A mixed-methods evaluation of a pilot psychosocial intervention group for older people with schizophrenia.
BACKGROUND
There is a strong evidence base for psychological treatments in younger adults with schizophrenia, but limited work has been done on adapting these interventions for older people.


OBJECTIVE
We describe a study of a pilot psychosocial intervention group specifically designed to meet the needs of older people with schizophrenia in NHS settings.


METHODS
We used a mixed-methods approach to evaluate the group. We assessed feasibility and acceptability by monitoring uptake and retention in the study. We used a within groups design comparing participants on a range of potentially relevant outcomes at baseline and posttreatment. Treatment acceptability was also assessed by semi-structured interviews conducted at the end of treatment.


RESULTS
We recruited 11 participants to the study and 7 of these completed the majority of the group sessions. At a group level participants made improvements in self-esteem and negative symptoms that were statistically significant even in this small sample. Feedback interviews suggested that participants valued the social contact provided by the group and made actual changes in their day-to-day lives as a result of attending.


CONCLUSIONS
The intervention could offer help with some of the secondary disability associated with the diagnosis of schizophrenia and is acceptable to older adults. Further evaluation is, however, warranted.
University of Manchester and Manchester Health and Social Care Trust, UK.
Katherine
K
Berry
University of Manchester and Manchester Health and Social Care Trust, UK.
Nitin
N
Purandare
University of Manchester and Manchester Health and Social Care Trust, UK.
Richard
R
Drake
University of Manchester and Manchester Health and Social Care Trust, UK.
Richard
R
Elmsley
University of Manchester and Manchester Health and Social Care Trust, UK.
Lisa
L
Jones
University of Manchester and Manchester Health and Social Care Trust, UK.
Christine
C
Barrowclough
D000367:Age Factors; D000368:Aged; D015928:Cognitive Behavioral Therapy / Q000379:methods*; D003431:Cross-Cultural Comparison; D004739:England; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D057187:Independent Living / Q000523:psychology; D007406:Interview, Psychological; D008297:Male; D008370:Manuals as Topic; D008875:Middle Aged; D010342:Patient Acceptance of Health Care / Q000523:psychology; D017060:Patient Satisfaction; D010865:Pilot Projects; D011615:Psychotherapy, Group / Q000379:methods*; D011788:Quality of Life / Q000523:psychology; D012559:Schizophrenia / Q000175:diagnosis / Q000628:therapy*; D012565:Schizophrenic Psychology; D012649:Self Concept; D012917:Social Adjustment; D013222:State Medicine