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A Randomised Controlled Trial of a Caregiver-Facilitated Problem-Solving Based Self-Learning Program for Family Carers of People with Early Psychosis

Author

Listed:
  • Wai Tong Chien

    (The Nethersole School of Nursing, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong, China)

  • Daniel Bressington

    (College of Nursing and Midwifery, Charles Darwin University, 1 Ellengowan Drive, Casuarina NT810, Australia)

  • Dan I. Lubman

    (Addiction and Behavioral Research, Eastern Health School, Monash University, Victoria 3800, Australia)

  • Thanos Karatzias

    (School of Health and Social Care, Edinburgh Napier University, Edinburgh EH11 4BN, UK)

Abstract

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.

Suggested Citation

  • Wai Tong Chien & Daniel Bressington & Dan I. Lubman & Thanos Karatzias, 2020. "A Randomised Controlled Trial of a Caregiver-Facilitated Problem-Solving Based Self-Learning Program for Family Carers of People with Early Psychosis," IJERPH, MDPI, vol. 17(24), pages 1-19, December.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:24:p:9343-:d:461717
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    References listed on IDEAS

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    1. Andrew Siu & Daniel Shek, 2005. "Relations Between Social Problem Solving and Indicators of Interpersonal and Family Well-Being Among Chinese Adolescents in Hong Kong," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 71(1), pages 517-539, March.
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    Cited by:

    1. Anna Price & Siân de Bell & Naomi Shaw & Alison Bethel & Rob Anderson & Jo Thompson Coon, 2022. "What is the volume, diversity and nature of recent, robust evidence for the use of peer support in health and social care? An evidence and gap map," Campbell Systematic Reviews, John Wiley & Sons, vol. 18(3), September.

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