Evidence map›Paper›PMID 20185272›Full record

Trial reportSchizophrenia research2010

The Health and Recovery Peer (HARP) Program: a peer-led intervention to improve medical self-management for persons with serious mental illness.

Benjamin G Druss, Liping Zhao, Silke A von Esenwein, Joseph R Bona, Larry Fricks, Sherry Jenkins-Tucker, Evelina Sterling, Ralph Diclemente, Kate Lorig

Open access · greenAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Schizophrenia research, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 150 papers, 16 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
150citing papers in PubMed, 16 pooled it
11.1field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

150 citing papers in PubMed, 16 syntheses or guidelines pooled it, 366 citations in OpenAlex.

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  5. Peer support for people with schizophrenia or other serious mental illness.The Cochrane database of systematic reviews · 2019
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  9. Interventions for enhancing medication adherence.The Cochrane database of systematic reviews · 2014
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  14. Training to recognise the early signs of recurrence in schizophrenia.The Cochrane database of systematic reviews · 2013
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90 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 5 institutions in 1 country.

Benjamin G DrussRollins School of Public Health, Emory University, 1518 Clifton Road NE, Atlanta, GA 30316, United States. bdruss@emory.edu
Liping Zhao
Silke A von Esenwein
Joseph R Bona
Larry Fricks
Sherry Jenkins-Tucker
Evelina Sterling
Ralph Diclemente
Kate Lorig
Appalachian Mountain Club · USDeKalb County Board of Health · USEmory University · USGeorgia Mental Health Consumer Network · USStanford University · US

Funding

Mentoring and Research: Public Health Interventions to Improve Health in SMIK24MH075867 · NIMH · EMORY UNIVERSITY · PI DRUSS, BENJAMIN G · 2006 to 2015
$1.3M
Adapting a Medical Self-Management Program for a Community Mental Health CenterR34MH078583 · NIMH · EMORY UNIVERSITY · PI DRUSS, BENJAMIN G · 2006 to 2008
$600k
NIMH NIH HHS K24 MH075867NIMH NIH HHS R34 MH078583NIMH NIH HHS R34MH078583
6 · The paper itself

Abstract

objectivesPersons with serious mental illnesses (SMI) have elevated rates of comorbid medical conditions, but may also face challenges in effectively managing those conditions.

methodsThe study team developed and pilot-tested the Health and Recovery Program (HARP), an adaptation of the Chronic Disease Self-Management Program (CDSMP) for mental health consumers. A manualized, six-session intervention, delivered by mental health peer leaders, helps participants become more effective managers of their chronic illnesses. A pilot trial randomized 80 consumers with one or more chronic medical illness to either the HARP program or usual care.

resultsAt six month follow-up, participants in the HARP program had a significantly greater improvement in patient activation than those in usual care (7.7% relative improvement vs. 5.7% decline, p=0.03 for group *time interaction), and in rates of having one or more primary care visit (68.4% vs. 51.9% with one or more visit, p=0.046 for group *time interaction). Intervention advantages were observed for physical health related quality of life (HRQOL), physical activity, medication adherence, and, and though not statistically significant, had similar effect sizes as those seen for the CDSMP in general medical populations. Improvements in HRQOL were largest among medically and socially vulnerable subpopulations.

conclusionsThis peer-led, medical self-management program was feasible and showed promise for improving a range of health outcomes among mental health consumers with chronic medical comorbidities. The HARP intervention may provide a vehicle for the mental health peer workforce to actively engage in efforts to reduce morbidity and mortality among mental health consumers.

Indexed as

Self-Help GroupsAdolescentAdultChronic DiseaseDisease ManagementFemaleFollow-Up StudiesHome Care ServicesHumansMaleMental DisordersMiddle AgedOutcome and Process Assessment, Health CareSelf CareSeverity of Illness IndexYoung Adult

Identifiers

PMID20185272
PMCPMC2856811
OpenAlexW2020969377

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.