Please use this identifier to cite or link to this item: http://hdl.handle.net/1893/21782
Appears in Collections:Management, Work and Organisation Journal Articles
Peer Review Status: Refereed
Title: Results of a pilot randomised controlled trial to measure the clinical and cost effectiveness of peer support in increasing hope and quality of life in mental health patients discharged from hospital in the UK
Authors: Simpson, Alan
Flood, Chris
Rowe, Julie
Quigley, Jody
Henry, Susan
Hall, Cerdic
Evans, Richard
Sherman, Paul
Bowers, Len
Contact Email: j.m.quigley@stir.ac.uk
Keywords: Peer support
Mental health
Discharge
Hope
Loneliness
Quality of life
Economic evaluation
Suicide
Issue Date: 5-Feb-2014
Publisher: BioMed Central
Citation: Simpson A, Flood C, Rowe J, Quigley J, Henry S, Hall C, Evans R, Sherman P & Bowers L (2014) Results of a pilot randomised controlled trial to measure the clinical and cost effectiveness of peer support in increasing hope and quality of life in mental health patients discharged from hospital in the UK, BMC Psychiatry, 14 (1), Art. No.: 30.
Abstract: Background: Mental health patients can feel anxious about losing the support of staff and patients when discharged from hospital and often discontinue treatment, experience relapse and readmission to hospital, and sometimes attempt suicide. The benefits of peer support in mental health services have been identified in a number of studies with some suggesting clinical and economic gains in patients being discharged. Methods: This pilot randomised controlled trial with economic evaluation aimed to explore whether peer support in addition to usual aftercare for patients during the transition from hospital to home would increase hope, reduce loneliness, improve quality of life and show cost effectiveness compared with patients receiving usual aftercare only, with follow-up at one and three-months post-discharge. Results: A total of 46 service users were recruited to the study; 23 receiving peer support and 23 in the care-as-usual arm. While this pilot trial found no statistically significant benefits for peer support on the primary or secondary outcome measures, there is an indication that hope may be further increased in those in receipt of peer support. The total cost per case for the peer support arm of the study was £2154 compared to £1922 for the control arm. The mean difference between costs was minimal and not statistically significant. However, further analyses demonstrated that peer support has a reasonably high probability of being more cost effective for a modest positive change in the measure of hopelessness. Challenges faced in recruitment and follow-up are explored alongside limitations in the delivery of peer support. Conclusions: The findings suggest there is merit in conducting further research on peer support in the transition from hospital to home consideration should be applied to the nature of the patient population to whom support is offered; the length and frequency of support provided; and the contact between peer supporters and mental health staff. There is no conclusive evidence to support the cost effectiveness of providing peer support, but neither was it proven a costly intervention to deliver. The findings support an argument for a larger scale trial of peer support as an adjunct to existing services.
Type: Journal Article
URI: http://hdl.handle.net/1893/21782
DOI Link: http://dx.doi.org/10.1186/1471-244X-14-30
Rights: © 2014 Simpson et al.; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated
Affiliation: City University London
City University London
University of Kent
Management Work and Organisation
NHS
NHS
NHS
NHS
King's College London

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