A pilot test of a peer navigator intervention for improving the health of individuals with serious mental illness

Erin Kelly, Anthony Fulginiti, Rohini Pahwa, Louise Tallen, Lei Duan, John S. Brekke

    Research output: Contribution to journalArticle

    Abstract

    Individuals with serious mental illness (SMI) are at considerably higher risk for morbidity and mortality than those in the general population. The current pilot trial is a preliminary examination of a peer health navigation intervention for improving health and healthcare utilization called the Bridge. Twenty-four individuals with SMI were randomly assigned to either peer navigation or treatment as usual (TAU). Navigators encouraged development of self-management of healthcare through a series of psychoeducation and behavioral strategies. Outcomes included a range of health consequences, as well as health utilization indices. After 6 months, compared to the TAU group, participants receiving the intervention experienced fewer pain and health symptoms. Participants changed their orientation about seeking care to a primary care provider (44.4 % vs. 83.3 %, χ(2) = 3.50, p < .05) rather than the emergency room (55.6 % vs. 0 %, χ(2) = 8.75, p < .01). Therefore, the Bridge intervention demonstrated considerable promise through positively impacting health and healthcare utilization.

    Original languageEnglish (US)
    Pages (from-to)435-446
    Number of pages12
    JournalCommunity mental health journal
    Volume50
    Issue number4
    DOIs
    StatePublished - May 1 2014

    Fingerprint

    mental illness
    Health
    health
    utilization
    Delivery of Health Care
    health consequences
    morbidity
    pain
    Self Care
    mortality
    Hospital Emergency Service
    Primary Health Care
    examination
    Morbidity
    Pain
    management
    Mortality
    Therapeutics
    Group
    Population

    ASJC Scopus subject areas

    • Health(social science)
    • Public Health, Environmental and Occupational Health
    • Psychiatry and Mental health

    Cite this

    A pilot test of a peer navigator intervention for improving the health of individuals with serious mental illness. / Kelly, Erin; Fulginiti, Anthony; Pahwa, Rohini; Tallen, Louise; Duan, Lei; Brekke, John S.

    In: Community mental health journal, Vol. 50, No. 4, 01.05.2014, p. 435-446.

    Research output: Contribution to journalArticle

    Kelly, Erin ; Fulginiti, Anthony ; Pahwa, Rohini ; Tallen, Louise ; Duan, Lei ; Brekke, John S. / A pilot test of a peer navigator intervention for improving the health of individuals with serious mental illness. In: Community mental health journal. 2014 ; Vol. 50, No. 4. pp. 435-446.
    @article{c7f5b8557c1045d2ac99966e748e9a62,
    title = "A pilot test of a peer navigator intervention for improving the health of individuals with serious mental illness",
    abstract = "Individuals with serious mental illness (SMI) are at considerably higher risk for morbidity and mortality than those in the general population. The current pilot trial is a preliminary examination of a peer health navigation intervention for improving health and healthcare utilization called the Bridge. Twenty-four individuals with SMI were randomly assigned to either peer navigation or treatment as usual (TAU). Navigators encouraged development of self-management of healthcare through a series of psychoeducation and behavioral strategies. Outcomes included a range of health consequences, as well as health utilization indices. After 6 months, compared to the TAU group, participants receiving the intervention experienced fewer pain and health symptoms. Participants changed their orientation about seeking care to a primary care provider (44.4 {\%} vs. 83.3 {\%}, χ(2) = 3.50, p < .05) rather than the emergency room (55.6 {\%} vs. 0 {\%}, χ(2) = 8.75, p < .01). Therefore, the Bridge intervention demonstrated considerable promise through positively impacting health and healthcare utilization.",
    author = "Erin Kelly and Anthony Fulginiti and Rohini Pahwa and Louise Tallen and Lei Duan and Brekke, {John S.}",
    year = "2014",
    month = "5",
    day = "1",
    doi = "10.1007/s10597-013-9616-4",
    language = "English (US)",
    volume = "50",
    pages = "435--446",
    journal = "Community Mental Health Journal",
    issn = "0010-3853",
    publisher = "Springer Netherlands",
    number = "4",

    }

    TY - JOUR

    T1 - A pilot test of a peer navigator intervention for improving the health of individuals with serious mental illness

    AU - Kelly, Erin

    AU - Fulginiti, Anthony

    AU - Pahwa, Rohini

    AU - Tallen, Louise

    AU - Duan, Lei

    AU - Brekke, John S.

    PY - 2014/5/1

    Y1 - 2014/5/1

    N2 - Individuals with serious mental illness (SMI) are at considerably higher risk for morbidity and mortality than those in the general population. The current pilot trial is a preliminary examination of a peer health navigation intervention for improving health and healthcare utilization called the Bridge. Twenty-four individuals with SMI were randomly assigned to either peer navigation or treatment as usual (TAU). Navigators encouraged development of self-management of healthcare through a series of psychoeducation and behavioral strategies. Outcomes included a range of health consequences, as well as health utilization indices. After 6 months, compared to the TAU group, participants receiving the intervention experienced fewer pain and health symptoms. Participants changed their orientation about seeking care to a primary care provider (44.4 % vs. 83.3 %, χ(2) = 3.50, p < .05) rather than the emergency room (55.6 % vs. 0 %, χ(2) = 8.75, p < .01). Therefore, the Bridge intervention demonstrated considerable promise through positively impacting health and healthcare utilization.

    AB - Individuals with serious mental illness (SMI) are at considerably higher risk for morbidity and mortality than those in the general population. The current pilot trial is a preliminary examination of a peer health navigation intervention for improving health and healthcare utilization called the Bridge. Twenty-four individuals with SMI were randomly assigned to either peer navigation or treatment as usual (TAU). Navigators encouraged development of self-management of healthcare through a series of psychoeducation and behavioral strategies. Outcomes included a range of health consequences, as well as health utilization indices. After 6 months, compared to the TAU group, participants receiving the intervention experienced fewer pain and health symptoms. Participants changed their orientation about seeking care to a primary care provider (44.4 % vs. 83.3 %, χ(2) = 3.50, p < .05) rather than the emergency room (55.6 % vs. 0 %, χ(2) = 8.75, p < .01). Therefore, the Bridge intervention demonstrated considerable promise through positively impacting health and healthcare utilization.

    UR - http://www.scopus.com/inward/record.url?scp=84904051240&partnerID=8YFLogxK

    UR - http://www.scopus.com/inward/citedby.url?scp=84904051240&partnerID=8YFLogxK

    U2 - 10.1007/s10597-013-9616-4

    DO - 10.1007/s10597-013-9616-4

    M3 - Article

    C2 - 23744292

    AN - SCOPUS:84904051240

    VL - 50

    SP - 435

    EP - 446

    JO - Community Mental Health Journal

    JF - Community Mental Health Journal

    SN - 0010-3853

    IS - 4

    ER -