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Fortuna KL, Lebby S, Geiger P, Johnson D, MacDonald S, Chefetz I, Ferron JC, St George L, Rossom R, Kalisa J, Mestrovic T, Nicholson J, Pringle W, Rotondi AJ, Sippel LM, Sica A, Solesio ME, Wright M, Zisman-Ilani Y, Gambee D, Hill J, Brundrett A, Cather C, Rhee TG, Daumit GL, Angel J, Manion I, Deegan PE, Butler JA, Pitts N, Brodey DE, Williams AM, Parks J, Reimann B, Wahrenberger JT, Morgan O, Bradford DW, Bright N, Stafford E, Bohm AR, Carney T, Haragirimana C, Gold A, Storm M, Walker R. Lived Experience-Led Research Agenda to Address Early Death in People With a Diagnosis of a Serious Mental Illness: A Consensus Statement. JAMA Netw Open 2023; 6:e2315479. [PMID: 37234010 DOI: 10.1001/jamanetworkopen.2023.15479] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 05/27/2023] Open
Abstract
Importance People with serious mental illness (SMI), defined as a diagnosis of schizophrenia spectrum disorder, bipolar disorder, or disabling major depressive disorder) die approximately 10 to 25 years earlier than the general population. Objective To develop the first-ever lived experience-led research agenda to address early mortality in people with SMI. Evidence Review A virtual 2-day roundtable comprising 40 individuals convened on May 24 and May 26, 2022, and used a virtual Delphi method to arrive at expert group consensus. Participants responded to 6 rounds of virtual Delphi discussion via email that prioritized research topics and agreement on recommendations. The roundtable was composed of individuals with lived experience of mental health and/or substance misuse, peer support specialists, recovery coaches, parents and caregivers of people with SMI, researchers and clinician-scientists with and without lived experience, policy makers, and patient-led organizations. Twenty-two of 28 (78.6%) of the authors who provided data represented people with lived experiences. Roundtable members were selected by reviewing the peer-reviewed and gray literature on early mortality and SMI, direct email, and snowball sampling. Findings The following recommendations are presented in order of priority as identified by the roundtable participants: (1) improve the empirical understanding of the direct and indirect social and biological contributions of trauma on morbidity and early mortality; (2) advance the role of family, extended families, and informal supporters; (3) recognize the importance of co-occurring disorders and early mortality; (4) redefine clinical education to reduce stigma and support clinicians through technological advancements to improve diagnostic accuracy; (5) examine outcomes meaningful to people with an SMI diagnosis, such as loneliness and sense of belonging, and stigma and their complex relationship with early mortality; (6) advance the science of pharmaceuticals, drug discovery, and choice in medication use; (7) use precision medicine to inform treatment; and (8) redefine the terms system literacy and health literacy. Conclusions and Relevance The recommendations of this roundtable are a starting point for changing practice and highlighting lived experience-led research priorities as an option to move the field forward.
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Affiliation(s)
- Karen L Fortuna
- Geisel School of Medicine, Department of Psychiatry, Dartmouth College; Concord, New Hampshire
- Collaborative Design for Recovery and Health, Nashua, New Hampshire
| | - Stephanie Lebby
- Collaborative Design for Recovery and Health, Nashua, New Hampshire
- College of Nursing and Health Sciences, The University of Vermont, Burlington, Vermont
| | - Pamela Geiger
- Geisel School of Medicine, Department of Psychiatry, Dartmouth College; Concord, New Hampshire
- Collaborative Design for Recovery and Health, Nashua, New Hampshire
| | | | - Sandi MacDonald
- Collaborative Design for Recovery and Health, Nashua, New Hampshire
- International Association of Pre-Menstrual Disorders, Boston, Massachusetts
| | - Ilana Chefetz
- The Hormel Institute, University of Minnesota, Austin, Minnesota
| | - Joelle C Ferron
- Geisel School of Medicine, Department of Psychiatry, Dartmouth College; Concord, New Hampshire
| | | | | | - Joseph Kalisa
- OPROMAMER, Rwanda, Africa
- University of Rwanda, Rwanda, Africa
| | - Tomislav Mestrovic
- Institute for Health Metrics and Evaluation, University of Washington, Seattle, Washington
- Department of Health Metrics Sciences, University of Washington School of Medicine, Seattle, Washington
- University North, University Centre Varazdin, Varazdin, Croatia
| | - Joanne Nicholson
- The Heller School for Social Policy and Management, Brandeis University, Waltham, Massachusetts
| | | | - Armando J Rotondi
- Center for Behavioral Health, University of Pittsburgh, Pittsburgh, Pennsylvania
- Center for Health Equity Research and Promotion, Veterans Affairs Pittsburgh Healthcare System, Pittsburgh, Pennsylvania
- VA New England Mental Illness, Research, Education and Clinical Center (MIRECC), VA Pennsylvania Healthcare System, Pittsburgh
| | - Lauren M Sippel
- Geisel School of Medicine, Department of Psychiatry, Dartmouth College; Concord, New Hampshire
- Collaborative Design for Recovery and Health, Nashua, New Hampshire
- Northeast Program Evaluation Center, Department of Veterans Affairs, West Haven, Connecticut
