Evaluation of Efficiency of One Day Patient/Caregiver Psychoeducation on the Caregiver's Burden
- Conditions
- Bipolar DisorderCaregiver Burden
- Interventions
- Behavioral: Bp OneDay psychoeducation program
- Registration Number
- NCT05178966
- Lead Sponsor
- University Hospital, Montpellier
- Brief Summary
Bipolar disorder (BD) has a huge impact on the lives of patient and their relatives. Psychoeducation programs on BD has been shown to be effective on the burden of patients and their caregivers. However, actual programs appear to be incompatible with patients obligations and services requirements of the service. The development of "minute" programs (in one day) is justified.
- Detailed Description
Bipolar disorder (BD) has a huge impact on patient lives and their relatives. BD psychoeducation has been shown to be effective on patient disease course and caregivers burden. However, the programs offered appear to be incompatible with the participants obligations and services requirements. In this context we wanted to develop a "minute" program (Bp one day).
Study participation includes 3 visits : inclusion visit and 2 follow up visits.
The main objective is to assess the effectiveness of day psychoeducational program (BP OneDay) on caregiver burden at one month according to the Zarit Caregiver Burden Interview (ZCBI) total score.
This study also aims to assess the effectiveness of BP OneDay on caregiver stigma, patient self-stigma and medication adherence, quality of life, and bipolar disorder knowledge.
The study is an open-label randomized controlled trial with two arms
Overall, 120 dyads will be recruited randomly affected in 2 groups :
* the interventional group will benefit from a day psychoeducational program : Bp oneDay
* the control group will be placed on the waiting list
The benefits expected from Bp OneDay are to reduce caregiver burden and stigma and improve knowledge about BD. For patients, we expect improve disease understanding, drug adherence and reduce self-stigmatization. If the results are promising, this program can be widely disseminated and thus increase cares' solution for patients and relatives in large urban centers.
Recruitment & Eligibility
- Status
- RECRUITING
- Sex
- All
- Target Recruitment
- 240
Not provided
- Subject unable to adhere to the group requirements (cognitive disorder, decompensated mood state ...);
- Subject protected by law (subject under guardianship and / or guardianship) or deprived of liberty by a judicial or administrative decision;
- Subject unable to understand, speak and write French;
- Subject in a period of exclusion from another protocol.
- Subject not having signed an informed consent
- Subject not affiliated with a social security scheme or such a scheme
Caregiver inclusion criteria ;
- Subject over 18 years old;
- Subject designated as a regular caregiver of a patient with bipolar disorder. A regular caregiver is a trusted person designated by the patient as being one of his main support, having knowledge of the diagnosis of bipolar disorder and who can be called upon in the context of care.
- Subject able to understand the nature, purpose and methodology of the study;
Caregiver exclusion criteria :
- Subject unable to adhere to the groupre quirements (cognitive disorder, decompensated mood state ...);
- Subject protected by law (subject under guardianship and / or curatorship) or deprived of liberty by a judicial or administrative decision ;
- Subject unable to understand, speak and write French;
- Subject in a period of exclusion from another protocol.
- Subject not having signed an informed consent
- Subject not affiliated with a social security scheme or such a scheme
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Bp OneDay programm Bp OneDay psychoeducation program The BP One-Day program is based on a single day of psychoeducation .
- Primary Outcome Measures
Name Time Method caregivers burden Day65 for experimental group, Day35 for control group evaluation of caregiver burden based on the Zarit Caregiver Burden Interview total score.
The Zarit Caregiver Burden Interview is a self-administered questionnaire assessing caregiver burden using 22 items. Five themes are examined: psychological and physical suffering, financial, relational and social difficulties. For each of the 22 items, the caregiver determines how often he feels a given emotion in the helping relationship. This frequency ranges from 0 "never" to 4 "Almost always". The overall score is obtained by adding all the items together, it varies from 0 to 88. The higher the score, the greater the burden felt by the caregiver.
- Secondary Outcome Measures
Name Time Method caregivers quality of life Day65 for experimental group, Day35 for control group Evaluation of caregivers quality of life according to the Quality of Life Enjoyment and Satisfaction Questionnaire Short Form total score.
