Your browser doesn't support javascript.
loading
A randomized controlled trial of moderated online social therapy for family carers of first-episode psychosis patients in a specialist treatment setting.
Gleeson, John F M; Koval, Peter; Zyphur, Michael; Lederman, Reeva; Herrman, Helen; Eleftheriadis, Dina; Bendall, Sarah; Cotton, Sue M; Gorelik, Alexandra; Alvarez-Jimenez, Mario.
Afiliação
  • Gleeson JFM; School of Behavioural and Health Sciences, Australian Catholic University, Level 5, Daniel Mannix Building, Young Street, Fitzroy, VIC 3065, Australia. Electronic address: john.gleeson@acu.edu.au.
  • Koval P; Melbourne School of Psychological Science, The University of Melbourne, Australia.
  • Zyphur M; School of Business, Faculty of Business, Economics and Law, The University of Queensland, St Lucia, QLD, Australia.
  • Lederman R; School of Computing and Information Systems, Faculty of Engineering and Information Technology, The University of Melbourne, Parkville, VIC, Australia.
  • Herrman H; Centre for Youth Mental Health, The University of Melbourne, Parkville, VIC, Australia; Orygen, Parkville, VIC, Australia.
  • Eleftheriadis D; School of Behavioural and Health Sciences, Australian Catholic University, Level 5, Daniel Mannix Building, Young Street, Fitzroy, VIC 3065, Australia.
  • Bendall S; Centre for Youth Mental Health, The University of Melbourne, Parkville, VIC, Australia; Orygen, Parkville, VIC, Australia.
  • Cotton SM; Centre for Youth Mental Health, The University of Melbourne, Parkville, VIC, Australia; Orygen, Parkville, VIC, Australia.
  • Gorelik A; Musculoskeletal Health and Sustainable Healthcare Unit, School of Public Health and Preventative Medicine, Monash University, Melbourne, VIC, Australia; Department of Medicine (RMH), The University of Melbourne, Parkville, VIC, Australia.
  • Alvarez-Jimenez M; Centre for Youth Mental Health, The University of Melbourne, Parkville, VIC, Australia; Orygen, Parkville, VIC, Australia.
Schizophr Res ; 255: 203-212, 2023 05.
Article em En | MEDLINE | ID: mdl-37004332
ABSTRACT

BACKGROUND:

Family members, who provide the majority of informal care during the recovery period from first-episode psychosis (FEP), experience high levels of psychological distress. However, there is a lack of effective and accessible interventions for FEP carers.

OBJECTIVE:

To determine the effectiveness of an online intervention ("Altitudes") in relation to the primary outcome of FEP-carer stress at 6 months follow-up.

METHODS:

We conducted a cluster randomized controlled trial in which FEP carers were randomized to Altitudes combined with specialized treatment as usual (STAU) or STAU alone. In addition to questionnaires, we included multiple waves of intensive ecological momentary assessment (EMA) to measure carer stress and family outcomes in 164 carers of young (15-27 years) FEP patients.

RESULTS:

Both groups improved over time on stress and a range of secondary outcomes, including mental health symptoms, self-efficacy, and expressed emotion with no group by time interactions. At 12 months there were significantly fewer visits to emergency departments by FEP patients in the Altitudes group (p = 0.022). Modelling of multiple EMA waves revealed that more time spent by carers with FEP patients predicted greater worry, expressed emotion, and adaptive coping.

CONCLUSIONS:

Engagement and usability findings for Altitudes were positive. Further refinements to our online carer interventions may be needed to engage carers in purposeful skill development for improved management of stress and communication with the young person compared with existing specialist family interventions. TRIAL REGISTRATION ACTRN12616000968471.
Assuntos
Palavras-chave

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Transtornos Psicóticos / Cuidadores Tipo de estudo: Clinical_trials / Prognostic_studies / Qualitative_research Limite: Adolescent / Humans Idioma: En Revista: Schizophr Res Assunto da revista: PSIQUIATRIA Ano de publicação: 2023 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Transtornos Psicóticos / Cuidadores Tipo de estudo: Clinical_trials / Prognostic_studies / Qualitative_research Limite: Adolescent / Humans Idioma: En Revista: Schizophr Res Assunto da revista: PSIQUIATRIA Ano de publicação: 2023 Tipo de documento: Article