Study Results
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View full resultsBasic Information
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COMPLETED
NA
298 participants
INTERVENTIONAL
2007-01-31
2010-06-30
Brief Summary
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Detailed Description
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Objectives: The objectives of the proposed research are to assess the content and impact of VHA mental health peer support groups for recovery from mental illness. Specifically, we will: a) examine the structure, process and outcome of two models of recovery-oriented group treatment for mental health-peer/consumer support groups led by peer facilitators (Vet-to-Vet program), and recovery-oriented groups led by a clinician; b) assess and compare empowerment, social support, traditional outcomes (psychiatric and substance abuse symptoms, community functioning) and recovery-oriented outcomes (hope, strength/resiliency) in each type of program; and c) test a model in which recovery-oriented outcomes are mediated by empowerment and social support.
Methods: The study will use a research design in which participants are randomly assigned to attend an existing peer facilitator-led support group, a clinician-led recovery-oriented group, or "treatment as usual". The sample will include 300 individuals receiving outpatient mental health services at one of two VA sites: Bedford, MA or West Haven, CT. Qualitative and quantitative methods will be used to address the research objectives. We will observe and tape record a sample of group meetings, and interview participants and group leaders (consumer-facilitators or clinicians) to analyze and understand the "ingredients" (structure and content) of these groups. We will use standardized measures of self-efficacy, empowerment and social support to determine effects of group type on participants' feelings of empowerment and social support, and whether empowerment and social support result in better outcomes. We will assess recovery-oriented (hope, optimism, strength and resilience) and traditional (symptom and functioning) outcomes. Qualitative data from group observations and interviews will be used to explore what other factors might explain the effects of participation in peer-support and clinician-led groups. Quantitative measures will be analyzed using regression modeling in an "intent to treat" approach. Path analysis that entails a series of regression models will be used to test the hypothesized mediation effect.
Significance to VA: The VA has made a clear commitment to implementation of peer-support programs as part of a recovery-oriented transformation of its mental health service system. However, there is currently no published research reporting the processes or outcomes of these programs. This study will provide valuable information regarding if, why and how peer support groups, as well as clinician-led recovery-oriented groups, benefit veterans with mental illness. This information will be valuable in guiding implementation of such programs across the country.
Conditions
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Study Design
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RANDOMIZED
PARALLEL
HEALTH_SERVICES_RESEARCH
NONE
Study Groups
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Peer-led Groups
Arm 1 is a 3-month recovery-focused mental health education and support group led by peer facilitators
recovery oriented mental health peer support group
This is a recovery-focused mental health education and support group led by peer facilitators
Clinician-led Groups
Arm 2 is a 3-month recovery-focused mental health education and support group led by a mental health clinician
recovery-oriented mental health clinician-led group
This is a recovery-focused mental health education and support group led by a mental health clinician
Treatment as Usual
Arm 3 is treatment as usual (no intervention)
No interventions assigned to this group
Interventions
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recovery oriented mental health peer support group
This is a recovery-focused mental health education and support group led by peer facilitators
recovery-oriented mental health clinician-led group
This is a recovery-focused mental health education and support group led by a mental health clinician
Eligibility Criteria
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Inclusion Criteria
Exclusion Criteria
18 Years
ALL
No
Sponsors
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US Department of Veterans Affairs
FED
Responsible Party
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Principal Investigators
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Susan V. Eisen, PhD BA
Role: PRINCIPAL_INVESTIGATOR
VA New England Health Care System
Jack A Clark, PhD
Role: PRINCIPAL_INVESTIGATOR
VA New England Health Care System
Locations
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VA Connecticut Health Care System (West Haven)
West Haven, Connecticut, United States
VA New England Health Care System
Bedford, Massachusetts, United States
Countries
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References
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Eisen SV, Schultz MR, Mueller LN, Degenhart C, Clark JA, Resnick SG, Christiansen CL, Armstrong M, Bottonari KA, Rosenheck RA, Sadow D. Outcome of a randomized study of a mental health peer education and support group in the VA. Psychiatr Serv. 2012 Dec;63(12):1243-6. doi: 10.1176/appi.ps.201100348.
Beehler S, Clark JA, Eisen SV. Participant experiences in peer- and clinician-facilitated mental health recovery groups for veterans. Psychiatr Rehabil J. 2014 Mar;37(1):43-50. doi: 10.1037/prj0000048.
Bottonari KA, Schultz MR, Resnick SG, Mueller L, Clark J, Sadow DC, Eisen SV. Peer-led vs. Clinician-led Recovery-Oriented Groups: What Predicts Attendance by Veterans? International Journal of Psychosocial Rehabilitation. 2012 Jan 1; 16(2):96-113
Other Identifiers
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D4464-R
Identifier Type: -
Identifier Source: org_study_id
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