- National Center for PTSD Evaluation Division, Department of Veterans Affairs, West Haven, Connecticut
| | - Amie Sica
- Riverside Community Mental Health, Dedham, Massachusetts
| | - Maria E Solesio
- Rutgers University, Department of Biology, Camden, New Jersey
| | - Maggie Wright
- Families in Trauma and Recovery, PeerLed, Lived Experience Social Enterprise, Fife Renewables Innovation Centre, Ajax Way, LEVEN, Fife, Scotland
| | - Yaara Zisman-Ilani
- Temple University, Department of Social and Behavioral Sciences, College of Public Health, Philadelphia, Pennsylvania
| | - David Gambee
- Geisel School of Medicine, Department of Psychiatry, Dartmouth College; Concord, New Hampshire
- Collaborative Design for Recovery and Health, Nashua, New Hampshire
| | - Julia Hill
- Geisel School of Medicine, Department of Psychiatry, Dartmouth College; Concord, New Hampshire
- Collaborative Design for Recovery and Health, Nashua, New Hampshire
| | | | - Corinne Cather
- Department of Psychiatry, Massachusetts General Hospital, Boston, Massachusetts
- Harvard Medical School, Boston, Massachusetts
| | - Taeho Greg Rhee
- VA New England Mental Illness, Research, Education and Clinical Center (MIRECC), VA Connecticut Healthcare System, West Haven, Connecticut
- Department of Psychiatry, School of Medicine, Yale University, New Haven, Connecticut
| | - Gail L Daumit
- Johns Hopkins University School of Medicine, Baltimore, Maryland
| | - Jessica Angel
- VA New England Mental Illness, Research, Education and Clinical Center (MIRECC), VA Pennsylvania Healthcare System, Pittsburgh
| | - Ian Manion
- Collaborative Design for Recovery and Health, Nashua, New Hampshire
| | | | - Jason A Butler
- Uncompagre Band of the Ute Indian Tribe from the Uintah and Ouray Agency in Fort Duchesne, Utah
| | | | | | | | - Joseph Parks
- The National Council for Mental Wellbeing, Washington, DC
| | - Brie Reimann
- The National Council for Mental Wellbeing, Washington, DC
| | - J Todd Wahrenberger
- Pittsburgh Mercy, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania
| | | | - Daniel W Bradford
- Office of Mental Health and Suicide Prevention, Department of Veterans Affairs, Washington, DC
- Duke University School of Medicine, Durham, North Carolina
| | - Nicole Bright
- L.E.A.R.N. (Lived Experience Academic and Research Network) Queensland, Australia
| | | | - Andrew R Bohm
- Geisel School of Medicine, Department of Psychiatry, Dartmouth College; Concord, New Hampshire
- Collaborative Design for Recovery and Health, Nashua, New Hampshire
- The Dartmouth Institute for Health Policy and Clinical Practice, Geisel School of Medicine, Dartmouth College, Lebanon, New Hampshire
| | - Tracy Carney
- Community Care Behavioral Health, UPMC Insurance Services Division, Pittsburgh, Pennsylvania
| | | | - Alisa Gold
- Collaborative Design for Recovery and Health, Nashua, New Hampshire
- Massachusetts Department of Mental Health, Boston, Massachusetts
| | - Marianne Storm
- Health Science, University of Stavanger, Stavanger, Norway
| | - Robert Walker
- Collaborative Design for Recovery and Health, Nashua, New Hampshire
- Massachusetts Department of Mental Health, Boston, Massachusetts
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Fortuna KL, Aschbrenner KA, Lohman MC, Brooks J, Salzer M, Walker R, St George L, Bartels SJ. Smartphone Ownership, Use, and Willingness to Use Smartphones to Provide Peer-Delivered Services: Results from a National Online Survey. Psychiatr Q 2018; 89:947-956. [PMID: 30056476 PMCID: PMC6413732 DOI: 10.1007/s11126-018-9592-5] [Citation(s) in RCA: 23] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
Assess certified peer specialists' smartphone ownership, use, and willingness to use smartphones to provide peer-delivered services. Certified peer specialist from 38 states completed an online survey. The final sample of 267 certified peer specialists included respondents from 38 states. The majority of certified peer specialists were female (73%; n = 195) and Caucasian (79.8%; n = 213), with an average age of 50.9 (SD = 12) years, range from 21 to 77 years. More than half of the certified peer specialists (82.1%; n = 184) were currently working in peer support positions. Of those who reported their mental health diagnoses, 11% reported their diagnosis as schizophrenia spectrum disorder, 22% of respondents reported bipolar disorder, and 23% reported persistent major depressive disorder. Nearly all respondents owned a smartphone (94.8%; n = 253), and everyone indicated that smartphones and tablets could enhance the services they deliver. Certified peer specialists reported substantial ownership and use of smartphones, comparable to existing national data. They are willing to deliver smartphone interventions for mental health and physical health self-management, suggesting that smartphones may be an increasingly useful tool for offering evidence-based care. Without Medicaid mandate, certified peer specialists are naturally trying to enhance peer delivered services with technology. Peer support could act as a mechanism to promote consumer engagement in a smartphone-based intervention. Certified peer specialist own and utilize smartphones, and the majority are willing to deliver technology-based and technology-enhanced interventions using these devices to address medical and psychiatric self-management.
