A randomized controlled trial of a correspondence-based intervention for carers of relatives with psychosis

Deane, Frank P., Marshall, Sarah, Crowe, Trevor, White, Angela and Kavanagh, David (2013) A randomized controlled trial of a correspondence-based intervention for carers of relatives with psychosis. Clinical Psychology and Psychotherapy, 22 2: 142-152. doi:10.1002/cpp.1880

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Author Deane, Frank P.
Marshall, Sarah
Crowe, Trevor
White, Angela
Kavanagh, David
Title A randomized controlled trial of a correspondence-based intervention for carers of relatives with psychosis
Journal name Clinical Psychology and Psychotherapy   Check publisher's open access policy
ISSN 1063-3995
Publication date 2013-11-27
Year available 2013
Sub-type Article (original research)
DOI 10.1002/cpp.1880
Open Access Status Not yet assessed
Volume 22
Issue 2
Start page 142
End page 152
Total pages 11
Place of publication Chichester, West Sussex, United Kingdom
Publisher John Wiley & Sons
Language eng
Formatted abstract
Background Family members play a crucial role in supporting the recovery of loved ones with psychosis. The journey of recovery is not only traversed by the person experiencing the mental illness but also by their family. Interventions to support these families have traditionally either focused on psychoeducation or addressed problematic interactions or expressed emotion. Family programmes have far less frequently emphasized supporting family members' adjustment to the challenges posed by their relative's disorder or their recovery from associated distress. The study compared a control condition that received only a psychoeducational booklet (Information) and a condition also receiving a correspondence-based interactive recovery-oriented intervention (Connections). The Connections group was expected to show greater improvements in recovery knowledge, well-being, experiences of caregiving, hopefulness and distress.

Method A randomized controlled trial was conducted to evaluate the effectiveness of two correspondence-based family interventions delivered to 81 carers of relatives with psychosis.

Results Intent-to-treat analyses showed no differential outcomes between conditions, but an analysis of participants who substantially completed their allocated treatment showed that carers receiving Connections had significantly more improvements in well-being, positive experiences of caregiving and distress.

Conclusions Correspondence interventions that support carer's recovery may result in more positive mental health for those who complete key elements of the programme compared with information alone. However, many carers do not complete a correspondence programme and this may limit its impact.

Key Practitioner Message
• A focus on recovery-oriented interventions holds relevance for carers as well as their loved ones with mental illness.
• To our knowledge, this is the first randomized controlled trial of a recovery-focused intervention for carers.
• Carers may receive positive mental health benefits from recovery-focused correspondence programmes to the extent that they can be encouraged to remain engaged with such programmes.
Keyword Family
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ
Additional Notes Authors prepress title: "A randomised controlled trial of a correspondence-based intervention for carers of relatives with psychosis". Article first published online: 27 NOV 2013

Document type: Journal Article
Sub-type: Article (original research)
Collections: Faculty of Health and Behavioural Sciences -- Publications
Official 2014 Collection
School of Psychology Publications
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Citation counts: TR Web of Science Citation Count  Cited 3 times in Thomson Reuters Web of Science Article | Citations
Scopus Citation Count Cited 3 times in Scopus Article | Citations
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Created: Tue, 07 Jan 2014, 22:05:58 EST by Angela White on behalf of Centre for Youth Substance Abuse