Effectiveness of Peer Support Programs for Severe Mental Illness: A Systematic Review and Meta-Analysis

Overview

Journal Healthcare (Basel)

Specialty Health Services

Date 2024 Jun 26

PMID 38921293

Authors

Sung-Nam Lee

Hea-Jin Yu

Affiliations

Soon will be listed here.

Abstract

(1) Background: While medication and various forms of psychotherapy are common treatments for severe mental illness, peer support programs have also proven to be effective in managing mental disorders. These programs, which involve individuals with similar experiences in navigating mental health challenges, aim to improve coping skills and foster supportive community networks. However, despite the prevalent mention of peer support programs, especially those with supervision, there has been no systematic review or meta-analysis of peer support supervision. This study aimed to systematically review and meta-analyze the forms and effectiveness of peer support programs for individuals with severe mental illnesses. (2) Methods: A literature search focusing on randomized controlled trials (RCTs) published between February 2003 and January 2024 was conducted. (3) Results: Sixteen RCTs meeting the inclusion criteria and involving a total of 4008 participants were reviewed. These studies utilized various peer support program strategies, with eight studies included in the qualitative analysis. The combined effect sizes for depressive symptoms (d = 0.12; 95% CI, -0.14, 0.37; = 0.37), empowerment (d = 1.17; 95% CI, -0.81, 3.15; = 0.25), quality of life (d = 0.70; 95% CI, -0.12, 1.52; = 0.09), psychiatric symptoms (d = -0.05; 95% CI, -0.20, 0.10; = 0.54), and self-efficacy (d = 0.20; 95% CI, 0.05, 0.36; = 0.01) were assessed. (4) Conclusions: Our analysis emphasizes the need for further studies on peer support programs for individuals with severe mental illness, particularly those focused on self-efficacy outcomes across diverse geographic locations involving more countries and with larger scales to bolster the strength of the evidence.

References

De Hert M, Correll C, Bobes J, Cetkovich-Bakmas M, Cohen D, Asai I . Physical illness in patients with severe mental disorders. I. Prevalence, impact of medications and disparities in health care. World Psychiatry. 2011; 10(1):52-77. PMC: 3048500. DOI: 10.1002/j.2051-5545.2011.tb00014.x. View

Segal S, Silverman C, Temkin T . Outcomes from consumer-operated and community mental health services: a randomized controlled trial. Psychiatr Serv. 2011; 62(8):915-21. PMC: 7012386. DOI: 10.1176/ps.62.8.pss6208_0915. View

Peck C, Thangavelu D, Li Z, Goh Y . Effects of peer-delivered self-management, recovery education interventions for individuals with severe and enduring mental health challenges: A meta-analysis. J Psychiatr Ment Health Nurs. 2022; 30(1):54-73. DOI: 10.1111/jpm.12853. View

Hutchinson D, Anthony W, Ashcraft L, Johnson E, Dunn E, Lyass A . The personal and vocational impact of training and employing people with psychiatric disabilities as providers. Psychiatr Rehabil J. 2006; 29(3):205-13. DOI: 10.2975/29.2006.205.213. View

Harvey P, Strassnig M . Predicting the severity of everyday functional disability in people with schizophrenia: cognitive deficits, functional capacity, symptoms, and health status. World Psychiatry. 2012; 11(2):73-9. PMC: 3363376. DOI: 10.1016/j.wpsyc.2012.05.004. View

Fan Y, Ma N, Ma L, Zhang W, Xu W, Shi R . Feasibility of peer support services among people with severe mental illness in China. BMC Psychiatry. 2019; 19(1):360. PMC: 6854628. DOI: 10.1186/s12888-019-2334-x. View

Russinova Z, Rogers E, Gagne C, Bloch P, Drake K, Mueser K . A randomized controlled trial of a peer-run antistigma photovoice intervention. Psychiatr Serv. 2013; 65(2):242-6. DOI: 10.1176/appi.ps.201200572. View

Dalton J, Bolen S, Mascha E . Publication Bias: The Elephant in the Review. Anesth Analg. 2016; 123(4):812-3. PMC: 5482177. DOI: 10.1213/ANE.0000000000001596. View

Maru M, Rogers E, Nicolellis D, Legere L, Placencio-Castro M, Magee C . Vocational peer support for adults with psychiatric disabilities: Results of a randomized trial. Psychiatr Rehabil J. 2021; 44(4):327-336. DOI: 10.1037/prj0000484. View

10.

