Bipolar Disorder
Conditions
Keywords
Bipolar, Peers, DBSA
Brief summary
This pilot effectiveness trial will evaluate the feasibility, acceptability, and effectiveness of a structured peer support program based on the Certified Peer Specialist Program of the Depression and Bipolar Support Alliance (DBSA).
Detailed description
Bipolar disorder is a chronic and often disabling illness affecting 1-2% of US adults. Peer support programs are an innovative and promising model to reverse demoralization, activate consumers to seek more effective care, develop consumers' self-management skills, and restore participation in work and other social roles. Peer-led programs can address key barriers to dissemination of effective psychosocial treatment. This pilot effectiveness trial will evaluate the feasibility, acceptability, and effectiveness of a structured peer support program based on the Certified Peer Specialist Program of the Depression and Bipolar Support Alliance (DBSA). Following the philosophy of recovery, the intervention focuses on: * Motivating consumers to develop an expectation of recovery * Encouraging regular self-monitoring of mood symptoms * Training consumers to develop self-management skills for symptom control and problem solving * Activating consumers to be more informed partners in care and more effective self-advocates * Motivating and assisting consumers to reclaim work and other rewarding social roles The investigators will use a rigorous research design to evaluate how structured peer support promotes core values of mental health recovery. Impact of the intervention will be judged across a range of outcomes: * Long-term control of mood disorder symptoms * Optimal participation in work and other rewarding social roles * Consumers' perceptions of autonomy and full participation in the treatment process Findings from this pilot study will inform the development of a full-scale effectiveness trial to include a broader range of participants and health care settings.
Interventions
BEHAVIORALPeer support program
Sponsors
Kaiser Permanente
Study design
Allocation
RANDOMIZED
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* GHC members aged 18 and over with Bipolar Disorder Type 1 or Type 2 and at least 6 weeks during the past 3 months with a depression or mania/hypomania Psychiatric Status Rating of 3 or greater (indicating significant symptoms at least half of the time). Potential participants will not be excluded because of medical, psychiatric, or substance use comorbidity.
Exclusion criteria
* Children under age 18.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Mean differences in depression scores using the Structured Clinical Interview for DSM Disorders (SCID) for current depression and LIFE measure and timeline for depression | up to 9 months |
| Mania PSR scores using the Structured Clinical Interview for DSM Disorders (SCID) for mania/Hypo-mania and LIFE measure and timeline for mania | up to 9 months |
| Intervention program effects on consumer's perceptions of care across follow-ups using self-efficacy tool, POPP Empowerment (Well-Being Module) and Health Care Climate questionnaire | up to 9 months |
Secondary
| Measure | Time frame |
|---|---|
| Mean number of weeks with depression during follow-ups. | up to 9 months |
| Mean number of weeks using mania PSR scores during follow-ups. | up to 9 months |
Countries
United States
Outcome results
None listed