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Telepsychiatry and carer education for schizophrenia

Published online by Cambridge University Press:  16 April 2020

C. Haley
Affiliation:
Donegal Mental Health Services, Letterkenny, Co. Donegal, Ireland
E. O’Callaghan*
Affiliation:
St John of God Hospitaller Services, Co. Dublin, Ireland Department of Psychiatry, School of Medicine, University College, Dublin, Ireland DETECT, Early Intervention Service in Psychosis, Block 5, Blackrock Business Park, Blackrock, Co. Dublin, Ireland
S. Hill
Affiliation:
St John of God Hospitaller Services, Co. Dublin, Ireland
N. Mannion
Affiliation:
St John of God Hospitaller Services, Co. Dublin, Ireland
B. Donnelly
Affiliation:
Donegal Mental Health Services, Letterkenny, Co. Donegal, Ireland
A. Kinsella
Affiliation:
Donegal Mental Health Services, Letterkenny, Co. Donegal, Ireland DETECT, Early Intervention Service in Psychosis, Block 5, Blackrock Business Park, Blackrock, Co. Dublin, Ireland
A. Murtagh
Affiliation:
St John of God Hospitaller Services, Co. Dublin, Ireland Department of Psychiatry, School of Medicine, University College, Dublin, Ireland
N. Turner
Affiliation:
St John of God Hospitaller Services, Co. Dublin, Ireland DETECT, Early Intervention Service in Psychosis, Block 5, Blackrock Business Park, Blackrock, Co. Dublin, Ireland
*
*Corresponding author. Tel.: +353 1 2791700; fax: +353 1 2791799. E-mail address: eadbhard@gmail.com (E. O'Callaghan)
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Abstract

Objective

Despite the scientific evidence, most families of people with schizophrenia in Europe never receive a carer education programme. We evaluated whether a carer education course delivered by telepsychiatry was as effective as a carer education course delivered in situ.

Method

We delivered the carer education course for schizophrenia simultaneously to a carers group in rural north west Ireland (remote) via three ISDN lines and live to a carers group in a city (host). We compared knowledge gains using the Knowledge Questionnaire before and after each course.

Results

Fifty-six carers of people with schizophrenia participated in the trial. At baseline, participants at the remote and host centers did not differ in terms of knowledge about schizophrenia. After the course, carers at both centers improved significantly and the knowledge gains between groups were equivalent at 6 weeks.

Conclusion

Telepsychiatry can deliver effective carer education programmes about schizophrenia and may provide one solution to bridging the chasm between scientific evidence and clinical reality.

Type
Original article
Copyright
Copyright © Elsevier Masson SAS 2011

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