Evidence map›Paper›PMID 30102174›Full record

Trial reportLancet (London, England)2018

Peer-supported self-management for people discharged from a mental health crisis team: a randomised controlled trial.

Sonia Johnson, Danielle Lamb, Louise Marston, David Osborn, Oliver Mason, Claire Henderson, Gareth Ambler, Alyssa Milton, Michael Davidson, Marina Christoforou and 14 more

2 registry-linked trialsOpen access · hybridAbstract readRandomized Controlled TrialEquivalence Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Lancet (London, England), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 80 papers, 10 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
80citing papers in PubMed, 10 pooled it
22.5field-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.

NCT04166019 nacompletednot on this mapstarted 2020, after this paper: background citation

Effectiveness of a Peer-led Self-Management Program for People With Recent-onset Psychosis: A Randomized Controlled Trial

TypeinterventionalSponsorChinese University of Hong KongRan2020 to 2025Enrolled180ConditionsEarly Psychosis, Psychotic DisordersArmsPeer-led self-management program, Psycho-education group, Usual care
NCT06487195 naactive not recruitingnot on this mapstarted 2023, after this paper: background citation

Effectiveness of a Peer-facilitated, Recovery-focused Self-illness Management Program (Peer-RESIM) for First-episode Psychosis

TypeinterventionalSponsorChinese University of Hong KongRan2023 to 2027Enrolled198ConditionsPsychotic DisordersArmsPeer-facilitated, Recovery-based Self-illness-management programme, Psycho-education group, Treatment-as-usual only
3 · Its place in the literature

Who cites it

80 citing papers in PubMed, 10 syntheses or guidelines pooled it, 204 citations in OpenAlex.

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  2. Supported Decision-Making Interventions in Mental Healthcare: A Systematic Review of Evidence on the Outcomes for People With Mental Ill Health.Health expectations : an international journal of public participation in health care and health policy · 2024
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  3. Collaborative care approaches for people with severe mental illness.The Cochrane database of systematic reviews · 2024
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20 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

24 authors at 8 institutions in 2 countries.

Sonia JohnsonDivision of Psychiatry, University College London, London, UK; Camden and Islington NHS Foundation Trust, London, UK. Electronic address: s.johnson@ucl.ac.uk.
Danielle LambDivision of Psychiatry, University College London, London, UK.
Louise MarstonResearch Department of Primary Care and Population Health, University College London, London, UK.
David OsbornDivision of Psychiatry, University College London, London, UK; Camden and Islington NHS Foundation Trust, London, UK.
Oliver MasonDivision of Psychology and Language Sciences, University College London, London, UK; School of Psychology, University of Surrey, Guildford, UK.
Claire HendersonHealth Service and Population Research, King's College London, London, UK.
Gareth AmblerDepartment of Statistical Science, University College London, London, UK.
Alyssa MiltonBrain and Mind Centre, University of Sydney, Sydney, Australia.
Michael DavidsonDivision of Psychiatry, University College London, London, UK.
Marina ChristoforouDivision of Psychiatry, University College London, London, UK.
Sarah SullivanSchool of Social and Community Medicine, University of Bristol, Bristol, UK.
Rachael HunterResearch Department of Primary Care and Population Health, University College London, London, UK.
David HindleDivision of Psychiatry, University College London, London, UK.
Beth PatersonDivision of Psychiatry, University College London, London, UK.
Monica LevertonDivision of Psychiatry, University College London, London, UK.
Jonathan PiotrowskiAvon and Wiltshire Mental Health Partnership NHS Trust, Bath, UK.
Rebecca ForsythDivision of Psychiatry, University College London, London, UK.
Liberty MosseDivision of Psychiatry, University College London, London, UK.
Nicky GoaterWest London Mental Health Trust, London, UK.
Kathleen KellyOxford Health NHS Foundation Trust, Oxford, UK.
Mel LeanDivision of Psychiatry, University College London, London, UK.
Stephen PillingDivision of Psychology and Language Sciences, University College London, London, UK; Camden and Islington NHS Foundation Trust, London, UK.
Nicola MorantDivision of Psychiatry, University College London, London, UK.
Brynmor Lloyd-EvansDivision of Psychiatry, University College London, London, UK.
University College London · GBAvon and Wiltshire Mental Health Partnership NHS Trust · GBCamden and Islington NHS Foundation Trust · GBKing's College London · GBOxford Health NHS Foundation Trust · GBUniversity of Bristol · GBUniversity of Sydney · AUWest London Mental Health NHS Trust · GB

Funding

Department of Health RP-PG-0109-10078
6 · The paper itself

Abstract

backgroundHigh resource expenditure on acute care is a challenge for mental health services aiming to focus on supporting recovery, and relapse after an acute crisis episode is common. Some evidence supports self-management interventions to prevent such relapses, but their effect on readmissions to acute care following a crisis is untested. We tested whether a self-management intervention facilitated by peer support workers could reduce rates of readmission to acute care for people discharged from crisis resolution teams, which provide intensive home treatment following a crisis.

methodsWe did a randomised controlled superiority trial recruiting participants from six crisis resolution teams in England. Eligible participants had been on crisis resolution team caseloads for at least a week, and had capacity to give informed consent. Participants were randomly assigned to intervention and control groups by an unmasked data manager. Those collecting and analysing data were masked to allocation, but participants were not. Participants in the intervention group were offered up to ten sessions with a peer support worker who supported them in completing a personal recovery workbook, including formulation of personal recovery goals and crisis plans. The control group received the personal recovery workbook by post. The primary outcome was readmission to acute care within 1 year. This trial is registered with ISRCTN, number 01027104.

findings221 participants were assigned to the intervention group versus 220 to the control group; primary outcome data were obtained for 218 versus 216. 64 (29%) of 218 participants in the intervention versus 83 (38%) of 216 in the control group were readmitted to acute care within 1 year (odds ratio 0·66, 95% CI 0·43-0·99; p=0·0438). 71 serious adverse events were identified in the trial (29 in the treatment group; 42 in the control group).

interpretationOur findings suggest that peer-delivered self-management reduces readmission to acute care, although admission rates were lower than anticipated and confidence intervals were relatively wide. The complexity of the study intervention limits interpretability, but assessment is warranted of whether implementing this intervention in routine settings reduces acute care readmission.

fundingNational Institute for Health Research.

Indexed as

Crisis InterventionPatient DischargePeer GroupSocial SupportAdultFemaleHumansMaleMental DisordersRecurrenceSelf-Management

Identifiers

PMID30102174
PMCPMC6083437
OpenAlexW2885389209

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.