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Telepsychiatry and carer education for schizophrenia

Published online by Cambridge University Press:  16 April 2020

C. Haley
Affiliation:
Donegal Mental Health Services, Letterkenny, Co. Donegal, Ireland
E. O’Callaghan*
Affiliation:
St John of God Hospitaller Services, Co. Dublin, Ireland Department of Psychiatry, School of Medicine, University College, Dublin, Ireland DETECT, Early Intervention Service in Psychosis, Block 5, Blackrock Business Park, Blackrock, Co. Dublin, Ireland
S. Hill
Affiliation:
St John of God Hospitaller Services, Co. Dublin, Ireland
N. Mannion
Affiliation:
St John of God Hospitaller Services, Co. Dublin, Ireland
B. Donnelly
Affiliation:
Donegal Mental Health Services, Letterkenny, Co. Donegal, Ireland
A. Kinsella
Affiliation:
Donegal Mental Health Services, Letterkenny, Co. Donegal, Ireland DETECT, Early Intervention Service in Psychosis, Block 5, Blackrock Business Park, Blackrock, Co. Dublin, Ireland
A. Murtagh
Affiliation:
St John of God Hospitaller Services, Co. Dublin, Ireland Department of Psychiatry, School of Medicine, University College, Dublin, Ireland
N. Turner
Affiliation:
St John of God Hospitaller Services, Co. Dublin, Ireland DETECT, Early Intervention Service in Psychosis, Block 5, Blackrock Business Park, Blackrock, Co. Dublin, Ireland
*
*Corresponding author. Tel.: +353 1 2791700; fax: +353 1 2791799. E-mail address: [email protected] (E. O'Callaghan)
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Abstract

Objective

Despite the scientific evidence, most families of people with schizophrenia in Europe never receive a carer education programme. We evaluated whether a carer education course delivered by telepsychiatry was as effective as a carer education course delivered in situ.

Method

We delivered the carer education course for schizophrenia simultaneously to a carers group in rural north west Ireland (remote) via three ISDN lines and live to a carers group in a city (host). We compared knowledge gains using the Knowledge Questionnaire before and after each course.

Results

Fifty-six carers of people with schizophrenia participated in the trial. At baseline, participants at the remote and host centers did not differ in terms of knowledge about schizophrenia. After the course, carers at both centers improved significantly and the knowledge gains between groups were equivalent at 6 weeks.

Conclusion

Telepsychiatry can deliver effective carer education programmes about schizophrenia and may provide one solution to bridging the chasm between scientific evidence and clinical reality.

