Evaluation of Peer Specialists on VA PACTs | NCT02732600

Name	Class
US Department of Veterans Affairs	FED

Evaluation of Peer Specialists on VA PACTs | NCT02732600 | Trialant

Description Module

Arms/Interventions Module

Arm Groups

Label	Type	Description	Intervention Names
Standard Implementation	No Intervention	Standard Implementation sites will receive written guidance and limited consultation by the investigators' team.
Facilitated Implementation	Experimental	Facilitated Implementation sites will receive one year of support based on the i-PARIHS implementation model which includes training, implementation planning, ongoing external facilitation, feedback and consultation.	Other: Facilitated Implementation

Interventions

Name	Type	Description	Arm Group Labels	Other Names
Facilitated Implementation	Other	Facilitated Implementation sites will receive one year of support based on the i-PARIHS implementation model which includes training, implementation planning, ongoing external facilitation, feedback and consultation

Outcomes Module

Primary Outcomes

Measure	Description	Time Frame
Patient Activation Measure Change	The Patient Activation Measure (PAM) is a 13-item survey that measures an individual's perceived ability to manage his or her illness and health behaviors and act as an effective patient. It has been shown to be reliable, valid, sensitive to change and correlates with measures of improved self-management. Scores for this outcome range from Zero to One Hundred with higher scores indicating higher levels of patient activation (better outcome).	Baseline, 6 months, 1 year

Secondary Outcomes

Measure	Description	Time Frame
Team Development Measure	The Team Development Measure is a 31 item self-report survey that evaluates the degree to which a team has and uses the components needed for highly effective teamwork including cohesiveness, communication, role clarity, and goals and means clarity. All components min scores are zero % and maximum is 100%; higher percentages mean positive responses.	Baseline, 6 months, 1 year

Contacts/Locations Module

Overall Officials

Name	Affiliation	Role
Matthew J. Chinman, PhD	VA Pittsburgh Healthcare System University Drive Division, Pittsburgh, PA	Principal Investigator
Richard W Goldberg, PhD	Baltimore VA Medical Center VA Maryland Health Care System, Baltimore, MD	Principal Investigator

Facility	Status	City	State	ZIP	Country	Contacts
Southern Arizona VA Health Care System, Tucson, AZ		Tucson	Arizona	85723	United States
VA Palo Alto Health Care System, Palo Alto, CA

References Module

Citations

PubMed Identifier	Type	Citation	Retractions
36127539	Derived	Peeples AD, Muralidharan A, McCarthy S, Goldberg R, Kuykendall L, Vineyard N, Chinman M. Barriers and Enablers to Implementing Peer Specialists in Veterans Health Administration Primary Care: a Qualitative Study. J Gen Intern Med. 2023 Feb;38(3):707-714. doi: 10.1007/s11606-022-07782-0. Epub 2022 Sep 20.
34099004	Derived

Results Section

Participant Flow Module

Arm/Group Information

ID	Title	Description
FG000	Standard Implementation	Standard Implementation sites will receive written guidance and limited consultation by the investigators' team.
FG001	Facilitated Implementation	Facilitated Implementation sites will receive one year of support based on the i-PARIHS implementation model which includes training, implementation planning, ongoing external facilitation, feedback and consultation. Facilitated Implementation: Facilitated Implementation sites will receive one year of support based on the i-PARIHS implementation model which includes training, implementation planning, ongoing external facilitation, feedback and consultation

Baseline Characteristics Module

Outcome Measures Module

Adverse Events Module

More Info Module

Document Section

Large Document Module

Uploaded Document Information

Type	Includes Protocol	Includes SAP	Includes ICF	Document Label	Document Date	Document Uploaded Date	Document File Name
Prot_SAP	Yes	Yes	No	Study Protocol and Statistical Analysis Plan	Apr 22, 2017

Arm/Group Information

ID	Title	Description
BG000	Standard Implementation	Standard Implementation sites will receive written guidance and limited consultation by the investigators' team.
BG001	Facilitated Implementation	Facilitated Implementation sites will receive one year of support based on the i-PARIHS implementation model which includes training, implementation planning, ongoing external facilitation, feedback and consultation. Facilitated Implementation: Facilitated Implementation sites will receive one year of support based on the i-PARIHS implementation model which includes training, implementation planning, ongoing external facilitation, feedback and consultation
BG002	Total	Total of all reporting groups

