Evaluating the Effect of Peer-Assisted Education on the Functioning in Family Caregivers of Patients with Schizophrenia: A Clinical Trial Study

다국어 초록 (Multilingual Abstract)

Background: High levels burden of long-term care of patients with schizophrenia can disrupt the functioning of family caregivers. This study evaluated a peer-assisted education method on family caregivers’ functioning of patients with schizophrenia.
Methods: In this randomized controlled trial, 64 family caregivers of schizophrenia patients in military hospitals of Tehran, Iran, were selected and randomly allocated to intervention and control groups, in 2018–2019. The peer-assisted education was performed in the experimental group for six 1-hour sessions and the family functioning was measured in both groups by the Family Assessment Device Scale. The data were analyzed by SPSS software ver.
16.0 (SPSS Inc., Chicago, IL, USA) and group differences at a level of P-value <0.05 were considered as significant.
Results: There was no significant differences between groups in the pre-intervention phase in all dimensions of family functioning (P>0.05). There were significant differences between intervention and control groups, in the post-intervention phase in mean problem-solving dimension (11.80 vs. 15.53, P=0.012) and in 2 weeks after intervention, in the dimensions of roles (21.71 vs. 23.43, P=0.015), affective involvement (19.03 vs. 21.59, P=0.017), behavior control (23.90 vs. 26.93, P=0.045), general functioning (27.15 vs. 31.40, P=0.013), and total family functioning (134.12 vs. 153.09, P=0.001).
Conclusion: The peer-assisted education significantly influenced the functioning of family caregivers of schizophrenic patients and can be recommended to improve the functioning of caregivers.

참고문헌 (Reference)

1 Sawant NS, "Understanding family functioning and social support in unremitting schizophrenia : a study in India" 52 : 145-149, 2010

2 Masoudnia E, "The relationship between deficiency of family cohesion and prevalence of physical and mental fatigue among Yazd province police families" 19 : 306-314, 2017

3 Oksuz E, "The effects of psychoeducation on the expressed emotion and family functioning of the family members in first-episode schizophrenia" 53 : 464-473, 2017

4 Navidian A, "The effectiveness of a group psycho-educational program on family caregiver burden of patients with mental disorders" 5 : 399-, 2012

5 Chien WT, "The effectiveness and active ingredients of mutual support groups for family caregivers of people with psychotic disorders : a literature review" 46 : 1604-1623, 2009

6 Cook JA, "The effect of support group participation on caregiver burden among parents of adult offspring with severe mental illness" 48 : 405-410, 1999

7 Azizi Fahliani M, "The effect of social work interventions on family function improvement in schizophrenic patients" 4 : 1-6, 2015

8 Najafi L, "The effect of peer-based support on health-promoting behaviors in breast cancer survivors in academi hospitals and research centers in Urmia in 2015-16" 15 : 795-805, 2018

9 Sharif F, "The effect of family-centered psycho-education on mental health and quality of life of families of adolescents with bipolar mood disorder : a randomized controlled clinical trial" 4 : 229-238, 2016

10 Epstein NB, "The McMaster Family Assessment Device" 9 : 171-180, 1983

11 Eun-Jeong Hong, "The Impact of Simulation-based Learning in Undergraduate Courses on the Problem Solving and Clinical Competence for New Nurses" The Korea Contents Association 16 (16): 617-626, 2016

12 Nadem Buoeni M, "Survey knowledge of caregivers of patients of schizophrenia about home care in" 18 : 43-50, 2008

13 Wan KF, "Stress and burden faced by family caregivers of people with schizophrenia and early psychosis in Hong Kong" 49 (49): 9-15, 2019

14 Taghva A, "Stigma barriers of mental health in Iran : a qualitative study by stakeholders of mental health" 12 : 163-171, 2017

15 Ribe JM, "Quality of life in family caregivers of schizophrenia patients in Spain:caregiver characteristics, caregiving burden, family functioning, and social and professional support" 22 : 25-33, 2018

16 Kushan M, "Psychiatric nursing: mental health 2" Andisheh Rafi 2015

17 Fitryasari R, "Family members’ perspective of family resilience’s risk factors in taking care of schizophrenia patients" 5 : 255-261, 2018

18 McFarlane WR, "Family interventions for schizophrenia and the psychoses : a review" 55 : 460-482, 2016

19 Foruzandeh N, "Family functioning in families of patients with schizophrenia and mood disorders" 3 : 21-26, 2015

20 Kheirabadi GR, "Effects of needs-assessment-based psycho-education of schizophrenic patients’ families on the severity of symptoms and relapse rate of patients" 19 : 558-563, 2014

21 Karamlou S, "Effective factors in experiencing shame in families of patients with severe psychiatric disorders: perceived stigma, rejection sensitivity, cognitive appraisal" 6 : 25-39, 2016

22 Tamizi Z, "Defining the concept of family caregiver burden in patients with schizophrenia : a systematic review protocol" 8 : 289-, 2019

23 Hashemian P, "Comparison of family functioning between patients with schizophrenia and patients with Bipolar I disorder" 7 : 929-937, 2015

24 Farsi Z, "Comparing the effect of peer education and orientation tour on the hemodynamic indices of patients candidate for coronary angiography" 4 : 65-72, 2016

25 Caqueo-Urizar A, "Caregiver’s quality of life and its positive impact on symptomatology and quality of life of patients with schizophrenia" 15 : 76-, 2017

26 Shamsaei F, "Burden on family caregivers caring for patients with schizophrenia" 10 : 239-245, 2015

27 Yazici E, "Burden on caregivers of patients with schizophrenia and related factors" 53 : 96-101, 2016

28 Yu Y, "Assessment of burden among family caregivers of schizophrenia : psychometric testing for Short-Form Zarit Burden Interviews" 9 : 2539-, 2018

29 Yoosefi N, "An investigation of the psychometric properties of the McMaster Clinical Rating Scale(MCRS)" 3 : 83-112, 2012

30 Chien WT, "An RCT with three-year follow-up of peer support groups for Chinese families of persons with schizophrenia" 64 : 997-1005, 2013

31 Chien WT, "A randomized controlled trial on mutual support group intervention for families of people with recentonset psychosis : a four-year follow-up" 9 : 710-, 2018