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田纳西州“通过教育和支持来恢复个人梦想和目标项目(BRIDGES)”研究的早期结果和经验教训。

Early outcomes and lessons learned from a study of the Building Recovery of Individual Dreams and Goals through Education and Support (BRIDGES) program in Tennessee.

机构信息

University of Illinois at Chicago.

NAMI.

出版信息

Psychiatr Rehabil J. 2010 Autumn;34(2):96-103. doi: 10.2975/34.2.2010.96.103.

Abstract

OBJECTIVE

Peer-led education interventions have the potential to provide mental health consumers with the knowledge, skills and support they need to live successful and rewarding self-determined lives. However, few studies have explored whether and how these interventions enhance recovery. This study addresses this knowledge gap by examining changes among 160 participants in the Building Recovery of Individual Dreams and Goals (BRIDGES) education program. BRIDGES is a peer-led 8-week course taught by trained instructors who publicly disclose the fact that they are in recovery from mental illness.

METHOD

Structured interviews assessing recovery outcomes were conducted with participants in the month prior to their receipt of BRIDGES, and immediately after receipt of the intervention. Paired t-tests were conducted to examine changes in psychiatric symptoms, hopefulness, social support, self-advocacy, empowerment, adaptive coping, and recovery pre-receipt and post-receipt of BRIDGES.

RESULTS

Post-receipt of BRIDGES, participants reported significantly fewer psychiatric symptoms, decreased use of maladaptive coping behaviors, and increased feelings of hopefulness, self-advocacy, empowerment, and recovery.

CONCLUSIONS

These promising early results from our ongoing study of BRIDGES suggest that peer-led education interventions are a valuable resource. Additional research is needed to better understand the effectiveness of these interventions, including potential long-term post-program participation benefits.

摘要

目的

同伴教育干预有可能为心理健康消费者提供他们在成功和有意义的自我决定生活中所需的知识、技能和支持。然而,很少有研究探讨这些干预措施是否以及如何增强康复。本研究通过检查 160 名参与 Building Recovery of Individual Dreams and Goals(BRIDGES)教育计划的参与者的变化来解决这一知识空白。BRIDGES 是一个由经过培训的指导员教授的同伴主导的 8 周课程,指导员公开披露他们正在从精神疾病中康复的事实。

方法

在接受 BRIDGES 之前的一个月和接受干预后,对参与者进行了评估康复结果的结构化访谈。进行配对 t 检验,以检验 BRIDGES 接受前后精神病症状、希望感、社会支持、自我倡导、赋权、适应性应对和康复的变化。

结果

BRIDGES 接受后,参与者报告精神病症状明显减少,适应不良应对行为减少,希望感、自我倡导、赋权和康复感增强。

结论

我们对 BRIDGES 进行的正在进行的研究的这些有希望的早期结果表明,同伴主导的教育干预措施是一种有价值的资源。需要进一步研究以更好地了解这些干预措施的有效性,包括潜在的长期方案后参与效益。

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