Skip to main content
Top
Published in: BMC Psychiatry 1/2018

Open Access 01-12-2018 | Research article

Evaluation of an interaction-skills training for reducing the burden of family caregivers of patients with severe mental illness: a pre-posttest design

Authors: Yasmin Gharavi, Barbara Stringer, Adriaan Hoogendoorn, Jan Boogaarts, Bas Van Raaij, Berno Van Meijel

Published in: BMC Psychiatry | Issue 1/2018

Login to get access

Abstract

Background

Family members who care for patients with severe mental illness experience emotional distress and report a higher incidence of mental illness than those in the general population. They report feeling inadequately prepared to provide the necessary practical and emotional support for these patients. The MAT training, an Interaction-Skills Training program (IST) for caregivers, was developed to meet those needs. This study used a single-arm pretest-posttest design to examine the impact of the training on caregivers’ sense of competence (self-efficacy) and burden.

Methods

One hundred family caregivers recruited from three mental health institutions participated in the training. Burden was assessed using the Involvement Evaluation Questionnaire, and self-efficacy using the Self-Efficacy Questionnaire. Analysis of variance with repeated measures was used to investigate whether participation in the training changed the level of family caregivers’ burden and self-efficacy. Pearson’s correlation was used to examine the relationships between self-efficacy and burden.

Results

Our results indicate that, after the training, self-efficacy increased significantly over time (p < 0.001) and that burden decreased significantly (p < 0.001). However, the results could not demonstrate the expected association between an increase of self-efficacy and decrease of burden. Caregivers expressed high appreciation for the training.

Conclusions

After following the IST program, family caregivers of patients with severe mental illness experienced a greater sense of competence and a significant decrease in burden. The training was greatly appreciated and satisfied caregivers’ need to acquire the skills required in complex caregiving situations.

