Karen L. Fortuna|Peter R. DiMilia|Matthew C. Lohman|Martha L. Bruce|Cynthia Zubritsky|Mitch R. Halaby|R. M. Walker|Jessica Brooks|Stephen J. Bartels
Feasibility, Acceptability, and Preliminary Effectiveness of a Peer-Delivered and Technology Supported Self-Management Intervention for Older Adults with Serious Mental Illness
Dartmouth College|University of Pennsylvania|Center for Independent Living|Massachusetts Department of Mental Health|Dartmouth College|Dartmouth Psychiatric Research Center
assess feasibility acceptability preliminary effectiveness peerdelivered technology supported integrated medical psychiatric selfmanagement intervention older adults serious mental illness ten older adults serious mental illness ie schizophrenia schizoaffective disorder bipolar disorder major depressive disorder medical comorbidity ie cardiovascular disease obesity diabetes chronic obstructive pulmonary disease hypertension andor high cholesterol aged 60 years older received peertech intervention homes three certified peer specialists trained deliver peertech data collected baseline onemonth threemonth pilot study demonstrated threemonth peerdelivered technologysupported integrated medical psychiatric selfmanagement intervention peertech experienced peer specialists participants feasible acceptable peertech associated statistically significant improvements psychiatric selfmanagement addition prepost nonstatistically significant improvements observed selfefficacy managing chronic health conditions hope quality life medical selfmanagement skills empowerment prepost pilot study demonstrated possible train peers use technology deliver integrated psychiatric medical selfmanagement intervention homebased setting older adults serious mental illness fidelity findings provide preliminary evidence peerdelivered technologysupported intervention designed improve medical psychiatric selfmanagement feasible acceptable potentially associated improvements psychiatric selfmanagement selfefficacy managing chronic health conditions hope quality life medical selfmanagement skills empowerment older adults serious mental illness chronic health conditions