A randomized controlled trial of a targeted support program for informal caregivers in adult psychiatry.

Détails

Ressource 1Télécharger: Rexhaj et al 2023.pdf (3548.49 [Ko])
Etat: Public
Version: Final published version
Licence: CC BY 4.0
ID Serval
serval:BIB_2DC45D96685D
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
A randomized controlled trial of a targeted support program for informal caregivers in adult psychiatry.
Périodique
Frontiers in psychiatry
Auteur⸱e⸱s
Rexhaj S., Martinez D., Golay P., Coloni-Terrapon C., Monteiro S., Buisson L., Drainville A.L., Bonsack C., Ismailaj A., Nguyen A., Favrod J.
ISSN
1664-0640 (Print)
ISSN-L
1664-0640
Statut éditorial
Publié
Date de publication
2023
Peer-reviewed
Oui
Volume
14
Pages
1284096
Langue
anglais
Notes
Publication types: Journal Article
Publication Status: epublish
Résumé
The importance of informal caregivers for persons with severe mental illness has been demonstrated. However, this role may cause a high care burden that considerably affects caregiver health. The Ensemble program is a five-session brief individual intervention designed to support informal caregivers. This trial aimed to assess the efficacy of the program versus SAU (support as usual) for participants with a high care burden.
A single-center randomized controlled trial including 149 participants was conducted. Caregivers in the intervention arm participated in the Ensemble program. The effects of the intervention were assessed using mixed models for repeated measures analysis of variance on improvements in informal caregivers' psychological health status, optimism levels, burden scores, and quality of life at three time points (T0 = pretest; T1 = posttest at 2 months, and T2 = follow-up at 4 months).
Analysis of the Global Psychological Index showed no significant effect at the two endpoints in favor of the Ensemble group. However, the Brief Symptom Inventory-Positive Symptom Distress Index was significantly lower at the two-month follow-up. A significant reduction in burden on the Zarit Burden Interview was observed post-intervention, along with an increase in optimism levels on the Life Orientation Test-Revised at follow-up in the Ensemble group. No significant differences were observed in quality of life. Clinical improvements in both psychological health status and burden levels were also identified.
The Ensemble program offers an inclusive approach based on a recovery perspective that significantly reduces symptom distress and burden and increases optimism among informal caregivers.Clinical trial registration: https://clinicaltrials.gov/, NCT04020497.
Mots-clé
burden, individual intervention, informal caregivers, mental health, painful emotions, randomized controlled trial
Pubmed
Web of science
Open Access
Oui
Création de la notice
14/11/2023 11:32
Dernière modification de la notice
13/01/2024 8:09
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