A Mixed-Methods Evaluation of a Pilot Psychosocial Intervention Group for Older People with Schizophrenia
A Mixed-Methods Evaluation of a Pilot Psychosocial Intervention Group for Older People with Schizophrenia
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DOI：
10.1017/s1352465812001075
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发表时间：
2014-03-01
影响因子：
1.8
通讯作者：
Barrowclough, Christine
中科院分区：
文献类型：
--
作者：
Berry, Katherine;Purandare, Nitin;Barrowclough, Christine
背景：对患有精神分裂症的年轻人进行心理治疗有强有力的证据基础，但在将这些干预措施应用于老年人方面所做的工作有限。目的：我们描述了一项试点心理社会干预小组的研究，该小组专门为满足 NHS 环境中患有精神分裂症的老年人的需求而设计。方法：我们使用混合方法来评估小组。我们通过监测研究中的吸收和保留来评估可行性和可接受性。我们使用组内设计来比较参与者在基线和治疗后的一系列潜在相关结果。治疗可接受性还通过治疗结束时进行的半结构化访谈进行评估。结果：我们招募了 11 名参与者参与研究，其中 7 名完成了大部分小组会议。在小组层面，参与者的自尊和负面症状都有所改善，即使在这个小样本中，这些改善也具有统计学意义。反馈访谈表明，参与者重视小组提供的社交联系，并因参加而对他们的日常生活做出了实际改变。结论：该干预措施可以为一些与精神分裂症诊断相关的继发性残疾提供帮助，并且为老年人所接受。然而，进一步评估是必要的。
Background: There is a strong evidence base for psychological treatments in younger adults with schizophrenia, but limited work has been done on adapting these interventions for older people. Aims: We describe a study of a pilot psychosocial intervention group specifically designed to meet the needs of older people with schizophrenia in NHS settings. Method: We used a mixed-methods approach to evaluate the group. We assessed feasibility and acceptability by monitoring uptake and retention in the study. We used a within groups design comparing participants on a range of potentially relevant outcomes at baseline and posttreatment. Treatment acceptability was also assessed by semi-structured interviews conducted at the end of treatment. Results: We recruited 11 participants to the study and 7 of these completed the majority of the group sessions. At a group level participants made improvements in self-esteem and negative symptoms that were statistically significant even in this small sample. Feedback interviews suggested that participants valued the social contact provided by the group and made actual changes in their day-to-day lives as a result of attending. Conclusion: The intervention could offer help with some of the secondary disability associated with the diagnosis of schizophrenia and is acceptable to older adults. Further evaluation is, however, warranted.