Applying Collaborative Care Model on Intensive Caregiver Burden and Resilient Family Caregivers of Patients with Mental Disorders: A Randomized Controlled Trial

Zoladl, Mohammad; Afroughi, Solaiman; Nooryan, Khairollah; Kharamin, Shirali; Haghgoo, Amin; Parandvar, Yaghoub

doi:10.18502/ijps.v15i1.2436

Cited by 9 publications

(6 citation statements)

References 25 publications

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“…All of the above studies were conducted in non-COVID situations ( 38 ). Few studies have examined the status of the patients in such pandemic conditions and concluded that the burden of caregivers increased during the COVID-19 pandemic markedly ( 71 , 72 ). There are several possible reasons for this finding.…”

Section: Discussionmentioning

confidence: 99%

Impact of COVID-19 pandemic on relapse of individuals with severe mental illness and their caregiver's burden

Nooraeen

Bazargan‐Hejazi

Naserbakht³

et al. 2023

Front. Public Health

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BackgroundThe implementation of quarantine and social distancing measures to control the COVID-19 pandemic led to restrictions at the community level and most of in-person psychiatric services were discontinued. This situation could affect the psychopathology of the patients and the burden of their caregivers. The aim of this study was to investigate the effects of COVID-19 pandemic on people with severe mental illnesses (SMIs) and their caregivers' burden.MethodThe study sample consisted of 86 patients with severe mental illness and 86 caregivers. The mental status, relapse rate, and rehospitalization rate of the patients and the general health status and burden of caregivers were investigated in three waves, including before and 3 and 6 months after the COVID-19 pandemic.ResultsThe relapse rate of the patients was 14%, 33.7%, and 43% (p = 0.000) and the rehospitalization rate was 4.7%, 7%, and 10.5% in waves 0, 1, and 2, respectively (p = 0.000). Most of the psychopathological scales increased in three waves (p = 0.000). The caregivers' burden and health condition worsened during the nine months of the study as well (p = 0.000).ConclusionThe COVID-19 pandemic led to the exacerbation of symptoms and increased the relapse rate in people with SMIs. It also worsened the caregivers' condition. People with severe mental illnesses (SMIs) and their caregivers are one of the most vulnerable groups on which the COVID-19 pandemic had a marked negative effect.

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Section: Discussionmentioning

confidence: 99%

Impact of COVID-19 pandemic on relapse of individuals with severe mental illness and their caregiver's burden

Nooraeen

Bazargan‐Hejazi

Naserbakht³

et al. 2023

Front. Public Health

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“…In total, 2% (1/44) of the studies implemented a participatory care model as a collaborative intervention strategy [66] (Table 4). The recommended collaborative interventions were caregiver involvement in all program elements and a pluralistic and ecological approach to service delivery [56,67] (Textbox 2).…”

Section: Participatory Care Modelmentioning

confidence: 99%

Strategies to Alleviate the Burden Experienced by Informal Caregivers of Persons With Severe Mental Disorders in Low- and Middle-Income Countries: Scoping Review

Silaule,

Casteleijn,

Adams

et al. 2024

Interact J Med Res

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Background There is considerable evidence of the burden of care encountered by informal caregivers of persons with severe and enduring mental health conditions in low- and middle-income countries. Previous studies have highlighted the need to support these informal caregivers as key players in the care of these patients. To date, limited evidence exists on the extent and types of strategies for supporting these informal caregivers in low- and middle-income countries. Objective This scoping review aims to identify and describe the extent and type of evidence on the existing strategies for alleviating the burden of care among informal caregivers of persons with severe and enduring mental health conditions in low- and middle-income countries. Methods A systematic literature search was completed following the Joanna Briggs Institute methodology for scoping reviews. The participants, concept, and context framework was used to guide the search for literature sources across 5 databases: PubMed, MEDLINE, CINAHL, and PsycINFO for published literature and ProQuest for unpublished literature. This review included studies that reported on strategies for alleviating the burden of care among informal caregivers of persons with severe and enduring mental health conditions, with a focus on studies that evaluated or recommended caregiver interventions and support strategies in low- and middle-income countries. The search was limited to studies conducted between 2001 and 2021, and only papers written in English were considered for inclusion. Using the Covidence software (Veritas Health Innovation), 2 reviewers independently screened the papers, applied the inclusion and exclusion criteria, and met biweekly to discuss and resolve conflicts. The relevant studies and reported outcomes were summarized, organized, and analyzed descriptively using numeric summary analysis and deductive content analysis. Results Of the 18,342 studies identified, 44 (0.24%) met the inclusion criteria. The included studies were from 16 low- and middle-income countries in Asia, Africa, Europe, and South and North America. Most studies (21/44, 48%) were randomized controlled trials conducted in Asian countries. The identified strategies were grouped into 2 categories: implemented and recommended intervention strategies. Identified strategies included community-based interventions, psychoeducation interventions, support groups, cognitive behavioral therapy, spirituality-based interventions, and smartphone-based interventions. In addition, mindfulness and empowerment, collaborative interventions, standard care, financial and social support, counseling, occupation-based interventions, policy and legislature, and access to mental health care were identified. Psychoeducation and support group interventions were identified as common strategies for alleviating the burden of care among informal caregivers of persons with severe and enduring mental health conditions. Conclusions This review provides evidence on the types of implemented and recommended strategies for alleviating the burden of care among informal caregivers in low- and middle-income countries. Although psychoeducational interventions were the most preferred strategy for alleviating burden, their benefits were short-lived when compared with peer-led support groups. International Registered Report Identifier (IRRID) RR2-10.2196/44268

