Methods: We conducted a rater-blinded, randomised controlled superiority trial, , recruiting from six CRTs in England. . Eligible participants had been on CRT caseloads for at least a week, and had capacity to give informed consent. Consenting participants were block-randomised into treatment and control groups by an unblinded data manager, using an independent randomisation service. Those collecting and analysing data were blinded, but blinding participants was not feasible. Treatment group participants were offered up to ten sessions with a Peer Support Worker who supported them in completing a Personal Recovery Workbook, including formulation of personal recovery goals and crisis plans. The control group received the Personal Recovery Workbook by post.
Findings: 221 participants were randomised to the experimental and 220 the control intervention: primary outcomes were obtained for 218 and 216 respectively. 29% (64/218) of the intervention and 38% (83/216) of the control group were readmitted to acute care within one year (Odds ratio: 0.66[0.43, 0.99], p=0.0438). This remained significant with planned adjustments.
Interpretation: Our findings suggest peer-delivered self-management reduces readmission to acute care, although admission rates were lower than anticipated and confidence intervals are relatively wide. Complexity of the study intervention limits interpretability, but assessment is warranted of whether implementing this intervention in routine settings reduces acute care readmission.
- Bristol Medical School (PHS) - Deputy Chief Operating Officer ALSPAC, Research Fellow (Quantitative in Primary Care)
- Bristol Population Health Science Institute
- Centre for Academic Mental Health
- Centre for Academic Primary Care
Person: Academic , Member, Professional and Administrative