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Service evaluation of a sole-session psychoeducational intervention to improve caregivers’ key illness beliefs after first episode psychosis (FEP)

Published online by Cambridge University Press:  28 July 2020

Cassie M. Hazell Open the ORCID record for Cassie M. Hazell [Opens in a new window] ,
Natasha Lyons ,
Juliana Onwumere ,
Joerg Schulz ,
Naomi Glover ,
Sarah Whittaker ,
Lai Chu Man ,
Caroline Floyd ,
Lucy Brown  and
Gareth James
...Show all authors
Cassie M. Hazell*
Affiliation:
School of Social Sciences and Humanities, University of Westminster, London, UK
Natasha Lyons
Affiliation:
Harrow and Hillingdon Early Intervention in Psychosis Service, Central and North West London NHS Foundation Trust, London, UK
Juliana Onwumere
Affiliation:
Institute of Psychiatry, Psychology and Neuroscience, Kings College London, London, UK
Joerg Schulz
Affiliation:
Department of Psychology and Sports Science, University of Hertfordshire, UK
Naomi Glover
Affiliation:
Harrow and Hillingdon Early Intervention in Psychosis Service, Central and North West London NHS Foundation Trust, London, UK
Sarah Whittaker
Affiliation:
Harrow and Hillingdon Early Intervention in Psychosis Service, Central and North West London NHS Foundation Trust, London, UK
Lai Chu Man
Affiliation:
Harrow and Hillingdon Early Intervention in Psychosis Service, Central and North West London NHS Foundation Trust, London, UK
Caroline Floyd
Affiliation:
Harrow and Hillingdon Early Intervention in Psychosis Service, Central and North West London NHS Foundation Trust, London, UK
Lucy Brown
Affiliation:
Harrow and Hillingdon Early Intervention in Psychosis Service, Central and North West London NHS Foundation Trust, London, UK
Gareth James
Affiliation:
Harrow and Hillingdon Early Intervention in Psychosis Service, Central and North West London NHS Foundation Trust, London, UK
Roya Afshardazegan
Affiliation:
Harrow and Hillingdon Early Intervention in Psychosis Service, Central and North West London NHS Foundation Trust, London, UK
Saal Seneviratne
Affiliation:
Harrow and Hillingdon Early Intervention in Psychosis Service, Central and North West London NHS Foundation Trust, London, UK
Shireen Rahim
Affiliation:
Harrow and Hillingdon Early Intervention in Psychosis Service, Central and North West London NHS Foundation Trust, London, UK
Jonathan Souray
Affiliation:
Harrow and Hillingdon Early Intervention in Psychosis Service, Central and North West London NHS Foundation Trust, London, UK
David Raune
Affiliation:
Harrow and Hillingdon Early Intervention in Psychosis Service, Central and North West London NHS Foundation Trust, London, UK
*
*Corresponding author. Email: c.hazell@westminser.ac.uk
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Abstract

Carers of people experiencing a first episode of psychosis are at an increased risk of developing their own physical and mental health problems. Psychoeducation has been found to improve carer wellbeing and reduce distress. However, few psychoeducation interventions have considered the resource constraints on mental health services and the impact that these can have on the implementation of any such interventions. The present service evaluation aimed to evaluate an abbreviated version (sole session) of a previously tested psychoeducation intervention (three sessions) that targets less adaptive illness beliefs (n = 17). Pre–post effect sizes reveal that all of the carers’ illness beliefs changed in the desired direction, with four out of the 10 illness beliefs associated with large to moderate improvements. When compared with the outcomes obtained in our evaluation of the more intensive, three-session version of the intervention, the between-group effects largely favoured the three-session version but were mostly small. Moderate to large effects in favour of the three-session version were found for two of the 10 illness beliefs. These findings support the further investigation of the sole session psychoeducation intervention as part of a randomised controlled trial.

Key learning aims

  1. (1) To evaluate the impact of a sole-session psychoeducation intervention on illness beliefs.

  2. (2) To compare the outcomes of the sole-session psychoeducation intervention to the previous, more intensive (three-session) version of the same intervention.

  3. (3) To consider the value of research approaches to evaluating psychoeducation interventions for carers of people with psychosis.

Keywords

carersfirst episode psychosisillness beliefspsychoeducationservice implementation
Type
Original Research
Information
the Cognitive Behaviour Therapist , Volume 13 , 2020 , e28
Copyright
© British Association for Behavioural and Cognitive Psychotherapies 2020

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References

Further reading

Onwumere, J., Glover, N., Whittaker, S., Rahim, S., Chu Man, L., James, G., … & Raune, D. (2017). Modifying illness beliefs in recent onset psychosis carers: evaluating the impact of a cognitively focused brief group intervention in a routine service. Early Intervention in Psychiatry, 12, 1144–1150. https://doi.org/10.1111/eip.12430CrossRefGoogle Scholar
Onwumere, J., Lotey, G., Schulz, J., James, G., Afsharzadegan, R., Harvey, R., … & Raune, D. (2017). Burnout in early course psychosis carers: the role of illness beliefs and coping styles. Early Intervention in Psychiatry, 11, 237–243. https://doi.org/10.1111/eip.12227CrossRefGoogle ScholarPubMed
Poon, A. W. C., Harvey, C., Mackinnon, A., & Joubert, L. (2017). A longitudinal population-based study of carers of people with psychosis. Epidemiology and Psychiatric Sciences, 26, 265–275. https://doi.org/10.1017/S2045796015001195CrossRefGoogle ScholarPubMed
Sin, J., Gillard, S., Spain, D., Cornelius, V., Chen, T., & Henderson, C. (2017). Effectiveness of psychoeducational interventions for family carers of people with psychosis: a systematic review and meta-analysis. Clinical Psychology Review, 56, 13–24. https://doi.org/10.1016/j.cpr.2017.05.002CrossRefGoogle ScholarPubMed

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