The Outcome of Training Community Psychiatric Nurses to Deliver Psychosocial Intervention
A prospective quasi-experimental design was used to evaluate the effect of training CPNs to undertake psychosocial intervention with families caring for a relative with schizophrenia. Patients meeting predetermined criteria were allocated to either an initial waiting-list control group or a delayed...
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| Veröffentlicht in: | British journal of psychiatry 1994-08, Vol.165 (2), p.222-230 |
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| creator | Brooker, Charles Falloon, Ian Butterworth, Antony Goldberg, David Graham-Hole, Victor Hillier, Valerie |
| description | A prospective quasi-experimental design was used to evaluate the effect of training CPNs to undertake psychosocial intervention with families caring for a relative with schizophrenia.
Patients meeting predetermined criteria were allocated to either an initial waiting-list control group or a delayed intervention group. The CPNs were trained to offer family interventions to a total target group of 48. Treatment was eventually accepted by 85%, of whom 81% (n = 34) were followed-up for 12 months. Families received a weekly mean session of 47 minutes (compared with 33 minutes in the controls). The main outcome measures are frequency and severity of symptoms (KGV), social functioning (SFS) and days in hospital. Carers' minor psychiatric morbidity (GHQ) and knowledge (KASI) are also reported.
In the patient group both the positive and negative symptoms of schizophrenia improved significantly (P < or = 0.001 and P < or = 0.01 respectively) to 12-month follow-up, as did a global measure of social functioning (P < or = 0.001). Tentative evidence was also collected that family intervention reduced in-patient episodes. Benefits for relatives included a decrease in minor psychiatric morbidity (P < or = 0.05) and an increase in knowledge about neuroleptic drugs (P < or = 0.001).
The study offers some evidence that CPNs can be taught to improve the outcome for families who care for a relative with schizophrenia. |
| doi_str_mv | 10.1192/bjp.165.2.222 |
| format | Article |
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Patients meeting predetermined criteria were allocated to either an initial waiting-list control group or a delayed intervention group. The CPNs were trained to offer family interventions to a total target group of 48. Treatment was eventually accepted by 85%, of whom 81% (n = 34) were followed-up for 12 months. Families received a weekly mean session of 47 minutes (compared with 33 minutes in the controls). The main outcome measures are frequency and severity of symptoms (KGV), social functioning (SFS) and days in hospital. Carers' minor psychiatric morbidity (GHQ) and knowledge (KASI) are also reported.
In the patient group both the positive and negative symptoms of schizophrenia improved significantly (P < or = 0.001 and P < or = 0.01 respectively) to 12-month follow-up, as did a global measure of social functioning (P < or = 0.001). Tentative evidence was also collected that family intervention reduced in-patient episodes. Benefits for relatives included a decrease in minor psychiatric morbidity (P < or = 0.05) and an increase in knowledge about neuroleptic drugs (P < or = 0.001).
The study offers some evidence that CPNs can be taught to improve the outcome for families who care for a relative with schizophrenia.</description><identifier>ISSN: 0007-1250</identifier><identifier>EISSN: 1472-1465</identifier><identifier>DOI: 10.1192/bjp.165.2.222</identifier><identifier>PMID: 7953037</identifier><language>eng</language><publisher>Cambridge, UK: Cambridge University Press</publisher><subject>Activities of Daily Living - psychology ; Adult ; Caregivers ; Caregivers - education ; Caregivers - psychology ; Community Health Nursing - education ; Community psychiatric nurses ; Consumer Behavior ; Cost of Illness ; Delayed ; Emotional behavior ; Family Therapy ; Female ; Home Nursing - education ; Home Nursing - psychology ; Humans ; Inpatient care ; Intervention ; Male ; Mental disorders ; Middle Aged ; Morbidity ; Negative symptoms ; Outcome and Process Assessment (Health Care) ; Patients ; Professional training ; Prospective Studies ; Psychiatric morbidity ; Psychiatric nurses ; Psychiatric Nursing - education ; Psychiatric Status Rating Scales ; Psychosocial factors ; Psychosocial intervention ; Quasi-experimental methods ; Relatives ; Schizophrenia ; Schizophrenia - nursing ; Schizophrenia - rehabilitation ; Schizophrenic Psychology ; Social Adjustment ; Social functioning ; Treatment Outcome</subject><ispartof>British journal of psychiatry, 1994-08, Vol.165 (2), p.222-230</ispartof><rights>Copyright © Royal College of Psychiatrists, 1994</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c382t-2f2e50182f22a99f0308f64b1fa811ad99f93b3eebb8741ab9fd8b2ac734cb013</citedby><cites>FETCH-LOGICAL-c382t-2f2e50182f22a99f0308f64b1fa811ad99f93b3eebb8741ab9fd8b2ac734cb013</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.cambridge.org/core/product/identifier/S0007125000132477/type/journal_article$$EHTML$$P50$$Gcambridge$$H</linktohtml><link.rule.ids>164,314,780,784,12846,27924,27925,30999,55628</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/7953037$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Brooker, Charles</creatorcontrib><creatorcontrib>Falloon, Ian</creatorcontrib><creatorcontrib>Butterworth, Antony</creatorcontrib><creatorcontrib>Goldberg, David</creatorcontrib><creatorcontrib>Graham-Hole, Victor</creatorcontrib><creatorcontrib>Hillier, Valerie</creatorcontrib><title>The Outcome of Training Community Psychiatric Nurses to Deliver Psychosocial Intervention</title><title>British journal of psychiatry</title><addtitle>Br J Psychiatry</addtitle><description>A prospective quasi-experimental design was used to evaluate the effect of training CPNs to undertake psychosocial intervention with families caring for a relative with schizophrenia.
