Semuel Layuk, Tri Martiana, Bongakaraeng Bongakaraeng
School bag weight and the occurrence of back pain among elementary school children
Journal of public health research
psychoeducation delivered facetoface effective alleviating mental health morbidities family carers individuals psychosis however research interventions delivered online scarce evaluated effectiveness digital multicomponent interventioncopesupportin improving carers mental wellbeing caregivingrelated outcomes twoarm individually randomised superiority trial people aged 18 years older provided least weekly support format relative close friend affected psychosis across england randomly assigned 11 either copesupport passive online information resource using independent online system participants recruited 30 mental health uk national health service trusts study team masked allocation assessment outcomes data collection took place online participants access either condition 40 weeks advised spend least half hour per week initial 20 weeks go materials pace allow time integrate knowledge skills learned practice feasible mask participants online facilitator intervention allocation copesupport provided psychoeducation psychosisrelated caregiving strategies forums professionals carers control intervention comprised passive online information resource primary outcome 20 weeks mental wellbeing measured warwickedinburgh mental wellbeing scale wemwbs minimally clinically important difference mcid 3 trial registered isrctn 89563420 march 1 2018 feb 14 2020 407 participants randomly assigned 204 allocated copesupport 203 allocated control participants mean age 531 years sd 132 mostly female 330 81 407 participants white 359 88 407 participants 346 85 407 participants provided primary endpoint data 174 85 204 participants copesupport group 172 85 203 participants control group mean wemwbs score 20 weeks 445 sd 831 copesupport group 433 919 control group found evidence difference wellbeing two groups adjusted mean difference 037 95 ci 114 188 p063 copesupport group 106 52 204 participants met complier definition minimum two logins separate weeks complier average causal effect analysis increased difference wemwbs scores adjusted difference 083 95 ci 145 311 p047 lower mcid adverse events findings support use copesupport passive online information resource however research optimise digital interventions adjunctive facetoface support carers remains important national institute health research