ArticleTrials2020
Peer support for people with severe mental illness versus usual care in high-, middle- and low-income countries: study protocol for a pragmatic, multicentre, randomised controlled trial (UPSIDES-RCT).
Article in Trials, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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.
Who cites it
35 citing papers in PubMed, 1 synthesis or guideline pooled it, 81 citations in OpenAlex.
- Effectiveness and implementation outcomes for peer-delivered mental health interventions in low- and middle-income countries: a mixed-methods systematic review.Social psychiatry and psychiatric epidemiology · 2022Pooled it
- Implementation of peer support for people with severe mental health conditions in high-, middle- and low-income-countries: a theory of change approach.BMC health services research · 2024Trial
- Multicultural Implementation-Experiences of Peer Support Workers in MH Services: Qualitative Findings of UPSIDES Innovative Intervention-An International Multi-Site Project.Journal of occupational rehabilitation · 2026Article
- Voices from the territory and living care networks: facilitators and barriers to implementing peer support in community mental health services in Brazil.BMC public health · 2026Article
- Experiences of service users receiving peer support in mental health services: Qualitative findings from the international UPSIDES trial.Global mental health (Cambridge, England) · 2026Article
- Attitudes of Peer Support Workers towards the Medical Model: A Qualitative Study from the Viewpoints of Peer Support Workers and Mental Health Staff.Community mental health journal · 2025Article
- Strengthening care in collaboration with people with lived experience of psychosis in Uganda (SCAPE-U): A protocol for a cluster randomized controlled feasibility trial.Pilot and feasibility studies · 2025Article
- A comparison of the costs and patterns of expenditure for care for severe mental illness in five countries with different levels of economic development.Epidemiology and psychiatric sciences · 2025Article
- Empowerment among treatment-engaged individuals living with schizophrenia in Tanzania.BMC psychiatry · 2025Article
- Facing the paradox of professionalizing peer roles in MH services: how addressing self-disclosure with self-determination theory might help.Epidemiology and psychiatric sciences · 2025Article
- Virtual nurse support to enhance antipsychotic adherence in schizophrenia: A South African perspective.The South African journal of psychiatry : SAJP : the journal of the Society of Psychiatrists of South Africa · 2025Article
- Measuring fidelity to manualised peer support for people with severe mental health conditions: development and psychometric evaluation of the UPSIDES fidelity scale.BMC psychiatry · 2024Article
- Perspectives and Experiences of Stakeholders on Self-Disclosure of Peers in Mental Health Services.Community mental health journal · 2024Article
- SUCCEED Africa: protocol for a multi-method pilot study of a community-based intervention for people with psychosis in Sierra Leone, Nigeria, Zimbabwe and Malawi.Pilot and feasibility studies · 2024Article
- The role of peer support in recovery among clients with mental illness attending the psychiatric service in a tertiary hospital in Malaysia: a qualitative study.BMC psychiatry · 2024Article
- Implementing a Hospital Call Center Service for Mental Health in Uganda: User-Centered Design Approach.JMIR human factors · 2024Article
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- Perspectives of key informants before and after implementing UPSIDES peer support in mental health services: qualitative findings from an international multi-site study.BMC health services research · 2024Article
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Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
20 authors at 8 institutions in 6 countries.
Funding
Abstract
backgroundPeer support is an established intervention involving a person recovering from mental illness supporting others with mental illness. Peer support is an under-used resource in global mental health. Building upon comprehensive formative research, this study will rigorously evaluate the impact of peer support at multiple levels, including service user outcomes (psychosocial and clinical), peer support worker outcomes (work role and empowerment), service outcomes (cost-effectiveness and return on investment), and implementation outcomes (adoption, sustainability and organisational change).
methodsUPSIDES-RCT is a pragmatic, parallel-group, multicentre, randomised controlled trial assessing the effectiveness of using peer support in developing empowering mental health services (UPSIDES) at four measurement points over 1 year (baseline, 4-, 8- and 12-month follow-up), with embedded process evaluation and cost-effectiveness analysis. Research will take place in a range of high-, middle- and low-income countries (Germany, UK, Israel, India, Uganda and Tanzania). The primary outcome is social inclusion of service users with severe mental illness (N = 558; N = 93 per site) at 8-month follow-up, measured with the Social Inclusion Scale. Secondary outcomes include empowerment (using the Empowerment Scale), hope (using the HOPE scale), recovery (using Stages of Recovery) and health and social functioning (using the Health of the Nations Outcome Scales). Mixed-methods process evaluation will investigate mediators and moderators of effect and the implementation experiences of four UPSIDES stakeholder groups (service users, peer support workers, mental health workers and policy makers). A cost-effectiveness analysis examining cost-utility and health budget impact will estimate the value for money of UPSIDES peer support. DISCUSSION: The UPSIDES-RCT will explore the essential components necessary to create a peer support model in mental health care, while providing the evidence required to sustain and eventually scale-up the intervention in different cultural, organisational and resource settings. By actively involving and empowering service users, UPSIDES will move mental health systems toward a recovery orientation, emphasising user-centredness, community participation and the realisation of mental health as a human right.
trial registrationISRCTN, ISRCTN26008944. Registered on 30 October 2019.
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What OpenQuestion holds
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.