Patient and family psychoeducation: Service development and implementation in a center in Iran

Mirsepassi, Zahra; Tabatabaee, Maryam; Sharifi, Vandad; Mottaghipour, Yasaman

doi:10.1177/0020764017747910

Cited by 7 publications

(22 citation statements)

References 21 publications

(46 reference statements)

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“…The study design in 27 of the studies was randomized controlled trial (RCT) and it was quasi-experimental in 20. One study was an implementation and service development report (76). The intervention used for the control group or the other arm of the study varied in different studies.…”

Section: Resultsmentioning

confidence: 99%

“…It was treatment as usual in 31 studies (18-21, 25, 27-29, 34-37, 39-43, 45, 46, 49-51, 53-58, 61, 62, 65-67, 70-75, 78, 79), active intervention in four studies (22, 23, 26, 31, 32, 59, 60), and both treatment as usual and active intervention in five studies (38, 44, 47, 48, 64, 68). Seven studies had no control group (13, 15-17, 33, 69, 76), and one study had both control and placebo groups (14). The majority of participants’ entries was during hospitalization or after hospital discharge.…”

Section: Resultsmentioning

confidence: 99%

“…Sample sizes ranged from 15 to 270 in the included studies. Diagnosis of participants was SMD in 13 studies (13, 17, 27-29, 33, 40, 41, 47, 48, 55, 57, 61, 62, 64, 65, 68, 76), schizophrenia in 23 studies (14-16, 18-20, 31-33, 35-39, 42-46, 53, 54, 58-60, 66, 67, 71, 74, 78), and bipolar disorder in 11 studies (21, 25, 26, 34, 49, 50, 56, 69, 70, 74, 75, 79). First episode psychosis was included in 3 studies (22, 23, 33, 51).…”

Section: Resultsmentioning

confidence: 99%

“…Fourteen studies included no information on patients’ gender (16, 18-23, 25, 34, 35, 49, 50, 66, 69-71, 78, 79) From the 34 remaining studies, 27 included only male patients or the majority of patients were male (13-15, 17, 26-29, 31-33, 37-48, 55, 57, 58, 61, 62, 64, 65, 67, 68, 74, 76). The number of female patients was higher than or equal to male patients in seven studies (36, 51, 53, 54, 56, 59, 60, 72, 75).…”

Section: Resultsmentioning

confidence: 99%

“…Eleven studies used a structured manual for psychoeducation (22, 23, 27-29, 33, 47, 48, 51, 57, 61, 62, 70, 72, 76, 79), 4 did not provide any information about the content of psychoeducational intervention (14, 17-20, 64), and the rest described the content of sessions. Four studies only provided written information for educational purposes (25, 31, 32, 64, 68).…”

Section: Resultsmentioning

confidence: 99%

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Family and Patient Psychoeducation for Severe Mental Disorder in Iran: A Review

Mottaghipour

Tabatabaee

2019

IJPS

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Objective: There are evidence-based practices in the field of family and patient psychoeducation for patients suffering from severe mental disorders. However, given the variation in resources and cultural contexts, implementation of these services, especially in low- and middle-income countries is faced with challenges. This study aimed to review articles on family and patient psychoeducation of severe mental disorders in Iran and to find the characteristics of the main components necessary for the implementation of such practices in clinical settings. Method: All published studies on family and patient psychoeducation for severe mental disorders (schizophrenia, schizoaffective, and bipolar disorder) conducted in Iran were searched up to May 2018; and key features and findings of each study were extracted and presented. Results: Forty-eight studies were included in this review, of which 27 were randomized controlled trials, and 20 were quasi-experimental. One study was an implementation and service development report. The main findings of these studies were a significant decrease in relapse rate and/or rehospitalization rate and a significant decrease of burden and distress of families. Conclusion: Despite a wide diversity in approaches, this review showed that different psychosocial interventions in which psychoeducation is one of their core and main components have promising results, demonstrating the significance of this intervention in Iranian mental health research. In our opinion, based on evidence, even with limited resources, it is no longer acceptable to deprioritize some forms of psychoeducation for patients and their families in clinical settings.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 3 more Smart Citations

Family and Patient Psychoeducation for Severe Mental Disorder in Iran: A Review

Mottaghipour

Tabatabaee

2019

IJPS

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Community‐based social interventions for people with severe mental illness: a systematic review and narrative synthesis of recent evidence

et al. 2022

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People living with severe mental illness (SMI) are one of the most marginalized groups in society. Interventions which aim to improve their social and economic participation are of crucial importance to clinicians, policy‐makers and people with SMI themselves. We conducted a systematic review of the literature on social interventions for people with SMI published since 2016 and collated our findings through narrative synthesis. We found an encouragingly large amount of research in this field, and 72 papers met our inclusion criteria. Over half reported on the effectiveness of interventions delivered at the service level (supported accommodation, education or employment), while the remainder targeted individuals directly (community participation, family interventions, peer‐led/supported interventions, social skills training). We identified good evidence for the Housing First model of supported accommodation, for the Individual Placement and Support model of supported employment, and for family psychoeducation, with the caveat that a range of models are nonetheless required to meet the varied housing, employment and family‐related needs of individuals. Our findings also highlighted the importance of contextual factors and the need to make local adaptations when “importing” interventions from elsewhere. We found that augmentation strategies to enhance the effectiveness of social interventions (particularly supported employment and social skills training) by addressing cognitive impairments did not lead to transferable “real life” skills despite improvements in cognitive function. We also identified an emerging evidence base for peer‐led/supported interventions, recovery colleges and other interventions to support community participation. We concluded that social interventions have considerable benefits but are arguably the most complex in the mental health field, and require multi‐level stakeholder commitment and investment for successful implementation.

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Scoping review of factors influencing the implementation of group psychoeducational initiatives for people experiencing mental health difficulties and their families

Higgins

Murphy

Barry

et al. 2020

Journal of Mental Health

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Background: Despite evidence to support the effectiveness of psychoeducation for people experiencing mental health difficulties and their families, understanding issues around the implementation of such programmes is limited. Aim: The aim of this scoping review was to synthesise the peer-reviewed literature on barriers and enablers influencing the implementation of group psychoeducation in adult mental health services. Methods: Using a pre-defined search strategy and PRISMA guidelines, four databases were systematically searched. Two reviewers independently screened and applied exclusion/inclusion criteria. Qualitative, quantitative, and mixed-methods studies were included if they provided empirical evidence on the barriers and enablers. Three reviewers independently extracted data. Following this, data were analysed using a five-level implementation framework. Results: Eight articles met the inclusion criteria. Barriers to implementation were identified at all five levels of the framework: participant; practitioner; intervention; organisational; and structural level. Enablers to implementation were evident at four levels: participant; provider; intervention; and organisational level. Conclusions: The findings of the review provide preliminary information on factors that impact implementation. However, large-scale studies informed by implementation theories are required. In addition, other studies are needed to address the potential impact of different models of intervention and explore strategies to minimize obstacles and support sustainability.

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Patient and family psychoeducation: Service development and implementation in a center in Iran

Cited by 7 publications

References 21 publications

Family and Patient Psychoeducation for Severe Mental Disorder in Iran: A Review

Family and Patient Psychoeducation for Severe Mental Disorder in Iran: A Review

Community‐based social interventions for people with severe mental illness: a systematic review and narrative synthesis of recent evidence

Scoping review of factors influencing the implementation of group psychoeducational initiatives for people experiencing mental health difficulties and their families

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