Patients meeting predetermined criteria were allocated to either an initial waiting-list control group or a delayed intervention group. The CPNs were trained to offer family interventions to a total target group of 48. Treatment was eventually accepted by 85%, of whom 81% (n = 34) were followed-up for 12 months. Families received a weekly mean session of 47 minutes (compared with 33 minutes in the controls). The main outcome measures are frequency and severity of symptoms (KGV), social functioning (SFS) and days in hospital. Carers' minor psychiatric morbidity (GHQ) and knowledge (KASI) are also reported.
In the patient group both the positive and negative symptoms of schizophrenia improved significantly (P < or = 0.001 and P < or = 0.01 respectively) to 12-month follow-up, as did a global measure of social functioning (P < or = 0.001). Tentative evidence was also collected that family intervention reduced in-patient episodes. Benefits for relatives included a decrease in minor psychiatric morbidity (P < or = 0.05) and an increase in knowledge about neuroleptic drugs (P < or = 0.001).
The study offers some evidence that CPNs can be taught to improve the outcome for families who care for a relative with schizophrenia.</description><subject>Activities of Daily Living - psychology</subject><subject>Adult</subject><subject>Caregivers</subject><subject>Caregivers - education</subject><subject>Caregivers - psychology</subject><subject>Community Health Nursing - education</subject><subject>Community psychiatric nurses</subject><subject>Consumer Behavior</subject><subject>Cost of Illness</subject><subject>Delayed</subject><subject>Emotional behavior</subject><subject>Family Therapy</subject><subject>Female</subject><subject>Home Nursing - education</subject><subject>Home Nursing - psychology</subject><subject>Humans</subject><subject>Inpatient care</subject><subject>Intervention</subject><subject>Male</subject><subject>Mental disorders</subject><subject>Middle Aged</subject><subject>Morbidity</subject><subject>Negative symptoms</subject><subject>Outcome and Process Assessment (Health Care)</subject><subject>Patients</subject><subject>Professional training</subject><subject>Prospective Studies</subject><subject>Psychiatric morbidity</subject><subject>Psychiatric nurses</subject><subject>Psychiatric Nursing - education</subject><subject>Psychiatric Status Rating Scales</subject><subject>Psychosocial factors</subject><subject>Psychosocial intervention</subject><subject>Quasi-experimental methods</subject><subject>Relatives</subject><subject>Schizophrenia</subject><subject>Schizophrenia - nursing</subject><subject>Schizophrenia - rehabilitation</subject><subject>Schizophrenic Psychology</subject><subject>Social Adjustment</subject><subject>Social functioning</subject><subject>Treatment Outcome</subject><issn>0007-1250</issn><issn>1472-1465</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1994</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNptkEtLAzEURoMoWh9Ll0JEcDdtHvPILKU-QdRFXbgKSXqnTZmZ1GRG6b83pUVRXF2S7_Ddy0HolJIhpSUb6cVySPNsyIaMsR00oGnBEprm2S4aEEKKhLKMHKDDEBbxyVNW7KP9osw44cUAvU3mgJ_7zrgGsKvwxCvb2naGx65p-tZ2K_wSVmZuVeetwU-9DxBw5_A11PYD_CZ1wRmravzQduA_oO2sa4_RXqXqACfbeYReb28m4_vk8fnuYXz1mBguWJewikFGqIiTqbKsCCeiylNNKyUoVdP4VXLNAbQWRUqVLqup0EyZgqdGE8qP0OWmd-ndew-hk40NBupateD6IItcECLKMoIXf8CF630bb5OMc0FolhMWqWRDGe9C8FDJpbeN8itJiVwLl1G4jMIlk1F45M-2rb1uYPpNbw3H_HyTz-1s_mk9SG-Wa2e_OkbbnarR3k5n8HPa_1u_AE2Hluo</recordid><startdate>19940801</startdate><enddate>19940801</enddate><creator>Brooker, Charles</creator><creator>Falloon, Ian</creator><creator>Butterworth, Antony</creator><creator>Goldberg, David</creator><creator>Graham-Hole, Victor</creator><creator>Hillier, Valerie</creator><general>Cambridge University Press</general><general>RCP</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>0-V</scope><scope>3V.