The Impact of a Peer Navigator Program in Addressing the Health Needs of Latinos With Serious Mental Illness
The impact of a peer navigator program (PNP) on efforts to address the health needs of Latinos with serious mental illness was examined in a randomized controlled trial. Latinos with a serious mental illness (N=110) were randomly assigned to the PNP (integrated care with a peer navigator [PN]) or to...
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| Vydané v: | Psychiatric services (Washington, D.C.) Ročník 69; číslo 4; s. 456 |
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| Hlavní autori: | , , , , , , , , |
| Médium: | Journal Article |
| Jazyk: | English |
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United States
01.04.2018
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| ISSN: | 1557-9700, 1557-9700 |
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| Abstract | The impact of a peer navigator program (PNP) on efforts to address the health needs of Latinos with serious mental illness was examined in a randomized controlled trial.
Latinos with a serious mental illness (N=110) were randomly assigned to the PNP (integrated care with a peer navigator [PN]) or to a treatment-as-usual control group (integrated care without a PN) for one year. Data on service engagement (scheduled and received appointments) were assessed weekly, and self-reports of recovery, empowerment, and quality of life were collected at baseline and at four, eight, and 12 months.
Findings from group × trial analyses of covariance (ANCOVAs) found main and interaction effects for scheduled and achieved appointments, showing better engagement for the PNP group compared with the control group over the course of the study. Significant interactions were found for recovery, empowerment, and quality of life, showing greater improvement for the PNP group compared with the control group over year 1 of the study (multivariate ANCOVA; F=3.27, df=9 and 98, p<.01).
In-the-field navigation by peers seems to enhance service engagement, recovery, and quality of life. Whether these results occurred because navigators helped overcome barriers to treatment-regardless of whether they were peers per se-needs to be examined in future research. |
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| AbstractList | The impact of a peer navigator program (PNP) on efforts to address the health needs of Latinos with serious mental illness was examined in a randomized controlled trial.
Latinos with a serious mental illness (N=110) were randomly assigned to the PNP (integrated care with a peer navigator [PN]) or to a treatment-as-usual control group (integrated care without a PN) for one year. Data on service engagement (scheduled and received appointments) were assessed weekly, and self-reports of recovery, empowerment, and quality of life were collected at baseline and at four, eight, and 12 months.
Findings from group × trial analyses of covariance (ANCOVAs) found main and interaction effects for scheduled and achieved appointments, showing better engagement for the PNP group compared with the control group over the course of the study. Significant interactions were found for recovery, empowerment, and quality of life, showing greater improvement for the PNP group compared with the control group over year 1 of the study (multivariate ANCOVA; F=3.27, df=9 and 98, p<.01).
In-the-field navigation by peers seems to enhance service engagement, recovery, and quality of life. Whether these results occurred because navigators helped overcome barriers to treatment-regardless of whether they were peers per se-needs to be examined in future research. The impact of a peer navigator program (PNP) on efforts to address the health needs of Latinos with serious mental illness was examined in a randomized controlled trial.OBJECTIVEThe impact of a peer navigator program (PNP) on efforts to address the health needs of Latinos with serious mental illness was examined in a randomized controlled trial.Latinos with a serious mental illness (N=110) were randomly assigned to the PNP (integrated care with a peer navigator [PN]) or to a treatment-as-usual control group (integrated care without a PN) for one year. Data on service engagement (scheduled and received appointments) were assessed weekly, and self-reports of recovery, empowerment, and quality of life were collected at baseline and at four, eight, and 12 months.METHODSLatinos with a serious mental illness (N=110) were randomly assigned to the PNP (integrated care with a peer navigator [PN]) or to a treatment-as-usual control group (integrated care without a PN) for one year. Data on service engagement (scheduled and received appointments) were assessed weekly, and self-reports of recovery, empowerment, and quality of life