JOURNEY OF HOPE FAMILY EDUCATION COURSE OUTCOMES

描述(申请人摘要)：关于标准的最新建议 对精神疾病患者的护理建议为所有家庭提供 心理社会干预，提供有关老年人的教育和支持 疾病、解决问题的技能培训和家庭支持(Lehman等人， 1998年)。一种这样的干预是希望之旅(Joh)计划。Joh是一位 由训练有素的家庭教师向其他家庭教授的为期8周的教育课程 精神疾病患者。拟议项目的目的是 检视(1)乔氏教育课程提升成效 家庭应对亲属精神疾病的能力和(2) 哪些家庭应对方式的改善会影响其患病亲属的服务使用。一个 总共480个家庭(每种情况240个)将被随机分配到 Joh课程或一个9个月的课程等待名单。家庭和他们的疾病 亲属将在三个时间点接受采访：一个月前 课程开始(基线)，课程结束(基线后3个月)， 课程结束后6个月(基线后8个月)。家庭 面谈将评估精神疾病的病因和治疗知识 疾病、解决问题的技能、幸福感、社会支持和家庭 两性关系。病人亲属面谈将衡量服药依从性， 症状学、社会功能和社区精神卫生的使用 服务。将使用Manova和分层回归分析来探索 这两种情况之间是否存在显著差异 措施，以及随着时间的推移是否保持任何收益。

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.