</scope><scope>7QJ</scope><scope>7TK</scope><scope>7XB</scope><scope>88G</scope><scope>88J</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HEHIP</scope><scope>M2M</scope><scope>M2O</scope><scope>M2R</scope><scope>M2S</scope><scope>MBDVC</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>19940801</creationdate><title>The Outcome of Training Community Psychiatric Nurses to Deliver Psychosocial Intervention</title><author>Brooker, Charles ; Falloon, Ian ; Butterworth, Antony ; Goldberg, David ; Graham-Hole, Victor ; Hillier, Valerie</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c382t-2f2e50182f22a99f0308f64b1fa811ad99f93b3eebb8741ab9fd8b2ac734cb013</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1994</creationdate><topic>Activities of Daily Living - 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Academic</collection><jtitle>British journal of psychiatry</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Brooker, Charles</au><au>Falloon, Ian</au><au>Butterworth, Antony</au><au>Goldberg, David</au><au>Graham-Hole, Victor</au><au>Hillier, Valerie</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The Outcome of Training Community Psychiatric Nurses to Deliver Psychosocial Intervention</atitle><jtitle>British journal of psychiatry</jtitle><addtitle>Br J Psychiatry</addtitle><date>1994-08-01</date><risdate>1994</risdate><volume>165</volume><issue>2</issue><spage>222</spage><epage>230</epage><pages>222-230</pages><issn>0007-1250</issn><eissn>1472-1465</eissn><abstract>A prospective quasi-experimental design was used to evaluate the effect of training CPNs to undertake psychosocial intervention with families caring for a relative with schizophrenia.
Patients meeting predetermined criteria were allocated to either an initial waiting-list control group or a delayed intervention group. The CPNs were trained to offer family interventions to a total target group of 48. Treatment was eventually accepted by 85%, of whom 81% (n = 34) were followed-up for 12 months. Families received a weekly mean session of 47 minutes (compared with 33 minutes in the controls). The main outcome measures are frequency and severity of symptoms (KGV), social functioning (SFS) and days in hospital. Carers' minor psychiatric morbidity (GHQ) and knowledge (KASI) are also reported.
In the patient group both the positive and negative symptoms of schizophrenia improved significantly (P < or = 0.001 and P < or = 0.01 respectively) to 12-month follow-up, as did a global measure of social functioning (P < or = 0.001). Tentative evidence was also collected that family intervention reduced in-patient episodes. Benefits for relatives included a decrease in minor psychiatric morbidity (P < or = 0.05) and an increase in knowledge about neuroleptic drugs (P < or = 0.001).
The study offers some evidence that CPNs can be taught to improve the outcome for families who care for a relative with schizophrenia.</abstract><cop>Cambridge, UK</cop><pub>Cambridge University Press</pub><pmid>7953037</pmid><doi>10.1192/bjp.165.2.222</doi><tpages>9</tpages></addata></record> |
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| ispartof | British journal of psychiatry, 1994-08, Vol.165 (2), p.222-230 |
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| source | MEDLINE; Applied Social Sciences Index & Abstracts (ASSIA); Cambridge University Press Journals Complete |
| subjects | Activities of Daily Living - psychology Adult Caregivers Caregivers - education Caregivers - psychology Community Health Nursing - education Community psychiatric nurses Consumer Behavior Cost of Illness Delayed Emotional behavior Family Therapy Female Home Nursing - education Home Nursing - psychology Humans Inpatient care Intervention Male Mental disorders Middle Aged Morbidity Negative symptoms Outcome and Process Assessment (Health Care) Patients Professional training Prospective Studies Psychiatric morbidity Psychiatric nurses Psychiatric Nursing - education Psychiatric Status Rating Scales Psychosocial factors Psychosocial intervention Quasi-experimental methods Relatives Schizophrenia Schizophrenia - nursing Schizophrenia - rehabilitation Schizophrenic Psychology Social Adjustment Social functioning Treatment Outcome |
| title | The Outcome of Training Community Psychiatric Nurses to Deliver Psychosocial Intervention |
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