Evidence map›Paper›PMID 28948424›Full record

ArticleThe Psychiatric quarterly2018

Feasibility, Acceptability, and Preliminary Effectiveness of a Peer-Delivered and Technology Supported Self-Management Intervention for Older Adults with Serious Mental Illness.

Karen L Fortuna, Peter R DiMilia, Matthew C Lohman, Martha L Bruce, Cynthia D Zubritsky, Mitch R Halaby, Robert M Walker, Jessica M Brooks, Stephen J Bartels

Abstract read
In one paragraph

Article in The Psychiatric quarterly, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 66 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
66citing papers in PubMed, 4 pooled it
27.1field-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

66 citing papers in PubMed, 4 syntheses or guidelines pooled it, 125 citations in OpenAlex.

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  15. Potential Increasing Trend in Schizophrenia Relapse Prevention in the Past 40 Years: A Bibliometric Analysis.Journal of preventive medicine and public health = Yebang Uihakhoe chi · 2024
    Review
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6 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.

Karen L FortunaDartmouth Centers for Health and Aging, 46 Centerra Parkway, Suite 200, Lebanon, NH, 03766, USA. Karen.L.Fortuna@dartmouth.edu.
Peter R DiMiliaDartmouth Centers for Health and Aging, 46 Centerra Parkway, Suite 200, Lebanon, NH, 03766, USA.
Matthew C LohmanDartmouth Centers for Health and Aging, 46 Centerra Parkway, Suite 200, Lebanon, NH, 03766, USA.
Martha L BruceDepartment of Psychiatry, Geisel School of Medicine at Dartmouth, Hanover, NH, USA.
Cynthia D ZubritskyCenter for Mental Health Policy and Services Research, School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Mitch R HalabyNortheast Independent Living Program, Lawrence, MA, USA.
Robert M WalkerMassachusetts Department of Mental Health, Boston, MA, USA.
Jessica M BrooksDartmouth Centers for Health and Aging, 46 Centerra Parkway, Suite 200, Lebanon, NH, 03766, USA.
Stephen J BartelsDartmouth Centers for Health and Aging, 46 Centerra Parkway, Suite 200, Lebanon, NH, 03766, USA.
Dartmouth Institute for Health Policy and Clinical Practice · USDartmouth College · USCenter for Independent Living · USMassachusetts Department of Mental Health · USUniversity of Pennsylvania · US

Funding

Training Geriatric Mental Health Services ResearchersT32MH073553 · NIMH · DARTMOUTH-HITCHCOCK CLINIC · PI BRUCE, MARTHA L · 2005 to 2019
$6.4M
Health Promotion and Disease Prevention Research CenterU48DP005018 · DP · DARTMOUTH COLLEGE · PI ADACHI-MEJIA, ANNA MARIA · 2014 to 2018
$5.6M
Self-Management Training and Automated Telehealth to Improve SMI Health OutcomesR01MH104555 · NIMH · MASSACHUSETTS GENERAL HOSPITAL · PI BARTELS, STEPHEN J · 2014 to 2018
$3.0M
ACL HHS U48DP005018NCCDPHP CDC HHS U48 DP005018NIMH NIH HHS L30 MH111001NIMH NIH HHS R01 MH104555NIMH NIH HHS T32 MH073553NIMH NIH HHS T32 MH073553-11
6 · The paper itself

Abstract

To assess the feasibility, acceptability, and preliminary effectiveness of a peer-delivered and technology supported integrated medical and psychiatric self-management intervention for older adults with serious mental illness. Ten older adults with serious mental illness (i.e., schizophrenia, schizoaffective disorder, bipolar disorder, or major depressive disorder) and medical comorbidity (i.e., cardiovascular disease, obesity, diabetes, chronic obstructive pulmonary disease, hypertension, and/or high cholesterol) aged 60 years and older received the PeerTECH intervention in their homes. Three certified peer specialists were trained to deliver PeerTECH. Data were collected at baseline, one-month, and three-month. The pilot study demonstrated that a three-month, peer-delivered and technology-supported integrated medical and psychiatric self-management intervention ("PeerTECH") was experienced by peer specialists and participants as feasible and acceptable. PeerTECH was associated with statistically significant improvements in psychiatric self-management. In addition, pre/post, non-statistically significant improvements were observed in self-efficacy for managing chronic health conditions, hope, quality of life, medical self-management skills, and empowerment. This pre/post pilot study demonstrated it is possible to train peers to use technology to deliver an integrated psychiatric and medical self-management intervention in a home-based setting to older adults with serious mental illness with fidelity. These findings provide preliminary evidence that a peer-delivered and technology-supported intervention designed to improve medical and psychiatric self-management is feasible, acceptable, and is potentially associated with improvements in psychiatric self-management, self-efficacy for managing chronic health conditions, hope, quality of life, medical self-management skills, and empowerment with older adults with serious mental illness and chronic health conditions.

Indexed as

Peer InfluenceSelf EfficacyAgedFemaleHumansMaleMental DisordersMiddle AgedPilot ProjectsQuality of LifeSelf-ManagementSmartphonemHealthPeersSerious mental illness

Identifiers

PMID28948424
PMCPMC5874159
OpenAlexW2759691261

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.