Applying Collaborative Care Model on Intensive Caregiver Burden and Resilient Family Caregivers of Patients with Mental Disorders: A Randomized Controlled Trial
-
Mohammad Zoladl
,
Solaiman Afroughi
,
Khairollah Nooryan
,
Shirali Kharamin
,
Amin haghgoo
,
Yaghoub Parandvar
Abstract
Objective: Psychological education for families in the form of a model is one of the effective approaches in managing problems caused by mental health problems. The present study aimed to determine the effect of using the participatory care model on the caregiver burden and resilience of home caregivers of patients with mental disorders.
Method: In this clinical trial, 66 households with psychiatric patients hospitalized at Shahid Rajaee Psychiatric Hospital in Yasuj during 2014-2015 were selected and assigned into 2 groups of experimental and intervention based on convenience and simple random sampling. The data of this study were gathered by Novak & Guest (1989) Caregiver burden and Sixbey (2005) Resilience Questionnaire before and after intervention. Participatory care model was performed for 12 ninety-minute sessions in the intervention group. No intervention was provided to the control group during the study period. SPSS software (version 21) was used to run the descriptive and inferential statistics.
Results: Chi-squared test showed that the caregiver burden was significantly lower in the experimental group than in the control group after the intervention (P = 0.0001). Following the intervention, increased resilience and all its components were observed in the experimental group compared to the control group. According to the independent t test and Mann-Whitney U, the 2 groups were considerably different (P < 0.05).
Conclusion: The application of the participatory care model efficiently increased resilience and decreased the intensity of the caregiver burden on the home caregivers of patients suffering from mental disorders.
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3. Minuchin S. The Family In Therapy. Counseling And Family Therapy With Latino Populations: Routledge; 2013. P. 74-84.
4. Ong HC, Ibrahim N, Wahab S. Psychological Distress, Perceived Stigma, And Coping Among Caregivers Of Patients With Schizophrenia. Psychology Research And Behavior Management. 2016;9:211.
5. Bajaj B, Pande N. Mediating Role Of Resilience In The Impact Of Mindfulness On Life Satisfaction And Affect As Indices Of Subjective Well-Being. Personality And Individual Differences. 2016:1(93):63:67.
6. Urízar AC, Castillo CM, Giráldez SL, Maturana SL, Pérez MR, Tapia FM. An updated review on burden on caregivers of schizophrenia patients. Psicothema. 2014;26(2):235-43.
7. Foster K, O'Brien L, Korhonen T. Developing resilient children and families when parents have mental illness: A family‐focused approach. International journal of mental health nursing. 2012;21(1):3-11.
8. Nerbass FB, Feltrim MIZ, Souza SAd, Ykeda DS, Lorenzi-Filho G. Effects of massage therapy on sleep quality after coronary artery bypass graft surgery. Clinics. 2010;65(11):1105-10.
9. Wright LM, Leahey M. Nurses and families: A guide to family assessment and intervention: FA Davis; 2012.
10. Koh HK, Brach C, Harris LM, Parchman ML. A proposed ‘health literate care model’would constitute a systems approach to improving patients’ engagement in care. Health Affairs. 2013;32(2):357-67.
11. Mohammadi F, Babaee M. Effects of participation in support groups on Alzheimer’s family caregivers’ strain and spiritual wellbeing. Iranian Journal of Ageing. 2011;6(1).
12. Ghavidel F, Mohammadzadeh S, Pirasteh H, Alavi Majd H. Effect assessment of applying the partnership care model on quality of life in hemodialysis patients reffering to Be'sat Hospital of IRI Air Force. Ebnesina. 2009;12(2):22-7.
13. Alijany-Renany H, Tamaddoni A, Haghighy-zadeh M, Pourhosein S. The effect of using partnership care model on the quality of life in the school-age children with β-thalassemia. Journal of Shahrekord University of Medical Sciences. 2012;14(1):41-9.
14. Hoseini S, Hkoshnevis M. A Survey Of The Effect Of Partnership Care Modle On Quality Of Life Of Chemical Victims Suffering From Copd. Ebnesina. 2007;9(3):17-22.
