Sustained outcomes of a peer-taught family education program on mental illness.

Sustained outcomes of a peer-taught family education program on mental illness.
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DOI:
10.1111/j.1600-0447.2012.01901.x
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发表时间:
2013-04
影响因子:
6.7
通讯作者:
Dixon LB
Dixon LB
中科院分区:
医学1区
文献类型:
--
作者:
Lucksted A;Medoff D;Burland J;Stewart B;Fang LJ;Brown C;Jones A;Lehman A;Dixon LB

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这项研究调查了美国国家精神疾病联盟提供的名为“家庭对家庭”(FTF) 的由同伴驱动的 12 节家庭支持和教育计划随机试验参与者的 6 个月随访数据,以确定痛苦、家庭功能、应对和赋权方面的改善是否持续。项目完成后,对随机分配至 FTF 条件的个体进行评估,并在 3 个月后评估其痛苦、家庭功能、应对和赋权的措施。我们使用多级回归模型 (SAS PROC MIXED) 来测试随时间推移(基线、3 个月和 9 个月)的显着变化。 FTF 参与者在基线和 FTF 后立即获得的所有显着益处均持续到 9 个月,包括减少焦虑、改善家庭问题解决能力、增加积极应对能力和增加知识。课堂出勤率的提高与自主权的大幅增加以及抑郁症和对患病亲属的不满的减少有关。有证据表明,在没有任何额外的助推器或支持的情况下,FTF 计划的好处可以持续至少 6 个月。基于同伴的计划可能会为寻求帮助以应对与患有精神疾病的家庭成员相关的挑战和压力的个人带来持续的好处。
This study examines 6-month follow-up data from participants in a randomized trial of a peer-driven 12-session family support and education program, called family-to-family (FTF) and offered by the US National Alliance on Mental Illness, to determine whether improvements in distress, family functioning, coping and empowerment were sustained. Individuals randomized to the FTF condition were assessed after program completion and then 3 months later on measures of distress, family functioning, coping, and empowerment. We used a multilevel regression model (SAS PROC MIXED) to test for significant changes over time (baseline, 3 and 9 months). All significant benefits that FTF participants gained between baseline and immediately post-FTF were sustained at 9 months including reduced anxiety, improved family problem-solving, increased positive coping, and increased knowledge. Greater class attendance was associated with larger increases in empowerment and reductions in depression and displeasure with ill relative. Evidence suggests that benefits of the FTF program were sustained for at least 6 months without any additional boosters or supports. Peer-based programs may produce sustained benefits for individuals seeking help in addressing challenges and stresses related to having a family member with a mental illness.
DOI: 10.1007/s10464-008-9195-7
发表时间: 2008-09-01
影响因子: 3.1
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发表时间: 2004-03-01
影响因子: 6.7
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