Baseline Measures

Title

Description

Population Description

Parameter Type

Dispersion Type

Unit of Measure

Calculate Percentage

Denominator Units Selected

Denominators

Classes

Age, Continuous

numbers vary across variables due to missing data

Mean

Standard Deviation

years

Title

Denominators

Categories

- ParticipantsBG000160
- ParticipantsBG001208
- ParticipantsBG002368

Title	Measurements

Sex: Female, Male

numbers vary from total sample due to missing data

numbers vary from total due to missing data

Count of Participants

Participants

Title	Denominators	Categories
	ParticipantsBG000160 ParticipantsBG001203 ParticipantsBG002

Race (NIH/OMB)

numbers vary due to missing data

Count of Participants

Participants

Title	Denominators	Categories
	ParticipantsBG000152 ParticipantsBG001196 ParticipantsBG002

Type

Title

Description

Population Description

Reporting Status

Anticipated Posting Date

Parameter Type

Dispersion Type

Unit of Measure

Calculate Percentage

Time Frame

Units Analyzed

Denominator Units Selected

Arm/Group Information

Denominators

Classes

Analyses

Primary

Patient Activation Measure Change

The Patient Activation Measure (PAM) is a 13-item survey that measures an individual's perceived ability to manage his or her illness and health behaviors and act as an effective patient. It has been shown to be reliable, valid, sensitive to change and correlates with measures of improved self-management. Scores for this outcome range from Zero to One Hundred with higher scores indicating higher levels of patient activation (better outcome).

Comparison across two conditions on PAM Total Score - PAM Total Score (0-100)

Posted

Mean

Standard Deviation

Score on a scale

Baseline, 6 months, 1 year

ID	Title	Description
OG000	Standard Implementation	Standard Implementation sites will receive written guidance and limited consultation by the investigators' team.
OG001	Facilitated Implementation	Facilitated Implementation sites will receive one year of support based on the i-PARIHS implementation model which includes training, implementation planning, ongoing external facilitation, feedback and consultation. Facilitated Implementation: Facilitated Implementation sites will receive one year of support based on the i-PARIHS implementation model which includes training, implementation planning, ongoing external facilitation, feedback and consultation

Units	Counts
Participants	OG000194 OG001221

Title

Denominators

Categories

Baseline-PAM Total

- ParticipantsOG000194
- ParticipantsOG001221

Title	Measurements
	OG00041.0± 5.9

Group IDs	Group Description	Statistical Method	Statistical Comment	P-Value	P-Value Comment	Parameter Type	Parameter Value	Dispersion Type	Dispersion Value	Confidence Interval Sides	Confidence Interval %	CI Lower Limit	CI Upper Limit	CI Lower Limit Comment	CI Upper Limit Comment	Estimate Comment	Tested Non-Inferiority	Non-Inferiority Type	Non-Inferiority Comment	Other Analysis Description
OG000 OG001	Analysis 1 is Comparison Across Conditions at BASELINE Analysis 2 is Comparison Across Conditions at 6 Months Analysis 3 is Comparison Across Conditions at 1 year	t-test, 2 sided		0.39		Mean Difference (Final Values)	0.51	Standard Error of the Mean	0.59	2-Sided	95	-0.66	1.68					Superiority
OG000 OG001

Secondary

Team Development Measure

The Team Development Measure is a 31 item self-report survey that evaluates the degree to which a team has and uses the components needed for highly effective teamwork including cohesiveness, communication, role clarity, and goals and means clarity. All components min scores are zero % and maximum is 100%; higher percentages mean positive responses.

number of site based leadership and supervisors who responded

Posted

Mean

Standard Deviation

units on a scale

Baseline, 6 months, 1 year

ID	Title	Description
OG000	Standard Implementation	Standard Implementation sites will receive written guidance and limited consultation by the investigators' team.
OG001	Facilitated Implementation	Facilitated Implementation sites will receive one year of support based on the i-PARIHS implementation model which includes training, implementation planning, ongoing external facilitation, feedback and consultation. Facilitated Implementation: Facilitated Implementation sites will receive one year of support based on the i-PARIHS implementation model which includes training, implementation planning, ongoing external facilitation, feedback and consultation

Units

Secondary

Peer Fidelity Measure

The Peer Fidelity Measure assesses: a) peer specialist services and b) peer specialist implementation. The first part has 5 domains of peer services critical to the VA's peer support model (e.g., being a role model that recovery is possible; share personal recovery story). The second has 7 domains of implementation factors shown to either help or hinder PS deployment (e.g., role clarity, support for PS at higher organizational levels, regular supervision). Each domain has 1-2 questions (responses ranging from 1= not at all through 5=Very much with higher scores indicating higher fidelity. Min Value=1 and Max value =5. The Peer Fidelity Measure will be administered to both Peer Specialists and their supervisors. Analyses looked at discrepancies (difference in difference) between Peer Specialists and their Supervisors at each time point. Min discrepancy score is -4 and Max discrepancy score is 4. (calculated as Peer Specialist minus Peer Supervisor score)