This 16-items self-administered questionnaire assesses the quality of life through the assessment of physical health, social relationships, family relationships, mood, libido, the ability to function on a daily basis, the ability to invest and enjoy leisure time, to work, the economic level, the place of life and the general feeling of well-being. The last two items assess satisfaction with treatment as well as satisfaction with life and are treated independently of the others. Each item is scored on a 5-point Likert scale and represents the level of satisfaction experienced over the last week. A calculation of the overall score is performed for items 1 to 14 (ranging from 14 to 70) and is expressed as a percentage (0-100). The higher the score, the better the quality of life.Medication Adherence Day65 for experimental group, Day35 for control group Evaluation of patient medication adherence according to Medication Adherence Rating Scale total score.
This self-questionnaire has 10 yes / no items. The total score varies between 0 and 10. The higher the score, the better the compliance. This scale was created and is widely used in the psychiatric population.Patient quality of life Day65 for experimental group, Day35 for control group Evaluation of patient quality of life according to the Quality of Life Enjoyment and Satisfaction Questionnaire Short Form total score.
This 16-items self-administered questionnaire assesses the quality of life through the assessment of physical health, social relationships, family relationships, mood, libido, the ability to function on a daily basis, the ability to invest and enjoy leisure time, to work, the economic level, the place of life and the general feeling of well-being. The last two items assess satisfaction with treatment as well as satisfaction with life and are treated independently of the others. Each item is scored on a 5-point Likert scale and represents the level of satisfaction experienced over the last week. A calculation of the overall score is performed for items 1 to 14 (ranging from 14 to 70) and is expressed as a percentage (0-100). The higher the score, the better the quality of life.Bipolar disorder Knowledge in caregivers Day65 for experimental group, Day35 for control group Evaluation of Bipolar Disorde knowledge in caregivers according to "Quizz BP" total score.
This self-administered questionnaire is composed of twenty true or false questions. It addresses different themes: occurrence, etiology, semiology, factors triggering episodes, comorbidities, treatments. The overall score fluctuates between 0 and 20. Although this test has not been validated, it has already been used in several published workscaregiver satisfaction Day44 for experimental group, Day14 for control group Evaluation of caregiver satisfaction with the group according to a liker score ranged from 0 "absolutely not satisfied" to 10 "Extremely satisfied"
caregivers stigmatization Day65 for experimental group, Day35 for control group évaluation of caregivers stigmatization using Affiliate stigma scale on caregivers of people with mental illness The Affiliate stigma scale on caregivers of people with mental illness is a self-questionnaire composed of 22 items assessing 3 dimensions of stigma : the cognitive, affective and behavioral dimension. Participants are asked to rate their level of agreement with the statements on a 4-point Likert scale (ranging from 1 "Strongly disagree" to 4 "Strongly agree). The total score ranges from 22 to 88. The higher the score, the more severe the stigma.
Internalized Stigma of patients Day65 for experimental group, Day35 for control group evaluation of Internalized Stigma according to the Internalized Stigma of Mental Illness total score This self-questionnaire consists of 29 items. Each item is rated using a 4-points Likert scale ranging from 1 "Strongly disagree" to 4 "Strongly agree". The 29 items are grouped according to 5 themes: alienation (the fact of not feeling a full member of the society in which we live), approval of stereotypes, perceived discrimination, social withdrawal, and resistance to stigma. The higher the score, the more severe the self-stigma.
Bipolar disorder Knowledge in patients Day65 for experimental group, Day35 for control group Evaluation of Bipolar Disorde knowledge in patients according to "Quizz BP" total score.
This self-administered questionnaire is composed of twenty true or false questions. It addresses different themes: occurrence, etiology, semiology, factors triggering episodes, comorbidities, treatments. The overall score fluctuates between 0 and 20. Although this test has not been validated, it has already been used in several published worksPatient satisfaction Day44 for experimental group, Day14 for control group Evaluation of patient satisfaction with the group according to a liker score ranged from 0 "absolutely not satisfied" to 10 "Extremely satisfied"
Trial Locations
- Locations (1)
University Hospital of Montpellier
🇫🇷Montpellier, France