Effects of an Interpersonal Communication Skills Training Program on Medication Adherence of Schizophrenic Patients
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 40
- 试验地点
- 2
- 主要终点
- Medication Adherence Behavior
研究概览
简要总结
This quasi-experimental two-group pretest-posttest study examined the effects of an interpersonal communication skills training program on medication adherence in patients with schizophrenia, measured at pre-intervention, post-intervention, and one-month follow-up.
Research Hypotheses
- The experimental group receiving the interpersonal communication skills training program will show higher mean treatment adherence scores post-intervention and at one-month follow-up compared to baseline.
- The experimental group will show higher mean treatment adherence scores post-intervention and at one-month follow-up than the control group receiving routine nursing care.
详细描述
Intervention : Interpersonal Communication Skills Training Program This program was developed based on DeVito's communication theory and integrated with the positive reinforcement-based interpersonal communication training developed by Thiengwiriyakul et al.(11) The program comprises six sessions: 1) Positive Communication 2) Equal Communication 3) Empathic Communication 4) Supportive Communication 5) Open Communication and 6) Relationship-Building Communication. The intervention was conducted three times per week, 60 minutes per session, over a two-week period.
Usual Care :
Usual care is defined as the provision of standard psychiatric nursing interventions consistent with usual clinical practice.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
盲法说明
Participants who met the inclusion criteria were randomly assigned using a simple lottery method into an experimental group (n = 20) and a control group (n = 20).
入排标准
- 年龄范围
- 20 Years 至 59 Years（Adult）
- 性别
- Male
- 接受健康志愿者
- 否
入选标准
- •Male patients aged 20-59 with an ICD-10 schizophrenia diagnosis(F20.0-F20.9).
- •History of psychiatric readmission due to medication non-adherence
- •Mild psychiatric symptoms(Thai BPRS score ≤ 36).
- •Poor interpersonal communication skills(score ≤ 1.50 on Thiengviriya et al.'s assessment tool
- •Low to moderate medication adherence(score ≤ 42 on Uthaiphan & Daengdomyut's scale
- •Able to read, write, speak, and without hearing/visual impairments.
- •Had a primary caregiver post-discharge.
- •Provided informed consent voluntarily.
排除标准
- •Patients with other psychiatric comorbidities(e.g., depression, bipolar disorder, anxiety, or substance-induced psychosis)
结局指标
主要结局
Medication Adherence Behavior
时间窗: Before the intervention, Immediately after the intervention , 1 month follow-up
Treatment adherence refers to the extent to which patients with schizophrenia follow their prescribed medication regimen, assessed using the 16-item Treatment Adherence Behavior Assessment Scale (Uthaipan \& Daengdomyut, 2013) It has been validated for content with a content validity index (CVI) of 0.88 and demonstrates good reliability with a Cronbach's alpha of 0.85. It consists of 16 items rated on a 4-point Likert scale (Always, Often, Occasionally, Never), divided into two parts: 1) Items 1-8: behaviors related to medication adherence. 2) Items 9-16: abilities to recognize and manage side effects. Seven items are negatively worded (Items 1, 2, 3, 7, 8, 12, 15), and nine items are positively worded (Items 4, 5, 6, 9, 10, 11, 13, 14, 16). The scoring is interpreted as follows: 1) ≤ 21 points: Low adherence 2) 21-42 points: Moderate adherence 3) ≥ 43 points: High adherence
次要结局
未报告次要终点
研究者
Sakda Khumkom
Sakda Khumkom, Ph.D. , Asst.Prof., School of Psychiatric Nursing, Institue of Nursing, Suranaree University of Technology
Suranaree University of Technology