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Feasibility of a supported self-management intervention for relatives of people with recent-onset psychosis: REACT study

  • Fiona Lobban (a1), David Glentworth (a2), Lesley Chapman (a1), Laura Wainwright (a1), Adam Postlethwaite (a1), Graham Dunn (a3), Vanessa Pinfold (a4), Warren Larkin (a5) and Gillian Haddock (a6)...

Abstract

Background

Relatives of people with psychosis experience high levels of distress and require support. Family interventions have been shown to be effective in improving outcomes but are difficult to access and not suitable for all relatives.

Aims

To assess the feasibility and effectiveness of a supported self-management package for relatives of people with recent-onset psychosis.

Method

A randomised controlled trial (n = 103) comparing treatment as usual (TAU) in early intervention services with TAU plus the Relatives' Education And Coping Toolkit (REACT) intervention (trial identifier: ISRCTN69299093).

Results

Compared with TAU only, those receiving the additional REACT intervention showed reduced distress and increased perceived support and perceived ability to cope at 6-month follow-up.

Conclusions

The toolkit is a feasible and potentially effective intervention to improve outcomes for relatives. A larger trial is needed to reliably assess the clinical and cost-effectiveness of REACT, and its impact on longer-term outcomes.

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Copyright

Corresponding author

Fiona Lobban, Spectrum Centre, Institute for Health Research, Lancaster University, Lancaster LA1 4YT, UK. Email: f.lobban@lancaster.ac.uk

Footnotes

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Declaration of interest

None.

Footnotes

References

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Feasibility of a supported self-management intervention for relatives of people with recent-onset psychosis: REACT study

  • Fiona Lobban (a1), David Glentworth (a2), Lesley Chapman (a1), Laura Wainwright (a1), Adam Postlethwaite (a1), Graham Dunn (a3), Vanessa Pinfold (a4), Warren Larkin (a5) and Gillian Haddock (a6)...

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Feasibility of a supported self-management intervention for relatives of people with recent-onset psychosis: REACT study

  • Fiona Lobban (a1), David Glentworth (a2), Lesley Chapman (a1), Laura Wainwright (a1), Adam Postlethwaite (a1), Graham Dunn (a3), Vanessa Pinfold (a4), Warren Larkin (a5) and Gillian Haddock (a6)...
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