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Published in: Trials 1/2022

Open Access 01-12-2022 | Study protocol

A community-based peer-support group intervention “Paths to EvERyday life” (PEER) added to service as usual for adults with vulnerability to mental health difficulties – a study protocol for a randomized controlled trial

Authors: Chalotte Heinsvig Poulsen, Cecilie Høgh Egmose, Bea Kolbe Ebersbach, Carsten Hjorthøj, Lene Falgaard Eplov

Published in: Trials | Issue 1/2022

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Abstract

Background

The number of people struggling with vulnerability to mental health difficulties is increasing worldwide, and there is a need for new interventions, to prevent more people from developing serious mental illnesses. In recent years, peer support has been suggested as a key element in creating person-centered interventions in mental health services. However, the evidence for peer support is not yet established. We aim to investigate the effect of a 10-week peer-support intervention “Paths to EvERyday life” (PEER) added to service as usual (SAU) versus SAU alone in a Danish municipality setting.

Methods

A two-armed, investigator-initiated, multi-municipal, parallel-group superiority trial to investigate the effectiveness of the PEER intervention added to SAU compared to SAU alone. A total of 284 participants will be recruited from the municipal social services in the participating municipalities and by self-referrals and randomly assigned to (1) the PEER intervention added to SAU or (2) SAU. The primary outcome is a self-assessed personal recovery (Questionnaire about the process of recovery (QPR-15)) at end of the intervention. The secondary outcomes are self-assessed empowerment (Empowerment Scale Rogers (ESR)), quality of life (The Manchester Short Assessment of Quality of life (MANSA)), and functioning (Work and Social Adjustment Scale (WSAS)).

Discussion

This trial will test a new community-based peer-support intervention, and if the intervention proves to be effective, the goal is that future integration of this intervention will improve individual recovery and mental health and reduce the societal burden of individuals seeking municipal social support and/or mental health services.

