Peer-based health interventions for people with serious mental illness: A systematic literature review

Cabassa, Leopoldo J.; Camacho, David; Vélez‐Grau, Carolina; Stefancic, Ana

doi:10.1016/j.jpsychires.2016.09.021

Cited by 147 publications

(81 citation statements)

References 41 publications

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“…A score of 14 or higher is considered high quality. This assessment tool has been used in previous systematic reviews of interventions for people with serious mental illness [27–29]. One researcher (JAN) used the MQRS to assess quality of included studies.…”

Section: Methodsmentioning

confidence: 99%

Lifestyle interventions for weight loss among overweight and obese adults with serious mental illness: A systematic review and meta-analysis

Naslund

Whiteman

McHugo

et al. 2017

General Hospital Psychiatry

135

104

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Objective To conduct a systematic review and meta-analysis to estimate effects of lifestyle intervention participation on weight reduction among overweight and obese adults with serious mental illness. Method We systematically searched electronic databases for randomized controlled trials comparing lifestyle interventions with other interventions or usual care controls in overweight and obese adults with serious mental illness, including schizophrenia spectrum or mood disorders. Included studies reported change in weight [kg] or body mass index (BMI) [kg/m2] from baseline to follow-up. Standardized mean differences (SMD) were calculated for change in weight from baseline between intervention and control groups. Results Seventeen studies met inclusion criteria (1968 participants; 50% male; 66% schizophrenia spectrum disorders). Studies were grouped by intervention duration (≤ 6-months or ≥ 12-months). Lifestyle interventions of ≤ 6-months duration showed greater weight reduction compared with controls as indicated by effect size for weight change from baseline (SMD = − 0.20; 95% CI = − 0.34, − 0.05; 10 studies), but high statistical heterogeneity (I2 = 90%). Lifestyle interventions of ≥ 12-months duration also showed greater weight reduction compared with controls (SMD = − 0.24; 95% CI = − 0.36, − 0.12; 6 studies) with low statistical heterogeneity (I2 = 0%). Conclusion Lifestyle interventions appear effective for treating overweight and obesity among people with serious mental illness. Interventions of ≥ 12-months duration compared to ≤ 6-months duration appear to achieve more consistent outcomes, though effect sizes are similar for both shorter and longer duration interventions.

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Section: Methodsmentioning

confidence: 99%

Lifestyle interventions for weight loss among overweight and obese adults with serious mental illness: A systematic review and meta-analysis

Naslund

Whiteman

McHugo

et al. 2017

General Hospital Psychiatry

135

104

View full text Add to dashboard Cite

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“…Reviews of peer interventions for persons with serious mental illnesses, usually incorporating a small but significant number of individuals with BD, have demonstrated modest evidence from RCTs and other controlled studies suggesting that there are important improvements in self‐efficacy and reduction in self‐stigma 106, 107, 108, 109. The largest peer intervention study involving BD allocated 153 individuals to attend 21 weekly group psychoeducation events, with another 151 assigned to attend 21 weekly group peer support events.…”

Section: Foundations Of Managementmentioning

confidence: 99%

Canadian Network for Mood and Anxiety Treatments (CANMAT) and International Society for Bipolar Disorders (ISBD) 2018 guidelines for the management of patients with bipolar disorder

et al. 2018

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The Canadian Network for Mood and Anxiety Treatments (CANMAT) previously published treatment guidelines for bipolar disorder in 2005, along with international commentaries and subsequent updates in 2007, 2009, and 2013. The last two updates were published in collaboration with the International Society for Bipolar Disorders (ISBD). These 2018 CANMAT and ISBD Bipolar Treatment Guidelines represent the significant advances in the field since the last full edition was published in 2005, including updates to diagnosis and management as well as new research into pharmacological and psychological treatments. These advances have been translated into clear and easy to use recommendations for first, second, and third‐ line treatments, with consideration given to levels of evidence for efficacy, clinical support based on experience, and consensus ratings of safety, tolerability, and treatment‐emergent switch risk. New to these guidelines, hierarchical rankings were created for first and second‐ line treatments recommended for acute mania, acute depression, and maintenance treatment in bipolar I disorder. Created by considering the impact of each treatment across all phases of illness, this hierarchy will further assist clinicians in making evidence‐based treatment decisions. Lithium, quetiapine, divalproex, asenapine, aripiprazole, paliperidone, risperidone, and cariprazine alone or in combination are recommended as first‐line treatments for acute mania. First‐line options for bipolar I depression include quetiapine, lurasidone plus lithium or divalproex, lithium, lamotrigine, lurasidone, or adjunctive lamotrigine. While medications that have been shown to be effective for the acute phase should generally be continued for the maintenance phase in bipolar I disorder, there are some exceptions (such as with antidepressants); and available data suggest that lithium, quetiapine, divalproex, lamotrigine, asenapine, and aripiprazole monotherapy or combination treatments should be considered first‐line for those initiating or switching treatment during the maintenance phase. In addition to addressing issues in bipolar I disorder, these guidelines also provide an overview of, and recommendations for, clinical management of bipolar II disorder, as well as advice on specific populations, such as women at various stages of the reproductive cycle, children and adolescents, and older adults. There are also discussions on the impact of specific psychiatric and medical comorbidities such as substance use, anxiety, and metabolic disorders. Finally, an overview of issues related to safety and monitoring is provided. The CANMAT and ISBD groups hope that these guidelines become a valuable tool for practitioners across the globe.

