Evidence map›Paper›PMID 21402724›Full record

Trial reportSchizophrenia bulletin2012

Results of a randomized controlled trial of mental illness self-management using Wellness Recovery Action Planning.

Judith A Cook, Mary Ellen Copeland, Jessica A Jonikas, Marie M Hamilton, Lisa A Razzano, Dennis D Grey, Carol B Floyd, Walter B Hudson, Rachel T Macfarlane, Tina M Carter and 1 more

Registry-linked trialAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Schizophrenia bulletin, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01024569 (Mental Illness Self-Management Through Wellness Recovery Action Planning In Ohio), which is not on this map. Cited by 87 papers, 10 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
87citing papers in PubMed, 10 pooled it
–field-weighted citation impact
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.

NCT01024569 nacompletednot on this map

Mental Illness Self-Management Through Wellness Recovery Action Planning In Ohio

TypeinterventionalSponsorUniversity of Illinois at ChicagoRan2007 to 2009Enrolled555ConditionsMental DisordersArmsWellness Recovery Action Planning (WRAP)
3 · Its place in the literature

Who cites it

87 citing papers in PubMed, 10 syntheses or guidelines pooled it.

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  5. Self-management interventions for people with severe mental illness: systematic review and meta-analysis.The British journal of psychiatry : the journal of mental science · 2019
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  6. Peer support for people with schizophrenia or other serious mental illness.The Cochrane database of systematic reviews · 2019
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27 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

11 authors.

Judith A CookDepartment of Psychiatry, University of Illinois at Chicago, 1601 West Taylor Street, Chicago, IL 60612, USA. cook@ripco.com
Mary Ellen Copeland
Jessica A Jonikas
Marie M Hamilton
Lisa A Razzano
Dennis D Grey
Carol B Floyd
Walter B Hudson
Rachel T Macfarlane
Tina M Carter
Sherry Boyd

Funding

PHS HHS H133B050003PHS HHS H133B100028
6 · The paper itself

Abstract

The purpose of this study was to determine the efficacy of a peer-led illness self-management intervention called Wellness Recovery Action Planning (WRAP) by comparing it with usual care. The primary outcome was reduction of psychiatric symptoms, with secondary outcomes of increased hopefulness, and enhanced quality of life (QOL). A total of 519 adults with severe and persistent mental illness were recruited from outpatient community mental health settings in 6 Ohio communities and randomly assigned to the 8-week intervention or a wait-list control condition. Outcomes were assessed at end of treatment and at 6-month follow-up using an intent-to-treat mixed-effects random regression analysis. Compared to controls, at immediate postintervention and at 6-month follow-up, WRAP participants reported: (1) significantly greater reduction over time in Brief Symptom Inventory Global Symptom Severity and Positive Symptom Total, (2) significantly greater improvement over time in hopefulness as assessed by the Hope Scale total score and subscale for goal directed hopefulness, and (3) enhanced improvement over time in QOL as assessed by the World Health Organization Quality of Life-BREF environment subscale. These results indicate that peer-delivered mental illness self-management training reduces psychiatric symptoms, enhances participants' hopefulness, and improves their QOL over time. This confirms the importance of peer-led wellness management interventions, such as WRAP, as part of a group of evidence-based recovery-oriented services.

Indexed as

Social SupportAdultBipolar DisorderChronic DiseaseDepressive DisorderFemaleHumansMaleMental DisordersMiddle AgedOutpatientsPeer GroupQuality of LifeSchizophreniaSelf CareTreatment Outcome

Identifiers

PMID21402724
PMCPMC3406522

What OpenQuestion holds

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Registered trials

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.