Maybery Darryl, Goodyear Melinda, Reupert Andrea, Sheen Jade, Cann Warren, Dalziel Kim, Tchernagovski Phillip, O'Hanlon Brendan, von Doussa Henry
Department of Rural Health, Monash University, Rural Mental Health, PO Box 973, Moe, VIC, 3825, Australia.
School of Rural Health, Monash University, Clayton, VIC, 3800, Australia.
BMC Psychiatry. 2017 May 26;17(1):198. doi: 10.1186/s12888-017-1357-4.
A considerable number of people with a mental illness are parents caring for dependent children. For those with a mental illness, parenting can provide a sense of competence, belonging, identity and hope and hence is well aligned to the concept of personal recovery. However, little research has focused on the recovery journey of those who are parents and have a mental illness. This randomised controlled trial aims to (i) evaluate the effectiveness of an intervention model of recovery for parents (Let's Talk about Children) in three different mental health service sectors and (ii) examine the economic value of a larger roll out (longer term) of the parent recovery model.
A two arm parallel randomised controlled trial will be used with participants, who are being treated for their mental illness in adult mental health, non-government community mental health or family welfare services. The study will involve 192 parents, who are considered by their treating practitioner to be sufficiently well to provide informed consent and participate in an intervention (Let's Talk about Children) or control group (treatment as usual). Participant randomisation will occur at the level of the treating practitioner and will be based on whether the randomised practitioner is trained in the intervention. Outcomes are compared at pre, post intervention and six-month follow-up. Recovery, parenting and family functioning, and quality of life questionnaires will be used to measure parent wellbeing and the economic benefits of the intervention.
This is the first randomised controlled trial to investigate the efficacy of a parenting intervention on recovery outcomes and the first to provide an economic evaluation of an intervention for parents with a mental illness. An implementation model is required to embed the intervention in different sectors.
The trial was retrospectively registered: ACTRN12616000460404 on the 8/4/2016.
相当一部分患有精神疾病的人是照顾受抚养子女的父母。对于患有精神疾病的人来说，为人父母可以带来能力感、归属感、身份认同感和希望，因此与个人康复的概念高度契合。然而，很少有研究关注身为父母且患有精神疾病者的康复历程。这项随机对照试验旨在：（i）评估针对父母的康复干预模式（“让我们谈谈孩子”）在三个不同心理健康服务部门的有效性；（ii）研究更广泛推广（长期）父母康复模式的经济价值。
将采用双臂平行随机对照试验，参与者为正在成人心理健康、非政府社区心理健康或家庭福利服务机构接受精神疾病治疗的人。该研究将涉及192名父母，其治疗医生认为他们身体状况足够好，能够提供知情同意并参与干预（“让我们谈谈孩子”）或对照组（常规治疗）。参与者将在治疗医生层面进行随机分组，分组将基于随机分组的医生是否接受过该干预的培训。在干预前、干预后和六个月随访时比较结果。将使用康复、养育子女和家庭功能以及生活质量问卷来衡量父母的幸福感和干预的经济效益。
这是第一项调查养育子女干预对康复结果有效性的随机对照试验，也是第一项对患有精神疾病的父母的干预进行经济评估的试验。需要一个实施模式来将该干预纳入不同部门。
该试验进行了回顾性注册：于2016年4月8日注册为ACTRN12616000460404。
