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01.06.2013 | Original Paper

Improving Propensity for Patient Self-Advocacy Through Wellness Recovery Action Planning: Results of a Randomized Controlled Trial

verfasst von: Jessica A. Jonikas, Dennis D. Grey, Mary Ellen Copeland, Lisa A. Razzano, Marie M. Hamilton, Carol Bailey Floyd, Walter B. Hudson, Judith A. Cook

Erschienen in: Community Mental Health Journal | Ausgabe 3/2013

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Abstract

A fundamental aspect of successful illness self-management for people with serious mental illnesses is the ability to advocate for themselves in health and rehabilitation settings. This study reports findings from a randomized controlled trial comparing propensity for patient self-advocacy among those who received a peer-led mental illness self-management intervention called Wellness Recovery Action Planning (WRAP) and those who received usual care. Outcomes were self-reported engagement in self-advocacy with service providers, and the relationship between patient self-advocacy and other key recovery outcomes. In a multivariable analysis, at immediate post-intervention and 6-month follow-up, WRAP participants were significantly more likely than controls to report engaging in self-advocacy with their service providers. Higher self-advocacy also was associated with greater hopefulness, better environmental quality of life, and fewer psychiatric symptoms among the intervention group. These findings provide additional support for the positive impact of peer-led illness self-management on mental health recovery.

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Titel: Improving Propensity for Patient Self-Advocacy Through Wellness Recovery Action Planning: Results of a Randomized Controlled Trial
verfasst von: Jessica A. Jonikas
Dennis D. Grey
Mary Ellen Copeland
Lisa A. Razzano
Marie M. Hamilton
Carol Bailey Floyd
Walter B. Hudson
Judith A. Cook
Publikationsdatum: 01.06.2013
Verlag: Springer US
Erschienen in: Community Mental Health Journal / Ausgabe 3/2013
Print ISSN: 0010-3853
Elektronische ISSN: 1573-2789
DOI: https://doi.org/10.1007/s10597-011-9475-9

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Improving Propensity for Patient Self-Advocacy Through Wellness Recovery Action Planning: Results of a Randomized Controlled Trial

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