Evidence map›Paper›PMID 40755935›Full record

ArticlemHealth2025

PeerTECH: a randomized controlled trial of a peer-led mobile health intervention to improve medical and psychiatric self-management for persons with serious mental illness.

Karen L Fortuna, Sunny Cui, Stephanie Lebby, Haiyi Xie, Martha L Bruce, Stephen J Bartels

Registry-linked trialAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in mHealth, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04481737 (Peer-delivered and Technology-Assisted Integrated Illness Management and Recovery), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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.

NCT04481737 nacompletednot on this map

Peer-delivered and Technology-Assisted Integrated Illness Management and Recovery

TypeinterventionalSponsorDartmouth-Hitchcock Medical CenterRan2021 to 2024Enrolled40ConditionsSchizophrenia, Bipolar Disorder, Major Depressive Disorder, Recurrent, ObesityArmsPeer-delivered and Technology Support Integrated Illness Management and Recovery, Peer support
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
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

6 authors.

Karen L FortunaCommunity and Family Medicine and of Health Policy and Clinical Practice, Geisel School of Medicine at Dartmouth, Lebanon, NH, USA.
Sunny CuiDepartment of Psychiatry, Geisel School of Medicine at Dartmouth, Hanover, NH, USA.
Stephanie LebbyDepartment of Psychiatry, Geisel School of Medicine at Dartmouth, Hanover, NH, USA.
Haiyi XieDepartment of Biomedical Data Science, Geisel School of Medicine at Dartmouth, Hanover, NH, USA.
Martha L BruceDepartment of Psychiatry, Geisel School of Medicine at Dartmouth, Hanover, NH, USA.
Stephen J BartelsThe Mongan Institute, Massachusetts General Hospital, Boston, MA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Certified peer support specialists (CPSs) can empower individuals with serious mental illness (SMI) to engage with mobile health interventions designed to improve medical and psychiatric self-management. This study pilot-tested PeerTECH, a digital, 12-session intervention adapted from Integrated Illness Management and Recovery and delivered by CPSs, to assess its feasibility, acceptability, and preliminary effectiveness in enhancing self-management among individuals with SMI compared to peer support as usual (PSAU). Methods: A two-arm pilot randomized controlled trial was conducted with individuals diagnosed with SMI and at least one medical comorbidity. Participants were randomly assigned to either PeerTECH, a 12-week structured mobile health intervention delivered by CPSs, or PSAU (peer support without mobile technology). Outcome measures related to medical and psychiatric self-management were assessed at baseline and 12 weeks. Data was analysed using linear mixed-effects regression models to compare outcomes between groups. Feasibility and acceptability were evaluated by participant retention rates, intervention adherence, and participant-reported satisfaction. Results: The study demonstrated that the randomized control trial design was feasible and acceptable, with 72.73% of approached patients consenting to participate. PeerTECH delivery was engaging, with 90% of participants initiating the intervention, approximately 80% completing it, and participants engaging in text exchanges on 70% of possible days, averaging 10 text exchanges. The intervention was found to be acceptable, with 100% of participants reporting satisfaction, and safe, with no adverse events. Statistically significant improvements were observed in PeerTECH compared to PSAU in physical health outcomes, as measured by the Patient-Reported Outcomes Measurement Information System (PROMIS) Global-10 Physical Health scores (P=0.023). Clinically meaningful improvements in the Integrated Management and Recovery Scale and PROMIS-derived utility scores (EuroQol 5-Dimension Scale, Health Utilities Index) were also observed. Conclusions: The Peer-Led Mobile Health Intervention demonstrated feasibility and effectiveness in enhancing self-management among individuals with SMI and chronic comorbidities. Trial Registration: This trial was registered at ClinicalTrials.gov (NCT04481737).

Indexed as

digital health interventionMobile healthpeer supportpsychiatric self-managementserious mental illness (SMI)

Identifiers

PMID40755935
PMCPMC12314690

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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.