Trial registration

ClinicalTrials.​gov NCT04639167. Registered on Nov. 19, 2020.
Literature
1.
go back to reference Repper J, Carter T. A review of the literature on peer support in mental health services. J Ment Heal. 2011;20(4):392–411.CrossRef Repper J, Carter T. A review of the literature on peer support in mental health services. J Ment Heal. 2011;20(4):392–411.CrossRef
2.
go back to reference Eiken S, Campbell J. Medicaid coverage of peer support for people with mental illness : Available research and state examples; 2008. Eiken S, Campbell J. Medicaid coverage of peer support for people with mental illness : Available research and state examples; 2008.
3.
go back to reference Repper J, Aldridge B, Gilfoyle S, Gillard S, Perkins R, Rennison J. Peer Support Workers: a practical guide to implementation; 2013. Repper J, Aldridge B, Gilfoyle S, Gillard S, Perkins R, Rennison J. Peer Support Workers: a practical guide to implementation; 2013.
4.
go back to reference Chinman M, George P, Dougherty RH, Daniels AS, Ghose SS, Swift A, et al. Peer Support Services for Individuals With Serious Mental Illnesses: Assessing the Evidence. Psychiatr Serv. 2014;65(4):429–41.PubMedCrossRef Chinman M, George P, Dougherty RH, Daniels AS, Ghose SS, Swift A, et al. Peer Support Services for Individuals With Serious Mental Illnesses: Assessing the Evidence. Psychiatr Serv. 2014;65(4):429–41.PubMedCrossRef
5.
go back to reference Lloyd-Evans B, Mayo-Wilson E, Harrison B, Istead H, Brown E, Pilling S, et al. A systematic review and meta-analysis of randomised controlled trials of peer support for people with severe mental illness. BMC Psychiatry. 2014;14(1):39.PubMedPubMedCentralCrossRef Lloyd-Evans B, Mayo-Wilson E, Harrison B, Istead H, Brown E, Pilling S, et al. A systematic review and meta-analysis of randomised controlled trials of peer support for people with severe mental illness. BMC Psychiatry. 2014;14(1):39.PubMedPubMedCentralCrossRef
6.
go back to reference Fuhr DC, Salisbury TT, De Silva MJ, Atif N, van Ginneken N, Rahman A, et al. Effectiveness of peer-delivered interventions for severe mental illness and depression on clinical and psychosocial outcomes: a systematic review and meta-analysis. Soc Psychiatry Psychiatr Epidemiol. 2014;49(11):1691–702.PubMedPubMedCentralCrossRef Fuhr DC, Salisbury TT, De Silva MJ, Atif N, van Ginneken N, Rahman A, et al. Effectiveness of peer-delivered interventions for severe mental illness and depression on clinical and psychosocial outcomes: a systematic review and meta-analysis. Soc Psychiatry Psychiatr Epidemiol. 2014;49(11):1691–702.PubMedPubMedCentralCrossRef
7.
go back to reference Walker G, Bryant W. Peer support in adult mental health services: a metasynthesis of qualitative findings. Psychiatr Rehabil J. 2013;36(1):28–34.PubMedCrossRef Walker G, Bryant W. Peer support in adult mental health services: a metasynthesis of qualitative findings. Psychiatr Rehabil J. 2013;36(1):28–34.PubMedCrossRef
8.
go back to reference Davidson L, Chinman M, Kloos B, Weingarten R, Stayner D, Tebes JK. Peer support among individuals with severe mental illness: A review of the evidence. Clin Psychol Pract. 1999;6(2):165–87.CrossRef Davidson L, Chinman M, Kloos B, Weingarten R, Stayner D, Tebes JK. Peer support among individuals with severe mental illness: A review of the evidence. Clin Psychol Pract. 1999;6(2):165–87.CrossRef
9.
go back to reference Pitt V, Lowe D, Hill S, Prictor M, Hetrick SE, Ryan R, et al. Consumer-providers of care for adult clients of statutory mental health services. Cochrane Database Syst Rev. 2013;(3):CD004807. Pitt V, Lowe D, Hill S, Prictor M, Hetrick SE, Ryan R, et al. Consumer-providers of care for adult clients of statutory mental health services. Cochrane Database Syst Rev. 2013;(3):CD004807.
