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

Reynolds 2004.

Methods Allocation: randomised
Blindness: non‐blinded
Study duration: 5 months
Location: single centre
Design: parallel
Setting: discharged inpatients
Country: UK
Consent: written
Participants Diagnosis: range of mental illnesses, including bipolar disorder, schizophrenia and depression
N = 25
History: not stated
Sex: not stated
Age: not stated
Exclusion criteria: people with dementia, people who were discharged from hospital before having had the opportunity to develop a relationship with their transitional nurse
Interventions Group 1: peer‐support + standard care (n = 11).
Content: peer support, which was assistance from former patients who provide friendship, understanding and encouragement; and overlap of inpatient and community staff in which the inpatient staff continue to work with the discharged patient until a working relationship was established with a community care provider.
Delivered by: previous service user of the mental health system.
Frequency: type and intensity of assistance provided by the peer supporter varied according to individual preference
Treatment duration: 5 months.
Group 2: standard care (n = 14).
Content: usual treatment, comprised the standard discharge arrangements normally provided to patients and included referral to locality‐based community psychiatric nurses.
Treatment duration: 5 months.
Outcomes Service use: hospital admission
Leaving study early
Functioning: general, physical, societal role, interpersonal functioning, cognitive
Peer outcomes: quality of life for participant and peer supporter
Unable to use
Mental state: aggressiveness, anxiety, attention problems, depression, emotional withdrawal, family problems, hyperaffect, interpersonal problems, resistiveness, suicide feelings, thought process difficulties (skewed data)
Functioning: daily living (skewed data)
Notes Funding source: Chief Scientist Office, Scottish Executive.
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Quote: "Subjects were randomly assigned to groups by a computerized random number facility."
Comment: adequate sequence generation.
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 High risk Quote: "The researchers were not blinded to the intervention status of participants."
Comment: personnel were not blinded. No information for blinding of participants.
Blinding of outcome assessment (detection bias) 
 All outcomes High risk Quote: "The researchers were not blinded to the intervention status of participants."
Comment: the blinding of assessors was not ensured.
Incomplete outcome data (attrition bias) 
 All outcomes Low risk Quote: "A small number of patients were lost to study (control n= 3; experimental n=3) and consequently data on 19 subjects were included in the final analysis."
Comment: low attrition rate, 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.