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“…Peer models are composed of insider “lay” community members who often share some combination of ancestry, context, language, values/norms, experience and/or proximity with a project's target population (John, Johnson, Sharkey, Dean, & Arandia, ). The peers’ common background and experiences serve as a foundation of peer support, modelling, empathy and information, which in turn, can foster a sense of trust, credibility and similarity necessary for establishing shared frameworks for communication and partnership with similar peers (Cabassa et al., ; Salzer & Shear, ; Solomon, ). Peers are often perceived as more approachable due to their insider status, local knowledge and shared experiences; therefore, they are viewed as valuable members of the research team as well as local experts (Nettles & Belton, ; Schatz, Angotti, Madhavan, & Sennott, ; Woodall, White, & South, ) and “become intermediaries between the research team and their own community, able to access community spaces and translate community knowledge” (Guta, Flicker, & Roche, , p. 442).…”

Section: Introductionmentioning

confidence: 99%

“…Direct public involvement and community engagement of service users, consumers, patients and members of local communities in health research, education and social care have become more prevalent in the last decade (Brett et al, 2014;Cabassa, Camacho, Vélez-Grau, & Stefancic, 2017;Concannon et al, 2014;Domecq et al, 2014;Ellis & Kass, 2017;Nilsen, Myrhaug, Johansen, Oliver, & Oxman, 2006;Shen et al, 2017;Shippee et al, 2015). Within this arena of community-engaged work, peer models that engage and partner with local "insiders" are increasingly common.…”

Section: Introductionmentioning

confidence: 99%

Partnering with insiders: A review of peer models across community-engaged research, education and social care

Vaughn

Whetstone

Boards

et al. 2018

Health Soc Care Community

103

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Within community-engaged research, education and social care, peer models that partner with local "insiders" are increasingly common. Peer models are composed of insider "lay" community members who often share similarities or background with a project's target population. Peers are not academically trained, but work alongside researchers and professionals to carry out specific tasks within a project, or in the truest sense of partnership, peers collaborate throughout the project from start to finish as an equal member of the team. Although peer models are used widely, the literature lacks consistency and clarity. This systematic review of literature used a qualitative thematic synthesis to examine and report how, where and why peer models have been used in research, education and social care. We examined the language and titles used to describe the peers, details of their involvement in community-engaged projects, the setting, content/topic of study, level of engagement and related benefits/outcomes of such models. Focusing on the last 10 years, we conducted a comprehensive literature search twice between September 2016 and June 2017. The search resulted in 814 articles which were assessed for eligibility. Overall, 251 articles met our inclusion criteria and were categorised into three categories: empirical (n = 115); process/descriptive (n = 93); and "about" peers (n = 43). Findings suggest that there is a wide variety of peers, titles and terminology associated with peer models. There is inconsistency in how these models are used and implemented in research studies and projects. The majority of articles used an employment peer model, while only a handful involved peers in all phases of the project. The results of this literature review contribute to understanding the use, development and evolution of peer models. We highlight potential benefits of peer models for peers, their communities and community-engaged work, and we offer recommendations for future implementation of peer models.

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Peer-based health interventions for people with serious mental illness: A systematic literature review

Cited by 147 publications

References 41 publications

Lifestyle interventions for weight loss among overweight and obese adults with serious mental illness: A systematic review and meta-analysis

Lifestyle interventions for weight loss among overweight and obese adults with serious mental illness: A systematic review and meta-analysis

Canadian Network for Mood and Anxiety Treatments (CANMAT) and International Society for Bipolar Disorders (ISBD) 2018 guidelines for the management of patients with bipolar disorder

Partnering with insiders: A review of peer models across community-engaged research, education and social care

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