6 months and 1 year

Posted

Mean

Standard Deviation

units on a scale

6 months, 1 year

ID	Title	Description
OG000	Standard Implementation	Standard Implementation sites will receive written guidance and limited consultation by the investigators' team.
OG001	Facilitated Implementation	Facilitated Implementation sites will receive one year of support based on the i-PARIHS implementation model which includes training, implementation planning, ongoing external facilitation, feedback and consultation. Facilitated Implementation: Facilitated Implementation sites will receive one year of support based on the i-PARIHS implementation model which includes training, implementation planning, ongoing external facilitation, feedback and consultation

Secondary

The Satisfaction Index-Mental Health

The Satisfaction Index-Mental Health is a 12-item, unidimensional measure of patient satisfaction with care. It has been used with Veteran populations and has been shown to be valid, reliable, and sensitive to change in a sample of Veterans with mental illnesses being treated in primary care settings. It will be administered to Veterans who receive care from the Peer Specialists involved in the project. Minimum score is 12 and the maximum score is 72; higher scores mean more satisfaction.

Veterans responding to survey

Posted

Mean

Standard Deviation

units on a scale

Baseline, 6 months, 1 year

ID	Title	Description
OG000	Standard Implementation	Standard Implementation sites will receive written guidance and limited consultation by the investigators' team.
OG001	Facilitated Implementation	Facilitated Implementation sites will receive one year of support based on the i-PARIHS implementation model which includes training, implementation planning, ongoing external facilitation, feedback and consultation. Facilitated Implementation: Facilitated Implementation sites will receive one year of support based on the i-PARIHS implementation model which includes training, implementation planning, ongoing external facilitation, feedback and consultation

Secondary

Number of Unique Veterans Seen (Adjusted for Employment Period and Hours Worked Per Week)

This adjusted workload variables took into consideration both the employment period (many PSs did not start immediately or may have left prior to the end of the 2 years) and weekly hours worked (varying from one hour to 40 hours per week). Visits during each PS's employment period were divided by the total number of hours worked, then multiplied by 40 to calculate adjusted values for operationalization above. Because this variable was significantly skewed, we used a log transformation to improve their distributional properties. Differences between intervention conditions were then compared with a series of Analyses of Covariance models with age, gender and race as covariates. Since these variables are measured at the PS level, the covariates were the average across the Veterans sesn by each PS (mean age, percent White and percent male). N's are number of Veterans

Unique Veteran encounters

Posted

Mean

Standard Deviation

count of Veterans

one year, across two years

ID	Title	Description
OG000	Standard Implementation	Standard Implementation sites will receive written guidance and limited consultation by the investigators' team.
OG001	Facilitated Implementation	Facilitated Implementation sites will receive one year of support based on the i-PARIHS implementation model which includes training, implementation planning, ongoing external facilitation, feedback and consultation. Facilitated Implementation: Facilitated Implementation sites will receive one year of support based on the i-PARIHS implementation model which includes training, implementation planning, ongoing external facilitation, feedback and consultation

Secondary

Average Number of Visits Per Veteran Per Peer Specialist-Adjusted (Across Both Years)

See Variable 5 above for details about adjustment. Since this variable this is a Veteran level variable, a General Linear Mixed Model (GSLMM) was used with PS specified as a random effect and Veteran age, race and gender.

N's are number of Veterans

Number of Visits per Veteran

Posted

Mean

Standard Deviation

Count of Visits

across both years

ID	Title	Description
OG000	Standard Implementation	Standard Implementation sites will receive written guidance and limited consultation by the investigators' team.
OG001	Facilitated Implementation	Facilitated Implementation sites will receive one year of support based on the i-PARIHS implementation model which includes training, implementation planning, ongoing external facilitation, feedback and consultation. Facilitated Implementation: Facilitated Implementation sites will receive one year of support based on the i-PARIHS implementation model which includes training, implementation planning, ongoing external facilitation, feedback and consultation

Units	Counts
Participants

Secondary

Average Total Number of Services Provided-Adjusted (First Year Only and Across Both Years)

Services Provided by each Peer Specialist

Posted

Mean

Standard Deviation

Count of services

one year and across both years

ID	Title	Description
OG000	Standard Implementation	Standard Implementation sites will receive written guidance and limited consultation by the in vestigators' team.
OG001	Facilitated Implementation	Facilitated Implementation sites will receive one year of support based on the i-PARIHS implementation model which includes training, implementation planning, ongoing external facilitation, feedback and consultation. Facilitated Implementation: Facilitated Implementation sites will receive one year of support based on the i-PARIHS implementation model which includes training, implementation planning, ongoing external facilitation, feedback and consultation

Secondary

Time to First Service

This variable represents count of days from time study at each site started (baseline) until first service was delivered.

