Improving Knowledge About Mental Illness Through Family-Led Education: The Journey of Hope
Susan A. Pickett-Schenk, Ph.D., Richard C. Lippincott, M.D., Cynthia Bennett, M.A. and Pamela J. Steigman, M.A. OBJECTIVE: Families often do not receive the information that
they need to care for their adult relatives with mental illness.
This study examined the effectiveness of a family-led education
intervention, the Journey of Hope, in improving participants'
knowledge about mental illness and its treatment and decreasing
their information needs.
METHODS: A total of 462 family members
of adults with mental illness in Louisiana participated in the
study; 231 were randomly assigned to immediate receipt of the
Journey of Hope course (intervention group), and 231 were randomly
assigned to a nine-month waiting list for the course (control
group). Participants completed in-person, structured interviews
assessing their knowledge of mental illness and problem-solving
skills and their information needs at study enrollment (baseline),
three months postbaseline, and eight months postbaseline.
RESULTS: Random regression analyses indicate that at three and eight
months postbaseline, compared with participants assigned to
the control group, those in the intervention group reported
greater knowledge gains (beta=.84, p
.01) and fewer needs for
information on coping with positive symptoms (beta=-.63, p
.05),
coping with negative symptoms (beta=-.80, p
.001), problem management
(beta=-1.00, p
.001), basic facts about mental illness and its
treatment (beta=-.73, p
.01), and community resources (beta=-.07,
p
.05). These significant differences in knowledge and information
needs were maintained over time and were significant even when
controlling for participants' demographic characteristics and
their relatives' clinical characteristics.
CONCLUSIONS: Participation
in family-led education interventions, such as the Journey of
Hope, may provide families with the information they need to
better cope with their relative's mental illness.
1 comment:
Long overdue.
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