Feasibility, Acceptability, and Preliminary Effectiveness of a Peer-delivered and Technology Supported Self-Management Intervention for Older Adults With Serious Mental Illness

Details

• Alternative Title:
  Psychiatr Q
• Personal Author:
  Fortuna, Karen L. ; DiMilia, Peter R. ; Lohman, Matthew C. ; Bruce, Martha L. ; Zubritsky, Cynthia D. ; Halaby, Mitch R. ; Walker, Robert M. ; Brooks, Jessica M. ; Bartels, Stephen J.
• Description:
  Objective
  
  To assess the feasibility, acceptability, and preliminary effectiveness of a peer-delivered and technology supported integrated medical and psychiatric self-management intervention for older adults with serious mental illness.
  
  Methods
  
  Ten older adults with serious mental illness (i.e., schizophrenia, schizoaffective disorder, bipolar disorder, or major depressive disorder) and medical comorbidity (i.e., cardiovascular disease, obesity, diabetes, chronic obstructive pulmonary disease, hypertension, and/or high cholesterol) aged 60 years and older received the PeerTECH intervention in their homes. Three certified peer specialists were trained to deliver PeerTECH. Data were collected at baseline, one-month, and three-month.
  
  Results
  
  The pilot study demonstrated that a three-month, peer-delivered and technology-supported integrated medical and psychiatric self-management intervention (“PeerTECH”) was experienced by peer specialists and participants as feasible and acceptable. PeerTECH was associated with statistically significant improvements in psychiatric self-management. In addition, pre/post, non-statistically significant improvements were observed in self-efficacy for managing chronic health conditions, hope, quality of life, medical self-management skills, and empowerment.
  
  Conclusions
  
  This pre/post pilot study demonstrated it is possible to train peers to use technology to deliver an integrated psychiatric and medical self-management intervention in a home-based setting to older adults with serious mental illness with fidelity. These findings provide preliminary evidence that a peer-delivered and technology-supported intervention designed to improve medical and psychiatric self-management is feasible, acceptable, and is potentially associated with improvements in psychiatric self-management, self-efficacy for managing chronic health conditions, hope, quality of life, medical self-management skills, and empowerment with older adults with serious mental illness and chronic health conditions.
  
  
• Subjects:
  Aged Article Female Humans Male Mental Disorders MHealth Middle Aged Peer Influence Peers Pilot Projects Quality Of Life Self-Management Self Efficacy Serious Mental Illness Smartphone

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• Source:
  Psychiatr Q. 89(2):293-305
• Pubmed ID:
  28948424
• Pubmed Central ID:
  PMC5874159
• Document Type:
  Journal Article
• Funding:
  T32 MH073553/MH/NIMH NIH HHS/United States ; T32 MH073553-11/MH/NIMH NIH HHS/United States ; U48 DP005018/DP/NCCDPHP CDC HHS/United States ; L30 MH111001/MH/NIMH NIH HHS/United States
• Volume:
  89
• Issue:
  2
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:084656b58c159588a67be439430ee21ce641dc3fead84481f6232ebe35976871
• Download URL:
  https://stacks.cdc.gov/view/cdc/52950/cdc_52950_DS1.pdf
• File Type:
  [PDF - 100.27 KB ]