Evaluation of primary health workers training program to provide psychoeducation to family caregivers of persons with psychotic disorder
Abstract: Many persons
suffering psychotic illnesses, such as schizophrenia, are largely untreated in
low income countries. In these settings, most persons with severe mental
illness live with their families. Thus, families play a particular critical
role in determining whether a person with a psychotic illness will receive
treatment and what the quality of treatment. Psychoeducation has proven to be
extremely effective in helping families develop the knowledge and skills which
is necessary to help their family members. Indonesia has a national policy to
integrate the management of mental health problems into the primary health care
system. However, in practice, such care does not implemented effectively. A
preliminary study in primary health centers in two districts of Bantul and
Gunung Kidul regency, Yogyakarta province, showed that there was very little or
there is not any training for health care workers on diagnosis and treatment of
psychotic disorder. This study was conducted to evaluate the effectiveness of
the training program for health workers in three primary health centers in
Yogyakarta, Indonesia, to provide psychoeducation to family caregivers for
persons with psychotic disorder. A quasi-experimental study with the approach
of one group pre and posttest design was performed in this study. Forty-three
health workers in 3 primary health centers in Bantul and Gunung Kidul,
Yogyakarta were trained every week for a month to provide psychoeducation to
family caregivers who live with psychotic disorder patient. Result showed that
the baseline score of knowledge of schizophrenia among health workers in 3
primary health centers in Bantul and Gunung Kidul before training were not
significantly different (p=0.162). After the psychoeducation training program
there were significantly different (p=0.003) of the score of knowledge of
schizophrenia among health workers in 3 primary health care centers compared
with before training. For conclusion, the training program to provide
psychoeducation to family care providers of persons with psychotic disorder for
primary health workers was effective to increase their knowledge of
schizophrenia.
Author: Carla Raymondalexas
Marchira, Warih Andan Puspitasari, Ida Rochmawati, Siti Mulyani
Journal Code: jpkedokterangg150354