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首页> 外文期刊>BMC Psychiatry >Relatives Education And Coping Toolkit - REACT. Study protocol of a randomised controlled trial to assess the feasibility and effectiveness of a supported self management package for relatives of people with recent onset psychosis
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Relatives Education And Coping Toolkit - REACT. Study protocol of a randomised controlled trial to assess the feasibility and effectiveness of a supported self management package for relatives of people with recent onset psychosis

机译：亲戚教育和应对工具包-REACT。一项随机对照试验的研究方案，用于评估支持的自我管理软件包对近期发病的精神病患者亲属的可行性和有效性

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Background Mental health problems commonly begin in adolescence when the majority of people are living with family. This can be a frightening time for relatives who often have little knowledge of what is happening or how to manage it. The UK National Health Service has a commitment to support relatives in order to reduce their distress, but research studies have shown that this can lead to a better outcome for service users as well. Unfortunately, many relatives do not get the kind of support they need. We aim to evaluate the feasibility, acceptability and effectiveness of providing and supporting a Relatives' Education and Coping Toolkit (REACT) for relatives of people with recent onset psychosis. Methods The study is a randomised control trial. Trial Registration for Current Controlled Trials ISRCTN69299093. Relatives of people receiving treatment from the Early Intervention Service for psychosis are randomly allocated to receive either Treatment As Usual (TAU) or TAU plus the REACT intervention. The main aims of the study are to: (i) determine the acceptability of a supported self-management intervention; (ii) determine preference for type of support; (iii) assess the feasibility of the design; (iv) identify the barriers and solutions to offering support for self-management approaches within the NHS; (v) estimate the likely effect size of the impact of the intervention on outcome for relatives; (vi) gain detailed feedback about the barriers and solutions to using a self-management approach; (vii) describe the way in which the intervention is used. Outcomes will be assessed from baseline and at 6 month follow-up. Discussion The intervention is compared to current treatment in a sample of participants highly representative of relatives in routine early intervention services across the UK. The intervention is protocolised, offered within routine practice by existing staff and extensive process data is being collected. Randomisation is independent; all assessments are made by blind raters. The limitations of the study are the lack of control over how the intervention is delivered, the short follow-up period, and the lack of assessment of service user outcomes. Despite these, the findings will inform future effectiveness trials and contribute to the growing evidence base for supported self-mangement interventions in mental health.
机译：背景技术心理健康问题通常始于青春期，那时大多数人都与家人生活在一起。对于通常对所发生的事情或如何处理知之甚少的亲戚来说，这可能是一个令人恐惧的时刻。英国国家卫生服务局承诺支持亲戚以减少他们的痛苦，但是研究表明，这也可以为服务使用者带来更好的结果。不幸的是，许多亲戚没有得到他们需要的那种支持。我们旨在评估为近期患有精神病的人的亲属提供和支持亲戚的教育和应对工具包（REACT）的可行性，可接受性和有效性。方法该研究是一项随机对照试验。当前对照试验的试验注册ISRCTN69299093。从精神病早期干预服务中心接受治疗的人的亲属被随机分配为接受“常规治疗”（TAU）或TAU加REACT干预。该研究的主要目的是：（i）确定支持的自我管理干预措施的可接受性; （ii）确定对支持类型的偏好; （iii）评估设计的可行性; （iv）找出在NHS内为自我管理方法提供支持的障碍和解决方案; （v）估计干预措施对亲属结局可能产生的影响大小; （vi）获得有关使用自我管理方法的障碍和解决方案的详细反馈; （vii）描述干预措施的使用方式。结果将从基线和6个月的随访中评估。讨论在整个英国的常规早期干预服务中，在高度代表亲戚的参与者样本中将干预措施与当前治疗进行了比较。该干预措施已经过协议化，由现有员工在常规实践中提供，并且正在收集大量过程数据。随机是独立的;所有评估均由盲目评估者进行。该研究的局限性在于缺乏对干预方式的控制，随访时间短以及缺乏对服务使用者结果的评估。尽管如此，这些发现仍将为将来的有效性试验提供参考，并有助于为支持的精神健康自我管理干预措施提供越来越多的证据。

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