10.
go back to reference Chien WT, Clifton AV, Zhao S, Lui S. Peer support for people with schizophrenia or other serious mental illness. Cochrane Database Syst Rev. John Wiley and Sons Ltd; 2019;4(4):CD010880. Chien WT, Clifton AV, Zhao S, Lui S. Peer support for people with schizophrenia or other serious mental illness. Cochrane Database Syst Rev. John Wiley and Sons Ltd; 2019;4(4):CD010880.
11.
go back to reference Chan AW, Tetzlaff JM, Gøtzsche PC, Altman DG, Mann H, Berlin JA, et al. SPIRIT 2013 explanation and elaboration: guidance for protocols of clinical trials. BMJ. 2013;346:e7586. Chan AW, Tetzlaff JM, Gøtzsche PC, Altman DG, Mann H, Berlin JA, et al. SPIRIT 2013 explanation and elaboration: guidance for protocols of clinical trials. BMJ. 2013;346:e7586.
12.
go back to reference Boutron I, Altman DG, Moher D, Schulz KF, Ravaud P, CONSORT NPT Group. CONSORT Statement for Randomized Trials of Nonpharmacologic Treatments: A 2017 Update and a CONSORT Extension for Nonpharmacologic Trial Abstracts. Ann Intern Med. 2017;167(1):40–7.PubMedCrossRef Boutron I, Altman DG, Moher D, Schulz KF, Ravaud P, CONSORT NPT Group. CONSORT Statement for Randomized Trials of Nonpharmacologic Treatments: A 2017 Update and a CONSORT Extension for Nonpharmacologic Trial Abstracts. Ann Intern Med. 2017;167(1):40–7.PubMedCrossRef
14.
go back to reference Ludman EJ, Simon GE, Grothaus LC, Richards JE, Whiteside U, Stewart C. Organized Self-Management Support Services for Chronic Depressive Symptoms: A Randomized Controlled Trial. Psychiatr Serv. 2016;67(1):29–36.PubMedCrossRef Ludman EJ, Simon GE, Grothaus LC, Richards JE, Whiteside U, Stewart C. Organized Self-Management Support Services for Chronic Depressive Symptoms: A Randomized Controlled Trial. Psychiatr Serv. 2016;67(1):29–36.PubMedCrossRef
15.
go back to reference Johnson S, Lamb D, Marston L, Osborn D, Mason O, Henderson C, et al. Peer-supported self-management for people discharged from a mental health crisis team: a randomised controlled trial. Lancet (London, England). 2018;392(10145):409–18.PubMedPubMedCentralCrossRef Johnson S, Lamb D, Marston L, Osborn D, Mason O, Henderson C, et al. Peer-supported self-management for people discharged from a mental health crisis team: a randomised controlled trial. Lancet (London, England). 2018;392(10145):409–18.PubMedPubMedCentralCrossRef
16.
go back to reference Gillard S, Gibson SL, Holley J, Lucock M. Developing a change model for peer worker interventions in mental health services: a qualitative research study. Epidemiol Psychiatr Sci. 2015;24(5):435–45.PubMedCrossRef Gillard S, Gibson SL, Holley J, Lucock M. Developing a change model for peer worker interventions in mental health services: a qualitative research study. Epidemiol Psychiatr Sci. 2015;24(5):435–45.PubMedCrossRef
17.
go back to reference Osborne SP, Radnor Z, Strokosch K. Co-Production and the Co-Creation of Value in Public Services: A suitable case for treatment? Public Manag Rev. 2016;18(5):639–53.CrossRef Osborne SP, Radnor Z, Strokosch K. Co-Production and the Co-Creation of Value in Public Services: A suitable case for treatment? Public Manag Rev. 2016;18(5):639–53.CrossRef
18.
go back to reference Pestoff V. Collective Action and the Sustainability of Co-Production. Public Manag Rev. 2014;16(3):383–401.CrossRef Pestoff V. Collective Action and the Sustainability of Co-Production. Public Manag Rev. 2014;16(3):383–401.CrossRef
19.
go back to reference Leamy M, Bird V, Le BC, Williams J, Slade M. Conceptual framework for personal recovery in mental health: systematic review and narrative synthesis. Br J Psychiatry. 2011;199(6):445–52.PubMedCrossRef Leamy M, Bird V, Le BC, Williams J, Slade M. Conceptual framework for personal recovery in mental health: systematic review and narrative synthesis. Br J Psychiatry. 2011;199(6):445–52.PubMedCrossRef
