Cognitive behavioural family intervention (CBFI) is a brief psychosocial intervention that incorporates the model of cognitive behavioural therapy (CBT) into the family context. It builds upon the current trend of family interventions/psychoeducation with refocusing on the cognitive model within the family interpersonal relationship. Existing literature indicates that CBFI may be effective in improving positive and negative symptoms of people diagnosed with schizophrenia immediately following the programme. This mixed-method is to evaluate the feasibility and effectiveness of a CBFI programme for people with schizophrenia and their families in a local context. The findings may accumulate more evidence that CBFI is a brief and effective psychosocial intervention that is adapted to Hong Kong clinical settings.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
four-week, four-session CBT-based family intervention programme
Treatment as usual in the institution studied
Kwai Chung Hospital
Hong Kong, Hong Kong
Qualitative feedback from the clinicians of the concerned wards
Programme evaluation interview
Time frame: Immediate posttreatment
Positive symptoms of service users
Psychotic Symptoms Rating Scales (PSYRATS); 11-item hallucination subscale ranging from 0 to 44; 6-item delusion subscale ranging from 0 to 24
Time frame: Immediate posttreatment
Negative symptoms of service users
Brief Negative Symptom Scale (BNSS); 13-item ranging from 0 to 78
Time frame: Immediate posttreatment
Expressed emotion by service users
Concise Chinese Level of Expressed Emotion Scale (CCLEES); 12-item ranging from 12 to 48
Time frame: Immediate posttreatment
Caregiving experience by family caregivers
Chinese version of Experience of Caregiving Inventory (CECI); 66-item ranging from 0 to 264
Time frame: Immediate posttreatment
Perceived care burden by family caregivers
Family Burden Interview Schedule (FBIS); 25-item ranging from 0 to 50
Time frame: Immediate posttreatment
Mood disturbance by family caregivers
Hospital Anxiety and Depression Scale (HADS); 7-item depression subscale ranging from 0 to 21; 7-item anxiety subscale ranging from 0 to 21
Time frame: Immediate posttreatment
Qualitative feedback from the service users and their families
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Semi-structured focus group interview
Time frame: Immediate posttreatment