Fiona Lobban1, David Glentworth, Lesley Chapman, Laura Wainwright, Adam Postlethwaite, Graham Dunn, Vanessa Pinfold, Warren Larkin, Gillian Haddock. 1. Fiona Lobban, BA, DClinPsy, PhD, Spectrum Centre, Division of Health Research, Lancaster University; David Glentworth, RMN, DipCogTher, Bolton Early Intervention Service, Greater Manchester West Mental Health NHS Foundation Trust; Lesley Chapman, relative; Laura Wainwright, BSc, MSc, Adam Postlethwaite, BSc, MSc, Spectrum Centre, Division of Health Research, Lancaster University; Graham Dunn, BA, MA, PhD, MSc, Centre for Biostatistics, University of Manchester; Vanessa Pinfold, BA, PhD, Institute of Psychiatry, London; Warren Larkin, BSc, DClinPsy, Children and Families Network, Lancashire Care NHS Foundation Trust, Preston; Gillian Haddock, BSc, MSc, PhD, School of Psychological Sciences, University of Manchester, UK.
Abstract
BACKGROUND: Relatives of people with psychosis experience high levels of distress and require support. Family interventions have been shown to be effective in improving outcomes but are difficult to access and not suitable for all relatives. AIMS: To assess the feasibility and effectiveness of a supported self-management package for relatives of people with recent-onset psychosis. METHOD: A randomised controlled trial (n = 103) comparing treatment as usual (TAU) in early intervention services with TAU plus the Relatives' Education And Coping Toolkit (REACT) intervention (trial identifier: ISRCTN69299093). RESULTS: Compared with TAU only, those receiving the additional REACT intervention showed reduced distress and increased perceived support and perceived ability to cope at 6-month follow-up. CONCLUSIONS: The toolkit is a feasible and potentially effective intervention to improve outcomes for relatives. A larger trial is needed to reliably assess the clinical and cost-effectiveness of REACT, and its impact on longer-term outcomes.
BACKGROUND: Relatives of people with psychosis experience high levels of distress and require support. Family interventions have been shown to be effective in improving outcomes but are difficult to access and not suitable for all relatives. AIMS: To assess the feasibility and effectiveness of a supported self-management package for relatives of people with recent-onset psychosis. METHOD: A randomised controlled trial (n = 103) comparing treatment as usual (TAU) in early intervention services with TAU plus the Relatives' Education And Coping Toolkit (REACT) intervention (trial identifier: ISRCTN69299093). RESULTS: Compared with TAU only, those receiving the additional REACT intervention showed reduced distress and increased perceived support and perceived ability to cope at 6-month follow-up. CONCLUSIONS: The toolkit is a feasible and potentially effective intervention to improve outcomes for relatives. A larger trial is needed to reliably assess the clinical and cost-effectiveness of REACT, and its impact on longer-term outcomes.
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Authors: Erin E Michalak; Steven Jones; Fiona Lobban; Guillermo Perez Algorta; Steven J Barnes; Lesley Berk; Michael Berk; Rachelle Hole; Sara Lapsley; Victoria Maxwell; Roumen Milev; John McManamy; Greg Murray; Mauricio Tohen; Samson Tse; Manuel Sanchez de Carmona; Sheri L Johnson Journal: Int J Bipolar Disord Date: 2016-02-09
Authors: Sherry K W Chan; Samson Tse; Harrison Long Tin Sit; Christy L M Hui; Edwin H M Lee; Wing C Chang; Eric Y H Chen Journal: Front Psychol Date: 2016-12-26
Authors: Fiona Lobban; Victoria Appleton; Duncan Appelbe; Johanna Barraclough; Julie Bowland; Naomi R Fisher; Sheena Foster; Sonia Johnson; Elizabeth Lewis; Céu Mateus; Barbara Mezes; Elizabeth Murray; Puffin O'Hanlon; Vanessa Pinfold; Jo Rycroft-Malone; Ron Siddle; Jo Smith; Chris J Sutton; Andrew Walker; Steven H Jones Journal: Implement Sci Date: 2017-12-28 Impact factor: 7.327
Authors: Shyhrete Rexhaj; Claude Leclerc; Charles Bonsack; Philippe Golay; Jérôme Favrod Journal: Front Psychiatry Date: 2017-09-21 Impact factor: 4.157
Authors: Fiona Lobban; Heather Robinson; Duncan Appelbe; Johanna Barraclough; Emma Bedson; Lizzi Collinge; Susanna Dodd; Sue Flowers; Mahsa Honary; Sonia Johnson; Ceu Mateus; Barbara Mezes; Valerie Minns; Elizabeth Murray; Andrew Walker; Paula Williamson; Catherine Wintermeyer; Steven Jones Journal: BMJ Open Date: 2017-07-18 Impact factor: 2.692