Goldberg 2013.
Methods | Allocation: randomised Blindness: not stated Study duration: 5 months Location: multicentre Design: parallel Setting: outpatients Country: USA Consent: written |
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Participants | Diagnosis: bipolar disorder, schizophrenia, major depression, or post‐traumatic stress disorder N = 63 History: not stated Sex: men 30, women 33 Age: mean 49.5, SD 9.1 years Exclusion criteria: not stated |
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Interventions | Group 1: peer support + standard care (n = 32). Content: Living Well, the adapted programme. An advisory panel comprising a mental health consumer and study investigators met every other week for 3 months (July–September 2007) to consider modifications of the original CDSMP [Chronic Disease Self‐Management Program] intervention for outpatients with serious mental illness. Delivered by: peers. Frequency: 60‐ to 75‐minute sessions delivered weekly. Treatment duration: 13 weeks followed by a 2‐month booster. Group 2: standard care (n = 31). Content: not stated. Treatment duration: 5 months. |
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Outcomes | Service use: clinically important engagement, use of emergency services Behaviour: activation, approach to health care, self‐efficacy, recovery, healthy eating, self‐management, behaviours, internal locus of control for health Leaving the study early Functioning: general, physical, emotional well‐being Peer outcomes: social support Unable to use Global state: compliance with medication (see What's new) Mental state: behavioural and cognitive symptoms (skewed data) Behaviour: physical activity (skewed data) Functioning: Instrument to Measure Self‐Management, skewed data |
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Notes | Funding source: Grant MH078168. We contacted author to clarify the proportion of schizophrenia but received no reply. |
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Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Unclear risk | Quote: "Of 63 participants, 32 were randomly assigned to Living Well program and 31 to standard care." Comment: insufficient information to make judgement. |
Allocation concealment (selection bias) | Unclear risk | Comment: author did not describe allocation concealment. Insufficient information to make judgement. |
Blinding of participants and personnel (performance bias) All outcomes | Unclear risk | Comment: the author did not describe the blinding of participants and personnel. Insufficient information to make judgement. |
Blinding of outcome assessment (detection bias) All outcomes | Unclear risk | Comment: the author did not describe the blinding of outcome assessment. Insufficient information to make judgement. |
Incomplete outcome data (attrition bias) All outcomes | Low risk | Quote: "Of the 63 participants in the total sample, 58 (92%) completed the postintervention assessment and 57 (90%) completed the two‐month follow‐up assessment. Follow‐up rates did not differ significantly between conditions." Comment: low attrition rate. Attrition rates were balanced in groups. |
Selective reporting (reporting bias) | Unclear risk | Comment: study protocol not available. Insufficient information to make judgement. |
Other bias | Low risk | None noted |