JOURNEY OF HOPE FAMILY EDUCATION COURSE OUTCOMES

描述（申请人摘要）：关于标准的最新建议 对精神病患者的护理建议，所有家庭提供一个 心理社会干预，提供有关 疾病、解决问题技能培训和家庭支持（Lehman等人， 1998年）。其中一个干预措施是希望之旅（JOH）计划。JOH是一个 8-由受过训练的家庭指导员向其他家庭讲授每周教育课程 精神病患者的权利。拟议项目的目的是 （1）研究JOH教育课程在改善 家庭科普亲属精神疾病的能力;（2） 家庭应对方式的改善影响患病亲属的服务利用。一 共有480个家庭（每个条件240个）将被随机分配到 JOH课程或9个月的课程等待名单。家庭及其疾病 亲属将在三个时间点接受采访： 疗程开始时（基线）、疗程结束时（基线后3个月）， 和课程结束后6个月（基线后8个月）。家庭 访谈将评估精神疾病的病因学和治疗知识， 疾病、解决问题的能力、幸福感、社会支持和家庭 关系。患病亲属访谈将衡量药物依从性， 精神病学、社会功能和社区精神卫生的使用 服务MANOVA和分层回归分析将用于探索 两个条件之间是否存在显著差异， 措施，以及是否随着时间的推移保持任何收益。

DESCRIPTION (Applicant's abstract): Recent recommendations regarding standards of care for persons with mental illness suggest that all families be offered a psychosocial intervention which provides education and support about the illness, problem solving skills training, and family support (Lehman et al., 1998). One such intervention is the Journey of Hope (JOH) program. JOH is an 8-week education course taught by trained family instructors to other families of persons with mental illness. The purpose of the proposed project is to examine (1) the effectiveness of the JOH education course in improving families' ability to cope with relative's mental illness and (2) the extent to which families' improved coping affects their ill relative's service use. A total of 480 families (240 per condition) will be randomly assigned to either the JOH course or a 9-month course waiting list. Families and their ill relatives will be interviewed at three points in time: one month prior to the start of the course (baseline), at course termination (3 months post-baseline), and six month post-course termination (8 months post-baseline). Family interviews will assess knowledge of the etiology and treatment of mental illness, problem solving skills, well being, social support, and family relationships. Ill relative interviews will measure medication compliance, symptomatology, social functioning, and use of community mental health services. MANOVA and hierarchical regression analyses will be used to explore whether significant differences occur between the two conditions on the measures, and whether any gains maintained over time.