The Effects of an Online Family Psychoeducation Program on Expressed Emotion of Family Members and Medication Adherence of Patients With First-Episode Schizophrenia
概览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 53
- 试验地点
- 1
- 主要终点
- Expressed Emotion
概览
简要总结
This study examined the effects of family psychoeducation program via line application on expressed emotion of family members and medication adherence in patients with first-episode schizophrenia.
详细描述
The investigators examined if LINE family Psychoeducation Program plus routine treatment is effective for reducing Expressed Emotion and improving Medication Adherence in real practice. Family members and patients with first-episode schizophrenia received a 7-week online family psychoeducation program via the LINE application, while the control group received routine care. Family caregivers completed the Thai Expressed Emotion Scale (TEES) and the Medication Adherence Report Scale (MARS). Baseline assessments were conducted prior to group allocation. Post-intervention assessments were conducted at week 8. Intervention fidelity was monitored through weekly quizzes and researcher oversight.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 60 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •for patients were:
- •a diagnosis of schizophrenia according to the International Classification of Diseases, 10th Revision ICD-10 (F20.00 to F20.09), with a duration of illness not exceeding five years from the date of initial diagnosis
- •received oral antipsychotic treatment for at least 6 months but no longer than five years
- •aged between 18 to 35 years.
- •mild psychotic symptoms severity, defined as a total score of 18 to 36 on the Brief Psychiatric Rating Scale (BPRS)
- •documented history of medication non-adherence, as recorded in medical records
- •availability of a primary caregiver and
- •ability to communicate in Thai and via telephone using the LINE application
- •Inclusion criteria for family members were:
- •being a family member living in the same household as the patients and serving as the primary caregiver for at least six months without financial compensation
排除标准
- •for both patients and caregivers were:
- •acute exacerbation of psychotic symptoms requiring hospitalization during the study period
- •missing one or more scheduled intervention sessions
- •inability of the researcher to contact the family caregiver within one week despite repeated attempts.
研究组 & 干预措施
control
Participants in the control group received routine outpatient psychiatric care only. No structured family psychoeducation was provided during the study period.
Mobile based Family Psychoeducation Program
Mobile based Family Psychoeducation Program, In addition to routine treatment, a structured 7week Online Psychoeducation Program delivered via the LINE application. The program was developed based on the Vulnerability Stress Model and aimed to reduce expressed emotion among family caregivers and improve medication adherence in patients with first-episode schizophrenia. The intervention consisted of seven video-based sessions, each lasting no more than 10 minutes, delivered weekly over seven consecutive weeks through a private LINE chat. Content covered program orientation, knowledge about schizophrenia, medication management and adherence, stigma and coping strategies, expressed emotion and family communication, stress management, and early warning signs of relapse.
干预措施: Mobile based family psychoeducation program (Behavioral)
结局指标
主要结局
Expressed Emotion
时间窗: From enrollment (week 1) to post treatment at week 8
Expressed Emotion was measured using the Thai Expressed Emotion Scale (TEES), developed by Sunpaveerawong. The instrument consists of 49 items encompassing seven components of expressed emotion. Negative expressed emotion includes Critical Comments (items 1-7), Hostility (items 8-15), Emotional Overinvolvement (items 16-20), and Emotional Under involvement (items 42-49), totaling 28 items. Positive expressed emotion includes Warmth (items 21-27), Positive Remarks (items 28-34), and Emotion Regulation (items 35-41), totaling 21 items.
次要结局
- Medication Adherence(From enrollment (week 1) to post treatment at week 8)
研究者
Areerat Yongprasert
Graduate Student
Mahidol University