Posted

Mean

Standard Deviation

Number of Days

variable from baseline to time of first service delivered by Peer Specialists

ID	Title	Description
OG000	Standard Implementation	Standard Implementation sites will receive written guidance and limited consultation by the investigators' team.
OG001	Facilitated Implementation	Facilitated Implementation sites will receive one year of support based on the i-PARIHS implementation model which includes training, implementation planning, ongoing external facilitation, feedback and consultation. Facilitated Implementation: Facilitated Implementation sites will receive one year of support based on the i-PARIHS implementation model which includes training, implementation planning, ongoing external facilitation, feedback and consultation

Units	Counts
Participants	OG000

Secondary

Average Number of Visits Per Veteran Per Peer Specialist-Adjusted (First Year Only)

N's are number of Veterans

number of visits per Veteran

Posted

Mean

Standard Deviation

Count of Visits

1st year only

ID	Title	Description
OG000	Standard Implementation	Standard Implementation sites will receive written guidance and limited consultation by the investigators' team.
OG001	Facilitated Implementation	Facilitated Implementation sites will receive one year of support based on the i-PARIHS implementation model which includes training, implementation planning, ongoing external facilitation, feedback and consultation. Facilitated Implementation: Facilitated Implementation sites will receive one year of support based on the i-PARIHS implementation model which includes training, implementation planning, ongoing external facilitation, feedback and consultation

Units	Counts
Participants

Arm/Groups

ID	Title	Description	Deaths (Affected)	Deaths (At Risk)	Serious Events (Affected)	Serious Events (At Risk)	Other Events (Affected)	Other Events (At Risk)
EG000	Standard Implementation	Standard Implementation sites will receive written guidance and limited consultation by the investigators' team.	0	0	0	0	0	0
EG001	Facilitated Implementation	Facilitated Implementation sites will receive one year of support based on the i-PARIHS implementation model which includes training, implementation planning, ongoing external facilitation, feedback and consultation. Facilitated Implementation: Facilitated Implementation sites will receive one year of support based on the i-PARIHS implementation model which includes training, implementation planning, ongoing external facilitation, feedback and consultation	0	0	0	0	0	0

Title	Measurements
American Indian or Alaska Native	BG0000 BG0010 BG0020
Asian	BG0000 BG0010 BG0020
Native Hawaiian or Other Pacific Islander	BG0000 BG0010 BG0020
Black or African American	BG00037 BG00164 BG002101
White	BG000109 BG001121 BG002230
More than one race	BG0000 BG0010 BG0020
Unknown or Not Reported	BG0006 BG00111 BG00217

