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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 Jun 23. doi: 10.1111/jpm.12853. Online ahead of print.

ABSTRACT

INTRODUCTION: The shift in mind-set within mental health care has led to the adoption of peer-delivered self-management interventions in promoting recovery among individuals with severe and enduring mental health challenges. However, no reviews have hitherto examined their effectiveness.

AIM: To determine the effectiveness of peer-delivered self-management interventions in improving symptom severity, self-perceived recovery, hopefulness, and empowerment.

METHOD: A search was performed in nine English databases for published studies and grey literature from inception to the 5 January 2021. The methodological quality of the studies was graded with the Joanna Briggs Institute’s critical appraisal tools. The overall effects were pooled through a meta-analysis with heterogeneity evaluated via the Chi-square test and I-square statistics. This review was guided by the PRISMA 2020 statement on transparent reporting of systematic review and meta-analyses.

RESULTS: 17 publications involving 3189 participants were included in this review, ten were included for the meta-analysis and accounted for 2725 participants. The meta-analysis demonstrated significant small to medium effects favoring such interventions on symptom severity, self-perceived recovery, hopefulness, and empowerment.

DISCUSSION: Peer-delivered self-management interventions should be implemented as it is effective in promoting recovery among individuals with severe and enduring mental health challenges.

PMID:35737863 | DOI:10.1111/jpm.12853

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