47
Efective Implementation of a Structured Psychoeducation Programme among Caregivers of Schizophrenia Patients in the Community
1.4 Problem analysis
The main aim of this study is to assess if a structured psychoeducation programme can be effectively implemented among schizophrenia patients in the community
please refer to Figure 1. However, the researchers foresee some possible problems with implementation of this study.
Similar programmes have been implemented in many psychiatric institutions in Malaysia. The HBUK-PET programme has been shown to be successful in the short
term, but the long term sustainability has yet to be studied locally. There is a need to ensure that the delivery of the psychoeducation programme is standardised and
less operator dependent. To ensure success of the programme, adequate trainers must be available to impart the knowledge needed. With this, the issue of time,
budget, and suitable infrastructure and resources is crucial.
Issues with staff are inseparable from the success of the programme. Adequate staff is needed for the programme to be carried out so that the existing staff is not over-
burdened, considering the ever-widening scope of the primary healthcare. Staffs need to have the correct attitude to run the programme. Incentives allowance,
promotional prospects should be considered to motivate and drive the staff.
Can we effectively implement a structured psychoeducation
programme among caregivers of schizophrenia patients in the
community?
Lack of Infrastructure
Resources
Unsure of long term
sustainability Defaulters
dropout rates
Programme implementation
Lack of budget
Delivery of a standardized
programme Lack of
qualified trainers
Extended time factor needed for
programme Staff factors
Poor attitude
Lack of staff
Increased burden of
work
Patient care-giver factors Poor
insight about
disease Poor
knowledge about
disease Lack of
motivation Incentive
Figure 1. Problem analysis chart
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Efective Implementation of a Structured Psychoeducation Programme among Caregivers of Schizophrenia Patients in the Community
Finally, the final outcome of the programme will depend largely on patient and caregiver factors. Defaulter and drop-out rates will largely depend on the patients’
insight and existing knowledge and understanding about the illness. Thus, this programme aims to increase both the insight and knowledge of disease through a
structured psychoeducation programme.
With all these issues in mind, our study will perhaps shed some light on improving system of care for schizophrenia patients and ultimately improve the health outcome
for these patients and their families.
1.5 Potential utilisation of research
This study hopes to describe the effectiveness of family psychoeducation in terms of increasing the knowledge of schizophrenia among caregivers and its sustainability.
The study will also describe the feasibility of the programme in the community setting. Since many studies showed that the psychoeducation programme has
impact on patient care, therefore with this study it may change our care of patient with schizophrenia especially in community setting. Ultimately it is hoped that the
study will help to improve the current health status and outcome of psychiatric patients currently on follow up in the community.
2.0 OBJECTIVES
2.1 General objective
To compare the effectiveness of a structured versus non-structured psychoeducation programme among caregivers of patients with schizophrenia in the community of
an administrative region.
2.2 Specific objectives
1. To determine if the use of a structured psychoeducation programme will
significantly: a.
improve the knowledge about schizophrenia among caregivers b.
decrease patient readmission rates c.
improve compliance to follow up d.
decrease the burden of caregivers 2.
To determine the feasibility of the structured psychoeducation programme among the staff implementing it.
3. To make recommendations regarding the implementation of a structured
psychoeducation programme in the community.
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