Title

Denominators

Categories

cohesiveness-Baseline

- ParticipantsOG00021
- ParticipantsOG00130

Title	Measurements
	OG00091.1± 15.5 OG00196.7± 10.3

Communication Baseline

- ParticipantsOG00021
- ParticipantsOG00130

Title	Measurements
	OG00085.0± 22.4 OG001

Role Clarity Baseline

- ParticipantsOG00021
- ParticipantsOG00130

Title	Measurements
	OG00076.0± 28.6 OG001

Goals Baseline

- ParticipantsOG00021
- ParticipantsOG00120

Title	Measurements
	OG00067.9± 38.9 OG001

Cohesiveness 6 month

- ParticipantsOG00021
- ParticipantsOG00120

Title	Measurements
	OG00089.6± 21.8 OG001

Communication 6 month

- ParticipantsOG00021
- ParticipantsOG00120

Title	Measurements
	OG00084.7± 26.9 OG001

Role Clarity 6 months

- ParticipantsOG00021
- ParticipantsOG00120

Title	Measurements
	OG00077.0± 31.8 OG001

Goals 6 months

- ParticipantsOG00021
- ParticipantsOG00120

Title	Measurements
	OG00074.8± 28.6 OG001

Cohesiveness 1 year

- ParticipantsOG0008
- ParticipantsOG00116

Title	Measurements
	OG00085.2± 35.0 OG001

Communication 1 year

- ParticipantsOG0008
- ParticipantsOG00116

Title	Measurements
	OG00080.0± 32.1 OG001

Role Clarity 1 year

- ParticipantsOG0008
- ParticipantsOG00116

Title	Measurements
	OG00070.8± 40.6 OG001

Goals 1 year

- ParticipantsOG0008
- ParticipantsOG00116

Title	Measurements
	OG00077.5± 24.9 OG001

Group IDs	Group Description	Statistical Method	P-Value	Parameter Type	Parameter Value	Dispersion Type	Dispersion Value	Confidence Interval Sides	Confidence Interval %	CI Lower Limit	CI Upper Limit	Non-Inferiority Type
OG000 OG001	t-test used to compare group differences in Cohesiveness at BASELINE	t-test, 2 sided	0.156	Mean Difference (Final Values)	5.61	Standard Error of the Mean	3.6	2-Sided	95	-2.2	13.48	Superiority
OG000 OG001	t-test to compare group means on Communication at BASELINE	t-test, 2 sided	0.182	Mean Difference (Final Values)	7.97	Standard Error of the Mean	5.89	2-Sided	95	-3.85	19.8	Superiority
OG000 OG001	t-test to compare group differences on Role Clarity at BASELINE	t-test, 2 sided	0.234	Mean Difference (Final Values)	8.41	Standard Error of the Mean	6.31	2-Sided	95	-5.74	22.57	Superiority
OG000 OG001	t-test to compare group values on Goals at Baseline	t-test, 2 sided	0.149	Mean Difference (Final Values)	14.14	Standard Error of the Mean	9.63	2-Sided	95	-5.22	33.5	Superiority
OG000 OG001	t-test of differences between groups on Cohesiveness at 6-Months	t-test, 2 sided	0.947	Mean Difference (Final Values)	-0.47	Standard Error of the Mean	7.1	2-Sided	95	-14.7	13.8	Superiority
OG000 OG001	t-test of groups differences on Communication at 6 Months	t-test, 2 sided	0.870	Mean Difference (Final Values)	1.38	Standard Error of the Mean	8.4	2-Sided	95	-15.6	18.4	Superiority
OG000 OG001	t-test of group differences on Role Clarity at 6 months	t-test, 2 sided	0.478	Mean Difference (Final Values)	6.18	Standard Error of the Mean	8.62	2-Sided	95	-11.26	23.63	Superiority
OG000 OG001	t-test of group differences on Goals at 6 Months	t-test, 2 sided	0.773	Mean Difference (Final Values)	2.23	Standard Error of the Mean	7.71	2-Sided	95	-13.35	17.83	Superiority
OG000 OG001	t-test of group differences on Cohesiveness at 1year	t-test, 2 sided	0.498	Mean Difference (Final Values)	9.09	Standard Error of the Mean	9.8	2-Sided	95	-20.4	38.6	Superiority
OG000 OG001	t-test of group differences on Communication at 1 year	t-test, 2 sided	0.780	Mean Difference (Final Values)	3.21	Standard Error of the Mean	11.4	2-Sided	95	-20.3	26.7	Superiority
OG000 OG001	t-test of group differences on Role Clarity at 1 year	t-test, 2 sided	0.474	Mean Difference (Final Values)	11.46	Standard Error of the Mean	12.54	2-Sided	95	-23.19	46.11	Superiority
OG000 OG001	t-test of group differences on Goals at 1 year	t-test, 2 sided	0.267	Mean Difference (Final Values)	10.0	Standard Error of the Mean	8.78	2-Sided	95	-8.21	28.21	Superiority

