Mental Disorders Clinical Trial
Official title:
Efficacy of Peer-Led Education in Improving Mental Health Recovery Outcomes in Tennessee
This randomized controlled trial tests the efficacy of a mental health peer-led educational
intervention called BRIDGES (Building Recovery of Individual Dreams and Goals through
Education and Support). The BRIDGES program is a 10-week, manualized education course
designed to provide basic information about the etiology and treatment of mental illness,
self-help skills, and recovery principles in order to empower participants to return to
valued social roles within their communities. BRIDGES is a peer-led program and all
instructors are adults with mental illnesses. For study purposes, the 10-week course was
modified to 8-weeks, meeting 2 1/2 hours once a week.
Hypothesis #1: Compared to wait-list controls, intervention participants will report
increased feelings of psychological empowerment.
Hypothesis #2: Compared to wait-list controls, intervention participants will report
increased feelings of hopefulness.
Hypothesis #3: Compared to wait-list controls, intervention participants will report enhanced
coping ability.
Hypothesis #4: Compared to wait-list controls, intervention participants will report enhanced
recovery.
Hypothesis #5: Compared to wait-list controls, intervention participants will report greater
ability to advocate for themselves with health care providers.
Hypothesis #6: Compared to wait-list controls, those in the BRIDGES education course will
report increased knowledge of the causes and treatment of mental illness and recovery
principles.
Eligibility criteria included having a diagnosis of serious mental illness and experiencing severe functional impairment in one or more life roles. All study participants completed telephone interviews at three points in time: study entry (pre-intervention); 8-weeks later (immediate post-intervention); and 6-months after intervention (approximately 8 months after study entry). Blinded interviewers administered valid and reliable outcome assessments that measured changes in subjects' knowledge about mental illness; emotional well-being; empowerment; hopefulness; self-advocacy; and recovery. All study participants were compensated for their time at each interview. All BRIDGES instructors were people in recovery from serious mental illnesses who were certified and experienced BRIDGES teachers. Fidelity to the BRIDGES curriculum was assessed on an ongoing basis throughout the study. ;
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