Effectiveness of Psychoeducation on Burden among Family Caregivers of Adults with Schizophrenia: A Systematic Review and Meta-Analysis
Caring for relatives living with schizophrenia could lead to caregivers’ burden. It is believed that lack of information and understanding about schizophrenia and lack of skills to cope effectively while caring for their adult relatives largely contribute to the burden they experience. The burden is...
Main Authors: | , |
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Format: | Article |
Language: | English |
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Hindawi Limited
2023-01-01
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Series: | Nursing Research and Practice |
Online Access: | http://dx.doi.org/10.1155/2023/2167096 |
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author | Akunna Jane Okafor Mark Monahan |
author_facet | Akunna Jane Okafor Mark Monahan |
author_sort | Akunna Jane Okafor |
collection | DOAJ |
description | Caring for relatives living with schizophrenia could lead to caregivers’ burden. It is believed that lack of information and understanding about schizophrenia and lack of skills to cope effectively while caring for their adult relatives largely contribute to the burden they experience. The burden is assessed using assessment scales. This review aims to assess the effectiveness of psychoeducation in alleviating the burden experienced by family caregivers of adults living with schizophrenia and to identify essential factors that facilitate positive outcomes. Five databases (ASSIA, CINAHL, Embase, MEDLINE EBSCO, and PsycINFO) were systematically searched using combinations of the following key terms: “family caregivers,” “schizophrenia,” “burden,” “psychoeducation,” and “adults.” Meta-analysis of included studies was conducted using RevMan 5.4. Five RCTs with 320 family caregivers were included in the review. Overall, none of the studies showed a low risk of bias. The evidence suggests that face-to-face group psychoeducation reduced family caregivers’ burden when measured across different time points: one-week postintervention (mean difference −3.87 and Cl −6.06 to −1.70), six months (MD −8.76 and Cl −12.38 to −5.13), and twelve months (MD −7.38 and Cl −9.85 to −4.91). Measurements immediately after the intervention, one month, and three months postintervention when reported narratively also showed a reduction in family caregivers’ burden. Face-to-face group psychoeducation provided for family caregivers effectively alleviates the burden they experience. Factors such as program content and teaching methods facilitated positive outcomes. It is recommended that psychoeducation should be integrated as a routine intervention for family caregivers. |
first_indexed | 2024-03-11T21:36:21Z |
format | Article |
id | doaj.art-feea25cd454f4023b0f4deb3aa235048 |
institution | Directory Open Access Journal |
issn | 2090-1437 |
language | English |
last_indexed | 2025-02-18T10:16:55Z |
publishDate | 2023-01-01 |
publisher | Hindawi Limited |
record_format | Article |
series | Nursing Research and Practice |
spelling | doaj.art-feea25cd454f4023b0f4deb3aa2350482024-11-02T05:32:06ZengHindawi LimitedNursing Research and Practice2090-14372023-01-01202310.1155/2023/2167096Effectiveness of Psychoeducation on Burden among Family Caregivers of Adults with Schizophrenia: A Systematic Review and Meta-AnalysisAkunna Jane Okafor0Mark Monahan1School of Nursing and MidwiferySchool of Nursing and MidwiferyCaring for relatives living with schizophrenia could lead to caregivers’ burden. It is believed that lack of information and understanding about schizophrenia and lack of skills to cope effectively while caring for their adult relatives largely contribute to the burden they experience. The burden is assessed using assessment scales. This review aims to assess the effectiveness of psychoeducation in alleviating the burden experienced by family caregivers of adults living with schizophrenia and to identify essential factors that facilitate positive outcomes. Five databases (ASSIA, CINAHL, Embase, MEDLINE EBSCO, and PsycINFO) were systematically searched using combinations of the following key terms: “family caregivers,” “schizophrenia,” “burden,” “psychoeducation,” and “adults.” Meta-analysis of included studies was conducted using RevMan 5.4. Five RCTs with 320 family caregivers were included in the review. Overall, none of the studies showed a low risk of bias. The evidence suggests that face-to-face group psychoeducation reduced family caregivers’ burden when measured across different time points: one-week postintervention (mean difference −3.87 and Cl −6.06 to −1.70), six months (MD −8.76 and Cl −12.38 to −5.13), and twelve months (MD −7.38 and Cl −9.85 to −4.91). Measurements immediately after the intervention, one month, and three months postintervention when reported narratively also showed a reduction in family caregivers’ burden. Face-to-face group psychoeducation provided for family caregivers effectively alleviates the burden they experience. Factors such as program content and teaching methods facilitated positive outcomes. It is recommended that psychoeducation should be integrated as a routine intervention for family caregivers.http://dx.doi.org/10.1155/2023/2167096 |
spellingShingle | Akunna Jane Okafor Mark Monahan Effectiveness of Psychoeducation on Burden among Family Caregivers of Adults with Schizophrenia: A Systematic Review and Meta-Analysis Nursing Research and Practice |
title | Effectiveness of Psychoeducation on Burden among Family Caregivers of Adults with Schizophrenia: A Systematic Review and Meta-Analysis |
title_full | Effectiveness of Psychoeducation on Burden among Family Caregivers of Adults with Schizophrenia: A Systematic Review and Meta-Analysis |
title_fullStr | Effectiveness of Psychoeducation on Burden among Family Caregivers of Adults with Schizophrenia: A Systematic Review and Meta-Analysis |
title_full_unstemmed | Effectiveness of Psychoeducation on Burden among Family Caregivers of Adults with Schizophrenia: A Systematic Review and Meta-Analysis |
title_short | Effectiveness of Psychoeducation on Burden among Family Caregivers of Adults with Schizophrenia: A Systematic Review and Meta-Analysis |
title_sort | effectiveness of psychoeducation on burden among family caregivers of adults with schizophrenia a systematic review and meta analysis |
url | http://dx.doi.org/10.1155/2023/2167096 |
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