TY  - JOUR
PY  - 2022//
TI  - Clinical outcomes in routine evaluation measures for patients discharged from acute psychiatric care: four-arm peer and text messaging support controlled observational study
JO  - International journal of environmental research and public health
A1  - Shalaby, Reham
A1  - Spurvey, Pamela
A1  - Knox, Michelle
A1  - Rathwell, Rebecca
A1  - Vuong, Wesley
A1  - Surood, Shireen
A1  - Urichuk, Liana
A1  - Snaterse, Mark
A1  - Greenshaw, Andrew J.
A1  - Li, Xin-Min
A1  - Agyapong, Vincent I. O.
SP  - e3798
EP  - e3798
VL  - 19
IS  - 7
N2  - BACKGROUND: Peer support workers (PSW) and text messaging services (TxM) are supportive health services that are frequently examined in the field of mental health. Both interventions have positive outcomes, with TxM demonstrating clinical and economic effectiveness and PSW showing its utility within the recovery-oriented model. <br><br>OBJECTIVE: To evaluate the effectiveness of PSW and TxM in reducing psychological distress of recently discharged patients receiving psychiatric care. <br><br>METHODS: This is a prospective, rater-blinded, pilot-controlled observational study consisting of 181 patients discharged from acute psychiatric care. Patients were randomized into one of four conditions: daily supportive text messages only, peer support only, peer support plus daily text messages, or treatment as usual. Clinical Outcomes in Routine Evaluation-Outcome Measure (CORE-OM), a standardized measure of mental distress, was administered at four time points: baseline, six weeks, three months, and six months. MANCOVA was used to assess the impact of the interventions on participants' scores on four CORE-OM subscales across the three follow-up time points. Recovery, clinical change, and reliable change in CORE-OM all-item analysis were examined across the four groups, and the prevalence of risk symptoms was measured. <br><br>RESULTS: A total of 63 patients completed assessments at each time point. The interaction between PSW and TxM was predictive of differences in scores on the CORE-OM functioning subscale with a medium effect size (F(1,63) = 4.19; p = 0.045; ηp(2) = 0.07). The PSW + TxM group consistently achieved higher rates of recovery and clinical and reliable improvement compared to the other study groups. Additionally, the text message group and the PSW + TxM group significantly reduced the prevalence of risk of self/other harm symptoms after six months of intervention, with 27.59% (χ(2)((1)) = 4.42, p = 0.04) and 50% (χ(2)((1)) = 9.03, p < 0.01) prevalence reduction, respectively. <br><br>CONCLUSIONS: The combination of peer support and supportive text messaging is an impactful intervention with positive clinical outcomes for acute care patients. Adding the two interventions into routine psychiatric care for patients after discharge is highly recommended.<p />  <p>Language: en</p>
LA  - en
SN  - 1661-7827
UR  - http://dx.doi.org/10.3390/ijerph19073798
ID  - ref1
ER  -