15. Alexander Jf, Robbins Ms. Functional Family Therapy. Clinical Handbook Of Assessing And Treating Conduct Problems In Youth: Springer; 2011. P. 245-71.
16. Holden J, Harrison L, Johnson M. Families, nurses and intensive care patients: a review of the literature. Journal of Clinical Nursing. 2002;11(2):140-8.
17. Kaakinen JR, Coehlo DP, Steele R, Robinson M. Family health care nursing: Theory, practice, and research. FA Davis; 2018 Feb 1.
18. Hosseini Ghomi T, Salimi Bajestani H. Effectiveness Of Resilience Training On Stress Of Mothers Whose Children, Suffer From Cancer In Imam Khomeini Hospital Of Tehran. Health Psychol. 2013;1(4):97-109.
19. Shoushi F, Jannati Y, Mousavinasab N-A, Shafipour V. The Impact Of Family Centered Care On Depression, Anxiety And Stress Of Family Caregivers Of Patients Undergoing Open Heart Surgery. Iranian Journal Of Rehabilitation Research. 2017;3(2):53-60.
20. Novak M, Guest C. Application Of A Multidimensional Caregiver Burden Inventory. Gerontologist. 1989;29(6):798-803.
21. Valer DB, Aires M, Fengler FL, Paskulin LM. Adaptation and validation of the Caregiver Burden Inventory for use with caregivers of elderly individuals. Rev Lat Am Enfermagem. 2015;23(1):130-8.
22. Abbasi A, Shamsizadeh M, Asayesh H, Rahmani H, Hoseini Sa, Talebi M. The Relationship Between Caregiver Burden With Coping Strategies In Family Caregivers Of Cancer Patients. Journal Of Nursing Education. 2013;1(3):62-71.
23. Buchanan T. Family Resilience As A Predictor Of Better Adjustment Among International Adoptees. 2008.
24. M.(2013). HFH. The Survey Of Validation And Reliability Of Family Resiliency Scale. Journal Of Family Counseling & Psychotherapy. 2012;3(2):181-208.
25. Rivera PA, Elliott TR, Berry JW, Grant JS. Problem-solving training for family caregivers of persons with traumatic brain injuries: a randomized controlled trial. Arch Phys Med Rehabil. 2008;89(5):931-41.
26. Khalatbary J, Ghorbanshiroudi S. Effectiveness of Stress Coping Skills Training With Psycho-Educational Approach among Caregiversof Schizophrenic Patients on Family Function And Psychological Wellbeing. Journal of Holistic Nursing And Midwifery. 2016 Sep 15;26(3):46-54.
27. Emami S, Kaikhavani S, Amirian K, Neyazi E. The Effectiveness Of Family Psychoeducation (Atkinson And Coia Model) On Mental Health Family Members Of Patients With Psychosis. 2016:24(1):8-17.
28. Ghoshchian Cs, Makvand Hs, Najafi M, Bigdeli I. Comparing Effectiveness Of Complementary Family And Individual Psycho-Education On Depression And Maniac Episodes Of The Bipolar Disordered Patients Under Medical Therapy. 28th World Congress on Psychiatry, Psychological Syndromes & Therapeutics. New York, USA.2018: May 21-22.
29. Shaygan M, Sharif F. Impact Of Psychoeducational Groups For Caregivers On The Psychiatric Symptoms Of Patients With Schizophrenia. Journal Of Urmia Nursing And Midwifery Faculty. 2013;11(2):0.
30. Sadeghi M, Sepahvandi M, Rezaeifar N. The Effect Of Family Resilience Training On Mental Health Of Mothers Whose Children Mind Retarded. 2016:6(1):57-78.
31. Carlton BS, Goebert DA, Miyamoto RH, Andrade NN, Hishinuma ES, Makini GK, Jr., et al. Resilience, family adversity and well-being among Hawaiian and non-Hawaiian adolescents. Int J Soc Psychiatry. 2006;52(4):291-308.
32. Friborg O, Hjemdal O, Rosenvinge JH, Martinussen M, Aslaksen PM, Flaten MA. Resilience as a moderator of pain and stress. J Psychosom Res. 2006;61(2):213-9.