Schinnar A, Rothbard A, Kanter R, Jung Y . An empirical literature review of definitions of severe and persistent mental illness. Am J Psychiatry. 1990; 147(12):1602-8. DOI: 10.1176/ajp.147.12.1602. View

11.

Salzer M, Rogers J, Salandra N, OCallaghan C, Fulton F, Balletta A . Effectiveness of peer-delivered Center for Independent Living supports for individuals with psychiatric disabilities: A randomized, controlled trial. Psychiatr Rehabil J. 2016; 39(3):239-47. DOI: 10.1037/prj0000220. View

12.

White S, Foster R, Marks J, Morshead R, Goldsmith L, Barlow S . The effectiveness of one-to-one peer support in mental health services: a systematic review and meta-analysis. BMC Psychiatry. 2020; 20(1):534. PMC: 7657356. DOI: 10.1186/s12888-020-02923-3. View

13.

Mead S, Hilton D, Curtis L . Peer support: a theoretical perspective. Psychiatr Rehabil J. 2002; 25(2):134-41. DOI: 10.1037/h0095032. View

14.

Proudfoot J, Parker G, Manicavasagar V, Hadzi-Pavlovic D, Whitton A, Nicholas J . Effects of adjunctive peer support on perceptions of illness control and understanding in an online psychoeducation program for bipolar disorder: a randomised controlled trial. J Affect Disord. 2012; 142(1-3):98-105. DOI: 10.1016/j.jad.2012.04.007. View

15.

Easter M, Swanson J, Robertson A, Moser L, Swartz M . Impact of psychiatric advance directive facilitation on mental health consumers: empowerment, treatment attitudes and the role of peer support specialists. J Ment Health. 2020; 30(5):585-593. DOI: 10.1080/09638237.2020.1714008. View

16.

Jonikas J, Grey D, Copeland M, Razzano L, Hamilton M, Floyd C . Improving propensity for patient self-advocacy through wellness recovery action planning: results of a randomized controlled trial. Community Ment Health J. 2011; 49(3):260-9. DOI: 10.1007/s10597-011-9475-9. View

17.

Ben-Zeev D, Brian R, Jonathan G, Razzano L, Pashka N, Carpenter-Song E . Mobile Health (mHealth) Versus Clinic-Based Group Intervention for People With Serious Mental Illness: A Randomized Controlled Trial. Psychiatr Serv. 2018; 69(9):978-985. DOI: 10.1176/appi.ps.201800063. View

18.

Davidson L, Chinman M, Sells D, Rowe M . Peer support among adults with serious mental illness: a report from the field. Schizophr Bull. 2006; 32(3):443-50. PMC: 2632237. DOI: 10.1093/schbul/sbj043. View

19.

Liang D, Jia R, Zhou X, Lu G, Wu Z, Yu J . The effectiveness of peer support on self-efficacy and self-management in people with type 2 diabetes: A meta-analysis. Patient Educ Couns. 2020; 104(4):760-769. DOI: 10.1016/j.pec.2020.11.011. View

20.

Lyons N, Cooper C, Lloyd-Evans B . A systematic review and meta-analysis of group peer support interventions for people experiencing mental health conditions. BMC Psychiatry. 2021; 21(1):315. PMC: 8220835. DOI: 10.1186/s12888-021-03321-z. View