关爱照顾者（C4C）：针对老年精神疾病患者照顾者进行积极书面披露的试点可行性随机对照试验研究方案

Caring for Caregivers (C4C): study protocol for a pilot feasibility randomised control trial of Positive Written Disclosure for older adult caregivers of people with psychosis.

作者信息

Hazell Cassie M, Jones Christina J, Hayward Mark, Bremner Stephen A, O'Connor Daryl B, Pinfold Vanessa, Smith Helen E

机构信息

Department of Primary Care and Public Health, Brighton and Sussex Medical School, Mayfield House, Village Way, Falmer, BN1 9PH UK.

Department of Clinical Medicine, Royal Alexandra Children's Hospital, University of Sussex, Eastern Road, Brighton, BN2 5BE UK.

出版信息

Pilot Feasibility Stud. 2017 Nov 21;3:63. doi: 10.1186/s40814-017-0206-z. eCollection 2017.

DOI:10.1186/s40814-017-0206-z

PMID:29201390

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5697360/

Abstract

BACKGROUND

The caregivers of people who experience psychosis are themselves at risk of developing physical and mental health problems. This risk is increased for older adult caregivers who also have to manage the lifestyle and health changes associated with ageing. As a consequence, older adult caregivers are in particular need of support; we propose a Written Emotional Disclosure (WED) intervention, called Positive Written Disclosure (PWD).

METHODS/DESIGN: This is a pilot randomised controlled trial of PWD compared to a neutral writing control and a no writing condition. We aim to recruit 60 participants, 20 in each arm. This study will utilise a mixed-methods approach and collect quantitative (questionnaires) and qualitative (interviews) data. Quantitative data will be collected at baseline and 1, 3, and 6 months post baseline. Participants who complete a writing task (PWD or neutral writing control) will be invited to complete an exit interview to discuss their experiences of the intervention and study. The study is supported by a patient and public involvement group.

DISCUSSION

The results of this trial will determine whether a definitive trial is justified. If so, the quantitative and qualitative findings will be used to refine the intervention and study protocols.

TRIAL REGISTRATION

ISRCTN, ISRCTN79116352. Registered on 23 January 2017.

摘要

背景

精神病患者的照料者自身也面临身心健康问题的风险。对于还必须应对与衰老相关的生活方式和健康变化的老年照料者而言，这种风险会增加。因此，老年照料者尤其需要支持；我们提出一种书面情感表露（WED）干预措施，称为积极书面表露（PWD）。

方法/设计：这是一项PWD的试点随机对照试验，与中性写作对照组和无写作组进行比较。我们的目标是招募60名参与者，每组20人。本研究将采用混合方法，收集定量（问卷调查）和定性（访谈）数据。定量数据将在基线以及基线后1、3和6个月收集。完成写作任务（PWD或中性写作对照）的参与者将被邀请完成一次退出访谈，以讨论他们的干预和研究体验。该研究得到了患者和公众参与小组的支持。