GGZ inGeest, Amsterdam, The Netherlands.
Research group Recovery and Rehabilitation, GGZ inGeest, Amsterdam, The Netherlands.
BMC Psychiatry. 2018 Mar 27;18(1):84. doi: 10.1186/s12888-018-1669-z.
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.
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.
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.
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.
This study was retrospectively registered (14/01/2018) in the ISRCTN registry with study ID ISRCTN44495131 .
照顾严重精神疾病患者的家庭成员会经历情绪困扰，并报告其精神疾病发病率高于一般人群。他们表示，自己在为这些患者提供必要的实际和情感支持方面准备不足。MAT 培训是为满足这些需求而开发的一种针对照顾者的互动技能培训（IST）项目。本研究采用单臂前后测试设计，考察了培训对照顾者的能力感（自我效能感）和负担的影响。
从三家心理健康机构招募了 100 名家庭照顾者参加培训。使用参与评估问卷评估负担，使用自我效能问卷评估自我效能。采用重复测量方差分析来调查培训是否改变了家庭照顾者的负担和自我效能水平。采用 Pearson 相关分析来考察自我效能感和负担之间的关系。
研究结果表明，培训后，自我效能感随时间显著增加（p<0.001），负担显著降低（p<0.001）。然而，结果未能证明自我效能感的增加与负担的减轻之间存在预期的关联。照顾者对培训表示高度赞赏。
在参加 IST 项目后，严重精神疾病患者的家庭照顾者体验到更强的能力感和负担的显著减轻。培训受到高度赞赏，满足了照顾者在复杂照顾环境中获得所需技能的需求。
本研究于 2018 年 1 月 14 日在 ISRCTN 注册，研究 ID 为 ISRCTN44495131。
