Pilot Test of Using Peer Specialists to Deliver Cognitive-Behavioral Social Skills Training.

Matthew Chinman, Sharon McCarthy, Jason Holden, Peter Link, Eric Granholm
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Abstract

A pilot study of Veterans with serious mental illness assessed fidelity and preliminary outcomes of peer specialist (PS)-delivered Cognitive-Behavioral Social Skills Training (CBSST). A single-arm, baseline-post pilot involved 4 PSs and 12 Veterans, split between two sites. Five functioning and symptom measures were administered before and after the 12-week intervention. Half of all sessions were rated on a standardized fidelity measure. Four outcomes (symptoms, hope, defeatist attitudes, skill learning) showed statistically significant improvement. Effect sizes and fidelity ratings matched previous trials with the training, and the fidelity ratings exceeded the threshold for competence. Although more research is needed, PSs could improve services for serious mental illness by delivering structured interventions.

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利用同伴专家提供认知行为社会技能训练的试点测试。
一项针对患有严重精神疾病的退伍军人的初步研究评估了同伴专家(PS)提供的认知行为社会技能训练(CBSST)的保真度和初步效果。一项单臂基线哨试验涉及4名警察和12名退伍军人,分散在两个地点。在12周干预前后分别进行5项功能和症状测量。所有会话中有一半是按照标准化的保真度标准进行评分的。四项结果(症状、希望、失败主义态度、技能学习)在统计学上有显著改善。效应量和保真度评级与先前的试验与训练相匹配,保真度评级超过了能力阈值。虽然需要更多的研究,但ps可以通过提供结构化的干预措施来改善对严重精神疾病的服务。
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