20.
go back to reference Haber D. Life review: Implementation, theory, research, and therapy. Int J Aging Hum Dev. 2006;63:153–71.PubMedCrossRef Haber D. Life review: Implementation, theory, research, and therapy. Int J Aging Hum Dev. 2006;63:153–71.PubMedCrossRef
21.
go back to reference Hayes SC. Acceptance and commitment therapy, relational frame theory, and the third wave of behavioral and cognitive therapies. In: Behavior Therapy: Association for Advancement of Behavior Therapy; 2004. p. 639–65. Hayes SC. Acceptance and commitment therapy, relational frame theory, and the third wave of behavioral and cognitive therapies. In: Behavior Therapy: Association for Advancement of Behavior Therapy; 2004. p. 639–65.
22.
go back to reference Anthony WA. Recovery from mental illness: The guiding vision of the mental health service system in the 1990s. Psychosoc Rehabil J. 1993;16(4):11–23. Anthony WA. Recovery from mental illness: The guiding vision of the mental health service system in the 1990s. Psychosoc Rehabil J. 1993;16(4):11–23.
23.
go back to reference Substance Abuse and Mental Health Services Administration. TRAUMA-INFORMED PEER SUPPORT FOR PEOPLE LIVING WITH HIV CURRICULUM TRAINER’S MANUAL [Internet]. Rockville, MD; 2018 [cited 2020 Oct 22]. Available from: http://store.samhsa.gov. Substance Abuse and Mental Health Services Administration. TRAUMA-INFORMED PEER SUPPORT FOR PEOPLE LIVING WITH HIV CURRICULUM TRAINER’S MANUAL [Internet]. Rockville, MD; 2018 [cited 2020 Oct 22]. Available from: http://​store.​samhsa.​gov.
24.
go back to reference Williams J, Leamy M, Pesola F, Bird V, Le Boutillier C, Slade M. Psychometric evaluation of the Questionnaire about the Process of Recovery (QPR). Br J Psychiatry. 2015;207(6):551–5.PubMedCrossRef Williams J, Leamy M, Pesola F, Bird V, Le Boutillier C, Slade M. Psychometric evaluation of the Questionnaire about the Process of Recovery (QPR). Br J Psychiatry. 2015;207(6):551–5.PubMedCrossRef
25.
go back to reference Law H, Neil ST, Dunn G, Morrison AP. Psychometric properties of the Questionnaire about the Process of Recovery (QPR). Schizophr Res. 2014;156(2–3):184–9.PubMedCrossRef Law H, Neil ST, Dunn G, Morrison AP. Psychometric properties of the Questionnaire about the Process of Recovery (QPR). Schizophr Res. 2014;156(2–3):184–9.PubMedCrossRef
26.
go back to reference Rogers ES, Chamberlin J, Ellison ML, Crean T. A consumer-constructed scale to measure empowerment among users of mental health services. Psychiatr Serv. 1997;48(8):1042–7.PubMedCrossRef Rogers ES, Chamberlin J, Ellison ML, Crean T. A consumer-constructed scale to measure empowerment among users of mental health services. Psychiatr Serv. 1997;48(8):1042–7.PubMedCrossRef
27.
go back to reference Mundt JC, Marks IM, Shear MK, Greist JH. The Work and Social Adjustment Scale: A simple measure of impairment in functioning. Br J Psychiatry. 2002;180(MAY):461–4.PubMedCrossRef Mundt JC, Marks IM, Shear MK, Greist JH. The Work and Social Adjustment Scale: A simple measure of impairment in functioning. Br J Psychiatry. 2002;180(MAY):461–4.PubMedCrossRef
28.
go back to reference Priebe S, Huxley P, Knight S, Evans S. Application and results of the Manchester Short Assessment of Quality of Life (MANSA). Int J Soc Psychiatry. 1999;45(1):7–12.PubMedCrossRef Priebe S, Huxley P, Knight S, Evans S. Application and results of the Manchester Short Assessment of Quality of Life (MANSA). Int J Soc Psychiatry. 1999;45(1):7–12.PubMedCrossRef
29.
go back to reference Luszczynska A, Scholz U, Schwarzer R. The General Self-Efficacy Scale: Multicultural Validation Studies. J Psychol. 2005;139(5):439–57.PubMedCrossRef Luszczynska A, Scholz U, Schwarzer R. The General Self-Efficacy Scale: Multicultural Validation Studies. J Psychol. 2005;139(5):439–57.PubMedCrossRef
