Erschienen in:
01.05.2014 | Original Paper
A Pilot Test of a Peer Navigator Intervention for Improving the Health of Individuals with Serious Mental Illness
verfasst von:
Erin Kelly, Anthony Fulginiti, Rohini Pahwa, Louise Tallen, Lei Duan, John S. Brekke
Erschienen in:
Community Mental Health Journal
|
Ausgabe 4/2014
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Abstract
Individuals with serious mental illness (SMI) are at considerably higher risk for morbidity and mortality than those in the general population. The current pilot trial is a preliminary examination of a peer health navigation intervention for improving health and healthcare utilization called the Bridge. Twenty-four individuals with SMI were randomly assigned to either peer navigation or treatment as usual (TAU). Navigators encouraged development of self-management of healthcare through a series of psychoeducation and behavioral strategies. Outcomes included a range of health consequences, as well as health utilization indices. After 6 months, compared to the TAU group, participants receiving the intervention experienced fewer pain and health symptoms. Participants changed their orientation about seeking care to a primary care provider (44.4 % vs. 83.3 %, χ2 = 3.50, p < .05) rather than the emergency room (55.6 % vs. 0 %, χ2 = 8.75, p < .01). Therefore, the Bridge intervention demonstrated considerable promise through positively impacting health and healthcare utilization.