Psychosis, Schizophrenia
Conditions
Keywords
Schizophrenia, Psychosis, Family intervention, Cognitive behavioural therapy, CBT
Brief summary
Cognitive behavioural family intervention (CBFI) is a brief psychosocial intervention that incorporates the model of cognitive behavioural therapy (CBT) into the family context. It builds upon the current trend of family interventions/psychoeducation with refocusing on the cognitive model within the family interpersonal relationship. Existing literature indicates that CBFI may be effective in improving positive and negative symptoms of people diagnosed with schizophrenia immediately following the programme. This mixed-method is to evaluate the feasibility and effectiveness of a CBFI programme for people with schizophrenia and their families in a local context. The findings may accumulate more evidence that CBFI is a brief and effective psychosocial intervention that is adapted to Hong Kong clinical settings.
Interventions
BEHAVIORALGroup Cognitive behavioural family intervention (CBFI)
four-week, four-session CBT-based family intervention programme
BEHAVIORALUsual group psychoeducation
Treatment as usual in the institution studied
Sponsors
The University of Hong Kong
Hospital Authority, Hong Kong
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
Service users * Diagnosis of schizophrenia-spectrum disorders, based on clinical judgement by the treating clinicians * Aged 18-65 * Able to communicate in Cantonese Family caregivers * Aged above 18 * Living with service users * Able to communicate in Cantonese * Nominated by the service users
Exclusion criteria
Service users * Having co-morbidity of learning disability * Organic/neurological conditions * Substance misuse disorder Family caregivers * Having active psychiatric conditions * Looking after more than one family member suffering from chronic physical or mental illnesses
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Qualitative feedback from the clinicians of the concerned wards | Immediate posttreatment | Programme evaluation interview |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Negative symptoms of service users | Immediate posttreatment | Brief Negative Symptom Scale (BNSS); 13-item ranging from 0 to 78 |
| Expressed emotion by service users | Immediate posttreatment | Concise Chinese Level of Expressed Emotion Scale (CCLEES); 12-item ranging from 12 to 48 |
| Caregiving experience by family caregivers | Immediate posttreatment | Chinese version of Experience of Caregiving Inventory (CECI); 66-item ranging from 0 to 264 |
| Positive symptoms of service users | Immediate posttreatment | Psychotic Symptoms Rating Scales (PSYRATS); 11-item hallucination subscale ranging from 0 to 44; 6-item delusion subscale ranging from 0 to 24 |
| Mood disturbance by family caregivers | Immediate posttreatment | Hospital Anxiety and Depression Scale (HADS); 7-item depression subscale ranging from 0 to 21; 7-item anxiety subscale ranging from 0 to 21 |
| Qualitative feedback from the service users and their families | Immediate posttreatment | Semi-structured focus group interview |
| Perceived care burden by family caregivers | Immediate posttreatment | Family Burden Interview Schedule (FBIS); 25-item ranging from 0 to 50 |
Countries
Hong Kong
Outcome results
None listed