Peer-to-Peer Psychoeducation in Schizophrenia

作者：Christine Rummel, Wulf‐Peter Hansen, Alexandra Helbig, Gabriele Pitschel‐Walz, Werner Kissling · 发表于：The Journal of Clinical Psychiatry · 年份：2005 · DOI：10.4088/jcp.v66n1214 · 被引用次数：64 · 研究领域：Mental Health Treatment and Access、Mental Health and Patient Involvement、Schizophrenia research and treatment

OBJECTIVE: To evaluate the feasibility of the first peer-to-peer psychoeducation program in schizophrenia. METHOD: We developed a 5-step curriculum for structured training of peer moderators. In step 1, peer moderators participate in regular psychoeducation, and in step 2, they participate in workshops on knowledge about schizophrenia and moderation techniques. In step 3, peer moderators conduct peer-to-peer groups in the presence of a mental health professional, and in step 4, they conduct the groups independently with regular supervision. Further peer moderators are recruited in step 5. Psychoeducation by trained peer moderators comprises 8 60-minute group sessions (warm-up, symptoms, diagnosis, causes, medication, psychosocial therapy, warning signs, coping with schizophrenia) with 6 to 10 patients per group. The feasibility of the 5-step curriculum was evaluated by conducting a pilot study of 7 peer groups with 2 peer moderators. Evaluation of peer-moderated groups was done from January 2003 to July 2004 using inpatients of a university hospital who had schizophrenia or schizoaffective disorder according to ICD-10. The primary outcomes of interest were change in knowledge and concept of illness from baseline to endpoint. RESULTS: Two peer moderators conducted psychoeducational groups with a total of 49 patients in the presence of a physician (step 3). On the whole, conduction of peer-moderated groups worked well. Knowledge of illness increased significantly (N = 44, p < ....