File(s) under permanent embargo
Peer-facilitated interventions for improving the physical health of people with schizophrenia spectrum disorders: systematic review and meta-analysis
journal contributionposted on 2023-07-20, 06:05 authored by A Coles, K Maksyutynska, D Knezevic, SM Agarwal, G Strudwick, James DunbarJames Dunbar, B Druss, P Selby, M Banfield, MK Hahn, D Castle
Objectives: To evaluate the efficacy of peer-facilitated interventions for improving the physical health of people with schizophrenia spectrum disorders. Study design: Systematic review and random effects meta-analysis of peer-facilitated interventions for people with serious mental illness, including schizophrenia spectrum disorders, in which physical health outcomes were assessed. Data sources: MEDLINE, PsycINFO, EMBASE, CINAHL, Web of Science, Scopus, CENTRAL, and PubMed. In addition, reference lists of reviews were examined for further relevant studies published to 10 November 2021. Data synthesis: We included fourteen publications (thirteen randomised controlled trials of ten peer-facilitated interventions, and one secondary analysis; total of 2099 participants) that assessed physical health outcomes for people with mental health conditions, including schizophrenia spectrum disorders. Intervention duration ranged from three to eighteen months; peers were involved as sole or co-leaders of the programs in group or individual sessions. Meta-analysis identified a statistically significant pooled effect on physical activity and capacity (various measures; six studies; 468 intervention, 461 control participants; standardised mean difference, +0.19 standard deviation [SD]; 95% CI, +0.06–0.32 SD; I2 = 0%); overall GRADE certainty of evidence was low. Marked study heterogeneity precluded secure conclusions regarding intervention effects on self-rated physical health, healthy eating, and body mass index. Conclusions: Peer-facilitated interventions for improving physical outcomes are feasible for people with schizophrenia spectrum disorders, a group at particular risk of certain physical health conditions. Further research is required to assess the effects of such interventions on other health-related parameters. PROSPERO registration: CRD42021283578 (retrospective).
CategoriesNo categories selected
Science & TechnologyLife Sciences & BiomedicineMedicine, General & InternalGeneral & Internal MedicineSchizophrenia spectrum and other psychotic disordersChronic diseaseRandomized controlled trial as topicSERIOUS MENTAL-ILLNESSRANDOMIZED CONTROLLED-TRIALSELF-MANAGEMENTINDIVIDUALSSERVICESSUPPORTCAREChronic disease; Randomized controlled trial as topicExerciseHumansQuality of LifeRetrospective StudiesSchizophrenia32 Biomedical and Clinical Sciences4201 Allied Health and Rehabilitation Science4203 Health Services and Systems4206 Public Health42 Health Sciences3202 Clinical SciencesClinical ResearchMental HealthPreventionClinical Trials and Supportive ActivitiesBrain DisordersSerious Mental Illness6 Evaluation of treatments and therapeutic interventions6.6 Psychological and behaviouralMental health3 Good Health and Well BeingMedical and Health SciencesPsychology and Cognitive Sciences32 Biomedical and clinical sciences42 Health sciences