Objective:

To evaluate caregiver outcomes of a hybrid asynchronous-synchronous version of Psychosis REACH, which addresses barriers to Family Interventions for psychosis.

Approach:

• Intervention Components: The hybrid model included an online course, a live virtual skills workshop, and follow-along skills coaching from a trained family peer.
• Participant Demographics: 275 caregivers participated, primarily parents (61.2%).
• Outcome Measures: Outcomes evaluated included depression, anxiety, caregiver burden, expressed emotion, attitudes toward psychosis, and self-perceived CBT skillfulness.

Key Findings:

• High feasibility and acceptability ratings for both asynchronous and synchronous components.
• Nearly all participants completed the online course.
• 85% completed the virtual workshop.
• 66.7% of participants intended to follow up with a Psychosis REACH Family Ambassador.
• Significant improvements were observed in psychiatric symptoms, caregiver burden, stigmatizing attitudes, and expressed emotion.
• Increased confidence in CBT-informed skills was reported.

Interpretation:

The hybrid digital training is acceptable and feasible, offering a promising approach for disseminating evidence-based family support in psychosis.

Limitations:

• The study did not include randomized trials, which limits the ability to draw causal conclusions.
• Future research should focus on engaging diverse and underserved families.

Conclusion:

The findings suggest that hybrid digital training can effectively reduce access barriers for caregivers of individuals with psychosis.