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Social Psychiatry and Psychiatric Epidemiology
Published in: Social Psychiatry and Psychiatric Epidemiology 11/2014

Open Access 01-11-2014 | Invited Reviews

Effectiveness of peer-delivered interventions for severe mental illness and depression on clinical and psychosocial outcomes: a systematic review and meta-analysis

Authors: Daniela C. Fuhr, Tatiana Taylor Salisbury, Mary J. De Silva, Najia Atif, Nadja van Ginneken, Atif Rahman, Vikram Patel

Published in: Social Psychiatry and Psychiatric Epidemiology | Issue 11/2014

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Abstract

Purpose

To evaluate the effectiveness of peer-delivered interventions in improving clinical and psychosocial outcomes among individuals with severe mental illness (SMI) or depression.

Methods

Systematic review and meta-analysis of randomised controlled trials comparing a peer-delivered intervention to treatment as usual or treatment delivered by a health professional. Random effect meta-analyses were performed separately for SMI and depression interventions.

Results

Fourteen studies (10 SMI studies, 4 depression studies), all from high-income countries, met the inclusion criteria. For SMI, evidence from three high-quality superiority trials showed small positive effects favouring peer-delivered interventions for quality of life (SMD 0.24, 95 % CI 0.08–0.40, p = 0.003, I 2 = 0 %, n = 639) and hope (SMD 0.24, 95 % CI 0.02–0.46, p = 0.03, I 2 = 65 %, n = 967). Results of two SMI equivalence trials indicated that peers may be equivalent to health professionals in improving clinical symptoms (SMD −0.14, 95 % CI −0.57 to 0.29, p = 0.51, I 2 = 0 %, n = 84) and quality of life (SMD −0.11, 95 % CI −0.42 to 0.20, p = 0.56, I 2 = 0 %, n = 164). No effect of peer-delivered interventions for depression was observed on any outcome.