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Affiliation(s)
- Karen L Fortuna
- Dartmouth Centers for Health and Aging, 46 Centerra Parkway, Suite 200, Lebanon, NH, 03766, USA. .,CDC Health Promotion Research Center at Dartmouth, Lebanon, NH, USA.
| | - Kelly A Aschbrenner
- Dartmouth Centers for Health and Aging, 46 Centerra Parkway, Suite 200, Lebanon, NH, 03766, USA.,CDC Health Promotion Research Center at Dartmouth, Lebanon, NH, USA
| | - Matthew C Lohman
- Arnold School of Public Health, Department of Epidemiology and Biostatistics, University of South Carolina, 921 Assembly St, Columbia, SC, 29208, USA
| | - Jessica Brooks
- Dartmouth Centers for Health and Aging, 46 Centerra Parkway, Suite 200, Lebanon, NH, 03766, USA.,CDC Health Promotion Research Center at Dartmouth, Lebanon, NH, USA
| | - Mark Salzer
- Temple University Department of Rehabilitation Sciences, 1700 N Broad St, Philadelphia, PA, 19121, USA
| | - Robert Walker
- Massachusetts Department of Mental Health, 25 Staniford St, Boston, MA, 02114, USA
| | - Lisa St George
- RI International, 2701 N. 16th Street, Phoenix, AZ, 85006, USA
| | - Stephen J Bartels
- Dartmouth Centers for Health and Aging, 46 Centerra Parkway, Suite 200, Lebanon, NH, 03766, USA.,CDC Health Promotion Research Center at Dartmouth, Lebanon, NH, USA.,The Dartmouth Institute for Health Policy and Clinical Practice, 1 Medical Center Drive, Lebanon, NH, 03766, USA
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Homenauth E, Ghiasi M, Feldman L, Arrouf N, Mallya S, Lacombe J, Pichika SC, Zhao K, Aibibula W, Krishnan R, Kajeguka D, Kaaya R, Protopopoff N, Mosha F, Desrochers R, Watts A, Kulkarni M, Saravu K, Nair S, Mukhopadhyay C, George LS, Pai M, Jiang H, Brown P, Blais L, Lefebvre G, Samoilenko M, Kulkarni M, Jolly A, Roy-Gagnon MH, Sander B, Gauvreau CL, Memon S, Popadiuk C, Flanagan WM, Nadeau C, Coldman AJ, Wolfson MC, Miller AB, Acar E, Cox J, Hamelin AM, McLinden T, Klein MB, Brassard P, Chong M, Martin J. The Canadian Society for Epidemiology and Biostatistics 2016 National Student Conference001INVESTIGATING ECOLOGICAL DETERMINANTS OF MALARIA VECTOR DISTRIBUTION IN RURAL TANZANIA “A MULTI-SCALAR INVESTIGATION”002PREVALENCE AND RISK FACTORS OF TUBERCULOSIS INFECTION AMONG HEALTHCARE TRAINEES IN SOUTH INDIA003SPATIAL MODELLING OF LUNG AND THYROID CANCERS IN UNITED STATES COUNTIES004A MEDIATION ANALYSIS TO ASSESS THE IMPACT OF INHALED CORTICOSTEROIDS (ICSS) DURING PREGNANCY ON BIRTHWEIGHT005MODELLING HUMAN RISK OF WEST NILE VIRUS IN ONTARIO, 2002-2013: INCORPORATING SURVEILLANCE AND ENVIRONMENTAL DATA006EXPLORING THE HEALTH OUTCOMES OF VARIOUS PAN-CANADIAN CERVICAL CANCER SCREENING PROGRAMS USING MICROSIMULATION MODELING007INTEGRATIVE ANALYSIS OF MICRORNA AND GENE EXPRESSION DATA USING SPARSE CANONICAL CORRELATION ANALYSIS008CONDITIONAL DEPENDENCE MODELS UNDER COVARIATE MEASUREMENT ERROR009ASSOCIATION BETWEEN FOOD INSECURITY AND HIV VIRAL SUPPRESSION: A SYSTEMATIC REVIEW AND META-ANALYSIS010ANTIBIOTICS VERSUS APPENDECTOMY FOR UNCOMPLICATED APPENDICITIS: A GLOBAL HEALTH PERSPECTIVE. Am J Epidemiol 2016. [DOI: 10.1093/aje/kww058] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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