30.
go back to reference Snyder CR, Sympson SC, Ybasco FC, Borders TF, Babyak MA, Higgins RL. Development and Validation of the State Hope Scale. J Pers Soc Psychol. 1996;70(2):321–35.PubMedCrossRef Snyder CR, Sympson SC, Ybasco FC, Borders TF, Babyak MA, Higgins RL. Development and Validation of the State Hope Scale. J Pers Soc Psychol. 1996;70(2):321–35.PubMedCrossRef
31.
go back to reference Hawley L, Gerber D, Pretz C, Morey C, Whiteneck G. Initial validation of personal self-advocacy measures for individuals with acquired brain injury. Rehabil Psychol. 2016;61(3):308–16.PubMedCrossRef Hawley L, Gerber D, Pretz C, Morey C, Whiteneck G. Initial validation of personal self-advocacy measures for individuals with acquired brain injury. Rehabil Psychol. 2016;61(3):308–16.PubMedCrossRef
32.
go back to reference Lund R, Nielsen LS, Henriksen PW, Schmidt L, Avlund K, Christensen U. Content validity and reliability of the copenhagen social relations questionnaire. J Aging Health. 2014;26(1):128–50.PubMedCrossRef Lund R, Nielsen LS, Henriksen PW, Schmidt L, Avlund K, Christensen U. Content validity and reliability of the copenhagen social relations questionnaire. J Aging Health. 2014;26(1):128–50.PubMedCrossRef
33.
go back to reference Dehmahdi N, Law H, Pyle M, Byrne R, Jones W, Peel H, et al. Estimating the minimum important difference for the questionnaire about the Process of Recovery (QPR): an anchor-based approach. Psychosis. 2021;9:1–11. Dehmahdi N, Law H, Pyle M, Byrne R, Jones W, Peel H, et al. Estimating the minimum important difference for the questionnaire about the Process of Recovery (QPR): an anchor-based approach. Psychosis. 2021;9:1–11.
34.
go back to reference Dupont WD, Plummer WD. Power and sample size calculations. A review and computer program. Control Clin Trials. 1990;11(2):116–28.PubMedCrossRef Dupont WD, Plummer WD. Power and sample size calculations. A review and computer program. Control Clin Trials. 1990;11(2):116–28.PubMedCrossRef
35.
go back to reference Russinova Z, Rogers ES, Gagne C, Bloch P, Drake KM, Mueser KT. A randomized controlled trial of a peer-run antistigma photovoice intervention. Psychiatr Serv. 2014;65(2):242–6.PubMedCrossRef Russinova Z, Rogers ES, Gagne C, Bloch P, Drake KM, Mueser KT. A randomized controlled trial of a peer-run antistigma photovoice intervention. Psychiatr Serv. 2014;65(2):242–6.PubMedCrossRef
36.
go back to reference Van Gestel-Timmermans H, Brouwers EPM, Van Assen MALM, Van Nieuwenhuizen C. Effects of a peer-run course on recovery from serious mental illness: A randomized controlled trial. Psychiatr Serv. 2012;63(1):54–60.PubMedCrossRef Van Gestel-Timmermans H, Brouwers EPM, Van Assen MALM, Van Nieuwenhuizen C. Effects of a peer-run course on recovery from serious mental illness: A randomized controlled trial. Psychiatr Serv. 2012;63(1):54–60.PubMedCrossRef
37.
go back to reference Phillips R, Schneider J, Molosankwe I, Leese M, Foroushani PS, Grime P, et al. Randomized controlled trial of computerized cognitive behavioural therapy for depressive symptoms: Effectiveness and costs of a workplace intervention. Psychol Med. 2014;44(4):741–52.PubMedCrossRef Phillips R, Schneider J, Molosankwe I, Leese M, Foroushani PS, Grime P, et al. Randomized controlled trial of computerized cognitive behavioural therapy for depressive symptoms: Effectiveness and costs of a workplace intervention. Psychol Med. 2014;44(4):741–52.PubMedCrossRef
38.