Title

Denominators

Categories

Core Peer Specialist 6-moFunctions

- ParticipantsOG0008
- ParticipantsOG00119

Title	Measurements
	OG0000.3± 0.3 OG0010.7± 1.1

Collaborate-Promoting Health 6-mo

- ParticipantsOG0008
- ParticipantsOG00119

Title	Measurements
	OG0000.2± 0.7 OG001

Peer Specialist as Liaison 6-mo

- ParticipantsOG0008
- ParticipantsOG00119

Title	Measurements
	OG000-0.1± 1.2 OG001

Provides Info on Services 6 mo

- ParticipantsOG0008
- ParticipantsOG00119

Title	Measurements
	OG000-0.1± 1.1 OG001

Symptoms and Medications 6-mo

- ParticipantsOG0008
- ParticipantsOG00119

Title	Measurements
	OG0000.2± 2.2 OG001

Training and Preparation 6-mo

- ParticipantsOG0008
- ParticipantsOG00119

Title	Measurements
	OG0000.1± 1.1 OG001

Teams Integration and Relationships 6-mo

- ParticipantsOG0008
- ParticipantsOG00119

Title	Measurements
	OG000-0.4± 1.3 OG001

Leadership Support 6-mo

- ParticipantsOG0008
- ParticipantsOG00119

Title	Measurements
	OG0000.01± 1.2 OG001

Fits to Experience and Needs 6-mo

- ParticipantsOG0008
- ParticipantsOG00119

Title	Measurements
	OG000-0.4± 1.6 OG001

Role Clarity 6-mo

- ParticipantsOG0008
- ParticipantsOG00119

Title	Measurements
	OG000-0.3± 1.2 OG001

Resources 6-mo

- ParticipantsOG0008
- ParticipantsOG00119

Title	Measurements
	OG000-0.1± 1.2 OG001

Performance Reviews 6-mo

- ParticipantsOG0008
- ParticipantsOG00119

Title	Measurements
	OG000-0.1± 1.2 OG001

Core PS functions 1-yr

- ParticipantsOG0002
- ParticipantsOG00110

Title	Measurements
	OG0000.7± 0.5 OG001

Collaborate on Promoting Health 1 year

- ParticipantsOG0002
- ParticipantsOG00110

Title	Measurements
	OG0000.7± 0.1 OG001

Peer Specialist as Liaison 1 year

- ParticipantsOG0002
- ParticipantsOG00110

Title	Measurements
	OG0000.8± 1.1 OG001

provides info on services 1 year

- ParticipantsOG0002
- ParticipantsOG00110

Title	Measurements
	OG0000.0± 0.0 OG001

Symptoms and Medication 1 year

- ParticipantsOG0002
- ParticipantsOG00110

Title	Measurements
	OG0000.8± 2.5 OG001

Training and Preparation 1 year

- ParticipantsOG0002
- ParticipantsOG00110

Title	Measurements
	OG0000.5± 1.2 OG001

Team Integration and relationships 1 year

- ParticipantsOG0002
- ParticipantsOG00110

Title	Measurements
	OG0001.1± 0.4 OG001

Leadership Support 1 year

- ParticipantsOG0002
- ParticipantsOG00110

Title	Measurements
	OG0002.5± 0.7 OG001

Fit to experience and need 1 year

- ParticipantsOG0002
- ParticipantsOG00110

Title	Measurements
	OG0000.0± 2.8 OG001

Role Clarity 1 year

- ParticipantsOG0002
- ParticipantsOG00110

Title	Measurements
	OG0001.3± 1.1 OG001

Resources

- ParticipantsOG0002
- ParticipantsOG00110

Title	Measurements
	OG000-0.5± 1.4 OG001

Performance Review 1 year

- ParticipantsOG0002
- ParticipantsOG00110

Title	Measurements
	OG0000.8± 0.4 OG001

Group IDs	Group Description	Statistical Method	P-Value	Parameter Type	Parameter Value	Dispersion Type	Dispersion Value	Confidence Interval Sides	Confidence Interval %	CI Lower Limit	CI Upper Limit	Non-Inferiority Type
OG000 OG001	t test comparison across groups on CORE PEER at 6 months	t-test, 2 sided	0.098	Mean Difference (Final Values)	0.45	Standard Error of the Mean	0.38	2-Sided	95	-0.09	1.00	Superiority
OG000 OG001	t-test comparison across groups on COLLABORATION at 6 months	t-test, 2 sided	0.282	Mean Difference (Final Values)	0.5	Standard Error of the Mean	1.1	2-Sided	95	-0.43	1.43	Superiority
OG000 OG001	t-test comparison across groups on PEER SPECIALIST AS LIAISON at 6 months	t-test, 2 sided	0.06	Mean Difference (Final Values)	1.1	Standard Error of the Mean	0.56	2-Sided	95	-0.05	2.29	Superiority
OG000 OG001	t-test comparison across groups on PROVIDES INFO ON SERVICES at 6 months	t-test, 2 sided	0.34	Mean Difference (Final Values)	0.83	Standard Error of the Mean	0.86	2-Sided	95	0.07	1.59	Superiority