33. Bayoumi MM. Subjective burden on family carers of hemodialysis patients. Open Journal of Nephrology. 2014 Apr 29;4(02):79.
34. Chan CW, Hon HC, Chien WT, Lopez V. Social support and coping in Chinese patients undergoing cancer surgery. Cancer Nurs. 2004;27(3):230-6.
35. Grawe RW, Falloon IR, Widen JH, Skogvoll E. Two years of continued early treatment for recent-onset schizophrenia: a randomised controlled study. Acta Psychiatr Scand. 2006;114(5):328-36.
36. Cheraghi F, Shamsaei F, Riazi H. Survey of nursing and care needs of patients with mental disorders than of hospital discharge. Scientific Journal of Hamadan Nursing & Midwifery Faculty. 2010 Nov 15;18(2):15-25.
37. White N, Richter J, Koeckeritz J, Lee Y, Munch KL. A Cross-Cultural Comparison Of Family Resiliency In Hemodialysis Patients. Journal Of Transcultural Nursing. 2002;13(3):218-27.
38. Prince-Embury S. Translating Resilience Theory For Assessment And Application With Children, Adolescents, And Adults: Conceptual Issues. Resilience In Children, Adolescents, And Adults: Springer; 2013. P. 9-16.
39. Hjemdal O, Aune T, Reinfjell T, Stiles TC, Friborg O. Resilience As A Predictor Of Depressive Symptoms: A Correlational Study With Young Adolescents. Clinical Child Psychology And Psychiatry. 2007;12(1):91-104.
40. İnci FH, Temel AB. The Effect Of The Support Program On The Resilience Of Female Family Caregivers Of Stroke Patients: Randomized Controlled Trial. Applied Nursing Research. 2016;32:233-40.
41. Alizadeh H, Kavehghahfarokhi M, Yoosefilooyeh M, Roohi A. Development Of A Resilience Fostering Program, And Its Effectiveness On Psychological Well-Being In Adolescents With Externalizing And Internalizing Behavioral Disorders. Iranian J Excep Child2012. 2012;12:43-60.
42. Sullivan G, Craske MG, Sherbourne C, Edlund MJ, Rose RD, Golinelli D, et al. Design of the Coordinated Anxiety Learning and Management (CALM) study: innovations in collaborative care for anxiety disorders. Gen Hosp Psychiatry. 2007;29(5):379-87.
43. Hegel MT, Unutzer J, Tang L, Arean PA, Katon W, Noel PH, et al. Impact of comorbid panic and posttraumatic stress disorder on outcomes of collaborative care for late-life depression in primary care. Am J Geriatr Psychiatry. 2005;13(1):48-58.
44. Chew-Graham CA, Lovell K, Roberts C, Baldwin R, Morley M, Burns A, et al. A randomised controlled trial to test the feasibility of a collaborative care model for the management of depression in older people. Br J Gen Pract. 2007;57(538):364-70.
45. Azadi F, Mohammadi I. Effects Of Partnership Care Model On Quality Of Life Of Coronary Artery Disease Patients. 2006:1(2):23-29.
46. Nayyeri S, Golafrooz M, Sadaghi H, Amini S, Zarrabi L, Rakhshani M. The Effect Of The Partnership Care Model On The Quality Of Sleep Among Patients With Heart Failure. Quarterly Journal Of Sabzevar University Of Medical Sciences. 2015;22(2):289-99.
47. Ivbijaro GO, Enum Y, Khan AA, Lam SS, Gabzdyl A. Collaborative care: models for treatment of patients with complex medical-psychiatric conditions. Curr Psychiatry Rep. 2014;16(11):506.
48. Katon WJ, Lin EH, Von Korff M, Ciechanowski P, Ludman EJ, Young B, et al. Collaborative care for patients with depression and chronic illnesses. N Engl J Med. 2010;363(27):2611-20.
49. Katon W, Russo J, Lin EH, Schmittdiel J, Ciechanowski P, Ludman E, et al. Cost-effectiveness of a multicondition collaborative care intervention: a randomized controlled trial. Arch Gen Psychiatry. 2012;69(5):506-14.