Conclusions

The limited evidence base suggests that peers may have a small additional impact on patient’s outcomes, in comparison to standard psychiatric care in high-income settings. Future research should explore the use and applicability of peer-delivered interventions in resource poor settings where standard care is likely to be of lower quality and coverage. The positive findings of equivalence trials demand further research in this area to consolidate the relative value of peer-delivered vs. professional-delivered interventions.
Appendix
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Literature
1.
2.
Pitt V et al (2013) Consumer-providers of care for adult clients of statutory mental health services. Cochrane Database Syst Rev 3:Cd004807PubMed
3.
4.
Dennis CL (2003) Peer support within a health care context: a concept analysis. Int J Nurs Stud 40(3):321–332PubMedCrossRef
5.
Borkman T (1976) Experiental knowledge: a new concept for the analysis of self-help groups. Social Service Rev 50:445–456CrossRef
6.
Giblin PT (1989) Effective utilisation and evaluation of indigenous health care workers. Public Health Rep 104:361–368PubMedPubMedCentral
7.
Dennis CL (2003) The effect of peer support on postpartum depression: a pilot randomized controlled trial. Can J Psychiatry 48(2):115–124PubMed
8.
9.
Repper J, Carter T (2011) A review of the literature on peer support in mental health services. J Ment Health 20(4):392–411PubMedCrossRef
10.
Liberati A et al (2009) The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate health care interventions: explanation and elaboration. PLoS Med 6(7):e1000100PubMedCrossRefPubMedCentral
11.
Higgins JPT, Green S (2011) Cochrane handbook for systematic reviews of interventions, Version 5.1.0: The Cochrane Collaboration
12.
Review Manager (RevMan) (2012) The Nordic Cochrane Centre, The Cochrane Collaboration, Copenhagen
13.
Weis R, Speridakos EC (2011) A meta-analysis of hope enhancement strategies in clinical and community settings. Psychol Well-Being Theory Res Pract 1(5). doi:10.​1186/​2211-1522-1-5
14.
Cohen J (1988) Statistical power analysis in the behavioral sciences, 2nd edn. Lawrence Erlbaum Associates, Mahwah
15.
De Silva MJ et al (2013) Effect of psychosocial interventions on social functioning in depression and schizophrenia: meta-analysis. Br J Psychiatry 202(4):253–260PubMedCrossRefPubMedCentral
16.
Forchuk C et al (2005) Therapeutic relationships: from psychiatric hospital to community. J Psychiatr Ment Health Nurs 12:556–564PubMedCrossRef
17.
Gates S (2005) Methodological guidelines, In: T.E.t.P.a.C. Group (ed) About the Cochrane Collaboration (Collaborative Review Groups)
18.
Sterne JAC, Harbord RM (2004) Funnel plots in meta-analysis. Stata J 4:127–141
19.
Cook JA et al (2012) Results of a randomized controlled trial of mental illness self-management using Wellness Recovery Action Planning. Schizophr Bull 38(4):881–891PubMedCrossRefPubMedCentral
20.
Cook JA et al (2012) Randomized controlled trial of peer-led recovery education using Building Recovery of Individual Dreams and Goals through Education and Support (BRIDGES). Schizophr Res 136(1–3):36–42PubMedCrossRef
21.
Druss BG et al (2010) The Health and Recovery Peer (HARP) Program: a peer-led intervention to improve medical self-management for persons with serious mental illness. Schizophr Res 118:264–270PubMedCrossRefPubMedCentral
22.
van Gestel-Timmermans H et al (2012) Effects of a peer-run course on recovery from serious mental illness: a randomized controlled trial. Psychiatr Serv 63(1):54–60PubMed
23.
Davidson L, Shahar G, Strayner DA (2004) Supported socialization for people with psychiatric disabilities: lessons from a randomized controlled trial. J Community Psychol 32(4):453–477CrossRef
24.
Greenfield TK et al (2008) A randomized trial of a mental health consumer-managed alternative to civil commitment for acute psychiatric crisis. Am J Community Psychol 42(1–2):135–144PubMedCrossRefPubMedCentral
25.
Rivera JJ, Sullivan AM, Valenti SS (2007) Adding consumer-providers to intensive case management: does it improve outcome? Psychiatr Serv 58(6):802–809PubMedCrossRef
26.
27.
Solomon P, Draine J (1995) One-year outcomes of a randomized trial of consumer case management. Eval Program Plan 18(2):117–127CrossRef
28.
Ludman EJ et al (2007) A pilot study of telephone care management and structured disease self-management groups for chronic depression. Psychiatr Serv 58(8):1065–1072PubMedCrossRef
29.
Dennis CL et al (2009) Effect of peer support on prevention of postnatal depression among high risk women: multisite randomised controlled trial. BMJ 338:a3064PubMedCrossRefPubMedCentral
30.
Letourneau N et al (2011) Effect of home-based peer support on maternal-infant interactions among women with postpartum depression: a randomized, controlled trial. Int J Ment Health Nurs 20(5):345–357PubMedCrossRef
31.
Davidson L et al (1999) Peer support among individuals with severe mental illness: a review of the evidence. Clin Psychol Sci Pract 6(2):165–187CrossRef
32.
Wethington E, Kessler RC (1986) Perceived support, received support, and adjustment to stressful life events. J Health Soc Behav 27(1):78–89PubMedCrossRef
33.
Tripathy P et al (2010) Effect of a participatory intervention with women’s groups on birth outcomes and maternal depression in Jharkhand and Orissa, India: a cluster-randomised controlled trial. Lancet 375(9721):1182–1192PubMedCrossRef
34.
Manandhar DS et al (2004) Effect of a participatory intervention with women’s groups on birth outcomes in Nepal: cluster-randomised controlled trial. Lancet 364(9438):970–979PubMedCrossRef
35.
Haider R et al (2000) Effect of community-based peer counsellors on exclusive breastfeeding practices in Dhaka, Bangladesh: a randomised controlled trial [see comments]. Lancet 356(9242):1643–1647PubMedCrossRef
36.
Nankundu J et al (2006) Community based peer counsellors for support of exclusive breastfeeding: experiences from rural Uganda. Int Breastfeed J 1:19CrossRef
37.
Liu S et al (2012) Effectiveness of using group visit model to support diabetes patient self-management in rural communities of Shanghai: a randomized controlled trial. BMC Public Health 12:1043PubMedCrossRefPubMedCentral
38.
Medley A et al (2009) Effectiveness of peer education interventions for HIV prevention in developing countries: a systematic review and meta-analysis. AIDS Educ Prev 21(3):181–206PubMedCrossRefPubMedCentral
39.
Altman DG et al (2001) The revised CONSORT statement for reporting randomized trials: explanation and elaboration. Ann Intern Med 134(8):663–694PubMedCrossRef
40.
Montgomery P et al (2013) Developing a Reporting Guideline for Social and Psychological Intervention Trials. Am J Public Health 103(10):1741–1746PubMedCrossRef
Metadata
Title
Effectiveness of peer-delivered interventions for severe mental illness and depression on clinical and psychosocial outcomes: a systematic review and meta-analysis
Authors
Daniela C. Fuhr
Tatiana Taylor Salisbury
Mary J. De Silva
Najia Atif
Nadja van Ginneken
Atif Rahman
Vikram Patel
Publication date
01-11-2014
Publisher
Springer Berlin Heidelberg
Published in
Social Psychiatry and Psychiatric Epidemiology / Issue 11/2014
Print ISSN: 0933-7954
Electronic ISSN: 1433-9285
DOI
https://doi.org/10.1007/s00127-014-0857-5

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