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

Kelly 2014.

Methods Allocation: randomised
Blindness: not stated
Study duration: 6 months
Location: multicentre
Design: parallel
Setting: not stated
Country: USA
Consent: written
Participants Diagnosis: serious mental illness
N = 24
History: not stated
Sex: men 13, women 11
Age: mean 46.78, SD 8.45 years
Exclusion criteria: participants could not be under conservatorship (a legal concept in the US) (required by the County Department of Mental Health), unable to give informed consent or be hospitalised at the start of the study.
Interventions Group 1: peer‐support + standard care (n = 12).
Content: manualised intervention. Navigators encouraged development of self‐management of healthcare through a series of psychoeducation and behavioural strategies.
Delivered by: peers.
Frequency: not stated.
Treatment duration: 6 months.
Group 2: standard care (n = 12).
Content: usual mental health services.
Treatment duration: 6 months.
Outcomes Leaving the study early
Unable to use
Service use: contact with services (skewed data)
Global state: compliance to medication (skewed data)
Health issues: bodily pain, bodily pain interference, total number of health problem, health lack of efficacy, preferred location of care, number of physical medications (not predefined outcomes for this review).
Notes Funding sources: funded with support from the UniHealth Foundation.
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Quote: "Participants were recruited in group of six and then randomized (by the project manager) using a random numbers table."
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 Comment: 3 participants in the control group left the study early. Low attrition rate.
Selective reporting (reporting bias) Unclear risk Comment: study protocol not available. Insufficient information to make judgement.
Other bias Low risk None noted.