title: Effects of a mutual support group for families of Chinese people with schizophrenia: 18-month follow-up.
abstract: BACKGROUND
  Family intervention in schizophrenia can reduce patient relapse and improve medication adherence, but few studies on this have involved a Chinese population.
  
  
  OBJECTIVE
  To examine the effects of a mutual support group for Chinese families of people with schizophrenia, compared with psychoeducation and standard care.
  
  
  METHODS
  Randomised controlled trial in Hong Kong with 96 families of out-patients with schizophrenia, of whom 32 received mutual support, 33 psychoeducation and 31 standard care. The psychoeducation group included patients in all the sessions, the mutual support group did not. Intervention was provided over 6 months, and patient- and family-related psychosocial outcomes were compared over an 18-month follow-up.
  
  
  RESULTS
  Mutual support consistently produced greater improvement in patient and family functioning and caregiver burden over the intervention and follow-up periods, compared with the other two conditions. The number of readmissions did not decrease significantly, but their duration did.
  
  
  CONCLUSIONS
  Mutual support for families of Chinese people with schizophrenia can substantially benefit family and patient functioning and caregiver burden.
authors.affiliation: Nethersole School of Nursing, Chinese University of Hong Kong, 7/F, Esther Lee Building, Chung Chi College, Shatin, N.T., Hong Kong SAR, China. wtchien@cuhk.edu.hk
authors.forename: Wai-Tong
authors.initials: WT
authors.lastname: Chien
authors.forename: Sally W C
authors.initials: SW
authors.lastname: Chan
authors.forename: David R
authors.initials: DR
authors.lastname: Thompson
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D044466:Asian People / Q000523:psychology; D017028:Caregivers / Q000193:education / Q000523:psychology*; D017281:Cost of Illness; D005192:Family Health; D005260:Female; D005500:Follow-Up Studies; D006723:Hong Kong; D006801:Humans; D008297:Male; D008875:Middle Aged; D012559:Schizophrenia / Q000208:ethnology / Q000451:nursing*; D012565:Schizophrenic Psychology; D012657:Self-Help Groups; D012959:Socioeconomic Factors; D016896:Treatment Outcome