Evaluation of a psychoeducation program for Chinese clients with schizophrenia and their family caregivers

Abstract

Objectives: To evaluate the effectiveness of a psychoeducation program for Chinese clients with schizophrenia and their family caregivers. Methods: A randomized controlled trial was conducted. Seventy-three clients with a diagnosis of schizophrenia and their caregivers (n = 73) were recruited and randomized into a study (n = 36) and control group (n = 37). Ten psychoeducation sessions were provided to the study group. The outcomes were measured at the baseline, immediately after (post-1), six months (post-2), and 12 months after the intervention (post-3). Results: There were significant treatment effects across time for all client outcomes: adherence to medication (p < 0.01), mental status (p < 0.01), and insight into illness (p < 0.01). However, no significant differences were found between groups at the post-3 measures for all client outcomes. For the caregivers, significant group differences were only detected in self-efficacy at the post-1 (p = 0.007) and post-2 (p < 0.001) measures, the level of satisfaction at the post-1 (p = 0.033) and post-2 (p < 0.021) measures, and the perception of family burden at the post-2 measures (p = 0.043). Conclusion: A psychoeducation intervention had positive effects on Chinese clients and their caregivers. However, these effects might not be sustained 12 months after the intervention. Practice implications: To substantiate its effects, psychoeducation should be an ongoing intervention, with its outcomes constantly evaluated. © 2008 Elsevier Ireland Ltd. All rights reserved.