Korean J Fam Med.  2021 Sep;42(5):356-362. 10.4082/kjfm.20.0098.

Evaluating the Effect of Peer-Assisted Education on the Functioning in Family Caregivers of Patients with Schizophrenia: A Clinical Trial Study

Affiliations
  • 1Department of Mother and Infant, School of Nursing, Aja University of Medical Sciences, Tehran, Iran
  • 2Department of Psychiatric Nursing, Baghiyyatollah Al-Azam Hospital, Tehran, Iran
  • 3Department of Intensive Care, School of Nursing, Aja University of Medical Sciences, Tehran, Iran
  • 4Department of Pediatric Nursing, School of Nursing, Aja University of Medical Sciences, Tehran, Iran
  • 5Department of Nursing, School of Nursing and Midwifery, Islamic Azad University of Medical Sciences, Varamin-Pishva Branch, Tehran, Iran

Abstract

Background
High levels burden of long-term care of patients with schizophrenia can disrupt the functioning of family caregivers. This study evaluated a peer-assisted education method on family caregivers’ functioning of patients with schizophrenia.
Methods
In this randomized controlled trial, 64 family caregivers of schizophrenia patients in military hospitals of Tehran, Iran, were selected and randomly allocated to intervention and control groups, in 2018–2019. The peer-assisted education was performed in the experimental group for six 1-hour sessions and the family functioning was measured in both groups by the Family Assessment Device Scale. The data were analyzed by SPSS software ver. 16.0 (SPSS Inc., Chicago, IL, USA) and group differences at a level of P-value <0.05 were considered as significant.
Results
There was no significant differences between groups in the pre-intervention phase in all dimensions of family functioning (P>0.05). There were significant differences between intervention and control groups, in the post-intervention phase in mean problem-solving dimension (11.80 vs. 15.53, P=0.012) and in 2 weeks after intervention, in the dimensions of roles (21.71 vs. 23.43, P=0.015), affective involvement (19.03 vs. 21.59, P=0.017), behavior control (23.90 vs. 26.93, P=0.045), general functioning (27.15 vs. 31.40, P=0.013), and total family functioning (134.12 vs. 153.09, P=0.001).
Conclusion
The peer-assisted education significantly influenced the functioning of family caregivers of schizophrenic patients and can be recommended to improve the functioning of caregivers.

Keyword

Caregivers; Education; Family; Functioning; Peer; Schizophrenia
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