50. Spitzer RL, Kroenke K, Williams JB, Group PHQPCS. Validation And Utility Of A Self-Report Version Of PRIME-MD: The PHQ Primary Care Study. Jama. 1999;282(18):1737-44.
2. Sintayehu M, Mulat H, Yohannis Z, Adera T, Fekade M. Prevalence Of Mental Distress And Associated Factors Among Caregivers Of Patients With Severe Mental Illness In The Outpatient Unit Of Amanuel Hospital, Addis Ababa, Ethiopia, 2013: Cross-Sectional Study. Journal Of Molecular Psychiatry.2015:3(1):9.
3. Minuchin S. The Family In Therapy. Counseling And Family Therapy With Latino Populations: Routledge; 2013. P. 74-84.
4. Ong HC, Ibrahim N, Wahab S. Psychological Distress, Perceived Stigma, And Coping Among Caregivers Of Patients With Schizophrenia. Psychology Research And Behavior Management. 2016;9:211.
5. Bajaj B, Pande N. Mediating Role Of Resilience In The Impact Of Mindfulness On Life Satisfaction And Affect As Indices Of Subjective Well-Being. Personality And Individual Differences. 2016:1(93):63:67.
6. Urízar AC, Castillo CM, Giráldez SL, Maturana SL, Pérez MR, Tapia FM. An updated review on burden on caregivers of schizophrenia patients. Psicothema. 2014;26(2):235-43.
7. Foster K, O'Brien L, Korhonen T. Developing resilient children and families when parents have mental illness: A family‐focused approach. International journal of mental health nursing. 2012;21(1):3-11.
8. Nerbass FB, Feltrim MIZ, Souza SAd, Ykeda DS, Lorenzi-Filho G. Effects of massage therapy on sleep quality after coronary artery bypass graft surgery. Clinics. 2010;65(11):1105-10.
9. Wright LM, Leahey M. Nurses and families: A guide to family assessment and intervention: FA Davis; 2012.
10. Koh HK, Brach C, Harris LM, Parchman ML. A proposed ‘health literate care model’would constitute a systems approach to improving patients’ engagement in care. Health Affairs. 2013;32(2):357-67.
11. Mohammadi F, Babaee M. Effects of participation in support groups on Alzheimer’s family caregivers’ strain and spiritual wellbeing. Iranian Journal of Ageing. 2011;6(1).
12. Ghavidel F, Mohammadzadeh S, Pirasteh H, Alavi Majd H. Effect assessment of applying the partnership care model on quality of life in hemodialysis patients reffering to Be'sat Hospital of IRI Air Force. Ebnesina. 2009;12(2):22-7.
13. Alijany-Renany H, Tamaddoni A, Haghighy-zadeh M, Pourhosein S. The effect of using partnership care model on the quality of life in the school-age children with β-thalassemia. Journal of Shahrekord University of Medical Sciences. 2012;14(1):41-9.
14. Hoseini S, Hkoshnevis M. A Survey Of The Effect Of Partnership Care Modle On Quality Of Life Of Chemical Victims Suffering From Copd. Ebnesina. 2007;9(3):17-22.
15. Alexander Jf, Robbins Ms. Functional Family Therapy. Clinical Handbook Of Assessing And Treating Conduct Problems In Youth: Springer; 2011. P. 245-71.
16. Holden J, Harrison L, Johnson M. Families, nurses and intensive care patients: a review of the literature. Journal of Clinical Nursing. 2002;11(2):140-8.
17. Kaakinen JR, Coehlo DP, Steele R, Robinson M. Family health care nursing: Theory, practice, and research. FA Davis; 2018 Feb 1.
18. Hosseini Ghomi T, Salimi Bajestani H. Effectiveness Of Resilience Training On Stress Of Mothers Whose Children, Suffer From Cancer In Imam Khomeini Hospital Of Tehran. Health Psychol. 2013;1(4):97-109.
19. Shoushi F, Jannati Y, Mousavinasab N-A, Shafipour V. The Impact Of Family Centered Care On Depression, Anxiety And Stress Of Family Caregivers Of Patients Undergoing Open Heart Surgery. Iranian Journal Of Rehabilitation Research. 2017;3(2):53-60.
