Evidence map›Paper›PMID 32720905›Full record

ArticleJMIR mental health2020

Remote Care for Caregivers of People With Psychosis: Mixed Methods Pilot Study.

Kristin Lie Romm, Liv Nilsen, Kristine Gjermundsen, Marit Holter, Anne Fjell, Ingrid Melle, Arne Repål, Fiona Lobban

Open access · goldAbstract read
In one paragraph

Article in JMIR mental health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 2 pooled it
0.5field-weighted citation impact, top 22% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 2 syntheses or guidelines pooled it, 9 citations in OpenAlex.

  1. Pooled it
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 2 countries.

Kristin Lie RommInstitute of Clinical Medicine, Norwegian Centre for Mental Disorders Research, Faculty of Medicine, University of Oslo, Oslo, Norway.ORCID https://orcid.org/0000-0003-1007-8664
Liv NilsenDivision of Mental Health and Addiction, Oslo University Hospital, Oslo, Norway.ORCID https://orcid.org/0000-0003-2133-6534
Kristine GjermundsenDivision of Mental Health and Addiction, Oslo University Hospital, Oslo, Norway.ORCID https://orcid.org/0000-0002-4274-4695
Marit HolterDivision of Mental Health and Addiction, Vestfold Hospital Trust, Toensberg, Norway.ORCID https://orcid.org/0000-0002-7421-0508
Anne FjellDivision of Mental Health and Addiction, Oslo University Hospital, Oslo, Norway.ORCID https://orcid.org/0000-0003-3883-2972
Ingrid MelleInstitute of Clinical Medicine, Norwegian Centre for Mental Disorders Research, Faculty of Medicine, University of Oslo, Oslo, Norway.ORCID https://orcid.org/0000-0002-9783-548X
Arne RepålDivision of Mental Health and Addiction, Vestfold Hospital Trust, Toensberg, Norway.ORCID https://orcid.org/0000-0001-7988-4918
Fiona LobbanSpectrum Centre, Division of Health Research, Lancaster University, Lancaster, United Kingdom.ORCID https://orcid.org/0000-0001-6594-4350
Oslo University Hospital · NOSykehuset i Vestfold · NOLancaster University · GB

Funding

Department of Health 14/49/34
6 · The paper itself

Abstract

backgroundA reduced availability of resources has hampered the implementation of family work in psychosis. Web-based support programs have the potential to increase access to high-quality, standardized resources. This pilot study tested the Norwegian version of the Relatives Education and Coping Toolkit (REACT), a web-based United Kingdom National Health Service program in combination with phone-based support by trained family therapists.

objectiveWe investigated how the program was perceived by its users and identified the facilitators and barriers to its clinical implementation.

methodsRelatives of people with psychosis were offered access to REACT and to weekly family therapist support (with 1 of 2 trained family therapists) for 26 weeks. Level of distress and level of expressed emotion data were collected at baseline and after 26 weeks using the Family Questionnaire and the Relatives Stress Scale. Both family therapists and a subset of the relatives were interviewed about their experiences after completing the program.

resultsDuring the program, relatives (n=19) had a median of 8 (range 4-11) consultations with the family therapists. Postintervention, there was a significant reduction in stress and in expressed emotions in the relatives of people with psychosis. Interviews with the relatives (n=7) and the family therapists (n=2) indicated the following themes as important-the intervention turned knowledge into action; the intervention strengthened the feeling of being involved and taken seriously by the health services; and management support and the ability for self-referral were important, while lack of reimbursement and clinician resistance to technology were barriers to implementation.

conclusionsThe service was found to offer a valued clinical benefit; however, strategies that aim to engage clinicians and increase organizational support toward new technology need to be developed.

Indexed as

early interventioneHealthfamily workinnovationmental health servicepsychoeducationpsychosisREACT

Identifiers

PMID32720905
PMCPMC7420633
OpenAlexW3045745905

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.