خلاصة:
Objectives: Schizophrenia is responsible for a significant proportion of burden of mental diseases in Iran. Lack of a follow-up system has resulted in the repeated hospitalizations. In this study it is hypothesized that standardized living skills training delivered to participants with schizophrenia in outpatient and inpatient centers can be effective compared to a control group (with occupational therapy) in reducing psychopathology severity and increasing quality of life.Methods: This is a multi-centered parallel group randomized controlled trial in Iran and it is single- blinded. Eligible participants are randomly allocated into two groups in a 1:1 ratio. Participants are assigned by stratified balanced block randomization method. The trial is conducted in the cities of Tehran and Mashhad. Its aim is to recruit 160 clients with schizophrenia. The intervention for the experimental group is social living skills training. The intervention for the control group is occupational therapy. The intervention for both groups is conducted in 90 to 120-minute group sessions. The primary outcome of the study would be a decrease in psychopathology severity, an improvement in participants' quality of life, and reduction in family burden will be followed for 6 months.Discussion: This paper presents a protocol for a randomized controlled trial of independent and social living skills training intervention delivered to participants with schizophrenia. If this intervention is effective, it could be scaled up to be developing for policymaking and improving outcomes for schizophrenic participants and their families in Iran.
ملخص الجهاز:
Iranian Rehabilitation Journal, Vol. 13, Issue 3, Autumn 2015 Original Article Independent and Social Living Skills Training for People with Schizophrenia in Iran: a Randomized Controlled Trial Ashraf Karbalaee-Nouri1 University of Social Welfare and Rehabilitation Sciences, Tehran, Iran Seyed Ali Hosseini* Social Determinants of Health Research Center University of Social Welfare and Rehabilitation Sciences, Tehran, Iran Ahmad Hajebi Mental Health Research Center Tehran Institute of Psychiatry, Iran University of Medical Sciences, Tehran, Iran Hasan Rafii Substance Abuse and Dependence Research Center University of Social Welfare and Rehabilitation Sciences, Tehran, Iran Abbas Motevalian Iran University of Medical Sciences, Tehran, Iran Objectives: Schizophrenia is responsible for a significant proportion of burden of mental diseases in Iran.
In this study it is hypothesized that standardized living skills training delivered to participants with schizophrenia in outpatient and inpatient centers can be effective compared to a control group (with occupational therapy) in reducing psychopathology severity and increasing quality of life.
Discussion: This paper presents a protocol for a randomized controlled trial of independent and social living skills training intervention delivered to participants with schizophrenia.
Keywords: social living skill training, schizophrenia, inpatients, outpatients, occupational therapy Submitted: 15 November 2015 Accepted: 5 December 2015 Introduction Schizophrenia is a severe mental disorder that usually onsets in early adulthood and is often associated with persistent or relapsing symptoms and a range of adverse outcomes (1,2).
The objectives of the trial are to see whether clinical skill training will be effective in improving a range of outcomes in participants with schizophrenia and their families in a 6 months follow-up and to determine if the skill training intervention is applicable in Iran.