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Evaluation of a psychoeducation program for Chinese clients with schizophrenia and their family caregivers.

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Title: Evaluation of a psychoeducation program for Chinese clients with schizophrenia and their family caregivers.
Authors: Chan SW (AUTHOR), Yip B (AUTHOR), Tso S (AUTHOR), Cheng BS (AUTHOR), Tam W (AUTHOR)
Source: Patient Education & Counseling. Apr2009, Vol. 75 Issue 1, p67-76. 10p.
Abstract: OBJECTIVES: To evaluate the effectiveness of a psychoeducation program for Chinese clients with schizophrenia and their family caregivers. METHODS: A randomized controlled trial was conducted. Seventy-three clients with a diagnosis of schizophrenia and their caregivers (n=73) were recruited and randomized into a study (n=36) and control group (n=37). Ten psychoeducation sessions were provided to the study group. The outcomes were measured at the baseline, immediately after (post-1), six months (post-2), and 12 months after the intervention (post-3). RESULTS: There were significant treatment effects across time for all client outcomes: adherence to medication (p<0.01), mental status (p<0.01), and insight into illness (p<0.01). However, no significant differences were found between groups at the post-3 measures for all client outcomes. For the caregivers, significant group differences were only detected in self-efficacy at the post-1 (p=0.007) and post-2 (p<0.001) measures, the level of satisfaction at the post-1 (p=0.033) and post-2 (p<0.021) measures, and the perception of family burden at the post-2 measures (p=0.043). CONCLUSION: A psychoeducation intervention had positive effects on Chinese clients and their caregivers. However, these effects might not be sustained 12 months after the intervention. PRACTICE IMPLICATIONS: To substantiate its effects, psychoeducation should be an ongoing intervention, with its outcomes constantly evaluated. [ABSTRACT FROM AUTHOR]
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Database: Education Research Complete
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Abstract:OBJECTIVES: To evaluate the effectiveness of a psychoeducation program for Chinese clients with schizophrenia and their family caregivers. METHODS: A randomized controlled trial was conducted. Seventy-three clients with a diagnosis of schizophrenia and their caregivers (n=73) were recruited and randomized into a study (n=36) and control group (n=37). Ten psychoeducation sessions were provided to the study group. The outcomes were measured at the baseline, immediately after (post-1), six months (post-2), and 12 months after the intervention (post-3). RESULTS: There were significant treatment effects across time for all client outcomes: adherence to medication (p<0.01), mental status (p<0.01), and insight into illness (p<0.01). However, no significant differences were found between groups at the post-3 measures for all client outcomes. For the caregivers, significant group differences were only detected in self-efficacy at the post-1 (p=0.007) and post-2 (p<0.001) measures, the level of satisfaction at the post-1 (p=0.033) and post-2 (p<0.021) measures, and the perception of family burden at the post-2 measures (p=0.043). CONCLUSION: A psychoeducation intervention had positive effects on Chinese clients and their caregivers. However, these effects might not be sustained 12 months after the intervention. PRACTICE IMPLICATIONS: To substantiate its effects, psychoeducation should be an ongoing intervention, with its outcomes constantly evaluated. [ABSTRACT FROM AUTHOR]
ISSN:07383991
DOI:10.1016/j.pec.2008.08.028