Evaluating the effectiveness of a culturally adapted behavioral family psycho-educational program for Egyptian patients with schizophrenia

Rami, Hisham; Hussien, Hanan Ahmed Hussien; Rabie, Mohamed; Sabry, Walaa; Missiry, Marwa El; Ghamry, Reem El

doi:10.1177/1363461518782520

Cited by 18 publications

(70 citation statements)

References 57 publications

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“…In total, 344 dyads of patients and their caregivers were recruited into the studies. The designs were two RCTs (29,30), two non-randomized trials (31,32) and one qualitative study (33). See table 1 for the descriptive characteristics of studies.…”

Section: Study Characteristicsmentioning

confidence: 99%

“…Insert Table 1 here Quality Assessment First, as shown in table (2), the methodological quality was good for Hasan, et al (2014) and poor for Rami, et al (2018), which has a higher risk of bias. The study was not explicit about the method of randomization or allocation concealment.…”

Section: Study Characteristicsmentioning

confidence: 99%

“…Furthermore, it included truths and myths about schizophrenia, and how these affect the persons' thoughts, emotions, and behaviour. (29,30). Rami, et al (2018) reported that four subjects from the case group and six subjects from the control group missed their regular sessions.…”

Section: Insert Table 6 Herementioning

confidence: 99%

“…(29,30). Rami, et al (2018) reported that four subjects from the case group and six subjects from the control group missed their regular sessions. The dropout in the Hasan, et al (2014) study was six from the intervention group and ten from the control group.…”

Section: Insert Table 6 Herementioning

confidence: 99%

“…All the studies reported compatibility of the intervention with the available resources. The study by Rami, et al (2018) reported that the intervention was applicable and accessible because of the brevity of the program. Furthermore, meeting the needs of caregivers enhanced the feasibility of the program.…”

Section: Insert Table 6 Herementioning

confidence: 99%

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Psychosocial Family Interventions for Relatives of People Living with Schizophrenia in the Arab World: Systematic Review

Sawafi

Lovell

Renwick

et al. 2020

Preprint

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Aim and objectives To synthesise the available evidence about culturally-adapted psychosocial family interventions in the Arab world. The review identifies the content and characteristics of these interventions, determines the strategies used to successfully adapt them to the Arab culture, assesses the feasibility and acceptability of the interventions, and evaluates the effectiveness of these interventions for service users and their families. Background Family interventions in schizophrenia are evidence based and have been adapted to different cultures to improve their effectiveness and acceptability in different settings. The Arab world has a unique set of sociocultural norms and values that cannot be ignored when developing or implementing such interventions. There is a lack of research on the feasibility of delivering family interventions for schizophrenia in the Arab region. Design: systematic review Method Five electronic databases were searched including MEDLINE, CINAHL, Cochrane Library, PsycINFO and EMBASE for articles written in Arabic and English from inception to 2019. Data were extracted and synthesised narratively. Result Five studies were retrieved from the search: two randomized control studies, two non-randomized studies and one qualitative study. There is a paucity of evidence about culturally- adapted family interventions in the Arab region. However, the cultural adaptation process was comprehensive and the implementation was feasible and acceptable. The methodological quality of the included studies was generally poor, so there is a risk of overestimating the effect of the interventions due to lack of rigour and the presence of bias. Conclusion The present review provides the foundation for future work about family interventions in the Arab world. The content and characteristics of the interventions were identified but the effectiveness cannot be determined because of the poor methodological quality. The adaptation process was comprehensive but rigor in testing adapted interventions is largely absent.

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Section: Study Characteristicsmentioning

confidence: 99%

Section: Study Characteristicsmentioning

confidence: 99%

Section: Insert Table 6 Herementioning

confidence: 99%

Section: Insert Table 6 Herementioning

confidence: 99%

Section: Insert Table 6 Herementioning

confidence: 99%

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Psychosocial Family Interventions for Relatives of People Living with Schizophrenia in the Arab World: Systematic Review

Sawafi

Lovell

Renwick

et al. 2020

Preprint

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Effectiveness of interventions for improving social inclusion outcomes for people with disabilities in low‐ and middle‐income countries: A systematic review

