The Effect of Peer Education-Supported Psychosocial Skills Education Applied to Individuals With Chronic Mental Disorder on Patients' Perceptions of Stigma, Levels of Functionality and Insight
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 39
- 试验地点
- 2
- 主要终点
- Functionality (Social Functioning Assessment Scale)
研究概览
简要总结
This study was designed to examine the effects of peer education-supported psychosocial skills training on stigma perceptions, social functionality and insight levels of chronic psychiatric patients followed up in a community mental health center.
The research was planned as a mixed method study conducted in a randomized controlled experimental study design and a qualitative study design. With the findings obtained, it is aimed to increase the social functionality of the patients, to increase the level of insight and to reduce the perception of stigma, and to close an important gap in the literature, thanks to peer education-supported psychosocial skills training.
详细描述
Hypothesis(s) and Question(s):
The hypotheses of the quantitative method of the research are as follows; H1-1: Peer Education Supported Psychosocial Skills Training has an effect on the social functionality levels of patients.
H1-2: Peer Education Supported Psychosocial Skills Training has an effect on patients' perceptions of stigma.
H1-3: Peer Education Supported Psychosocial Skills Training has an effect on patients' insight levels.
The research questions of the qualitative method of the research are as follows:
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Supportive Care
- 盲法
- None
盲法说明
Masking could not be done in the study because training was to be provided. The identification and randomization of groups will be performed by the center staff using the blinding technique without the knowledge of the researcher to avoid bias.
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •For peer practitioner training:
- •Being registered with the Community Mental Health Center (CMHC),
- •Participating in the study voluntarily and being an instructor in 6 sessions of psychosocial skills training.
- •Having a high level of functionality according to the functionality scale
- •Not in the active period of the disease
- •Being able to read and write and not have any communication problems in understanding and speaking Turkish.
- •Well-being for at least 6 months according to the treatment team and according to the records.
- •For Peer-Supported Psychosocial Skills Training:
- •Coming to CMHC regularly
- •Volunteer to participate in the study and agree to attend 6-week sessions
- •Not in the active period of the disease.
- •Ability to read, write and communicate in Turkish
- •Being healthy for at least 6 months according to the treatment team and records
- •Having the experience of receiving standard psychosocial skills training by mental health professionals working in the institution for Experimental Group 1 and Control Group
- •Not having received standard psychosocial skills training by the mental health professionals working in the institution for Experiment Group 2 and Control Group 2 are the inclusion criteria determined for peer educator-supported psychosocial skills training.
排除标准
- •Not registering with CMHC.
- •Inability to give written informed consent to the study
- •Inability to communicate in written or verbal Turkish at a level that will complete the assessments and be included in the groups.
- •The emergence of acute illness symptoms during the education process
- •The conflict between the patient giving the training and the patients participating in the group training constitutes the exclusion criteria.
研究组 & 干预措施
Experimental Group 1
It will consist of 10 patients who have received psychosocial skills training by the staff of the center, and a 6-week peer-supported psychosocial skills training will be given by the peer-leaders trained by the researcher psychiatric nurse.
干预措施: Peer Education Supported Psychosocial Skills Education (Other)
Control Group 1
It will consist of 10 patients who have received psychosocial skills training by the center staff and no intervention will be applied.
Experimental Group 2
It will consist of 10 patients who have not received psychosocial skills training by the staff of the center, and a 6-week peer-supported psychosocial skills training will be given by the peer-leaders trained by the researcher psychiatric nurse.
干预措施: Peer Education Supported Psychosocial Skills Education (Other)
Control Group 2
It will consist of 10 patients who have not received psychosocial skills training by the center staff and no intervention will be applied.
Peer Practitioner Training
It is the group in which psychosocial skills training will be given to 4 patients with chronic mental disorders by a researcher psychiatric nurse.
干预措施: Peer practitioner training - Peer Education Supported Psychosocial Skills Education (Other)
结局指标
主要结局
Functionality (Social Functioning Assessment Scale)
时间窗: 6 Weeks
This scale evaluates 19 items and four sub-dimensions in general in patients with schizophrenia. Among the factors, interpersonal explanations and entertainment consist of seven items, self-care seven items, independent living needs four items, and work-life one item. The scores that can be obtained from the scale are between 19 and 57, and a high score means that social functioning measures are high. It is expected that there will be an increase in the functionality levels of the experimental groups.
Stigmatization (Self-Stigma Scale)
时间窗: 6 Weeks
It is a 3-factor scale consisting of 17 items for patients evaluating self-stigmatization or internalized stigma, concealment of illness and perception of worthlessness in individuals with mental illness. A five-point Likert-type scale was created as "1=not at all suitable for me, 2=somewhat appropriate, 3=moderately appropriate, 4=generally appropriate, 5=completely appropriate". As the score obtained from the scale increases, the self-stigmatization of the patients increases. The Cronbach's alpha correlation coefficient value of the scale is 0.93, indicating high reliability. It is expected that the stigma perceptions of the experimental groups will decrease.
Insight (Beck Cognitive Insight Scale)
时间窗: 6 Weeks
The Turkish validity and reliability study of the scale developed to assess cognitive insight was conducted. The scale, which is a four-point Likert type, consists of 15 items and has 2 sub-dimensions "self-confidence" and "self-evaluation". The scoring system of the scale consists of "disagree" 0 points, "somewhat agree" 1 point, "mostly agree" 2 points, "strongly agree" 3 points. The total (composite) score of the scale is obtained by subtracting the self-evaluation items (1,3,4,5,6,8,12,14,15) from the self-confidence item scores (2,7,9,10,11,13). The total score range of the scale is between -18 and 27 points. A high score indicates a high level of insight. In the reliability study of the Turkish version of the scale, the internal consistency Cronbach's alpha coefficient was found to be 0.68. It is expected that there will be an increase in the insight levels of the experimental groups.
次要结局
未报告次要终点
研究者
Halil İbrahim Bilkay
Psychiatric Nurse
Tokat Gaziosmanpasa University