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“…Enhancing Contact Model (ECM) intervention to overcome caregiver self-stigma (Ran et al, 2022). Participatory care model intervention to overcome the psychological burden of caregivers (Zoladl et al, 2020). The emotion regulation training to overcome emotions, feelings of worthlessness, and caregiver helplessness (Behrouian et al, 2021).…”

Section: A1mentioning

confidence: 99%

“…Other psychosocial adaptation interventions state that the Enhancing Contact Model (ECM) intervention is effective in dealing with caregiver self-stigma (Ran et al, 2022), and the Participatory care model intervention is effective in dealing with the psychological burden of caregivers (Zoladl et al, 2020). Psychological and self-load -family caregivers feel stigma because the social support received is low (Korkmaz & Küçük, 2016).…”

Section: A1mentioning

confidence: 99%

Psychosocial Adaptation in Dealing with Psychosocial Problems on Family Caregivers of Schizophrenic Patients: A Systematic Review

Budiarto,

Keliat,

Mustikasari

2023

jika

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Schizophrenia is a serious mental disorder that requires long-term care and treatment. The treatment requires caregivers who may come from the family. A caregiver's daily tasks can be overwhelming, leading to psychosocial problems. This study aims to identify the effectiveness of psychosocial adaptation interventions in overcoming psychosocial problems in family caregivers of schizophrenic patients. This study used a systematic review approach. The literature search was sourced from five databases: Wiley Online Library, ScienceDirect, ProQuest, EMBASE, and Sage Journals. The keywords used were family caregiver, schizophrenia patient, psychosocial adaptation, and psychosocial problem. The results of a literature search obtained 448 articles then were screened with the criteria of articles published in [2018][2019][2020][2021][2022][2023], open access, full-text articles, original articles with a randomized controlled trial study design, discussing psychosocial adaptation interventions and psychosocial problems in schizophrenic family caregivers, and English. The 1426 results of the article screening obtained six articles, and critical appraisal was carried out using the JBI Critical Appraisal Checklist for Randomized Controlled Trials. All of them were included in grade A (> 90%). Based on the results, psychosocial adaptation interventions effectively dealt with family caregivers' psychosocial problems, including signs of depression, anxiety, stress, self-stigma, psychological burden, emotions, feelings of worthlessness, and powerlessness. Therefore, psychosocial adaptation interventions for schizophrenia family caregivers could be conducted comprehensively by telephone or spiritual approach, involving direct contact with patients, families, and communities. With optimal involvement by family caregivers by focusing on positive aspects and goals that the family caregiver wants to achieve, the role of accompanying the care and treatment of schizophrenic patients can be achieved.

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Applying Collaborative Care Model on Intensive Caregiver Burden and Resilient Family Caregivers of Patients with Mental Disorders: A Randomized Controlled Trial

Cited by 9 publications

References 25 publications

Impact of COVID-19 pandemic on relapse of individuals with severe mental illness and their caregiver's burden

Impact of COVID-19 pandemic on relapse of individuals with severe mental illness and their caregiver's burden

Strategies to Alleviate the Burden Experienced by Informal Caregivers of Persons With Severe Mental Disorders in Low- and Middle-Income Countries: Scoping Review

Psychosocial Adaptation in Dealing with Psychosocial Problems on Family Caregivers of Schizophrenic Patients: A Systematic Review

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