Saran

Hunt

White

et al. 2023

Campbell Systematic Reviews

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Background People with disabilities—more than a billion people worldwide—are frequently excluded from social and political life, and often experience stigmatising attitudes and behaviours from people without disabilities. This stigma, coupled with inaccessible environments and systems and institutional barriers (e.g., lack of inclusive legislation), may result in discrimination against people with disabilities (and their families) to the degree that they are not able to enjoy their rights on an equal basis with others. Objectives This review examines the effectiveness of interventions for improving social inclusion outcomes (acquisition of skills for social inclusion, broad‐based social inclusion, and improved relationships) for people with disabilities in low‐ and middle‐income countries (LMICs). Search Methods We searched academic and online databases, carried out citation tracking of included studies, and contacted experts to ensure our search was as comprehensive as possible. We also ran the searches with search terms specific to social inclusion review using Open Alex in EPPI reviewer. Selection Criteria We included all studies which reported on impact evaluations of interventions to improve social inclusion outcomes for people with disabilities in LMIC. Data Collection and Analysis We used review management software EPPI Reviewer to screen the search results. Two review authors independently extracted the data from each study report, including for the confidence in study findings appraisal. Data and information were extracted regarding available characteristics of participants, intervention characteristics and control conditions, research design, sample size, risk of bias and outcomes, and results. Random‐effects inverse variance weighted meta‐analytic methods were used to synthesise standardised mean differences for the outcomes. Main Results We identified 37 experimental and quasi‐experimental studies. Studies were conducted in 16 countries, with the majority of the included studies (n = 13) from South Asia and nine each from East Asia, the Pacific, the Middle East, and North Africa. Most studies targeted children with disabilities (n = 23), and 12 targeted adults with disabilities. Most focused on people with intellectual disabilities (n = 20) and psychosocial disabilities (n = 13). Regarding intervention content, most (n = 17) of the included programmes aimed to improve the social and communication skills of people with disabilities through social skills training programmes. Ten studies aimed at providing personal assistance and support and evaluated the effects of a parent training programme on the interactive skills of parents of children and their children with disabilities. We calculated effect sizes from experimental and quasi‐experimental studies for outcomes on skills for social inclusion, relationships of people with disabilities with family and community members, and broad‐based social inclusion among people with disabilities. A meta‐analysis of 16 studies indicates an overall positive...

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Exploring the effectiveness of family-based interventions for psychosis in low- and middle-income countries: a systematic review

Morillo

Lowry

Henderson

2022

Soc Psychiatry Psychiatr Epidemiol

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Purpose Of the 80% people with psychosis living in low- and middle-income countries (LMICs), up to 90% are left to the care of families. The World Health Organization has recommended the inclusion of families in community-based rehabilitation and while there is evidence of its implementation in LMICs, this has not been reviewed yet. This study aims to describe the key features and implementation strategies of family-based interventions in LMICs, and appraise their effectiveness. Methods Included are people with psychosis in LMICs who receive any form of family-based intervention, compared to their usual or absence of treatment, with patient outcome measures. We searched (August 2021) through Embase, MEDLINE, Global Health, PsycInfo, Social Policy and Practice, and Cumulative Index to Nursing and Allied Health Literature (CINAHL), as well as from grey literature and hand-searched records. Risk of bias was assessed through the Integrated Quality Criteria for Review of Multiple Study Designs (ICROMS) and Consolidated Health Economic Evaluation Reporting Standards (CHEERS), then analyzed narratively. Results 27 studies were included from the 5254 records. Psychotherapeutic features, systems approach and task-sharing were key intervention elements. Delivery strategies included preliminary research, sustained family engagement, and cultural adaptation. There were positive health impacts across four outcome domains. Conclusion All studies recommended family-based interventions, with limitations in heterogeneity and 70% of them rated high risk of bias. Other Review was registered in PROSPERO (CRD42021256856). The authors did not receive funding for this research.

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Evaluating the effectiveness of a culturally adapted behavioral family psycho-educational program for Egyptian patients with schizophrenia

Cited by 18 publications

References 57 publications

Psychosocial Family Interventions for Relatives of People Living with Schizophrenia in the Arab World: Systematic Review

Psychosocial Family Interventions for Relatives of People Living with Schizophrenia in the Arab World: Systematic Review

Effectiveness of interventions for improving social inclusion outcomes for people with disabilities in low‐ and middle‐income countries: A systematic review

Exploring the effectiveness of family-based interventions for psychosis in low- and middle-income countries: a systematic review

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