The Effectiveness of Illness Management Skills Training in Individuals with Schizophrenia: A Study Protocol of a Randomized Controlled Trial
Yıl 2026,
Cilt: 5 Sayı: 1
,
32
-
45
,
25.03.2026
Gülten Uzun
,
Neslihan Lök
Öz
Aim The aim of this study was to examine the effectiveness of Illness Management Skills Training applied to individuals with schizophrenia. Method This study protocol describes a randomized controlled trial with a pretest-posttest control group. In this protocol, Standard Protocol Items: Recommendations for Interventional Trials (SPIRIT) Statement 2013 checklist and Consolidated Standards of Reporting Trials-SPI (CONSORT-SPI) 2018 flowchart were used. Among a total of 110 individuals with schizophrenia, 50 individuals who meet the inclusion and exclusion criteria will be randomly assigned to the intervention (25) and control (25) groups. In addition to routine outpatient clinic controls, the intervention group will receive Illness Management Skills Training in one session per week for 12 weeks, while the control group will continue their routine outpatient clinic controls without any intervention. Conclusion This protocol will test the effectiveness of Illness Management Skills Training in individuals with schizophrenia. The results will guide new interventions to be planned to improve illness management and recovery, engulfment and quality of life in individuals with schizophrenia. Trial Registration This protocol has been registered on ClinicalTrials. gov (NCT06883734)
Kaynakça
-
World Health Organization (WHO). Schizophrenia. Available from https://www.who.int/news-room/fact-sheets/detail/schizophrenia [Accessed 15th January 2023].
-
Patel KR, Cherian J, Gohil K, Atkinson D. Schizophrenia: overview and treatment options. P T. 2014;39(9):638-45.
-
Pauly K, Kircher T, Weber J, Schneider F, Habel U. Self-concept, emotion and memory performance in schizophrenia. Psychiatry Res. 2011;186(1):11-17.
-
Vining D, Robinson JC. Concept analysis of illness engulfment in schizophrenia. Arch Psychiatr Nurs. 2016;30(3):370-74.
-
Woon PS, Chia MY, Chan WY, Sim K. Neurocognitive, clinical and functional correlates of subjective quality of life in Asian outpatients with schizophrenia. Prog Neuropsychopharmacol Biol Psychiatry. 2010;34(3):463-468.
-
Chugh PK, Rehan HS, Unni KES, Sah RK. Predictive value of symptoms for quality of life in first-episode schizophrenia. Nord J Psychiatry. 2013;67(3):153-158.
-
McCay EA, Seeman MV. A scale to measure the impact of a schizophrenic illness on an individual's self-concept. Arch Psychiatr Nurs. 1998;12(1):41-49.
-
Konsztowicz S, Gelencser CR, Otis C, Schmitz N, et al. Self-concept and Engagement in LiFe (SELF): a waitlist-controlled pilot study of a novel psychological intervention to target illness engulfment in enduring schizophrenia and related psychoses. Schizophr Res. 2021;228:567-74.
-
Beanlands H, McCay E, Landeen J. Strategies for moving beyond the illness in early schizophrenia and in chronic kidney disease. Can J Nurs Res. 2006;38:10-30.
-
Kaşlı S, Bademli K. Psychometric properties of the Turkish version of the modified engulfment scale: Relation of self-concept. J Nurs Meas (Online ahead of print). 2021. Available from https://doi.org/10.1891/JNM-D-20-00132.
-
McNeely HE, Letts L, Martin ML, Strong S. Participants' evaluation and outcomes following integration of self-management support into outpatient schizophrenia case management. Int J Environ Res Public Health. 2023;20(4):3035.
-
Fujita E, Kato D, Kuno E, Suzuki Y, Uchiyama S, Watanabe A, et al. Implementing the Illness Management and Recovery Program in Japan. Psychiatr Serv. 2010;61(11):1157-61.
-
Lean M, Fornells-Ambrojo M, Milton A, Lloyd-Evans B, Harrison-Stewart B, Yesufu-Udechuku A, et al. Self-management interventions for people with severe mental illness: Systematic review and meta-analysis. Br J Psychiatry. 2019;214(5):260-268.
-
Polat S, Kutlu FY. Ruhsal bozukluklarda hastalık yönetimi ve iyileşme programı. İzmir Kâtip Çelebi Üniversitesi Sağlık Bilimleri Fakültesi Dergisi. 2019;4(3):111-115.
