Cargando…
A Randomised Controlled Trial of a Caregiver-Facilitated Problem-Solving Based Self-Learning Program for Family Carers of People with Early Psychosis
Facilitated self-help and problem-solving strategies can empower and support family carers to cope with caregiving for people with severe mental illnesses. This single-blind multi-site randomised controlled trial examined the effects of a five-month family-facilitated problem-solving based self-lear...
Autores principales: | , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2020
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7764939/ https://www.ncbi.nlm.nih.gov/pubmed/33327452 http://dx.doi.org/10.3390/ijerph17249343 |
_version_ | 1783628375772889088 |
---|---|
author | Chien, Wai Tong Bressington, Daniel Lubman, Dan I. Karatzias, Thanos |
author_facet | Chien, Wai Tong Bressington, Daniel Lubman, Dan I. Karatzias, Thanos |
author_sort | Chien, Wai Tong |
collection | PubMed |
description | Facilitated self-help and problem-solving strategies can empower and support family carers to cope with caregiving for people with severe mental illnesses. This single-blind multi-site randomised controlled trial examined the effects of a five-month family-facilitated problem-solving based self-learning program (PBSP in addition to usual care), versus a family psychoeducation group program and usual psychiatric care only in recent-onset psychosis, with a six-month follow-up. In each of three study sites (integrated community centres for mental wellness), 114 people with early psychosis (≤5 years illness onset) and their family carers were randomly selected and allocated to one of three study groups (n = 38). Caregiving burden (primary outcome) and patients’ and carers’ health conditions were assessed at recruitment, and one-month and six-months post-intervention. Overall, 106 (94.7%) participants completed the assigned intervention and ≥1 post-test. Generalised estimating equations and subsequent contrast tests indicated that the PBSP participants showed significantly greater improvements in carers’ burden, caregiving experiences and problem-solving ability, and patients’ psychotic symptoms, recovery, and duration of re-hospitalisations over the six-month follow-up, compared with the other two groups (moderate to large effect size, η(2) = 0.12–0.24). Family-assisted problem-solving based self-learning programs were found to be effective to improve both psychotic patients’ and their carers’ psychosocial health over a medium term, thus reducing patients’ risk of relapse. |
format | Online Article Text |
id | pubmed-7764939 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-77649392020-12-27 A Randomised Controlled Trial of a Caregiver-Facilitated Problem-Solving Based Self-Learning Program for Family Carers of People with Early Psychosis Chien, Wai Tong Bressington, Daniel Lubman, Dan I. Karatzias, Thanos Int J Environ Res Public Health Article Facilitated self-help and problem-solving strategies can empower and support family carers to cope with caregiving for people with severe mental illnesses. This single-blind multi-site randomised controlled trial examined the effects of a five-month family-facilitated problem-solving based self-learning program (PBSP in addition to usual care), versus a family psychoeducation group program and usual psychiatric care only in recent-onset psychosis, with a six-month follow-up. In each of three study sites (integrated community centres for mental wellness), 114 people with early psychosis (≤5 years illness onset) and their family carers were randomly selected and allocated to one of three study groups (n = 38). Caregiving burden (primary outcome) and patients’ and carers’ health conditions were assessed at recruitment, and one-month and six-months post-intervention. Overall, 106 (94.7%) participants completed the assigned intervention and ≥1 post-test. Generalised estimating equations and subsequent contrast tests indicated that the PBSP participants showed significantly greater improvements in carers’ burden, caregiving experiences and problem-solving ability, and patients’ psychotic symptoms, recovery, and duration of re-hospitalisations over the six-month follow-up, compared with the other two groups (moderate to large effect size, η(2) = 0.12–0.24). Family-assisted problem-solving based self-learning programs were found to be effective to improve both psychotic patients’ and their carers’ psychosocial health over a medium term, thus reducing patients’ risk of relapse. MDPI 2020-12-14 2020-12 /pmc/articles/PMC7764939/ /pubmed/33327452 http://dx.doi.org/10.3390/ijerph17249343 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Chien, Wai Tong Bressington, Daniel Lubman, Dan I. Karatzias, Thanos A Randomised Controlled Trial of a Caregiver-Facilitated Problem-Solving Based Self-Learning Program for Family Carers of People with Early Psychosis |
title | A Randomised Controlled Trial of a Caregiver-Facilitated Problem-Solving Based Self-Learning Program for Family Carers of People with Early Psychosis |
title_full | A Randomised Controlled Trial of a Caregiver-Facilitated Problem-Solving Based Self-Learning Program for Family Carers of People with Early Psychosis |
title_fullStr | A Randomised Controlled Trial of a Caregiver-Facilitated Problem-Solving Based Self-Learning Program for Family Carers of People with Early Psychosis |
title_full_unstemmed | A Randomised Controlled Trial of a Caregiver-Facilitated Problem-Solving Based Self-Learning Program for Family Carers of People with Early Psychosis |
title_short | A Randomised Controlled Trial of a Caregiver-Facilitated Problem-Solving Based Self-Learning Program for Family Carers of People with Early Psychosis |
title_sort | randomised controlled trial of a caregiver-facilitated problem-solving based self-learning program for family carers of people with early psychosis |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7764939/ https://www.ncbi.nlm.nih.gov/pubmed/33327452 http://dx.doi.org/10.3390/ijerph17249343 |
work_keys_str_mv | AT chienwaitong arandomisedcontrolledtrialofacaregiverfacilitatedproblemsolvingbasedselflearningprogramforfamilycarersofpeoplewithearlypsychosis AT bressingtondaniel arandomisedcontrolledtrialofacaregiverfacilitatedproblemsolvingbasedselflearningprogramforfamilycarersofpeoplewithearlypsychosis AT lubmandani arandomisedcontrolledtrialofacaregiverfacilitatedproblemsolvingbasedselflearningprogramforfamilycarersofpeoplewithearlypsychosis AT karatziasthanos arandomisedcontrolledtrialofacaregiverfacilitatedproblemsolvingbasedselflearningprogramforfamilycarersofpeoplewithearlypsychosis AT chienwaitong randomisedcontrolledtrialofacaregiverfacilitatedproblemsolvingbasedselflearningprogramforfamilycarersofpeoplewithearlypsychosis AT bressingtondaniel randomisedcontrolledtrialofacaregiverfacilitatedproblemsolvingbasedselflearningprogramforfamilycarersofpeoplewithearlypsychosis AT lubmandani randomisedcontrolledtrialofacaregiverfacilitatedproblemsolvingbasedselflearningprogramforfamilycarersofpeoplewithearlypsychosis AT karatziasthanos randomisedcontrolledtrialofacaregiverfacilitatedproblemsolvingbasedselflearningprogramforfamilycarersofpeoplewithearlypsychosis |