OG000 OG001	t-test comparison across groups on Symptoms and Medication at 6-months	t-test, 2 sided	0.34	Mean Difference (Final Values)	0.83			2-Sided	95	-0.94	2.62	Superiority
OG000 OG001	t-test comparison across groups on Training and Preparation at 6-months	t-test, 2 sided	0.66	Mean Difference (Final Values)	0.28	Standard Error of the Mean	0.64	2-Sided	95	-1.03	1.50	Superiority
OG000 OG001	t-test comparison across groups on Team Integration and Relationships at 6 Months	t-test, 2 sided	0.15	Mean Difference (Final Values)	0.90	Standard Error of the Mean	0.61	2-Sided	95	-0.36	2.16	Superiority
OG000 OG001	t-test comparison across groups on Leadership at 6-months	t-test, 2 sided	0.59	Mean Difference (Final Values)	-0.21	Standard Error of the Mean	0.39	2-Sided	95	-1.01	0.59	Superiority
OG000 OG001	t-test comparison across groups on Fits to Experience at 6 months	t-test, 2 sided	0.95	Mean Difference (Final Values)	-0.05	Standard Error of the Mean	0.84	2-Sided	95	-1.77	1.68	Superiority
OG000 OG001	t-test comparison across groups on Role Clarity at 6 months	t-test, 2 sided	0.32	Mean Difference (Final Values)	0.55	Standard Error of the Mean	0.55	2-Sided	95	-0.58	1.68	Superiority
OG000 OG001	t-test comparison across both groups on Resources at 6 months	t-test, 2 sided	0.27	Mean Difference (Final Values)	0.72	Standard Error of the Mean	0.64	2-Sided	95	-0.60	2.04	Superiority
OG000 OG001	t-test comparison across groups on Performance Reviews at 6 months	t-test, 2 sided	0.93	Mean Difference (Final Values)	0.07	Standard Error of the Mean	0.86	2-Sided	95	-1.71	1.85	Superiority
OG000 OG001	t-test comparison across groups on CORE PEER at 1 year	t-test, 2 sided	0.15	Mean Difference (Final Values)	-0.73	Standard Error of the Mean	0.32	2-Sided	95	-1.45	-0.005	Superiority
OG000 OG001	t-test comparison across groups on Collaboration at 1 year	t-test, 2 sided	0.04	Mean Difference (Final Values)	-0.7	Standard Error of the Mean	0.45	2-Sided	95	-1.7	0.32	Superiority
OG000 OG001	t-test comparison across groups on Peer Specialists as Liaison at 1 year	t-test, 2 sided	0.08	Hazard Ratio, log	-0.95	Standard Error of the Mean	0.50	2-Sided	95	-2.07	0.17	Superiority
OG000 OG001	t-test comparison across groups on Provides Info on Services at 1 year	t-test, 2 sided	0.26	Mean Difference (Final Values)	-0.2	Standard Error of the Mean	0.39	2-Sided	95	-0.58	0.18	Superiority
OG000 OG001	t-test comparison between groups on Symptoms and Medication at 1 year	t-test, 2 sided	0.61	Mean Difference (Final Values)	-0.85	Standard Error of the Mean	1.65	2-Sided	95	-4.53	2.83	Superiority
OG000 OG001	t-test comparison across groups on Training and Preparation at 1 year	t-test, 2 sided	0.30	Mean Difference (Final Values)	-0.93	Standard Error of the Mean	0.87	2-Sided	95	-2.87	1.01	Superiority
OG000 OG001	t-test comparison across groups on Team Integration and Relationships at 1 year	t-test, 2 sided	0.004	Mean Difference (Final Values)	-1.3	Standard Error of the Mean	0.35	2-Sided	95	-2.08	-0.52	Superiority
OG000 OG001	t-test comparison across groups on Leadership at 1 year	t-test, 2 sided	0.01	Mean Difference (Final Values)	-2.4	Standard Error of the Mean	0.81	2-Sided	95	-4.20	-0.60	Superiority
OG000 OG001	t-test comparison across groups on Fits to Experience at 1 year	t-test, 2 sided	0.90	Mean Difference (Final Values)	-0.3	Standard Error of the Mean	0.90	2-Sided	95	-24.1	23.5	Superiority
OG000 OG001	t-test comparison across groups on Role Clarity at 1 year	t-test, 2 sided	0.06	Mean Difference (Final Values)	-1.45	Standard Error of the Mean	0.70	2-Sided	95	-3.02	0.12	Superiority
OG000 OG001	t-test comparison across groups on Resources at 1 year	t-test, 2 sided	0.71	Mean Difference (Final Values)	0.20	Standard Error of the Mean	0.53	2-Sided	95	-0.97	1.37	Superiority
OG000 OG001	t-test comparison on Performance Reviews at 1 year	t-test, 2 sided	0.41	Mean Difference (Final Values)	-1.40	Standard Error of the Mean	1.63	2-Sided	95	-5.03	2.23	Superiority

