Evaluation of an interaction-skills training for reducing the burden of family caregivers of patients with severe mental illness

ISRCTN ISRCTN44495131
DOI https://doi.org/10.1186/ISRCTN44495131
Secondary identifying numbers N/A
Submission date
22/12/2017
Registration date
14/01/2018
Last edited
29/03/2018
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Mental and Behavioural Disorders
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Background and study aims
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. The aim of this study is to examine the impact of the training on caregivers’ sense of competence (self-efficacy) and burden.

Who can participate?
Family caregivers who care for patients with a severe mental illness

What does the study involve?
Family caregivers participated in the training over 10 weeks. Family caregivers’ burden and self-efficacy are assessed using questionnaires before and after the training and 3 months later.

What are the possible benefits and risks of participating?
The possible benefits of participation in the interaction-skills training are increased self-efficacy and reduced burden when caring for their family member with severe mental illness. No harm or discomfort is expected.

Where is the study run from?
1. Vincent van Gogh Instituut, Venlo (Netherlands)
2. Vincent van Gogh Instituut, Venray (Netherlands)
3. GGZ Friesland, Franeker (Netherlands)
4. GGZ Friesland, Heerenveen (Netherlands)
5. Propersona Lokatie Braamberg, Arnhem (Netherlands)

When is the study starting and how long is it expected to run for?
October 2014 to October 2016

Who is funding the study?
Inholland University of Applied Sciences (Netherlands)

Who is the main contact?
Yassamin Gharavi

Contact information

Ms Yassamin Gharavi
Scientific

Lange Leidsedwarsstraat
Amsterdam
1017NM
Netherlands

Study information

Study designPre-posttest design
Primary study designInterventional
Secondary study designNon randomised study
Study setting(s)Other
Study typeQuality of life
Participant information sheet Not available in web format, please use the contact details to request a patient information sheet
Scientific titleEvidence of the effectivity of an interaction-skills training for reducing the burden of family caregivers of patients with severe mental illness: a pre-posttest design
Study objectivesAfter following the IST program, family caregivers of patients with severe mental illness experience a greater sense of competence and a significant decrease in burden.
Ethics approval(s)Under Dutch law and legislation, no medical ethical approval was needed for this study, see CCMO. Only medical studies need to receive the approval of the Central Committee on Research Investigating Human Subjects (CCMO). This research does not fall under the scope of the Medical Research Involving Human Subjects Act (WMO). The following reference supports this point: ‘’Centrale Commissie Mensgebonden Onderzoek (CCMO), (2015)’’. After receiving verbal and written information on the study, all participants signed for informed consent.
Health condition(s) or problem(s) studiedClinical health psychology, severe mental illness
InterventionThe interaction skills training (IST) program was offered at three mental health institutions in various parts of the Netherlands. Within these three hospitals, there was an open registration for family members to participate in the training. The training was announced through the mental health professionals, local media, or a brochure. Family members were recruited through their registered patients, through local media, or a brochure. One hundred family caregivers recruited from three mental health institutions participated in the training. The duration of the training program was 10 weeks.

The trialists examined the effect of the program on self-efficacy and burden, which were measured on three occasions: at T0 (baseline), T1 (after the training/at 8 weeks) and T2 (3 months after termination of the training). The third measurement also included a brief evaluation of the caregivers’ perspective on 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.
Intervention typeBehavioural
Primary outcome measureMeasured at T0 (baseline), T1 (after the training/at 8 weeks) and T2 (3 months after termination of the training):
1. Burden assessed using the Involvement Evaluation Questionnaire
2. Self-efficacy assessed using the Self-Efficacy Questionnaire
Secondary outcome measuresAppreciation of the components of the training, measured with a short survey at T2 (3 months after termination of the training)
Overall study start date13/10/2014
Completion date25/10/2016

Eligibility

Participant type(s)Carer
Age groupAll
SexBoth
Target number of participants100
Key inclusion criteriaBeing a family member of, and caring for, a patient with a severe mental illness, defined as not being free of symptoms, having had the mental illness in the long term (>2 years), and having serious limitations in personal and social functioning
Key exclusion criteriaBeing a family member and caring for a patient who does not meet the specific criteria for a severe mental illness
Date of first enrolment01/02/2015
Date of final enrolment01/03/2016

Locations

Countries of recruitment

  • Netherlands

Study participating centres

Vincent van Gogh Instituut
Tegelseweg 210
Venlo
5912BL
Netherlands
Vincent van Gogh Instituut
Stationsweg 46
Venray
5803 AC
Netherlands
GGZ Friesland
Burgemeester J. Dijkstraweg 6
Franeker
8801 PG
Netherlands
GGZ Friesland
Kastanjelaan 1
Heerenveen
8441 NC
Netherlands
Propersona Lokatie Braamberg
Wagnerlaan 2
Arnhem
6815 AG
Netherlands

Sponsor information

Inholland University of Applied Sciences / Department of Nursing
University/education

De Boelelaan 1109
Amsterdam
1081 HV
Netherlands

ROR logo "ROR" https://ror.org/03cfsyg37

Funders

Funder type

University/education

Inholland University of Applied Sciences

No information available

Results and Publications

Intention to publish date27/01/2018
Individual participant data (IPD) Intention to shareYes
IPD sharing plan summaryAvailable on request
Publication and dissemination planThe manuscript has been submitted to BMC Psychiatry.
IPD sharing planThe datasets generated during and/or analysed during the current study are/will be available upon request from Prof. Berno van Meijel (Berno.vanMeijel@Inholland.nl). Type of data: SPSS dataset with background characteristics of the participants and data on experienced burden (measured with the Involvement Evaluation Questionnaire / IEQ) and perceived self-efficacy (measured with the Self-Efficacy Questionnaire / SEQ) of family members of patients with severe mental illness. Complete data on IEQ and SEQ are available from 75 patients at three measurements: at T0 (before the start of the training program), at T1 (after termination of the training / 8 weeks) and at follow-up (3 months after termination of the training program). Data will be available from 01/01/2018 indefinitely. Data are made available for collaborative research with the initial researchers, based on an approved research protocol by participating research organizations and relevant ethical committees. Informed consent was obtained from all participants in this study. Data in this dataset are anonymized.

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article results 27/03/2018 Yes No

Editorial Notes

29/03/2018: Publication reference added.