

et al. 2019

JMIR Form Res

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BackgroundThere is an increasing need for peer workers (people with lived experience of mental health problems who support others) to work alongside consumers to improve recovery and outcomes. In addition, new forms of technology (tablet or mobile apps) can deliver services in an engaging and innovative way. However, there is a need to evaluate interventions in real-world settings.ObjectiveThis exploratory proof-of-concept study aimed to determine if a peer worker–led electronic mental health (e-mental health) recovery program is a feasible, acceptable, and effective adjunct to usual care for people with moderate-to-severe mental illness.MethodsOverall, 6 consumers and 5 health service staff participated in the evaluation of a peer-led recovery app delivered at a community-based public mental health service. The peer worker and other health professional staff invited attendees at the drop-in medication clinics to participate in the trial during June to August 2017. Following the intervention period, participants were also invited by the peer worker to complete the evaluation in a separate room with the researcher. Consumers were explicitly informed that participation in the research evaluation was entirely voluntary. Consumer evaluation measures at postintervention included recovery and views on the acceptability of the program and its delivery. Interviews with staff focused on the acceptability and feasibility of the app itself and integrating a peer worker into the health care service.ResultsConsumer recruitment in the research component of the study (n=6) fell substantially short of the target number of participants (n=30). However, from those who participated, both staff and consumers were highly satisfied with the peer worker and somewhat satisfied with the app. Health care staff overall believed that the addition of the peer worker was highly beneficial to both the consumers and staff.ConclusionsThe preliminary findings from this proof-of-concept pilot study suggest that a peer-led program may be a feasible and acceptable method of working on recovery in this population. However, the e-mental health program did not appear feasible in this setting. In addition, recruitment was challenging in this particular group, and it is important to note that these study findings may not be generalizable. Despite this, ensuring familiarity of technology in the target population before implementing e-mental health interventions is likely to be of benefit.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

See 2 more Smart Citations

A Peer-Led Electronic Mental Health Recovery App in a Community-Based Public Mental Health Service: Pilot Trial

Gulliver¹,

Banfield²,

Morse³

et al. 2019

JMIR Form Res

Self Cite

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show abstract

“…There is a trend toward innovation moving beyond self-reliant apps to apps or multi-platform services that include some form of contact or consultation. Examples include therapist messaging services (e.g., Talkspace, 2018), automated conversational agents (e.g., Fitzpatrick, Darcy & Vierhile, 2017;Ly, Ly & Andersson, 2017) and apps that feature peer-to-peer support (e.g., Baumel, Tinkelman, Mathur & Kane, 2018;Colón-Semenza, Latham, Quintiliani & Ellis, 2018;Gulliver et al, 2017).…”

Section: Clinical Effect and Attritionmentioning

confidence: 99%

Blended cognitive behavior therapy : efficacy and acceptability for treating depression in the adult and adolescent population

Topooco¹

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Depression is the most burdensome disorder worldwide in terms of health loss. The potential of internet and technologies to scale up psychological treatment resources is substantial. A blended treatment approach, reducing therapist time and combining sessions with online self-help components, could enhance availability of psychological treatment, while maintaining and possibly enhancing effect of treatment. The aim of this thesis was to develop and investigate the blended treatment approach, in terms of acceptance among key stakeholders, and clinical effect in treatment of depression in the adult and adolescent population.Study I investigated acceptance of the blended treatment approach among mental health care stakeholders by means of a European survey. The results demonstrated that the majority readily accepted blended treatment for management of mild and moderate depression.Study II evaluated blended treatment compared to standard face-toface psychotherapy in treatment of adult depression in a controlled non-inferiority trial. The results showed a similar decrease in depression from both interventions at post-treatment, with decreased levels maintained over six months. Non-inferiority for the blended treatment could not be statistically established.Study III was a controlled non-inferiority trial evaluating blended treatment compared to treatment as usual. The results indicated superiority for the blended treatment at post-treatment and partly at six months. After twelve months the outcomes in the two conditions were similar.Study IV evaluated blended treatment for adolescent depression in a controlled superiority trial, where the therapist time was not reduced, but sessions delivered via chat for improved reach and efficiency. Compared to attention control, the blended treatment significantly reduced depression symptoms, with effects indicated to be maintained over six months.Study V was a controlled superiority trial, evaluating an improved version of the blended treatment used in Study IV to similar methods and in a similar population. In comparison to minimal attention control, the blended treatment significantly reduced depression symptoms at post-treatment, corresponding to a large treatment effect.Across Study II to V, estimates indicated that the amount of therapist time that could be saved in blended treatment, compared to standard psychological treatment, was around 40%.In conclusion, a gradual, blended integration of technology into psychological treatment i) performed well in treatment of adult and adolescent populations, ii) could substantially reduce therapist time in comparison to standard face-to-face psychological treatment, and iii) was accepted by patients as well as other mental health care stakeholders.The thesis demonstrates the potentials of technology-assisted blended treatment models to deliver treatment of depression in the young and adult population in accordance with the current, urgent need to increase availability of psychological treatment as well as increase acceptance ...

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Friends over Doctors? The Influences of Source and Perceived Customization on College Drinking

Niu

Jeong

Willoughby

2020

Health Communication

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A Peer-Led Electronic Mental Health Recovery App in an Adult Mental Health Service: Study Protocol for a Pilot Trial

Cited by 4 publications

References 22 publications

A Peer-Led Electronic Mental Health Recovery App in a Community-Based Public Mental Health Service: Pilot Trial

A Peer-Led Electronic Mental Health Recovery App in a Community-Based Public Mental Health Service: Pilot Trial

Blended cognitive behavior therapy : efficacy and acceptability for treating depression in the adult and adolescent population

Friends over Doctors? The Influences of Source and Perceived Customization on College Drinking

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