Effects of Acceptance and Commitment-Based (ACT) Psychoeducation on Caregiver Burden, Posttraumatic Growth and Psychological Resilience in Caregivers of Patients With Schizophrenia
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 34
- 试验地点
- 1
- 主要终点
- Sociodemographic Data Form
研究概览
简要总结
Schizophrenia is an important mental health problem that requires caregivers because it causes disability. With the efforts to move from a hospital-based model to a community-based model in mental health services, the care of schizophrenia patients is mainly provided by their families at home, creating a significant care burden on caregivers or, on the contrary, post-traumatic development is reported. Psychiatric nurses are responsible for evaluating the patient together with their family by taking these conditions into consideration when providing care to individuals with mental illness. As a principle of humanistic and holistic care, nursing interventions to be implemented by psychiatric nurses to develop caregivers' coping methods, reduce their care burden and contribute to their post-traumatic development are extremely important in terms of the effectiveness and efficiency of care. Acceptance and Commitment (ACT)-based psychoeducation, whose effectiveness has been reported in the literature, is an important application in providing care to patients and families in psychiatric nursing practices. ACT is among the third generation therapies that aim to keep individuals in the moment with awareness, adopt the willingness to accept events instead of struggling with them, and create an important source of power in taking actions in line with life values. In this study, 17 out of 34 individuals determined by statistical methods among the caregivers of schizophrenia patients will be included in the control group and monitored, while 17 will receive 8 sessions of ACT-based psychoeducation in the intervention group, and the effects of the education on caregiver burden, post-traumatic development, and psychological resilience will be evaluated. There are very few studies in the literature where ACT-based psychoeducation is applied to caregivers of schizophrenia patients. Although studies examining the effects on individuals' caregiver burden and psychological resilience are limited, no study has been found examining its effects on post-traumatic development, and this constitutes the original value of the study. As a result of this study, it is expected that ACT-based education will reduce the caregiver burden in schizophrenia caregivers and increase their psychological resilience through post-traumatic development.
详细描述
Schizophrenia is a significant mental health problem in terms of its prevalence and disability. Individuals who experience significant loss of professional/social functioning and inability to perform self-care activities need a caregiver. Many physical, psychological, and economic problems and a related high care burden have been reported in caregivers. These difficulties increase the entry of caregivers into the health system along with sick individuals, contributing to the increase in health costs and mental problems. Studies have shown that interventions to be applied to caregivers will reduce the care burden and increase the coping capacities of individuals. While a relative being diagnosed with schizophrenia can cause trauma in individuals in itself, on the contrary, they can also experience post-traumatic development, and their high post-traumatic development is effective in reducing the care burden experienced by caregivers. Another important factor in caregivers' struggle with the mentioned difficulties is psychological resilience. Interventions to strengthen psychological resilience are gaining importance in this context. Considering the contemporary roles of psychiatric nursing, it is inevitable for the family to be treated holistically, to reduce the burden of care, and to provide therapeutic interventions that will strengthen the caregiver spiritually. When the literature is examined, it is seen that Acceptance and Commitment (ACT) based interventions are highly effective for individuals providing care to schizophrenia patients, but it is noteworthy that there are not enough studies. In particular, no study has been found examining the effect of ACT based psychoeducation on the post-traumatic development levels of caregivers. This study was planned to reveal the effect of Acceptance and Commitment based psychoeducation applied to individuals providing care to schizophrenia patients on the burden of care, post-traumatic development, and psychological resilience of individuals in order to contribute to its inclusion in psychiatric nursing practices.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Supportive Care
- 盲法
- Triple (Care Provider, Investigator, Outcomes Assessor)
盲法说明
• During the data evaluation process, the data of the experimental and control groups will be given a code (random, from 1 to 34) to ensure blinding of the statistician. In this way, the triple blinding method will be applied.
入排标准
- 年龄范围
- 18 Months 至 —（Child, Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Providing primary care to an individual diagnosed with schizophrenia according to the Diagnostic and Statistical Manual of Mental Disorders (DSM) V
- •Living with the patient and providing care for at least 6 months
- •Being over 18 years of age
- •Being literate
- •Not having been diagnosed with any mental illness
- •Agreeing to participate in the study and being a volunteer
排除标准
- •The patient must live in a different house and spend less than 6 hours together per day
- •Having previously attended ACT or Psychoeducation programs
研究组 & 干预措施
Deney Grubu
ACT-based psychoeducation will be applied to schizophrenia caregivers in the experimental group.
干预措施: ACT-based psychoeducation (Other)
Kontrol grubu
Schizophrenia caregivers in the control group will be monitored without any intervention.
结局指标
主要结局
Sociodemographic Data Form
时间窗: The measurement tests to be applied to the experimental and control groups will be the first test at the beginning of the study, the second test 8 weeks after the beginning, and the follow-up test four weeks after the second test.
The experimental and control groups will be given a pre-test at the beginning of the study, a post-test after 8 weeks, and a follow-up test after four weeks. The questionnaire form to be applied in the pre-test and post-test is the Sociodemographic Data Form prepared by the researcher. Sociodemographic Data Form prepared by the researcher. The sociodemographic data form consists of age, gender, marital status, education level, degree of closeness to the patient, and duration of care.
次要结局
- Zarit Caregiver Burden Scale(The measurement tests to be applied to the experimental and control groups will be the first test at the beginning of the study, the second test 8 weeks after the beginning, and the follow-up test four weeks after the second test.)
研究者
Merve Bakar Gürcüoğlu
Nursing
Ataturk University