Trial registration

This study was retrospectively registered (14/01/2018) in the ISRCTN registry with study ID ISRCTN44495131.
Literature
1.
go back to reference Bentur N, Moualem A. The effect on family members of treating home hospitalized patients. Harefuah. 2001;140(5):386–91.PubMed Bentur N, Moualem A. The effect on family members of treating home hospitalized patients. Harefuah. 2001;140(5):386–91.PubMed
2.
go back to reference Ostman M, Hansson L. Family burden and care participation: a test-retest reliability study of an interview instrument concerning families with a severely mentally ill family member. Nordic Journal of Psychiatry. 2000;54:327–32.CrossRef Ostman M, Hansson L. Family burden and care participation: a test-retest reliability study of an interview instrument concerning families with a severely mentally ill family member. Nordic Journal of Psychiatry. 2000;54:327–32.CrossRef
3.
go back to reference Chang KH, Horrocks S. Lived experiences of family caregivers of mentally ill relatives. J Adv Nurs. 2006;53(4):435–43.CrossRefPubMed Chang KH, Horrocks S. Lived experiences of family caregivers of mentally ill relatives. J Adv Nurs. 2006;53(4):435–43.CrossRefPubMed
4.
go back to reference Rose L, Mallinson RK, Walton-Moss B. A grounded theory of families responding to mental illness. West J Nurs Res. 2002;24(5):516–36.CrossRefPubMed Rose L, Mallinson RK, Walton-Moss B. A grounded theory of families responding to mental illness. West J Nurs Res. 2002;24(5):516–36.CrossRefPubMed
5.
go back to reference Shah AJ, Wadoo O, Latoo J. Psychological distress in carers of people with mental disorders. British Journal of Medical Practitioners. 2010;3(3):18. Shah AJ, Wadoo O, Latoo J. Psychological distress in carers of people with mental disorders. British Journal of Medical Practitioners. 2010;3(3):18.
6.
go back to reference Zarit SH, Reever KE, Bach-Peterson J. Relatives of the impaired elderly: correlates of feelings of burden. Gerontologist. 1980;20(6):649–55.CrossRefPubMed Zarit SH, Reever KE, Bach-Peterson J. Relatives of the impaired elderly: correlates of feelings of burden. Gerontologist. 1980;20(6):649–55.CrossRefPubMed
7.
go back to reference Carter PA. Family caregivers’ sleep loss and depression over time. Cancer Nurs. 2003;26(4):253–9.CrossRefPubMed Carter PA. Family caregivers’ sleep loss and depression over time. Cancer Nurs. 2003;26(4):253–9.CrossRefPubMed
8.
go back to reference Schulze B, Rössler W. Caregiver burden in mental illness: review of measurement, findings and interventions in 2004–2005. Current Opinion in Psychiatry. 2005;18(6):684–91.CrossRefPubMed Schulze B, Rössler W. Caregiver burden in mental illness: review of measurement, findings and interventions in 2004–2005. Current Opinion in Psychiatry. 2005;18(6):684–91.CrossRefPubMed
9.
go back to reference Rose LE, Mallinson RK, Gerson LD. Mastery, burden, and areas of concern among family caregivers of mentally ill persons. Arch Psychiatr Nurs. 2006;20(1):41–51.CrossRefPubMed Rose LE, Mallinson RK, Gerson LD. Mastery, burden, and areas of concern among family caregivers of mentally ill persons. Arch Psychiatr Nurs. 2006;20(1):41–51.CrossRefPubMed
10.
go back to reference Given B, Sherwood PR, Given CW. What knowledge and skills do caregivers need? AJN The American Journal of Nursing. 2008;108(9):28–34.CrossRefPubMed Given B, Sherwood PR, Given CW. What knowledge and skills do caregivers need? AJN The American Journal of Nursing. 2008;108(9):28–34.CrossRefPubMed
11.
go back to reference Martire LM, Lustig AP, Schulz R, Miller GE, Helgeson VS. Is it beneficial to involve a family member? A meta-analysis of psychosocial interventions for chronic illness. Health Psychol. 2004;23(6):599.CrossRefPubMed Martire LM, Lustig AP, Schulz R, Miller GE, Helgeson VS. Is it beneficial to involve a family member? A meta-analysis of psychosocial interventions for chronic illness. Health Psychol. 2004;23(6):599.CrossRefPubMed
12.
go back to reference Smeerdijk M, Keet R, van Raaij B, Koeter M, Linszen D, de Haan L, Schippers G. Motivational interviewing and interaction skills training for parents of young adults with recent-onset schizophrenia and co-occurring cannabis use: 15-month follow-up. Psychol Med. 2015;45(13):2839–48.CrossRefPubMed Smeerdijk M, Keet R, van Raaij B, Koeter M, Linszen D, de Haan L, Schippers G. Motivational interviewing and interaction skills training for parents of young adults with recent-onset schizophrenia and co-occurring cannabis use: 15-month follow-up. Psychol Med. 2015;45(13):2839–48.CrossRefPubMed