20. Novak M, Guest C. Application Of A Multidimensional Caregiver Burden Inventory. Gerontologist. 1989;29(6):798-803.
21. Valer DB, Aires M, Fengler FL, Paskulin LM. Adaptation and validation of the Caregiver Burden Inventory for use with caregivers of elderly individuals. Rev Lat Am Enfermagem. 2015;23(1):130-8.
22. Abbasi A, Shamsizadeh M, Asayesh H, Rahmani H, Hoseini Sa, Talebi M. The Relationship Between Caregiver Burden With Coping Strategies In Family Caregivers Of Cancer Patients. Journal Of Nursing Education. 2013;1(3):62-71.
23. Buchanan T. Family Resilience As A Predictor Of Better Adjustment Among International Adoptees. 2008.
24. M.(2013). HFH. The Survey Of Validation And Reliability Of Family Resiliency Scale. Journal Of Family Counseling & Psychotherapy. 2012;3(2):181-208.
25. Rivera PA, Elliott TR, Berry JW, Grant JS. Problem-solving training for family caregivers of persons with traumatic brain injuries: a randomized controlled trial. Arch Phys Med Rehabil. 2008;89(5):931-41.
26. Khalatbary J, Ghorbanshiroudi S. Effectiveness of Stress Coping Skills Training With Psycho-Educational Approach among Caregiversof Schizophrenic Patients on Family Function And Psychological Wellbeing. Journal of Holistic Nursing And Midwifery. 2016 Sep 15;26(3):46-54.
27. Emami S, Kaikhavani S, Amirian K, Neyazi E. The Effectiveness Of Family Psychoeducation (Atkinson And Coia Model) On Mental Health Family Members Of Patients With Psychosis. 2016:24(1):8-17.
28. Ghoshchian Cs, Makvand Hs, Najafi M, Bigdeli I. Comparing Effectiveness Of Complementary Family And Individual Psycho-Education On Depression And Maniac Episodes Of The Bipolar Disordered Patients Under Medical Therapy. 28th World Congress on Psychiatry, Psychological Syndromes & Therapeutics. New York, USA.2018: May 21-22.
29. Shaygan M, Sharif F. Impact Of Psychoeducational Groups For Caregivers On The Psychiatric Symptoms Of Patients With Schizophrenia. Journal Of Urmia Nursing And Midwifery Faculty. 2013;11(2):0.
30. Sadeghi M, Sepahvandi M, Rezaeifar N. The Effect Of Family Resilience Training On Mental Health Of Mothers Whose Children Mind Retarded. 2016:6(1):57-78.
31. Carlton BS, Goebert DA, Miyamoto RH, Andrade NN, Hishinuma ES, Makini GK, Jr., et al. Resilience, family adversity and well-being among Hawaiian and non-Hawaiian adolescents. Int J Soc Psychiatry. 2006;52(4):291-308.
32. Friborg O, Hjemdal O, Rosenvinge JH, Martinussen M, Aslaksen PM, Flaten MA. Resilience as a moderator of pain and stress. J Psychosom Res. 2006;61(2):213-9.
33. Bayoumi MM. Subjective burden on family carers of hemodialysis patients. Open Journal of Nephrology. 2014 Apr 29;4(02):79.
34. Chan CW, Hon HC, Chien WT, Lopez V. Social support and coping in Chinese patients undergoing cancer surgery. Cancer Nurs. 2004;27(3):230-6.
35. Grawe RW, Falloon IR, Widen JH, Skogvoll E. Two years of continued early treatment for recent-onset schizophrenia: a randomised controlled study. Acta Psychiatr Scand. 2006;114(5):328-36.
36. Cheraghi F, Shamsaei F, Riazi H. Survey of nursing and care needs of patients with mental disorders than of hospital discharge. Scientific Journal of Hamadan Nursing & Midwifery Faculty. 2010 Nov 15;18(2):15-25.