were collected at baseline and at four, eight, and 12 months.Findings from group × trial analyses of covariance (ANCOVAs) found main and interaction effects for scheduled and achieved appointments, showing better engagement for the PNP group compared with the control group over the course of the study. Significant interactions were found for recovery, empowerment, and quality of life, showing greater improvement for the PNP group compared with the control group over year 1 of the study (multivariate ANCOVA; F=3.27, df=9 and 98, p<.01).RESULTSFindings from group × trial analyses of covariance (ANCOVAs) found main and interaction effects for scheduled and achieved appointments, showing better engagement for the PNP group compared with the control group over the course of the study. Significant interactions were found for recovery, empowerment, and quality of life, showing greater improvement for the PNP group compared with the control group over year 1 of the study (multivariate ANCOVA; F=3.27, df=9 and 98, p<.01).In-the-field navigation by peers seems to enhance service engagement, recovery, and quality of life. Whether these results occurred because navigators helped overcome barriers to treatment-regardless of whether they were peers per se-needs to be examined in future research.CONCLUSIONSIn-the-field navigation by peers seems to enhance service engagement, recovery, and quality of life. Whether these results occurred because navigators helped overcome barriers to treatment-regardless of whether they were peers per se-needs to be examined in future research. |
| Author | Paniagua, Deysi Lara, Juana Lorena Corrigan, Patrick Torres, Alessandra Larson, Jon E Sheehan, Lindsay Mayes, John I Doing, Susan Morris, Scott |
| Author_xml | – sequence: 1 givenname: Patrick surname: Corrigan fullname: Corrigan, Patrick organization: The first seven authors are with the Department of Psychology, Illinois Institute of Technology, Chicago. Mr. Mayes and Ms. Doing are with Trilogy, Inc., Chicago – sequence: 2 givenname: Lindsay surname: Sheehan fullname: Sheehan, Lindsay organization: The first seven authors are with the Department of Psychology, Illinois Institute of Technology, Chicago. Mr. Mayes and Ms. Doing are with Trilogy, Inc., Chicago – sequence: 3 givenname: Scott surname: Morris fullname: Morris, Scott organization: The first seven authors are with the Department of Psychology, Illinois Institute of Technology, Chicago. Mr. Mayes and Ms. Doing are with Trilogy, Inc., Chicago – sequence: 4 givenname: Jon E surname: Larson fullname: Larson, Jon E organization: The first seven authors are with the Department of Psychology, Illinois Institute of Technology, Chicago. Mr. Mayes and Ms. Doing are with Trilogy, Inc., Chicago – sequence: 5 givenname: Alessandra surname: Torres fullname: Torres, Alessandra organization: The first seven authors are with the Department of Psychology, Illinois Institute of Technology, Chicago. Mr. Mayes and Ms. Doing are with Trilogy, Inc., Chicago – sequence: 6 givenname: Juana Lorena surname: Lara fullname: Lara, Juana Lorena organization: The first seven authors are with the Department of Psychology, Illinois Institute of Technology, Chicago. Mr. Mayes and Ms. Doing are with Trilogy, Inc., Chicago – sequence: 7 givenname: Deysi surname: Paniagua fullname: Paniagua, Deysi organization: The first seven authors are with the Department of Psychology, Illinois Institute of Technology, Chicago. Mr. Mayes and Ms. Doing are with Trilogy, Inc., Chicago – sequence: 8 givenname: John I surname: Mayes fullname: Mayes, John I organization: The first seven authors are with the Department of Psychology, Illinois Institute of Technology, Chicago. Mr. Mayes and Ms. Doing are with Trilogy, Inc., Chicago – sequence: 9 givenname: Susan surname: Doing fullname: Doing, Susan organization: The first seven authors are with the Department of Psychology, Illinois Institute of Technology, Chicago. Mr. Mayes and Ms. Doing are with Trilogy, Inc., Chicago |
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| Keywords | Mental health systems/hospitals Hispanics Public health |
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| SubjectTerms | Adult Chicago Delivery of Health Care, Integrated Female Follow-Up Studies Hispanic Americans - statistics & numerical data Humans Male Mental Disorders - therapy Mental Health Services - statistics & numerical data Middle Aged Outcome and Process Assessment (Health Care) - statistics & numerical data Patient Navigation - statistics & numerical data Patient Participation - statistics & numerical data Peer Group Quality of Life |
| Title | The Impact of a Peer Navigator Program in Addressing the Health Needs of Latinos With Serious Mental Illness |
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