M L Lara-Cabrera1, M Gjerden2, R W Gråwe3, O M Linaker4, A Steinsbekk5. 1. Tiller Community Mental Health Centre, Division for Mental Health, St. Olav's University Hospital, Trondheim, Norway; Department of Neuroscience, Norwegian University of Science and Technology, Trondheim, Norway. Electronic address: mariela.lara@stolav.no. 2. Tiller Community Mental Health Centre, Division for Mental Health, St. Olav's University Hospital, Trondheim, Norway. 3. Department of Neuroscience, Norwegian University of Science and Technology, Trondheim, Norway; Clinic of Substance Use and Addiction Medicine, St. Olav's University Hospital, Trondheim, Norway. 4. Department of Neuroscience, Norwegian University of Science and Technology, Trondheim, Norway; Department of Research and Development, Division of Psychiatry, St. Olav's University Hospital, Trondheim, Norway. 5. Department of Public Health and General Practice, Norwegian University of Science and Technology, Trondheim, Norway.
Abstract
OBJECTIVE: To investigate the 1-month effects of an educational programme co-led by peers delivered before treatment on treatment preferences, self-management knowledge and motivation in comparison to usual care. METHODS:Adults referred to a community mental health centre were randomised to either a control group (n=48) or a peer co-led educational programme (intervention group, n=45). The programme consisted of an 8-hour group education session followed by an individual pretreatment planning session. The main topics of the educational programme were treatment options, patients' rights, self-management, the importance of patient activation and participation. RESULTS: At 1-month follow-up, a significantly larger proportion of the patients in the intervention group knew which type of treatment they preferred (76.7% vs. 32.5%, p<0.001). The intervention group had significantly higher self-management knowledge (p<0.001). There was no effect on treatment motivation (p=0.543). CONCLUSION: At 1-month following the delivery of a pretreatment educational programme, we found that participants' knowledge of treatment preferences and self-management had improved. PRACTICE IMPLICATIONS: Educational interventions co-led by peers can optimise the process of informing and educating outpatients, thereby helping patients to clarify their treatment preferences.
RCT Entities:
OBJECTIVE: To investigate the 1-month effects of an educational programme co-led by peers delivered before treatment on treatment preferences, self-management knowledge and motivation in comparison to usual care. METHODS: Adults referred to a community mental health centre were randomised to either a control group (n=48) or a peer co-led educational programme (intervention group, n=45). The programme consisted of an 8-hour group education session followed by an individual pretreatment planning session. The main topics of the educational programme were treatment options, patients' rights, self-management, the importance of patient activation and participation. RESULTS: At 1-month follow-up, a significantly larger proportion of the patients in the intervention group knew which type of treatment they preferred (76.7% vs. 32.5%, p<0.001). The intervention group had significantly higher self-management knowledge (p<0.001). There was no effect on treatment motivation (p=0.543). CONCLUSION: At 1-month following the delivery of a pretreatment educational programme, we found that participants' knowledge of treatment preferences and self-management had improved. PRACTICE IMPLICATIONS: Educational interventions co-led by peers can optimise the process of informing and educating outpatients, thereby helping patients to clarify their treatment preferences.
Authors: John Morten Koksvik; Olav Morten Linaker; Rolf Wilhelm Gråwe; Johan Håkon Bjørngaard; Mariela Loreto Lara-Cabrera Journal: BMC Health Serv Res Date: 2018-08-29 Impact factor: 2.655
Authors: Ingunn Mundal; Rolf W Gråwe; Hege Hafstad; Carlos De Las Cuevas; Mariela Loreto Lara-Cabrera Journal: BMJ Open Date: 2020-12-02 Impact factor: 2.692