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Effects of Peer-Delivered Self-Management, Recovery Education Interventions for Individuals with Severe and Enduring Mental Health Challenges: A Meta-Analysis.

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INTRODUCTION The shift in mind-set within mental health care has led to the adoption of peer-delivered self-management interventions in promoting recovery among individuals with severe and enduring mental health challenges.… Click to show full abstract

INTRODUCTION The shift in mind-set within mental health care has led to the adoption of peer-delivered self-management interventions in promoting recovery among individuals with severe and enduring mental health challenges. However, no reviews have hitherto examined their effectiveness. AIM To determine the effectiveness of peer-delivered self-management interventions in improving symptom severity, self-perceived recovery, hopefulness, and empowerment. METHOD A search was performed in nine English databases for published studies and grey literature from inception to the 5 January 2021. The methodological quality of the studies was graded with the Joanna Briggs Institute's critical appraisal tools. The overall effects were pooled through a meta-analysis with heterogeneity evaluated via the Chi-square test and I-square statistics. This review was guided by the PRISMA 2020 statement on transparent reporting of systematic review and meta-analyses. RESULTS 17 publications involving 3189 participants were included in this review, ten were included for the meta-analysis and accounted for 2725 participants. The meta-analysis demonstrated significant small to medium effects favoring such interventions on symptom severity, self-perceived recovery, hopefulness, and empowerment. DISCUSSION Peer-delivered self-management interventions should be implemented as it is effective in promoting recovery among individuals with severe and enduring mental health challenges.

Keywords: health; self management; peer delivered; delivered self; mental health; recovery

Journal Title: Journal of psychiatric and mental health nursing
Year Published: 2022

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