Type
Original article
Copyright
Copyright © Elsevier Masson SAS 2011

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References

Angermeyer, M.C.Matschinger, H.Lay beliefs about schizophrenic disorder: the results of a population study. Acta Psychiatr Scand 1994; 382:Suppl.3945.CrossRefGoogle Scholar
Birchwood, M.J.Smith, J.V.Cochrane, R.Specific and nonspecific effects of educational intervention for families living with schizophrenia: A comparison of three methods. Br J Psychiatry 1992; 160: 806814CrossRefGoogle Scholar
Cassidy, E.Hill, S.O’Callaghan, E.Efficacy of a psychoeducational intervention in improving relatives’ knowledge about schizophrenia and reducing rehospitalisation. Eur Psychiatry 2001; 16: 446450CrossRefGoogle ScholarPubMed
Elliott, T.R.Brossarta, D.Berry, J.W.Fine, P.R.Problem-solving training via videoconferencing for family caregivers of persons with spinal cord injuries: A randomized controlled trial. Behav Res Ther 2008; 46: 12201229CrossRefGoogle ScholarPubMed
Foldemo, A.Gullberg, M.Ek, A.C.Bogren, L.Quality of life and burden in parents of outpatients with schizophrenia. Soc Psychiatry Psychiatr Epidemiol 2005; 40: 133138CrossRefGoogle ScholarPubMed
Family intervention for schizophrenia. Cochrane Database Syst Rev 2006;Issue 4:CD000088. DOI: 10.1002/14651858.CD000088.pub2.CrossRefGoogle Scholar
McFarlane, W.R.Dixon, L.Lukens, E.Lucksted, A.Family psychoeducation and schizophrenia: a review of the literature. J Marital Fam Ther 2003; 29: 223245CrossRefGoogle ScholarPubMed
McWilliams, S.Hill, S.Mannion, N.Kinsella, A.O’Callaghan, E.Caregiver psychoeducation for schizophrenia: is gender important? Eur Psychiatry 2007; 22: 323327CrossRefGoogle ScholarPubMed
McWilliams, S.Hill, S.Mannion, N.Kinsella, A.O’Callaghan, E.Does psychoeducation influence carers’ attitudes to treatment of schizophrenia? Ir J Psych Med 2007; 24: 2730CrossRefGoogle ScholarPubMed
Magliano, L.Fadden, G.Madianos, M., et al.Burden on the families of patients with schizophrenia: results of the BIOMED I study. Soc Psychiatry Psychiatr Epidemiol 1998; 33: 405412CrossRefGoogle ScholarPubMed
Magliano, L.Fiorillo, A.Fadden, G., et al.Effectiveness of a psychoeducational intervention for families of patients with schizophrenia: results of a study funded by the European Commission. World Psychiatry 2005; 4: 4549Google ScholarPubMed
Mueser, K.T.Gingrich, S.L.Rosenthal, C.K.Educational family therapy for schizophrenia: a new model for clinical service and research. Schizophr Res 1994; 13: 99107CrossRefGoogle ScholarPubMed
O’Reilly, R.Bishop, J.Maddox, K.Hutchinson, L.Fisman, M.Takhar, J.Is telepsychiatry equivalent to face-to-face psychiatry? Results from a randomized controlled equivalence trial. Psychiatr Serv 2007; 58: 836843CrossRefGoogle ScholarPubMed
Psychoeducation for schizophrenia. Cochrane Database Syst Rev 2002;Issue 2:CD002831. DOI: 10.1002/14651858.CD002831.CrossRefGoogle Scholar
Pitschel-Walz, G.Leucht, S.Bäuml, J.Kissling, W.Engel, R.R.The effect of family interventions on relapse and rehospitalization in schizophrenia: a meta-analysis. Schizophr Bull 2001; 27: 7392CrossRefGoogle ScholarPubMed
Rummel-Kluge, C.Pitschel-Walz, G.Bäuml, J.Kissling, W.Psychoeducation in schizophrenia: results of a survey of all psychiatric institutions in Germany, Austria, and Switzerland. Schizophr Bull 2006; 32: 765775CrossRefGoogle ScholarPubMed
Singh, S.P.Arya, D.Peters, T.Accuracy of telepsychiatric assessment of new routine outpatient referrals. BMC Psychiatry 572007 55CrossRefGoogle Scholar
Smith, J.V.Birchwood, M.J.Specific and non-specific effects of educational intervention with families living with a schizophrenic relative. Br J Psychiatry 1987; 150: 645652CrossRefGoogle ScholarPubMed
Tarrier, N.Lewis, S.Haddock, G., et al.Cognitive behavioural therapy in first-episode and early schizophrenia 18-month follow-up randomised controlled trial. Br J Psychiatry 2004; 184: 231239CrossRefGoogle ScholarPubMed
Tarrier, N.Effect of treating the family to reduce relapse in schizophrenia: A review. J R Soc Med 1989; 82: 423424CrossRefGoogle ScholarPubMed
Thornicroft, G.Susser, E.Evidence-based psychotherapeutic interventions in the community care of schizophrenia. Br J Psychiatry 2001; 178: 24CrossRefGoogle ScholarPubMed
Zarate, C.A. Jr.Weinstock, L.Cukor, P., et al.Applicability of telemedicine for assessing patients with schizophrenia: acceptance and reliability. J Clin Psychiatry 1997; 58: 2225CrossRefGoogle ScholarPubMed
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