{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T03:36:47Z","timestamp":1790825807248,"version":"4.1.0"},"reference-count":41,"publisher":"Cambridge University Press (CUP)","license":[{"start":{"date-parts":[[2024,10,11]],"date-time":"2024-10-11T00:00:00Z","timestamp":1728604800000},"content-version":"unspecified","delay-in-days":284,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Epidemiol Psychiatr Sci"],"published-print":{"date-parts":[[2024]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"S2045796024000556_sec1a\">\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>The aims of this feasibility trial were to assess the acceptability and feasibility of peer-led recovery groups for people with psychosis in a low-resource South African setting, to assess the feasibility of trial methods, and to determine key parameters in preparation for a definitive trial.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S2045796024000556_sec2b\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The design was an individually randomised feasibility trial comparing recovery groups in addition to treatment as usual (TAU) with TAU alone. Ninety-two isiXhosa-speaking people with psychosis and forty-seven linked caregivers were recruited from primary care clinics and randomly allocated to trial arms in a 1:1 allocation ratio. TAU comprised anti-psychotic medication delivered in primary care. The intervention arm comprised six recovery groups including service users and caregivers. Two-hour recovery group sessions were delivered weekly in a 2-month auxiliary social worker (ASW)-led phase, then a 3-month peer-led phase. To explore acceptability and feasibility, a mixed methods process evaluation included 25 in-depth interviews and 2 focus group discussions at 5\u00a0months with service users, caregivers and implementers, and quantitative data collection including attendance and facilitator competence. To explore potential effectiveness, quantitative outcome data (functioning, relapse, unmet needs, personal recovery, stigma, health service use, medication adherence and caregiver burden) were collected at baseline, 2\u00a0months and 5\u00a0months post randomisation. Trial registration: PACTR202202482587686.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S2045796024000556_sec3c\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Qualitative interviews revealed that recovery groups were broadly acceptable with most participants finding groups to be an enjoyable opportunity for social interaction, and joint problem-solving. Peer facilitation was a positive experience; however a minority of participants did not value expertise by lived experience to the same degree as expertise of professional facilitators. Attendance was moderate in the ASW-led phase (participants attended 59% sessions on average) and decreased in the peer-led phase (41% on average). Participants desired a greater focus on productive activities and financial security. Recovery groups appeared to positively impact on relapse. Relapse occurred in 1 (2.2%) of 46 participants in the recovery group arm compared to 8 (17.4%) of 46 participants in the control arm (risk difference -0.15 [95% CI: \u22120.26; \u22120.05]). Recovery groups also impacted on the number of days in the last month totally unable to work (mean 1.4\u00a0days recovery groups vs 7.7\u00a0days control; adjusted mean difference \u22126.3 [95%CI: \u221212.2; \u22120.3]). There were no effects on other outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S2045796024000556_sec4d\">\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Peer-led recovery groups for people with psychosis in South Africa are potentially acceptable, feasible and effective. A larger trial, incorporating amendments such as increased support for peer facilitators, is needed to demonstrate intervention effectiveness definitively.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1017\/s2045796024000556","type":"journal-article","created":{"date-parts":[[2024,10,11]],"date-time":"2024-10-11T03:00:32Z","timestamp":1728615632000},"source":"Crossref","is-referenced-by-count":17,"title":["Peer-led recovery groups for people with psychosis in South Africa (PRIZE): Results of a randomized controlled feasibility trial"],"prefix":"10.1017","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9857-6766","authenticated-orcid":false,"given":"Laura","family":"Asher","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bongwekazi","family":"Rapiya","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julie","family":"Repper","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tarylee","family":"Reddy","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bronwyn","family":"Myers","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gill","family":"Faris","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3573-4229","authenticated-orcid":false,"given":"Inge","family":"Petersen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7937-3226","authenticated-orcid":false,"given":"Charlotte","family":"Hanlon","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9489-8717","authenticated-orcid":false,"given":"Carrie","family":"Brooke-Sumner","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2024,10,11]]},"reference":[{"key":"S2045796024000556_ref10","article-title":"CONSORT 2010 statement: Extension to randomised pilot and feasibility trials","volume":"355","author":"Eldridge","year":"2016","journal-title":"BMJ"},{"key":"S2045796024000556_ref25","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(18)31612-X"},{"key":"S2045796024000556_ref36","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbtep.2019.02.007"},{"key":"S2045796024000556_ref27","doi-asserted-by":"publisher","DOI":"10.1177\/15586898221126816"},{"key":"S2045796024000556_ref14","doi-asserted-by":"publisher","DOI":"10.1186\/s13063-016-1191-x"},{"key":"S2045796024000556_ref8","article-title":"Peer support for people with schizophrenia or other serious mental illness","volume":"4","author":"Chien","year":"2019","journal-title":"Cochrane Database of Systematic Reviews"},{"key":"S2045796024000556_ref39","volume-title":"Peer support mental health services: Promoting person-centred and rights-based approaches","year":"2021b"},{"key":"S2045796024000556_ref24","doi-asserted-by":"publisher","DOI":"10.1080\/18387357.2021.2020140"},{"key":"S2045796024000556_ref21","doi-asserted-by":"publisher","DOI":"10.15288\/jsad.2017.78.88"},{"key":"S2045796024000556_ref6","doi-asserted-by":"publisher","DOI":"10.1186\/s12888-015-0400-6"},{"key":"S2045796024000556_ref4","doi-asserted-by":"publisher","DOI":"10.1108\/MHSI-03-2017-0014"},{"key":"S2045796024000556_ref26","first-page":"335","article-title":"Developing the group facilitation assessment of competencies tool for group-based mental health and psychosocial support interventions in humanitarian and low-resource settings","volume":"7","author":"Pedersen","year":"2021","journal-title":"Journal on Education in Emergencies"},{"key":"S2045796024000556_ref38","volume-title":"Comprehensive Mental Health Action Plan 2013\u20132030","year":"2021a"},{"key":"S2045796024000556_ref9","doi-asserted-by":"publisher","DOI":"10.1093\/heapol\/czz085"},{"key":"S2045796024000556_ref15","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbi.2019.103208"},{"key":"S2045796024000556_ref18","doi-asserted-by":"publisher","DOI":"10.1007\/s10597-021-00800-1"},{"key":"S2045796024000556_ref3","doi-asserted-by":"publisher","DOI":"10.1186\/s40814-022-01232-8"},{"key":"S2045796024000556_ref7","doi-asserted-by":"publisher","DOI":"10.1007\/s10597-018-0318-9"},{"key":"S2045796024000556_ref32","doi-asserted-by":"publisher","DOI":"10.1017\/9781911623441"},{"key":"S2045796024000556_ref23","doi-asserted-by":"publisher","DOI":"10.1186\/1752-4458-5-30"},{"key":"S2045796024000556_ref13","doi-asserted-by":"publisher","DOI":"10.1177\/0004867414564084"},{"key":"S2045796024000556_ref28","unstructured":"QSR 2020. 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