Title

Denominators

Categories

Baseline

- ParticipantsOG000194
- ParticipantsOG001221

Title	Measurements
	OG00047.7± 12.1 OG00151.3± 11.5

6-months

- ParticipantsOG000121
- ParticipantsOG001129

Title	Measurements
	OG00049.7± 12.7 OG001

1-year

- ParticipantsOG000100
- ParticipantsOG001113

Title	Measurements
	OG00050.6± 13.0 OG001

Group IDs	Group Description	Statistical Method	P-Value	P-Value Comment	Parameter Type	Parameter Value	Dispersion Type	Dispersion Value	Confidence Interval Sides	Confidence Interval %	CI Lower Limit	CI Upper Limit	Non-Inferiority Type
OG000 OG001	Group Comparison at Baseline	t-test, 2 sided	0.002	not adjusted for multiple comparisons	Mean Difference (Final Values)	3.59	Standard Error of the Mean	1.17	2-Sided	95	1.29	5.88	Superiority
OG000 OG001	Group Comparison at 6 Months	t-test, 2 sided	0.10		Mean Difference (Final Values)	2.62	Standard Error of the Mean	1.60	2-Sided	95	-0.54	5.78	Superiority
OG000 OG001	Group Comparison at 1 year	t-test, 2 sided	0.77		Mean Difference (Final Values)	0.54	Standard Error of the Mean	1.83	2-Sided	95	-3.06	4.14	Superiority

Group IDs	Group Description	Statistical Method	Statistical Comment	P-Value	P-Value Comment	Parameter Type	Parameter Value	Dispersion Type	Dispersion Value	Confidence Interval Sides	Confidence Interval %	CI Lower Limit	CI Upper Limit	CI Lower Limit Comment	CI Upper Limit Comment	Estimate Comment	Tested Non-Inferiority	Non-Inferiority Type	Non-Inferiority Comment	Other Analysis Description
OG000 OG001		t-test, 2 sided		0.02	p value for 1st year only	Mean Difference (Final Values)	3.47	Standard Error of the Mean	1.56	2-Sided	95	0.56	6.38					Superiority
OG000 OG001		t-test, 2 sided		0.93		Mean Difference (Final Values)	0.19	Standard Error of the Mean	2.39	2-Sided	95	-4.67	5.04					Superiority

Group IDs	Group Description	Statistical Method	Statistical Comment	P-Value	P-Value Comment	Parameter Type	Parameter Value	Dispersion Type	Dispersion Value	Confidence Interval Sides	Confidence Interval %	CI Lower Limit	CI Upper Limit	CI Lower Limit Comment	CI Upper Limit Comment	Estimate Comment	Tested Non-Inferiority	Non-Inferiority Type	Non-Inferiority Comment	Other Analysis Description
OG000 OG001		t-test, 2 sided	p value for 1st year	0.0001		Mean Difference (Final Values)	1.02	Standard Error of the Mean	0.20	2-Sided	95	0.68	1.37					Superiority

Group IDs	Group Description	Statistical Method	Statistical Comment	P-Value	P-Value Comment	Parameter Type	Parameter Value	Dispersion Type	Dispersion Value	Confidence Interval Sides	Confidence Interval %	CI Lower Limit	CI Upper Limit	CI Lower Limit Comment	CI Upper Limit Comment	Estimate Comment	Tested Non-Inferiority	Non-Inferiority Type	Non-Inferiority Comment	Other Analysis Description
OG000 OG001		t-test, 2 sided		0.02		Mean Difference (Final Values)	5.7	Standard Error of the Mean	2.26	2-Sided	95	1.46	9.96					Superiority
OG000 OG001		t-test, 2 sided		0.38		Mean Difference (Final Values)	2.60	Standard Error of the Mean	2.92	2-Sided	95	-3.14	8.54					Superiority

Group IDs	Group Description	Statistical Method	Statistical Comment	P-Value	P-Value Comment	Parameter Type	Parameter Value	Dispersion Type	Dispersion Value	Confidence Interval Sides	Confidence Interval %	CI Lower Limit	CI Upper Limit	CI Lower Limit Comment	CI Upper Limit Comment	Estimate Comment	Tested Non-Inferiority	Non-Inferiority Type	Non-Inferiority Comment	Other Analysis Description
OG000 OG001		t-test, 2 sided		0.027		Mean Difference (Final Values)	-99.4	Standard Error of the Mean	41.73	2-Sided	95	-186.2	-12.66					Superiority

Group IDs	Group Description	Statistical Method	Statistical Comment	P-Value	P-Value Comment	Parameter Type	Parameter Value	Dispersion Type	Dispersion Value	Confidence Interval Sides	Confidence Interval %	CI Lower Limit	CI Upper Limit	CI Lower Limit Comment	CI Upper Limit Comment	Estimate Comment	Tested Non-Inferiority	Non-Inferiority Type	Non-Inferiority Comment	Other Analysis Description
OG000 OG001		t-test, 2 sided		0.001		Mean Difference (Final Values)	0.60	Standard Error of the Mean	0.18	2-Sided	95	0.28	0.92					Superiority

ID	Term
D001523	Mental Disorders
D010349	Patient Compliance

ID	Term
D010342	Patient Acceptance of Health Care
D000074822	Treatment Adherence and Compliance
D015438	Health Behavior
D001519	Behavior