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Psychiatr Serv. 2009 Jan;60(1):117-20. doi: 10.1176/appi.ps.60.1.117.

A randomized controlled trial of a private-sector inpatient-initiated psychoeducation program for schizophrenia.

Author information

1
Department of Psychiatry, Christian Hospital, 11125 Dunn Rd., Suite 213, St. Louis, MO 63136, USA. gmv7127@bjc.org

Abstract

OBJECTIVES:

Psychoeducation programs have been demonstrated to reduce relapse and be cost-effective for schizophrenia in academic settings, although this has not been examined in private care inpatient settings.

METHODS:

A total of 57 consecutive patients hospitalized for an exacerbation of schizophrenia symptoms were randomly assigned to receive treatment as usual or Schizophrenia Treatment and Education Programs (STEPS), an intensive inpatient-initiated psychoeducation program in a private-sector treatment setting. At six months, 54% of the original sample was reassessed.

RESULTS:

Rehospitalization over six months was significantly less frequent among STEPS participants than among usual care participants (20% versus 56%, p=.038, Hedge's g effect size=.76).

CONCLUSIONS:

This controlled study demonstrated subsequent reduction of costly rehospitalization among patients randomly assigned to STEPS, although study attrition of 46% over six months may diminish the confidence in the findings. This is the first study to demonstrate effectiveness of inpatient-initiated psychoeducation in private-sector care. Larger, more comprehensive studies are needed to replicate these findings and identify the active components of the intervention yielding these apparent gains.

PMID:
19114582
DOI:
10.1176/ps.2009.60.1.117
[Indexed for MEDLINE]
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