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.
Psychiatr Serv. 2018 Apr 1;69(4):456-461. doi: 10.1176/appi.ps.201700241. Epub 2017 Dec 15.
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.
在一项随机对照试验中，研究了同伴导航员计划（PNP）对解决有严重精神疾病的拉丁裔人群健康需求的影响。
将 110 名有严重精神疾病的拉丁裔患者随机分配到 PNP（同伴导航员[PN]的综合护理）或常规治疗对照组（没有 PN 的综合护理），为期一年。每周评估服务参与情况（预约和接受预约），基线和 4、8 和 12 个月时收集自我报告的康复、赋权和生活质量。
组间协方差分析（ANCOVA）的结果发现了预约和实现预约的主要和交互效应，表明与对照组相比，PNP 组在研究过程中预约和实现预约的情况更好。在康复、赋权和生活质量方面发现了显著的交互作用，表明与对照组相比，PNP 组在研究的第一年有更大的改善（多变量 ANCOVA；F=3.27，df=9 和 98，p<.01）。
现场导航员的导航似乎可以提高服务参与度、康复和生活质量。这些结果是否是因为导航员帮助克服了治疗障碍——而不管他们本身是否是同伴——需要在未来的研究中进行检验。
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