13.
go back to reference Signe A, Elmståhl S. Psychosocial intervention for family caregivers of people with dementia reduces caregiver's burden: development and effect after 6 and 12 months. Scand J Caring Sci. 2008;22(1):98–109.CrossRefPubMed Signe A, Elmståhl S. Psychosocial intervention for family caregivers of people with dementia reduces caregiver's burden: development and effect after 6 and 12 months. Scand J Caring Sci. 2008;22(1):98–109.CrossRefPubMed
14.
go back to reference Zeiss AM, Gallagher-Thompson D, Lovett S, Rose J, McKibbin C. Self- efficacy as a mediator of caregiver coping: development and testing of an assessment model. Journal of Clinical Geropsychology. 1999;5(3):221–30.CrossRef Zeiss AM, Gallagher-Thompson D, Lovett S, Rose J, McKibbin C. Self- efficacy as a mediator of caregiver coping: development and testing of an assessment model. Journal of Clinical Geropsychology. 1999;5(3):221–30.CrossRef
15.
go back to reference Bandura, A. (1994). Self-efficacy. New York City, United States: John Wiley & Sons, Inc. Bandura, A. (1994). Self-efficacy. New York City, United States: John Wiley & Sons, Inc.
16.
go back to reference Solomon P, Draine J. Subjective burden among family members of mentally ill adults: relation to stress, coping, and adaptation. Am J Orthopsychiatry. 1995;65(3):419.CrossRefPubMed Solomon P, Draine J. Subjective burden among family members of mentally ill adults: relation to stress, coping, and adaptation. Am J Orthopsychiatry. 1995;65(3):419.CrossRefPubMed
17.
go back to reference Delespaul PH, De Consensusgroep EPA. Consensus over de definitie van mensen met een ernstige psychische aandoening (epa) en hun aantal in Nederland. Tijdschrift voor Psychiatrie. 2013;55(6):427–38.PubMed Delespaul PH, De Consensusgroep EPA. Consensus over de definitie van mensen met een ernstige psychische aandoening (epa) en hun aantal in Nederland. Tijdschrift voor Psychiatrie. 2013;55(6):427–38.PubMed
18.
go back to reference Kuipers T, Kuipers-van Bekkum N. Training helpt in dagelijkse omgang. Ypsilon Nieuwsbrief. 2002;100:10–1. Kuipers T, Kuipers-van Bekkum N. Training helpt in dagelijkse omgang. Ypsilon Nieuwsbrief. 2002;100:10–1.
19.
go back to reference Schene AH, van Wijngaarden B. Family members of people with a psychotic disorder; a study among members of Ypsilon. Amsterdam: Department of Psychiatry, University of Amsterdam; 1993. Schene AH, van Wijngaarden B. Family members of people with a psychotic disorder; a study among members of Ypsilon. Amsterdam: Department of Psychiatry, University of Amsterdam; 1993.
20.
go back to reference Wijngaarden BV, Schene AH, Koeter MWJ, Vazquez-Barquero JL, Knudsen HC, Lasalvia A, McCrone P. Caregiving in schizophrenia: development, internal consistency and reliability of the involvement evaluation Questionaire-European version. EPSILON study 4. Br J Psychiatry. 2000;177(S39):21–7.CrossRef Wijngaarden BV, Schene AH, Koeter MWJ, Vazquez-Barquero JL, Knudsen HC, Lasalvia A, McCrone P. Caregiving in schizophrenia: development, internal consistency and reliability of the involvement evaluation Questionaire-European version. EPSILON study 4. Br J Psychiatry. 2000;177(S39):21–7.CrossRef
21.
go back to reference IBM Corp. (2011). Released 2011. IBM SPSS statistics for windows, version 20.0. Armonk, NY: IBM Corp. IBM Corp. (2011). Released 2011. IBM SPSS statistics for windows, version 20.0. Armonk, NY: IBM Corp.
22.
go back to reference Cohen, J. (1988). Statistical power analysis for the behavioral sciences. Hillside, NJ: Lawrence Earlbaum Associates. Cohen, J. (1988). Statistical power analysis for the behavioral sciences. Hillside, NJ: Lawrence Earlbaum Associates.
23.
go back to reference Bond GR, Drake RE, Mueser KT, Latimer E. Assertive community treatment for people with severe mental illness. Disease Management and Health Outcomes. 2001;9(3):141–59.CrossRef Bond GR, Drake RE, Mueser KT, Latimer E. Assertive community treatment for people with severe mental illness. Disease Management and Health Outcomes. 2001;9(3):141–59.CrossRef
Metadata
Title
Evaluation of an interaction-skills training for reducing the burden of family caregivers of patients with severe mental illness: a pre-posttest design
Authors
Yasmin Gharavi
Barbara Stringer
Adriaan Hoogendoorn
Jan Boogaarts
Bas Van Raaij
Berno Van Meijel
Publication date
01-12-2018
Publisher
BioMed Central
Published in
BMC Psychiatry / Issue 1/2018
Electronic ISSN: 1471-244X
DOI
https://doi.org/10.1186/s12888-018-1669-z

Other articles of this Issue 1/2018

BMC Psychiatry 1/2018 Go to the issue