T224. TESTING THE EFFECTIVENESS OF A BRIEF, PEER SUPPORT INTERVENTION TO FACILITATE TRANSITION FROM PSYCHIATRIC HOSPITALIZATION FOR A SCHIZOPHRENIA SPECTRUM POPULATION
Notice bibliographique
Résumé
Abstract Background The period immediately following discharge is highly stressful for many individuals with schizophrenia spectrum illnesses as they transition from protracted inpatient stays to community settings with minimal support. In this period the risk of hospital re-admission is at its highest, many do not engage with community supports and clinical resources, and the risk of suicide is greatest. The evidence base for brief, effective interventions to support such transitions is to date underdeveloped. Methods This randomized controlled trial examined the effectiveness of a Peer Support intervention that combines components of Cognitive Adaptation Training (CAT) and the Welcome Basket Program. CAT is an evidence-based intervention that provides environmental supports to help people with schizophrenia compensate for the cognitive impacts of the illness. The Welcome Basket Program is a peer intervention approach that helps bridge discharge through the provision of a small individualized ‘basket’ of staple supplies and comfort items along with the facilitation of engagement with community resources. The intervention involves peer supports engaging patients in the days preceding discharge to assess goals and needs followed by weekly visits post-discharge for 1 month providing Welcome Basket and CAT supports. The study also collected pilot data examining the outcomes of an abbreviated, two contact version of the intervention. Inpatients with a schizophrenia spectrum diagnosis were randomized with a 2:2:1 ratio to treatment as usual, the full intervention, and the abbreviated intervention. Along with feasibility assessments, outcome metrics included re-hospitalization, symptomatology, quality of life, and community functioning. Assessments at baseline, 1-month post-discharge, and 6 months post-discharge facilitated the examination of relative effectiveness and sustainment of gains. Results The trial was successfully implemented with data collected from 106 participants at baseline, 82 at post-intervention, and 74 at 6-month follow up. Overall, the interventions and the study design appeared feasibility with attrition primarily due to the high acuity nature of a population recruited largely through an early psychosis inpatient unit (mean age 34.6 years). Preliminary analysis suggests limited effects on community functioning though completed analyses of other metrics are pending and may provide insight into the possible mechanisms of action of this intervention should it prove to be effective. Discussion This study was designed to assess the development and dissemination of a cost-effective method for mitigating relapse risk and promoting community involvement and engagement in care. The effort to better support successful care transitions through approaches such as this is a priority area for service systems globally and contributes to the literature on peer support. While widely implemented, models of peer support have seldom been examined for effectiveness in clinical trials.
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction machine sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Le volet Gemma est une étiquette directe du modèle pour chaque travail de la base, lue sur la notice réduite au titre. Le volet Codex est un classifieur appris des 10 348 étiquettes directes de Codex et calibré sur les taux pondérés de l'échantillon; les champs sans appui suffisant ne portent aucun appel Codex. Le mode candidate est l'union des deux volets; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont pas des étiquettes humaines.
Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,002 | 0,004 |
| Méta-épidémiologie (sens strict) | 0,001 | 0,000 |
| Méta-épidémiologie (sens large) | 0,001 | 0,002 |
| Bibliométrie | 0,000 | 0,000 |
| Études des sciences et des technologies | 0,001 | 0,001 |
| Communication savante | 0,001 | 0,001 |
| Science ouverte | 0,001 | 0,001 |
| Intégrité de la recherche | 0,001 | 0,001 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,009 | 0,001 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule source (Gemma direct ou Codex distillé), pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».