A Brief Mindfulness-Based Family Psychoeducation Intervention for Chinese Young Adults With First Episode Psychosis: A Study Protocol

Herman Hay-Ming Lo, Wing-Chung Ho, Elsa Ngar-Sze Lau, Chun-Wai Lo, Winnie W S Mak, Siu-Man Ng, Samuel Yeung-Shan Wong, Jessica Oi-Yin Wong, Simon S Y Lui, Cola Siu-Lin Lo, Edmund Chiu-Lun Lin, Man-Fai Poon, Kong Choi, Cressida Wai-Ching Leung, Herman Hay-Ming Lo, Wing-Chung Ho, Elsa Ngar-Sze Lau, Chun-Wai Lo, Winnie W S Mak, Siu-Man Ng, Samuel Yeung-Shan Wong, Jessica Oi-Yin Wong, Simon S Y Lui, Cola Siu-Lin Lo, Edmund Chiu-Lun Lin, Man-Fai Poon, Kong Choi, Cressida Wai-Ching Leung

Abstract

Family psychoeducation (FPE) has been recommended as a major component in the treatment of psychosis. Many previous studies have implemented an intensive program design that often only emphasized improvements in patients' illness outcomes but the benefits for caregivers were limited. There have been calls for a time-limited but cost-effective FPE program to mitigate the looming reality of the suffering of people with psychosis and their families. A Brief Mindfulness-Based Family Psychoeducation for psychosis program is developed to reduce caregivers' burden and promote young adult's recovery. A randomized controlled trial will be conducted to compare this intervention with an ordinary FPE intervention. Both arms will involve six sessions, with a total contact time of 12 h. 300 caregivers of young adults who have experienced first episode psychosis within last 3 years will be recruited. Program effectiveness will be assessed by comparing outcomes measuring the caregivers' burden, mental health symptoms, positive well-being, and the young adult's mental health symptoms during the study and at 9-month post-randomization. The role of expressed emotions, interpersonal mindfulness, and non-attachment in mediating these outcomes will be explored. An additional qualitative approach Photovoice is selected to explore the complex family experiences and the benefits of mindfulness from the caregivers' personal perspectives. Trial Registration: The trial is registered with the United States Clinical Trials Registry (ClinicalTrials.gov): NCT03688009.

Keywords: family psychoeducation; mindfulness-based intervention; mixed methods; psychosis; randomized controlled clinical study.

Figures

FIGURE 1
FIGURE 1
Flew diagram of participant allocation.
FIGURE 2
FIGURE 2
Mediation model.

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