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. 2019 Apr 4;2019(4):CD010880. doi: 10.1002/14651858.CD010880.pub2

Goldberg 2013.

Methods Allocation: randomised
Blindness: not stated
Study duration: 5 months
Location: multicentre
Design: parallel
Setting: outpatients
Country: USA
Consent: written
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
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.
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
Notes Funding source: Grant MH078168.
We contacted author to clarify the proportion of schizophrenia but received no reply.
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