Feasibility of a psychoeducational family intervention for people with bipolar I disorder and their relatives: Results from an Italian real-world multicentre study
| Autor: | D. Sbordone, Giuseppe Carrà, Francesco Bardicchia, S. Biondi, Mariano Bassi, C. De Rosa, D. Lampis, A. Graziani, Franco Veltro, Sonia Iapichino, Gaia Sampogna, Anna Maria Moroni, C. Baronessa, Alfonso Tortorella, G. Nicolò, Mario Maj, Francesco Catapano, Claudio Malangone, Mario Luciano, Andrea Fiorillo, Massimiliano Piselli, E. Orlandi, G. Ciampini, F. Starace, V. Del Vecchio |
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| Přispěvatelé: | Fiorillo, Andrea, Del Vecchio, V., Luciano, Mario, Sampogna, G., Sbordone, D., Catapano, Francesco, De Rosa, C., Malangone, C., Tortorella, A., Veltro, F., Nicolò, G., Piselli, M., Bardicchia, F., Ciampini, G., Lampis, D., Moroni, A., Bassi, M., Iapichino, S., Biondi, S., Graziani, A., Orlandi, E., Starace, F., Baronessa, C., Carrà, G., Maj, Mario, Fiorillo, A, Del Vecchio, V, Luciano, M, Sampogna, G, Sbordone, D, Catapano, F, DE ROSA, S, Malangone, C, Tortorella, A, Veltro, F, Nicolò, G, Piselli, M, Bardicchia, F, Ciampini, G, Lampis, D, Moroni, A, Bassi, M, Iapichino, S, Biondi, S, Graziani, A, Orlandi, E, Starace, F, Baronessa, C, Carra', G, Maj, M |
| Jazyk: | angličtina |
| Rok vydání: | 2016 |
| Předmět: |
Male
Family therapy Bipolar I disorder Feasibility Implementation Psychoeducational family intervention Routine care Psychiatry and Mental Health Clinical Psychology Bipolar Disorder Bipolar I disorder medicine.medical_treatment Psychoeducational family intervention law.invention 0302 clinical medicine Randomized controlled trial Professional-Family Relations law mental health center Health Education feasibility study Feasibility Professional-Patient Relations Middle Aged Clinical Psychology priority journal Caregivers Italy mental health care personnel Psychiatry and Mental Health outpatient Family Therapy Female Health education Adult Mental Health Services medicine.medical_specialty Article 03 medical and health sciences Intervention (counseling) medicine Psychoeducation Humans human Bipolar disorder Psychiatry outcome assessment Routine care business.industry patient care social interaction medicine.disease major clinical study Mental health 030227 psychiatry relative multicenter study Implementation psychoeducation Feasibility Studies responsibility business 030217 neurology & neurosurgery |
| Popis: | Background Despite several guidelines recommend the use of psychoeducational family interventions (PFIs) as add-on in the treatment of patients with bipolar I disorder, their implementation on a large scale remains limited. The aim of the present study is to identify obstacles for the feasibility of PFIs in routine care. Methods This was a multicentre, real-world, controlled, outpatient trial, carried out in 11 randomly recruited Italian mental health centres. Two mental health professionals from each center attended a modular training course on PFI and provided the intervention. Difficulties and benefits experienced by mental health professionals in implementing the intervention were assessed through the Family Intervention Schedule (FIS-R), which was administered six times. Results Sixteen out of the 22 recruited professionals completed the training and administered the PFI to 70 patients with bipolar I disorder and their relatives. The retention rate of families receiving the intervention was 93%. Mental health professionals reported high levels of organizational difficulties, several benefits in their daily clinical work and low levels of intervention-related difficulties. The most important organizational obstacles were related to the need to integrate the intervention with other work responsibilities and to the lack of time to carry out the intervention. These difficulties did not decrease over time. Intervention-related difficulties were rated as less problematic since the first time assessment and tended to improve over time. Limitations Low number of recruited professionals; use of a not previously validated assessment instrument. Conclusions PFIs are feasible in routine care for the treatment of patients with bipolar I disorder and their relatives, and main obstacles are related to the organization/structure of mental health centres, and not to the characteristics of the intervention itself. |
| Databáze: | OpenAIRE |
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