37. White N, Richter J, Koeckeritz J, Lee Y, Munch KL. A Cross-Cultural Comparison Of Family Resiliency In Hemodialysis Patients. Journal Of Transcultural Nursing. 2002;13(3):218-27.
38. Prince-Embury S. Translating Resilience Theory For Assessment And Application With Children, Adolescents, And Adults: Conceptual Issues. Resilience In Children, Adolescents, And Adults: Springer; 2013. P. 9-16.
39. Hjemdal O, Aune T, Reinfjell T, Stiles TC, Friborg O. Resilience As A Predictor Of Depressive Symptoms: A Correlational Study With Young Adolescents. Clinical Child Psychology And Psychiatry. 2007;12(1):91-104.
40. İnci FH, Temel AB. The Effect Of The Support Program On The Resilience Of Female Family Caregivers Of Stroke Patients: Randomized Controlled Trial. Applied Nursing Research. 2016;32:233-40.
41. Alizadeh H, Kavehghahfarokhi M, Yoosefilooyeh M, Roohi A. Development Of A Resilience Fostering Program, And Its Effectiveness On Psychological Well-Being In Adolescents With Externalizing And Internalizing Behavioral Disorders. Iranian J Excep Child2012. 2012;12:43-60.
42. Sullivan G, Craske MG, Sherbourne C, Edlund MJ, Rose RD, Golinelli D, et al. Design of the Coordinated Anxiety Learning and Management (CALM) study: innovations in collaborative care for anxiety disorders. Gen Hosp Psychiatry. 2007;29(5):379-87.
43. Hegel MT, Unutzer J, Tang L, Arean PA, Katon W, Noel PH, et al. Impact of comorbid panic and posttraumatic stress disorder on outcomes of collaborative care for late-life depression in primary care. Am J Geriatr Psychiatry. 2005;13(1):48-58.
44. Chew-Graham CA, Lovell K, Roberts C, Baldwin R, Morley M, Burns A, et al. A randomised controlled trial to test the feasibility of a collaborative care model for the management of depression in older people. Br J Gen Pract. 2007;57(538):364-70.
45. Azadi F, Mohammadi I. Effects Of Partnership Care Model On Quality Of Life Of Coronary Artery Disease Patients. 2006:1(2):23-29.
46. Nayyeri S, Golafrooz M, Sadaghi H, Amini S, Zarrabi L, Rakhshani M. The Effect Of The Partnership Care Model On The Quality Of Sleep Among Patients With Heart Failure. Quarterly Journal Of Sabzevar University Of Medical Sciences. 2015;22(2):289-99.
47. Ivbijaro GO, Enum Y, Khan AA, Lam SS, Gabzdyl A. Collaborative care: models for treatment of patients with complex medical-psychiatric conditions. Curr Psychiatry Rep. 2014;16(11):506.
48. Katon WJ, Lin EH, Von Korff M, Ciechanowski P, Ludman EJ, Young B, et al. Collaborative care for patients with depression and chronic illnesses. N Engl J Med. 2010;363(27):2611-20.
49. Katon W, Russo J, Lin EH, Schmittdiel J, Ciechanowski P, Ludman E, et al. Cost-effectiveness of a multicondition collaborative care intervention: a randomized controlled trial. Arch Gen Psychiatry. 2012;69(5):506-14.
50. Spitzer RL, Kroenke K, Williams JB, Group PHQPCS. Validation And Utility Of A Self-Report Version Of PRIME-MD: The PHQ Primary Care Study. Jama. 1999;282(18):1737-44.
| Files | ||
| Issue | Vol 15 No 1 (2020) | |
| Section | Original Article(s) | |
| DOI | https://doi.org/10.18502/ijps.v15i1.2436 | |
| Keywords | ||
| Caregiver Burden Family Caregivers Mental Disorders Participatory Care Model Resilience | ||
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How to Cite
1.
Zoladl M, Afroughi S, Nooryan K, Kharamin S, haghgoo A, Parandvar Y. Applying Collaborative Care Model on Intensive Caregiver Burden and Resilient Family Caregivers of Patients with Mental Disorders: A Randomized Controlled Trial. Iran J Psychiatry. 2020;15(1):17-26.
