PMID- 34034693
OWN - NLM
STAT- MEDLINE
DCOM- 20210625
LR  - 20220531
IS  - 1471-244X (Electronic)
IS  - 1471-244X (Linking)
VI  - 21
IP  - 1
DP  - 2021 May 25
TI  - The social support, mental health, psychiatric symptoms, and functioning of 
      persons with schizophrenia participating in peer co-delivered vocational 
      rehabilitation: a pilot study in Taiwan.
PG  - 268
LID - 10.1186/s12888-021-03277-0 [doi]
LID - 268
AB  - BACKGROUND: Vocational peer support (VPS) services are recovery-oriented 
      interventions in modern psychiatric care for persons with schizophrenia. However, 
      few VPS services are found in Taiwan. Hence, a pilot program of peer co-delivered 
      vocational rehabilitation to support persons with schizophrenia in Taiwan was 
      proposed and evaluated. METHODS: Six peers were trained and were willing to 
      co-lead and assist workplace problem-solving groups and care skills training in 
      an extended vocational rehabilitation program from August 2017 to December 2018. 
      The social support, mental health, psychiatric symptoms, and functioning of 
      service users were assessed before and after peer co-delivered services, and the 
      assessments were based on the following: Social Support Scale (SSS), Chinese 
      Health Questionnaire-12 (CHQ-12), Brief Psychiatric Rating Scale (BPRS), Global 
      Assessment of Function (GAF), and the Chinese version of the Social Functioning 
      Scale (C-SFS). RESULTS: The recruited 46 service users were mostly middle-aged 
      (49.1 +/- 9.8), with 27 being male (58.7%). After interventions, 42 service users 
      who completed the program had a significantly increased SSS score (149.1 +/- 31.8 
      vs. 161.2 +/- 35.0, df = 41, t = 2.70, p = 0.01) and subscale of friend-peer 
      dimension (44.4 +/- 12.0 vs. 53.2 +/- 13.2, df = 41, t = 4.72, p < 0.001). The 
      objective (GAF: 69.8 +/- 9.8 vs. 72.6 +/- 8.8, df = 41, t = 3.50, p = 0.001) and 
      subjective social functional scores (C-SFS: 75.2 +/- 8.8 vs. 78.1 +/- 9.5, df = 41, 
      t = 2.59, p = 0.01) both significantly increased. The weekly wage elevated 
      significantly (37.5 +/- 35.5 vs. 43.6 +/- 38.0, df = 41, t = 2.57, p = 0.01) and the 
      BPRS-18 score decreased significantly, too (31.2 +/- 6.7 vs. 29.3 +/- 5.0, df = 41, 
      t = - 2.83, p = 0.007). CONCLUSIONS: Peer co-delivered vocational rehabilitation 
      services may enhance the social support received by persons with schizophrenia 
      and improve their occupational outcomes. The pilot program proposed can thus be a 
      model for non-Western countries with limited resources allocated by governments 
      to support persons with schizophrenia. TRIAL REGISTRATION: ClinicalTrials 
      NCT04767204, retrospectively registered on Feb 23, 2021.
FAU - Cheng, Kan-Yuan
AU  - Cheng KY
AUID- ORCID: 0000-0002-8859-870X
AD  - Department of Psychiatry, Taipei Veterans General Hospital Yuli Branch, Yuli 
      Township, Hualian County, Taiwan, 98142. limbic.cheng@gmail.com.
FAU - Yen, Chia-Feng
AU  - Yen CF
AD  - Department of Public Health, Tzu-Chi University, Hualian City, Hualian County, 
      Taiwan, 97071.
LA  - eng
SI  - ClinicalTrials.gov/NCT04767204
GR  - VHYL-107-11/Research Foundation of Taipei Veterans General Hospital Yuli Branch/
PT  - Clinical Study
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20210525
PL  - England
TA  - BMC Psychiatry
JT  - BMC psychiatry
JID - 100968559
SB  - IM
MH  - Humans
MH  - Male
MH  - *Mental Health
MH  - Middle Aged
MH  - Pilot Projects
MH  - Rehabilitation, Vocational
MH  - *Schizophrenia
MH  - Social Support
MH  - Taiwan
PMC - PMC8147035
OTO - NOTNLM
OT  - Mental illness
OT  - Peer support
OT  - Vocational rehabilitation
COIS- The authors declare that they have no competing interests.
EDAT- 2021/05/27 06:00
MHDA- 2021/06/29 06:00
PMCR- 2021/05/25
CRDT- 2021/05/26 05:44
PHST- 2020/07/28 00:00 [received]
PHST- 2021/05/11 00:00 [accepted]
PHST- 2021/05/26 05:44 [entrez]
PHST- 2021/05/27 06:00 [pubmed]
PHST- 2021/06/29 06:00 [medline]
PHST- 2021/05/25 00:00 [pmc-release]
AID - 10.1186/s12888-021-03277-0 [pii]
AID - 3277 [pii]
AID - 10.1186/s12888-021-03277-0 [doi]
PST - epublish
SO  - BMC Psychiatry. 2021 May 25;21(1):268. doi: 10.1186/s12888-021-03277-0.