Corrigan Patrick W, Kraus Dana J, Pickett Susan A, Schmidt Annie, Stellon Ed, Hantke Erin, Lara Juana Lorena
Dr. Corrigan, Ms. Kraus, Ms. Schmidt, and Ms. Lara are with the Illinois Institute of Technology, Chicago. Dr. Pickett is with Advocates for Human Potential, Inc., Chicago. Mr. Stellon and Mr. Hantke are with Heartland Health Outreach, Chicago.
Psychiatr Serv. 2017 Mar 1;68(3):264-270. doi: 10.1176/appi.ps.201600134. Epub 2017 Jan 17.
The study examined the impact of a peer navigator program (PNP) developed by a community-based participatory research team and used with a group of African Americans with serious mental illness who were homeless.
Sixty-seven research participants were randomly assigned to receive PNP or treatment as usual (control) for one year. Data on general health and mental health, recovery, and quality of life were collected at baseline and at four, eight, and 12 months.
Findings from group × trial analyses of variance of omnibus measures of the four constructs showed significant impact over the year for participants in PNP compared with those in the control group, with analyses showing small to moderate effect sizes: general health status (η=.24), psychological experience of physical health (η=.42), recovery (η=.36), and quality of life (η=.14). These differences emerged even though both groups showed significant reductions in homelessness and increases in insurance coverage.
Implications for improving in-the-field health care for this population are discussed. Whether these results occurred because navigators were peers per se needs to be examined in future research.
本研究考察了一个由社区参与性研究团队开发的同伴导航项目（PNP）对一组患有严重精神疾病且无家可归的非裔美国人的影响。
67名研究参与者被随机分配接受PNP或常规治疗（对照组），为期一年。在基线以及4个月、8个月和12个月时收集有关总体健康和心理健康、康复及生活质量的数据。
对这四个结构的综合测量指标进行的组×试验方差分析结果显示，与对照组相比，PNP组参与者在这一年中有显著影响，分析显示效应量为小到中等：总体健康状况（η = 0.24）、身体健康的心理体验（η = 0.42）、康复（η = 0.36）和生活质量（η = 0.14）。尽管两组的无家可归情况都显著减少且保险覆盖范围都有所增加，但这些差异依然出现了。
讨论了对改善该人群现场医疗保健的启示。这些结果是否是因为导航员本身是同伴，这需要在未来的研究中加以考察。
