Multifamily Group Psychoeducation for SUD's in Turkey
Condition: Disease; Mental Disorders, Severe; Substance-Related Disorders; Substance Use Disorders; Alcohol Use Disorder
MeSH terms: Substance-Related Disorders; Alcoholism; Mental Disorders
Study type: Interventional

Summary: 
      The aim of this study is to investigate the effects of multi-family group psychoeducation
      (MFGP) on the families of people living with a diagnosis of substance abuse disorder on
      patients and their families.

      It has been reported that families are affected by substance-related disorders. Families that
      are the target of psychoeducational practices for families are defined as follows: "Family"
      is a relative, biological family member, partner, close friend, or any other support person
      or a person who sees herself/himself as the patient's family. In most studies, it has been
      stated that including family members in the patient's treatment provides additional benefits
      to substance use services and makes long-term recovery more likely. Studies have found that
      MFGP is associated with fewer relapses and hospitalizations, improved family well-being,
      increased participation in vocational rehabilitation, higher employment rates, and reduced
      costs of care. Multifamily psychoeducation aims to increase the family's knowledge about
      substance use disorders and to include them in the recovery process.

      Study Design:The intervention involves 8-week MFGP for families. During the 8 sessions, it
      was planned to conduct face-to-face psychoeducational group work, with each session lasting
      75 minutes on average. The MFGP to be covered during 8 sessions was created by evaluating
      MFGP modules from 3 different sources.

      Intervention protocols included these subjects:

      First session: Psychoeducation on Substance-Abuse Disorders Second session: Effects of
      Addiction on the Family Third session: illness management Fourth session: Supporting Recovery
      Fifth session: Improving Stress Coping Skills/Stress Management Sixth session: Developing
      Problem-Solving Skills Seventh session: Strengthening the Family Eighth session: Working with
      Stigma

      Study population: Families of people suffering from substance abuse disorders were studied.

      Expected outcomes: An increase in general and social functionality, a decrease in depression,
      anxiety, and self-stigma, an increase in quality of life, and treatment compliance are
      expected for patients. For families, it is expected that depression, anxiety, self-stigma,
      and caregiving burnout decrease, funcitonalty and quality of life increases and people gain
      skills to cope with stress.
    

Detailed description: 
      Research Method:

      The population of the research is all individuals who live in Istanbul and have a relative
      living with the diagnosis of substance-related disorder. The sample of the study is the
      families of people living with the diagnosis of substance use disorders. These families are
      receiving service from Maltepe University Faculty of Medicine AMATEM clinic in Istanbul.

      The literature was reviewed to determine the effect size and sample size of the study.
      Considering the purpose, design, and target audience of the research, the study by Fiorillo
      et al. was accepted as a reference publication (Fiorillo et al. 2015). Based on the
      aforementioned study, the t test family calculated the difference between two dependent means
      (Matched Pair Test) f: 0.31 (exact value: 0.3144855) and the total number of samples was
      determined as 64. When loss rates are included, the reference publication Fiorillo et al.
      (2015) stated that the sample loss rate (attrition rate) was 7% for the intervention group
      and 6% for the control group. The participant loss rate was accepted as 10%. In this case,
      considering the power analysis and the loss rates in the reference publication, the final
      sample number for this study was determined as 70 in total, and 35 participants will form the
      intervention group and 35 participants will form the control group. 35 patient families and
      patients will be in the intervention group, and 35 patient families and patients will be in
      the control group. Patients will not receive any intervention, only data collection tools
      will be measured.

      The sample will be selected from the population using the "Convenience Sampling
      Method'.Families will be informed about this study with the brochure that will be given to
      them during their outpatient clinic visits. Families who agree to participate in the study
      will first be presented with the 2 dates specified for the study's intervention and control
      group/waiting list. Whatever date is found suitable for the families, they will participate
      in the intervention or control group accordingly. The first set schedule will be the
      intervention group, and the second will be the control group/waiting list. No measurements
      will be made after the intervention to the waiting list/control group. During this period,
      all patients will receive standard treatment.

      In the descriptive analysis of the data, the number, percentage, minimum, maximum, mean, and
      standard deviation values will be given. The Statistical Package for the Social Sciences
      (SPSS) 24.0 program will be used in the analysis of the data. The significance level will be
      set at p<0.05. An Analysis of Variance (ANOVA) test will be performed for repeated
      measurements.

      Pre-Intervention: Introducing the study to families and giving informed consent forms to
      families are among the procedures at this stage. In addition, at this stage, a 45-minute
      pre-interview will be held in order to assign one of the intervention or control (waiting
      list) groups according to the working schedule of the families who agreed to participate in
      the study and to take pre-test measurements before the intervention.

      Intervention: A previously standardized 8-week multi-family group psychoeducation protocol is
      applied to the intervention group. Meanwhile, the control group is on the waiting list.

      Post-intervention: At the end of the intervention, post-tests are applied to the intervention
      group and control group. After this stage of the study, an intervention is also applied to
      the control group on the waiting list. The data collection phase of the study will be over
      after the intervention has been given to the intervention group and the post-test
      measurements have been made. No measurements will be taken after the intervention is applied
      to the control group.
    

Intervention name(s): multifamily group psychoeducation
Intervention type(s): Other
Intervention description(s): The intervention involves 8 weeks of multifamily psychoeducation for families. Duration of sessions: 75 minutes on average Context: First session: psychoeducation on substance-abuse disorders; second session; effects of addiction on the family; third session; illness management; fourth session; supporting recovery; fifth session; improving stress coping skills/stress management; sixth session; developing problem-solving skills; seventh session; strengthening the family; eighth session; working with stigma Preferred approach: face-to-face, multi-family Approach: Psychoeducation
Allocation: Non-Randomized
Intervention model: Parallel Assignment
Intervention model description: It is a 2-arm, non-randomized clinical study consisting of an intervention and a control group (waiting list) aiming to provide 8 weeks of multi-family psychoeducation to the families of people living with a diagnosis of substance abuse disorder.
Masking: None (Open Label)
Primary purpose: Supportive Care
Keywords: multi-family psychoeducation; substance abuse disorder; group psychoeducation; group study; family psychoeducation