go back to reference Harris PA, Taylor R, Thielke R, Payne J, Gonzalez N, Conde JG. Research electronic data capture (REDCap)-A metadata-driven methodology and workflow process for providing translational research informatics support. J Biomed Inform. 2009;42(2):377–81.PubMedCrossRef Harris PA, Taylor R, Thielke R, Payne J, Gonzalez N, Conde JG. Research electronic data capture (REDCap)-A metadata-driven methodology and workflow process for providing translational research informatics support. J Biomed Inform. 2009;42(2):377–81.PubMedCrossRef
39.
go back to reference Harris PA, Taylor R, Minor BL, Elliott V, Fernandez M, O’Neal L, et al. The REDCap consortium: building an international community of software platform partners. J Biomed Inform. Academic Press Inc.; 2019;95:103208. Harris PA, Taylor R, Minor BL, Elliott V, Fernandez M, O’Neal L, et al. The REDCap consortium: building an international community of software platform partners. J Biomed Inform. Academic Press Inc.; 2019;95:103208.
40.
go back to reference Pitt L, Kilbride M, Nothard S, Welford M, Morrison AP. Researching recovery from psychosis: A user-led project. Psychiatr Bull. 2007;31(2):55–60.CrossRef Pitt L, Kilbride M, Nothard S, Welford M, Morrison AP. Researching recovery from psychosis: A user-led project. Psychiatr Bull. 2007;31(2):55–60.CrossRef
41.
go back to reference Shanks V, Williams J, Leamy M, Bird VJ, Le Boutillier C, Slade M. Measures of personal recovery: A systematic review. Psychiatr Serv. 2013;64(10):974–80.PubMedCrossRef Shanks V, Williams J, Leamy M, Bird VJ, Le Boutillier C, Slade M. Measures of personal recovery: A systematic review. Psychiatr Serv. 2013;64(10):974–80.PubMedCrossRef
42.
go back to reference Rogers ES, Ralph RO, Salzer MS. Validating the empowerment scale with a multisite sample of consumers of mental health services. Psychiatr Serv. 2010;61(9):933–6.PubMedCrossRef Rogers ES, Ralph RO, Salzer MS. Validating the empowerment scale with a multisite sample of consumers of mental health services. Psychiatr Serv. 2010;61(9):933–6.PubMedCrossRef
43.
go back to reference Björkman T, Svensson B. Quality of life in people with severe mental illness. Reliability and validity of the Manchester Short Assessment of Quality of Life (MANSA). Nord J Psychiatry. 2005;59(4):302–6.PubMedCrossRef Björkman T, Svensson B. Quality of life in people with severe mental illness. Reliability and validity of the Manchester Short Assessment of Quality of Life (MANSA). Nord J Psychiatry. 2005;59(4):302–6.PubMedCrossRef
44.
go back to reference Thandi G, Fear NT, Chalder T. A comparison of the Work and Social Adjustment Scale (WSAS) across different patient populations using Rasch analysis and exploratory factor analysis. J Psychosom Res. 2017;1(92):45–8.CrossRef Thandi G, Fear NT, Chalder T. A comparison of the Work and Social Adjustment Scale (WSAS) across different patient populations using Rasch analysis and exploratory factor analysis. J Psychosom Res. 2017;1(92):45–8.CrossRef
45.
go back to reference Scholz U, Doña BG, Sud S, Schwarzer R. Is general self-efficacy a universal construct? Psychometric findings from 25 countries. Eur J Psychol Assess. 2002;18(3):242–51.CrossRef Scholz U, Doña BG, Sud S, Schwarzer R. Is general self-efficacy a universal construct? Psychometric findings from 25 countries. Eur J Psychol Assess. 2002;18(3):242–51.CrossRef
Metadata
Title
A community-based peer-support group intervention “Paths to EvERyday life” (PEER) added to service as usual for adults with vulnerability to mental health difficulties – a study protocol for a randomized controlled trial
Authors
Chalotte Heinsvig Poulsen
Cecilie Høgh Egmose
Bea Kolbe Ebersbach
Carsten Hjorthøj
Lene Falgaard Eplov
Publication date
01-12-2022
Publisher
BioMed Central
Published in
Trials / Issue 1/2022
Electronic ISSN: 1745-6215
DOI
https://doi.org/10.1186/s13063-022-06670-6

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