Reinke, Britta, Mahlke, Candelaria, Botros, Christina, Klaering, Alexa, Lambert, Martin, Karow, Anne, Gallinat, Juergen, Zapf, Antonia, Ozga, Ann-Kathrin, Hoeller, Alexandra, Bustami, Nadia, Reimer, Jens, Ludtke, Jenny, Schaper, Oliver, Lison, Martin, Bechdolf, Andreas, Baumgardt, Johanna, Spiegel, Jennifer, Hardt, Olaf, Rout, Sandeep, Memarzadeh, Sonja, von Peter, Sebastian, Schwarz, Julian, Langer, Claudia, Glotz, Sabine, Frasch, Karel, Ruesch, Nicolas, Kuenstler, Ulf, Bock, Thomas and Becker, Thomas (2022). Study protocol of a randomized controlled trial evaluating home treatment with peer support for acute mental health crises (HoPe). BMC Psychiatry, 22 (1). LONDON: BMC. ISSN 1471-244X

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Abstract

Background: Home treatment (HT) is a treatment modality for patients with severe mental illness (SMI) in acute mental crises. It is frequently considered equivalent to psychiatric inpatient treatment in terms of treatment outcome. Peer Support (PS) means that people with lived experience of a mental illness are trained to support others on their way towards recovery. While PS is growing in international importance and despite a growing number of studies supporting its benefits, it is still not comprehensively implemented into routine care. The HoPe (Home Treatment with Peer Support) study investigates a combination of both - HT and PS - to provide further evidence for a recovery-oriented treatment of psychiatric patients. Methods: In our randomized controlled trial (RCT), HT with PS is compared with HT without PS within a network of eight psychiatric clinical centers from the North, South and East of Germany. We investigate the effects of a combination of both approaches with respect to the prevention of relapse/recurrence defined as first hospitalization after randomization (primary outcome), disease severity, general functioning, self-efficacy, psychosocial health, stigma resistance, recovery support, and service satisfaction (secondary outcomes). A sample of 286 patients will be assessed at baseline after admission to HT care (data point t(0)) and randomized into the intervention (HT+ PS) and control arm (HT). Follow-Up assessments will be conducted 2, 6 and 12 months after admission (resulting in three further data points, t(1) to t(3)) and will be analyzed via intention-to-treat approach. Discussion: This study may determine the positive effects of PS added to HT, prove additional evidence for the efficacy of PS and thereby facilitate its further implementation into psychiatric settings. The aim is to improve quality of mental health care and patients' recovery as well as to reduce the risk of relapses and hospitalizations for patients with SMI.

Item Type: Journal Article
Creators:
CreatorsEmailORCIDORCID Put Code
Reinke, BrittaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Mahlke, CandelariaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Botros, ChristinaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Klaering, AlexaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Lambert, MartinUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Karow, AnneUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Gallinat, JuergenUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Zapf, AntoniaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Ozga, Ann-KathrinUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Hoeller, AlexandraUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Bustami, NadiaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Reimer, JensUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Ludtke, JennyUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Schaper, OliverUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Lison, MartinUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Bechdolf, AndreasUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Baumgardt, JohannaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Spiegel, JenniferUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Hardt, OlafUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Rout, SandeepUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Memarzadeh, SonjaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
von Peter, SebastianUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Schwarz, JulianUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Langer, ClaudiaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Glotz, SabineUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Frasch, KarelUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Ruesch, NicolasUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Kuenstler, UlfUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Bock, ThomasUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Becker, ThomasUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
URN: urn:nbn:de:hbz:38-690337
DOI: 10.1186/s12888-022-04247-w
Journal or Publication Title: BMC Psychiatry
Volume: 22
Number: 1
Date: 2022
Publisher: BMC
Place of Publication: LONDON
ISSN: 1471-244X
Language: English
Faculty: Unspecified
Divisions: Unspecified
Subjects: no entry
Uncontrolled Keywords:
KeywordsLanguage
INPATIENT TREATMENT; RESOLUTION TEAMS; SELF-MANAGEMENT; ILLNESS; MODEL; IMPLEMENTATION; INTERVENTIONS; VALIDITY; PEOPLE; STIGMAMultiple languages
PsychiatryMultiple languages
URI: http://kups.ub.uni-koeln.de/id/eprint/69033

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