Relatives’ Education And Coping Toolkit. Systematic review to identify the key components of effective interventions for relatives of people with psychosis. Fiona Lobban, Adam Postlethwaite & REACT team. REACT. Grant Holders Fiona Lobban (PI - Spectrum email@example.com )
Fiona Lobban, Adam Postlethwaite & REACT team
TSC – Chair – Prof Karina Lovell
To develop a supported self management package for relatives of people experiencing first episode psychosis
Phase 1 = Develop self management intervention
Phase 2 = Feasibility trial –
Phase 3 = Modify and disseminate
“what are people
saying they need?”
Our “expert” opinion?
How does this feed in?
Intervention Reference Group
-understanding is key
-build on existing strategies
-self as agent of change
Cochrane Review - Family intervention for schizophrenia. (Pharoah, Mari, Rathbone, Wong 2010 update)
Findings for relatives outcomes
NB -Not specifically first episode (too limited)
Hand search reference lists
Cross reference with Cochrane reviews
MEDLINE, AMED, PsycINFO and CINAHL databases were searched using the predetermined search terms
755 articles identified and abstracts read
634 articles excluded as did not meet inclusion criteria
121 articles appear to meet inclusion criteria. Searched for terms control OR controlled OR comparison OR trial.
67 articles excluded on new search criteria
11 articles excluded as no carer outcomes reported
54 article abstracts appear to meet criteria. Each full article read by two independent people.
1 article excluded as no comparison group
2 articles excluded as not evaluating an intervention designed for carers
40 articles meet inclusion and exclusion criteria and so included in review.
4 papers identified from Cochrane review update
8 articles identified from reference lists as meeting inclusion criteria
53 articles meet inclusion and exclusion criteria and so included in review.
1 paper identified in unrelated literature search
Chi Square (1, N = 50) = 0.255, p = 0.683
Chi Square (1, N = 50) = 1.020, p = 0.502
Chi Square (1, N = 50) = 0.611, p = 0.520
Lots of exciting work to do!