Rey Romain, de Martène Bénédicte, Baltazar Matias, Geoffray Marie-Maude, d'Amato Thierry, Demily Caroline, Bohec Anne-Lise
University Claude Bernard Lyon 1, Lyon, France.
Le Vinatier Hospital, Bron, France.
Acad Psychiatry. 2023 Oct;47(5):496-503. doi: 10.1007/s40596-022-01632-1. Epub 2022 Apr 26.
Although international guidelines state that psychoeducation to caregivers should be provided systematically, it remains insufficiently available in psychiatry. This study reports the development and evaluation of an original training course aimed to provide participants with the knowledge and skills to implement "BREF," a psychoeducational program for caregivers.
The BREF program training course, a free, 1-day course incorporating peer role-play was developed. In addition to psychiatrists, nurses, and psychologists, caregivers were involved as preceptors. Participants were mental health professionals and volunteer caregivers. Participants to the first 28 sessions of the course (n=467) completed a post-course questionnaire (n=341) and a cross-sectional questionnaire (n=56). Quantitative data on satisfaction, learning, and behavior changes following the course were collected equating to levels 1, 2, and 3 of Kirkpatrick's model.
After the course, high levels of satisfaction and commitment were observed with 100% of responders recommending the course and 81% intending to implement the BREF program. Confidence mean score to implement BREF was 7.9/10 (±1.4) with no significant effect of course session. At cross-sectional evaluation, 73% of responders reported improvements in skills related to providing psychoeducation to caregivers, 64% stated that the BREF program was implemented/under implementation, and 66% stated that their department had connected with a family association.
Training course sessions alone can increase psychoeducational programs for caregivers and network establishment. The BREF program training course demonstrates a high level of participant satisfaction and is a promising method to disseminate psychoeducation to caregivers, thus addressing a major shortage in mental health organization.
尽管国际指南规定应系统地向照料者提供心理教育,但在精神病学领域,其普及程度仍然不足。本研究报告了一项原创培训课程的开发与评估情况,该课程旨在为参与者提供实施“BREF”(一项针对照料者的心理教育项目)所需的知识和技能。
开发了BREF项目培训课程,这是一个免费的为期1天的课程,包含同伴角色扮演。除了精神科医生、护士和心理学家外,照料者也作为指导教师参与其中。参与者为心理健康专业人员和志愿照料者。参加该课程前28期的学员(n = 467)完成了课程后问卷(n = 341)和横断面问卷(n = 56)。收集了与课程后满意度、学习情况和行为变化相关的定量数据,相当于柯克帕特里克模型的1级、2级和3级。
课程结束后,观察到高水平的满意度和参与度,100%的受访者推荐该课程,81%的人打算实施BREF项目。实施BREF的信心平均得分为7.9/10(±1.4),课程期数对此无显著影响。在横断面评估中,73%的受访者表示在向照料者提供心理教育相关技能方面有所提高,64%的人表示BREF项目已实施/正在实施,66%的人表示其所在部门已与一个家庭协会建立联系。
仅培训课程就能增加针对照料者的心理教育项目并促进网络建立。BREF项目培训课程显示出参与者的高度满意度,是向照料者传播心理教育的一种有前景的方法,从而解决了心理健康机构中的一个主要不足。