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|Title:||The effectiveness of manual-guided, problem-solving-based self-learning programme for family caregivers of people with recent-onset psychosis : a randomised controlled trial with 6-month follow-up||Authors:||Chien, WT
Randomised controlled trial
|Issue Date:||Jul-2016||Publisher:||Elsevier||Source:||International journal of nursing studies, July 2016, v. 59, p. 141-155 How to cite?||Journal:||International journal of nursing studies||Abstract:||Background: Family intervention for psychotic disorders is an integral part of psychiatric treatment with positive effects on patients' mental state and relapse rate. However, the effect of such family-based intervention on caregivers' psychological distress and well-being, especially in non-Western countries, has received comparatively much less attention.
Objectives: To test the effects of guided problem-solving-based manual-guided self-learning programme for family caregivers of adults with recent-onset psychosis over a 6-month period of follow-up, when compared with those in usual family support service.
Design: A single-centre randomised controlled trial, which was registered at ClinicalTrials.gov (NCT02391649), with a repeated-measures, two-arm (parallel-group) design.
Settings: One main psychiatric outpatient clinic in the New Territories of Hong Kong.
Participants: A random sample of 116 family caregiverss of adult outpatients with recent-onset psychosis.
Methods: Following pre-test measurement, caregivers were assigned randomly to one of two study groups: a 5-month self-help, problem-solving-based manual-guided self-learning (or bibliotherapy) programme (in addition to usual care), or usual family support service only. Varieties of patient and caregiver health outcomes were assessed and compared at baseline and at 1-week and 6-month post-intervention.
Results: One hundred and eleven (96%) caregivers completed the 6-month follow-up (two post-tests); 55 of them (95%) completed ≥4 modules and attended ≥2 review sessions (i.e., 75% of the intervention). The family participants' mean age was about 38 years and over 64% of them were female and patient's parent or spouse. Multivariate analyses of variance indicated that the manual-guided self-learning group reported significantly greater improvements than the usual care group in family burden [F(1,110) = 6.21, p = 0.006] and caregiving experience [F(1,110) = 6.88, p = 0.0004], and patients' psychotic symptoms [F(1,110) = 6.25, p = 0.0003], functioning [F(1,110) = 7.01, p = 0.0005] and number of hospitalisations [F(1,110) = 5.71, p = 0.005] over 6-month follow-up.
Conclusions: Problem-solving-based, manual-guided self-learning programme for family caregivers of adults with recent-onset psychosis can be an effective self-help programme and provide medium-term benefits to patients' and caregivers' mental health and duration of patients' re-hospitalisations.
|URI:||http://hdl.handle.net/10397/61262||ISSN:||0020-7489||EISSN:||1873-491X||DOI:||10.1016/j.ijnurstu.2016.03.018||Rights:||© 2016 Elsevier Ltd. All rights reserved.
NOTICE: this is the author’s version of a work that was accepted for publication in International Journal of Nursing Studies. Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. Changes may have been made to this work since it was submitted for publication. The definitive version Chien, W. T., Yip, A. L., Liu, J. Y., & McMaster, T. W. (2016). The effectiveness of manual-guided, problem-solving-based self-learning programme for family caregivers of people with recent-onset psychosis: a randomised controlled trial with 6-month follow-up. International journal of nursing studies, 59, 141-155. is available at https://doi.org/10.1016/j.ijnurstu.2016.03.018
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