Evidence map›Paper›PMID 32150057›Full record

ArticleMedicine2020

Peer support for discharge from inpatient to community mental health services: Study protocol clinical trial (SPIRIT Compliant).

Steve Gillard, Stephen Bremner, Rhiannon Foster, Sarah Louise Gibson, Lucy Goldsmith, Andrew Healey, Mike Lucock, Jacqueline Marks, Rosaleen Morshead, Akshay Patel and 6 more

Open access · goldAbstract readClinical Trial Protocol
PubMed Full text at PMC Publisher
In one paragraph

Article in Medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
5.7field-weighted citation impact, top 4% 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

10 citing papers in PubMed, 27 citations in OpenAlex.

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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

16 authors at 9 institutions in 3 countries.

Steve GillardPopulation Health Research Institute, St George's, University of London, Cranmer Terrace, London.
Stephen BremnerBrighton & Sussex Medical School, University of Brighton, Brighton.
Rhiannon FosterPopulation Health Research Institute, St George's, University of London.
Sarah Louise GibsonPopulation Health Research Institute, St George's, University of London.
Lucy GoldsmithPopulation Health Research Institute, St George's, University of London.
Andrew HealeyHealth Services & Population Research Department, King's College London, London.
Mike LucockSchool of Human & Health Sciences, University of Huddersfield, Huddersfield.
Jacqueline MarksPopulation Health Research Institute, St George's, University of London.
Rosaleen MorsheadPopulation Health Research Institute, St George's, University of London.
Akshay PatelPragmatic Clinical Trials Unit.
Stefan PriebeUnit for Social and Community Psychiatry, Queen Mary, University of London, London.
Julie RepperNottinghamshire Healthcare NHS Foundation Trust, Nottingham.
Miles RinaldiSouth West London & St George's Mental Health NHS Trust.
Sarah RobertsHealth Services & Population Research Department, King's College London, London.
Alan SimpsonFaculty of Nursing, Midwifery & Palliative Care, King's College London, London, UK.
Sarah WhitePopulation Health Research Institute, St George's, University of London.
Population Health Research Institute · CAKing's College London · GBSt George's, University of London · GBAIDS Clinical Trials Group · USNottinghamshire Healthcare NHS Foundation Trust · GBQueen Mary University of London · GBSouth West London and St George's Mental Health NHS Trust · GBUniversity of Brighton · GBUniversity of Huddersfield · GB

Funding

Department of Health PB-PG-0408-16151Department of Health RP-PG-1212-20019
6 · The paper itself

Abstract

introductionIn the period shortly after discharge from inpatient to community mental health care, people are at increased risk of self-harm, suicide, and readmission to hospital. Discharge interventions including peer support have shown potential, and there is some evidence that community-based peer support reduces readmissions. However, systematic reviews of peer support in mental health services indicate poor trial quality and a lack of reporting of how peer support is distinctive from other mental health support. This study is designed to establish the clinical and cost effectiveness of a peer worker intervention to support discharge from inpatient to community mental health care, and to address issues of trial quality and clarity of reporting of peer support interventions.

methodsThis protocol describes an individually randomized controlled superiority trial, hypothesizing that people offered a peer worker discharge intervention in addition to usual follow-up care in the community are less likely to be readmitted in the 12 months post discharge than people receiving usual care alone. A total of 590 people will be recruited shortly before discharge from hospital and randomly allocated to care as usual plus the peer worker intervention or care as usual alone. Manualized peer support provided by trained peer workers begins in hospital and continues for 4 months in the community post discharge. Secondary psychosocial outcomes are assessed at 4 months post discharge, and service use and cost outcomes at 12 months post discharge, alongside a mixed methods process evaluation. DISCUSSION: Clearly specified procedures for sequencing participant allocation and for blinding assessors to allocation, plus full reporting of outcomes, should reduce risk of bias in trial findings and contribute to improved quality in the peer support evidence base. The involvement of members of the study team with direct experience of peer support, mental distress, and using mental health services, in coproducing the intervention and designing the trial, ensures that we theorize and clearly describe the peer worker intervention, and evaluate how peer support is related to any change in outcome. This is an important methodological contribution to the evidence base.

trial registrationThis study was prospectively registered as ISRCTN 10043328 on November 28, 2016.

Indexed as

Patient DischargePeer GroupCommunity Mental Health ServicesCost-Benefit AnalysisEquivalence Trials as TopicHumansMental DisordersPatient TransferQuality of LifeRisk FactorsState MedicineUnited Kingdom

Identifiers

PMID32150057
PMCPMC7478470
OpenAlexW3012093034

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.