{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T01:37:11Z","timestamp":1787017031434,"version":"build-2736575974"},"reference-count":87,"publisher":"BMJ","issue":"1","license":[{"start":{"date-parts":[[2026,1,14]],"date-time":"2026-01-14T00:00:00Z","timestamp":1768348800000},"content-version":"unspecified","delay-in-days":13,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"name":"Molde University College","award":["Internally funded"],"award-info":[{"award-number":["Internally funded"]}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2025,12,3]]},"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Persons with serious mental illness (SMI) often have coexisting medical conditions and experience a significantly reduced life expectancy compared with the general population. Peer support is considered an effective care approach for this population, and with rapid technological advancements, digital peer support, such as the DigiPer mobile application, can be a feasible self-management tool for persons with SMI. The study aims to assess the feasibility of DigiPer for persons with SMI in the Norwegian community mental health service settings.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods and analysis<\/jats:title>\n                    <jats:p>This feasibility study will incorporate both qualitative and quantitative methods. The study consists of three phases: (1) simulation-based training among peer support workers using qualitative individual interviews; (2) pre\u2013post study of DigiPer among peer support workers and service users using quantitative questionnaires and (3) process evaluation for peer support workers and service users using qualitative individual interviews. Peer support workers (n=5) and service users with SMI (n=15) will be recruited to evaluate the feasibility of DigiPer.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Ethics and dissemination<\/jats:title>\n                    <jats:p>Ethics approval was granted from the Regional Committee for Medical Research Ethics (reference no. 853041), along with an assessment of processing of personal data by the Norwegian Agency for Shared Services in Education and Research (reference no. 810990). Findings will be disseminated through peer-reviewed publications and presentations at relevant national and international scientific conferences.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2025-111869","type":"journal-article","created":{"date-parts":[[2026,1,14]],"date-time":"2026-01-14T16:00:21Z","timestamp":1768406421000},"page":"e111869","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["Testing a mobile peer support intervention for persons with serious mental illness (DigiPer) in community mental health services: a feasibility study protocol"],"prefix":"10.1136","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5667-8361","authenticated-orcid":false,"given":"Bo","family":"Wang","sequence":"first","affiliation":[{"name":"Faculty of Health Sciences and Social Care, Molde University College, Molde, Norway"},{"name":"Norwegian Centre for E-Health Research, University Hospital of North Norway, Troms\u00f8, Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ingunn","family":"Mundal","sequence":"additional","affiliation":[{"name":"Faculty of Health Sciences and Social Care, Molde University College, Molde, Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karen","family":"Fortuna","sequence":"additional","affiliation":[{"name":"Department of Community and Family Medicine, Dartmouth College Geisel School of Medicine, Hanover, New Hampshire, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cecilie Katrine Utheim","family":"Gr\u00f8nvik","sequence":"additional","affiliation":[{"name":"Faculty of Health Sciences and Social Care, Molde University College, Molde, Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Trude Fl\u00f8ystad","family":"Eines","sequence":"additional","affiliation":[{"name":"Faculty of Health Sciences and Social Care, Molde University College, Molde, Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Miroslav","family":"Muzny","sequence":"additional","affiliation":[{"name":"Norwegian Centre for E-Health Research, University Hospital of North Norway, Troms\u00f8, Norway"},{"name":"Hubro Research AS, Troms\u00f8, Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jorunn N\u00e6rland","family":"Skj\u00e6rpe","sequence":"additional","affiliation":[{"name":"Department of Public Health, University of Stavanger, Stavanger, Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1139-5947","authenticated-orcid":false,"given":"Marianne","family":"Storm","sequence":"additional","affiliation":[{"name":"Faculty of Health Sciences and Social Care, Molde University College, Molde, Norway"},{"name":"Department of Public Health, University of Stavanger, Stavanger, Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2026,1,14]]},"reference":[{"key":"2026011408001268000_16.1.e111869.1","doi-asserted-by":"crossref","first-page":"1255","DOI":"10.1176\/appi.ps.202100661","article-title":"Reliability of the Term \u201cSerious Mental Illness\u201d: A Systematic Review","volume":"73","author":"Gonzales","year":"2022","journal-title":"Psychiatr Serv"},{"key":"2026011408001268000_16.1.e111869.2","doi-asserted-by":"crossref","first-page":"1172","DOI":"10.1001\/jamapsychiatry.2015.1737","article-title":"Premature Mortality Among Adults With Schizophrenia in the United States","volume":"72","author":"Olfson","year":"2015","journal-title":"JAMA Psychiatry"},{"key":"2026011408001268000_16.1.e111869.3","doi-asserted-by":"crossref","first-page":"428","DOI":"10.1016\/j.psym.2020.06.003","article-title":"End-of-Life Care in Individuals With Serious Mental Illness","volume":"61","author":"Shalev","year":"2020","journal-title":"Psychosomatics"},{"key":"2026011408001268000_16.1.e111869.4","doi-asserted-by":"crossref","first-page":"675","DOI":"10.1016\/S2215-0366(19)30132-4","article-title":"The Lancet Psychiatry Commission: a blueprint for protecting physical health in people with mental illness","volume":"6","author":"Firth","year":"2019","journal-title":"Lancet Psychiatry"},{"key":"2026011408001268000_16.1.e111869.5","first-page":"1","article-title":"Morbidity and mortality in people with serious mental illness","volume":"25","author":"Parks","year":"2006","journal-title":"Mental Health Program Directors (NASMHPD) Medical Directors Council"},{"key":"2026011408001268000_16.1.e111869.6","doi-asserted-by":"publisher","DOI":"10.1097\/JCP.0b013e31823f3c43"},{"key":"2026011408001268000_16.1.e111869.7","doi-asserted-by":"crossref","DOI":"10.3389\/fpsyt.2014.00137","article-title":"Increased mortality in schizophrenia due to cardiovascular disease - 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