Evaluation of a Psychoeducation Program for Families Caregivers of Schizophrenic Patients : Randomized Study in Two Arms (PSYEDUC)

Centre Hospitalier Charles Perrens, Bordeaux

Status: Unknown

Conditions: Mental Disorder; Psychiatric Disorder; Medication Adherence; Family Relations; Schizophrenia; Relapse; Educational Problems; Psychiatric Hospitalization

Treatments: Behavioral: Psychoeducation

Study type: Interventional

Funder types: Other

Identifiers

NCT03000985

PHRIP PSY EDUC 2013

Details and patient eligibility

About

The involvement of family members is crucial and improves the prognosis of psychiatric patients and reinforces therapeutic adherence and reduces the frequency of relapses. For schizophrenia, the scientific literature clearly shows that it's in the interest of the patient to offer to his family a psychoeducational program.

Therapeutic education programs are now part of the recommendations of good clinical practice and in the French health through the law n ° 2009-879 of July 21, 2009 on the reform of the hospital and relating to patients, health and territories.

Full description

Objectives We conducted a randomized study in two groups to evaluate the impact of a psychoeducational program for caregivers.

Methods 60 patients with a DSM-V diagnosis of schizophrenia and their families' caregivers are recruited. Families' caregivers are randomly assigned to receive either a 6 session psychoeducation program, or no psychoeducation.

Baseline evaluations:

Patients: symptomatology (PANSS), medication adherence (MARS); Families' Caregivers: Quality of Life (S-CGQoL), Burden (Zarit), knowledge of disease (KAST), therapeutic alliance (4PAS caregivers), depression (CES-D), medication adherence (CRS).

Enrollment: 60 estimated patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Diagnosis of schizophrenia, based on ICD-10 (F20 to F29)
• Receive in-patient treatment at hospital (or medical center linked to Charles Perrens Hospital)
• Be the caregiver or parent of the patient
• Patient informed of the diagnosis of his disease

Exclusion criteria

• Mental retardation or other diagnoses that could affect the ability to answer questionnaires, after the acute schizophrenia psychosis is controlled
• Suicidal ideation
• Non-comprehension of the French language

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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60 participants in 2 patient groups

Psychoeducation

Experimental group

Description:

6 session of a psychoeducation program with the family. Psychoeducation focuses on explaining schizophrenia as a medical illness, the prognosis, and how the patient and family can increase the likelihood of better outcome.

Treatment:

Behavioral: Psychoeducation

Control

No Intervention group

Description:

Treatment as usual