Cochrane · systematic review · CD010880

Peer support for people with schizophrenia or other serious mental illness

Chien, WT, Clifton, AV, Zhao, S, et al. · Cochrane Database of Systematic Reviews · 2019 · Cochrane Library

SchizophreniaAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
14
current version
GRADE rated
2
No studies
12
Included studies
NR
No studies 12 · 85.7%Ungraded 0 · 0%Very low 2 · 14.3%Low 0 · 0%Moderate 0 · 0%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Peer support plus standard care versus standard care for people with schizophrenia or similar serious mental illness

Population: people with schizophrenia or other serious mental illness
7 questions
OutcomeEffectEvidenceStatus / GRADE
Service use: hospital admission – medium term
Peer support plus standard care vs standard care
RR 0.44 [0.11, 1.75]1 study · 19 participantsVery low
Downgraded: risk of bias, imprecision, indirectness
Service use: days in hospital – medium term
Peer support plus standard care vs standard care
no estimate extractedNRNo studies
Global state: relapse
Peer support plus standard care vs standard care
no estimate extractedNRNo studies
Global state: clinically important change in global state
Peer support plus standard care vs standard care
no estimate extractedNRNo studies
Peer outcomes: clinically important change in quality of life for service user and peer supporter
Peer support plus standard care vs standard care
no estimate extractedNRNo studies
Adverse events: all cause – long term
Peer support plus standard care vs standard care
RR 1.52 [0.43, 5.31]1 study · 555 participantsVery low
Downgraded: risk of bias, imprecision, indirectness
Economic: indirect costs (cost to society)
Peer support plus standard care vs standard care
no estimate extractedNRNo studies

Peer support plus standard care versus clinician‐led support plus standard care for people with schizophrenia or similar serious mental illness

Population: people with schizophrenia or other serious mental illness
7 questions
OutcomeEffectEvidenceStatus / GRADE
Service use: hospital admission
Peer support plus standard care vs clinician‐led support plus standard care
no estimate extractedNRNo studies
Service use: days in hospital
Peer support plus standard care vs clinician‐led support plus standard care
no estimate extractedNRNo studies
Global state: relapse
Peer support plus standard care vs clinician‐led support plus standard care
no estimate extractedNRNo studies
Global state: clinically important change in global state
Peer support plus standard care vs clinician‐led support plus standard care
no estimate extractedNRNo studies
Peer outcomes: clinically important change in quality of life for service user and peer supporter
Peer support plus standard care vs clinician‐led support plus standard care
no estimate extractedNRNo studies
Adverse events: all cause
Peer support plus standard care vs clinician‐led support plus standard care
no estimate extractedNRNo studies
Economic: indirect costs (cost to society)
Peer support plus standard care vs clinician‐led support plus standard care
no estimate extractedNRNo studies