-
Singla N, Avasthi A, Grover S. Recovery and its correlates in patients with schizophrenia. Asian J Psychiatr. 2020;52(6):102162.
-
Hsieh WL, Li IH, Liu WI. Effects of empowerment-based illness management on the medication adherence and recovery of persons with schizophrenia: A systematic review and meta-analysis. Int J Ment Health Nurs. 2023;32(4):1008-1024.
-
Mueser KT, Meyer PS, Penn DL, Clancy R, Clancy DM, Salyers MP. The Illness management and recovery program: Rationale, development, and preliminary findings. Schizophr Bull. 2006;32(S1):S32-S43.
-
Ventriglio A, Ricci F, Magnifico G, Chumakov E, Torales J, Watson C, et al. Psychosocial interventions in schizophrenia: Focus on guidelines. Int J Soc Psychiatry. 2020;66(8):735-747.
-
Çalışkan MB, Ata EE, Dikeç G. Psikiyatri hemşireleri tarafından şizofreni tanılı hastalara uygulanan psikososyal rehabilitasyon programları: Sistematik derleme. Psikiyatride Güncel Yaklaşımlar. 2021;13(1):77-92.
-
Mueser KT, Corrigan PW, Hilton DW, Tanzman B, Schaub A, Gingerich S, et al. Illness management and recovery: A review of the research. Psychiatr Serv. 2002;53(10):1272-1284.
-
Liberman RP, Wallace CJ, Blackwell G, Eckman TA, Vaccaro JV, Kuehnel TG. Innovations in skills training for the seriously mentally ill: The UCLA social and independent living skills modules. Innovations and Research. 1993;2(2):43-59.
Şizofreni Tanılı Bireylerde Hastalık Yönetimi Beceri Eğitiminin Etkinliği: Randomize Kontrollü Çalışma için Bir Çalışma Protokolü
Yıl 2026,
Cilt: 5 Sayı: 1
,
32
-
45
,
25.03.2026
Gülten Uzun
,
Neslihan Lök
Öz
Amaç Bu çalışmanın amacı, şizofreni tanılı bireylere uygulanan Hastalık Yönetimi Beceri Eğitimi’nin etkinliğini incelemektir. Yöntem Bu çalışma protokolü, ön test-son test kontrol gruplu randomize kontrollü bir çalışmayı tanımlamaktadır. Bu protokolde Standard Protocol Items: Recommendations for Interventional Trials (SPIRIT) Statement 2013 kontrol listesi ve Consolidated Standards of Reporting Trials-SPI (CONSORT-SPI) 2018 akış şeması kullanılmıştır. Araştırma evrenini oluşturan toplam 110 şizofreni tanılı bireyden dahil etme ve dışlama kriterlerini karşılayan 50 birey müdahale (25) ve kontrol (25) gruplarına rastgele atanacaktır. Müdahale grubuna rutin poliklinik kontrollerine ek olarak 12 hafta haftada bir oturum şeklinde Hastalık Yönetimi Beceri Eğitimi uygulanacak olup, kontrol grubuna herhangi bir müdahale olmadan grup rutin poliklinik kontrollerine devam edecektir. Sonuç Bu protokol, şizofreni tanılı bireylerde Hastalık Yönetimi Beceri Eğitimi’nin etkinliğini test edecektir. Sonuçlar şizofreni tanılı bireylerde hastalık yönetimi ve iyileşme, benlik yitimi ve yaşam kalitesini iyileştirmek için planlanacak yeni müdahalelere rehberlik edecektir. Deneme Kaydı: Bu protokol ClinicalTrials.gov’a kaydedilmiştir (NCT06883734).
Etik Beyan
Çalışma için Selçuk Üniversitesi Hemşirelik Fakültesi Girişimsel Olmayan Klinik Araştırmalar Etik Kurulu’ndan etik izin (Toplantı Tarihi: 31.03.2023, Sayı: 2023/03, Karar no: 2023/13) alınmıştır.
Destekleyen Kurum
Selçuk Üniversitesi Bilimsel Araştırma Projeleri Koordinatörlüğü
Kaynakça
-
World Health Organization (WHO). Schizophrenia. Available from https://www.who.int/news-room/fact-sheets/detail/schizophrenia [Accessed 15th January 2023].
-
Patel KR, Cherian J, Gohil K, Atkinson D. Schizophrenia: overview and treatment options. P T. 2014;39(9):638-45.
-
Pauly K, Kircher T, Weber J, Schneider F, Habel U. Self-concept, emotion and memory performance in schizophrenia. Psychiatry Res. 2011;186(1):11-17.
-
Vining D, Robinson JC. Concept analysis of illness engulfment in schizophrenia. Arch Psychiatr Nurs. 2016;30(3):370-74.
-
Woon PS, Chia MY, Chan WY, Sim K. Neurocognitive, clinical and functional correlates of subjective quality of life in Asian outpatients with schizophrenia. Prog Neuropsychopharmacol Biol Psychiatry. 2010;34(3):463-468.
-
Chugh PK, Rehan HS, Unni KES, Sah RK. Predictive value of symptoms for quality of life in first-episode schizophrenia. Nord J Psychiatry. 2013;67(3):153-158.
-
McCay EA, Seeman MV. A scale to measure the impact of a schizophrenic illness on an individual's self-concept. Arch Psychiatr Nurs. 1998;12(1):41-49.
-
Konsztowicz S, Gelencser CR, Otis C, Schmitz N, et al. Self-concept and Engagement in LiFe (SELF): a waitlist-controlled pilot study of a novel psychological intervention to target illness engulfment in enduring schizophrenia and related psychoses. Schizophr Res. 2021;228:567-74.
-
Beanlands H, McCay E, Landeen J. Strategies for moving beyond the illness in early schizophrenia and in chronic kidney disease. Can J Nurs Res. 2006;38:10-30.
-
Kaşlı S, Bademli K. Psychometric properties of the Turkish version of the modified engulfment scale: Relation of self-concept. J Nurs Meas (Online ahead of print). 2021. Available from https://doi.org/10.1891/JNM-D-20-00132.
-
McNeely HE, Letts L, Martin ML, Strong S. Participants' evaluation and outcomes following integration of self-management support into outpatient schizophrenia case management. Int J Environ Res Public Health. 2023;20(4):3035.
-
Fujita E, Kato D, Kuno E, Suzuki Y, Uchiyama S, Watanabe A, et al. Implementing the Illness Management and Recovery Program in Japan. Psychiatr Serv. 2010;61(11):1157-61.
-
Lean M, Fornells-Ambrojo M, Milton A, Lloyd-Evans B, Harrison-Stewart B, Yesufu-Udechuku A, et al. Self-management interventions for people with severe mental illness: Systematic review and meta-analysis. Br J Psychiatry. 2019;214(5):260-268.
-
Polat S, Kutlu FY. Ruhsal bozukluklarda hastalık yönetimi ve iyileşme programı. İzmir Kâtip Çelebi Üniversitesi Sağlık Bilimleri Fakültesi Dergisi. 2019;4(3):111-115.
-
Singla N, Avasthi A, Grover S. Recovery and its correlates in patients with schizophrenia. Asian J Psychiatr. 2020;52(6):102162.
-
Hsieh WL, Li IH, Liu WI. Effects of empowerment-based illness management on the medication adherence and recovery of persons with schizophrenia: A systematic review and meta-analysis. Int J Ment Health Nurs. 2023;32(4):1008-1024.
-
Mueser KT, Meyer PS, Penn DL, Clancy R, Clancy DM, Salyers MP. The Illness management and recovery program: Rationale, development, and preliminary findings. Schizophr Bull. 2006;32(S1):S32-S43.
-
Ventriglio A, Ricci F, Magnifico G, Chumakov E, Torales J, Watson C, et al. Psychosocial interventions in schizophrenia: Focus on guidelines. Int J Soc Psychiatry. 2020;66(8):735-747.
-
Çalışkan MB, Ata EE, Dikeç G. Psikiyatri hemşireleri tarafından şizofreni tanılı hastalara uygulanan psikososyal rehabilitasyon programları: Sistematik derleme. Psikiyatride Güncel Yaklaşımlar. 2021;13(1):77-92.
-
Mueser KT, Corrigan PW, Hilton DW, Tanzman B, Schaub A, Gingerich S, et al. Illness management and recovery: A review of the research. Psychiatr Serv. 2002;53(10):1272-1284.
-
Liberman RP, Wallace CJ, Blackwell G, Eckman TA, Vaccaro JV, Kuehnel TG. Innovations in skills training for the seriously mentally ill: The UCLA social and independent living skills modules. Innovations and Research. 1993;2(2):43-59.