The Effectiveness of Community Re-entry Program On Therapeutic Outcomes in Raazi Psychiatric Center Hospitalized Schizophrenic Patients, in Comparison with Conventional Psychiatric Treatment

1) Determine the effectiveness of the community return program on the therapeutic components of schizophrenia patients. The therapeutic components of this study are: Awareness of the nature of disease and drug information, readiness for discharge, ability to plan daily, quality of life, adhesion, frequency of PRN, frequency of physical inhibition, positive and negative syndrome, disability, stigma and duration Hospitalization 2) Comparison of the effectiveness of the return program to the community on the above-mentioned therapeutic outcomes, with the effectiveness of conventional psychiatric treatment in Razi Psychoanalytic Center.

In this study, 80 schizophrenic patients admitted to the Razi Psychiatric Center were randomly assigned to experimental and control groups and assigned a code to each participant to hide the intervention group

This study is carried out in the inpatients units of the Raazi Psychiatric Center, in which the principles of double-blindedness are implemented. In order to ensure that double-blinded principles are implemented, the implementation and scoring of research tools and all measures , the implementation of tools and conducting interviews and other evaluation and measures in the experimental and control groups are carried out by neutral evaluators, Who are unaware of the implementation of therapeutic intervention in the experimental group and the group (trial or control) in which the patients are assigned. The intervention in the experimental group will be provided by trained instructors who will be unaware of the experimental or control assignment of the participants undergoing training. Meanwhile, subjects are unaware of being present in the experimental, or in the control group. Researcher (investigator) will score tools after implementation and interpret the findings of other measurement and evaluation methods used in this research. In order to prevent the bias in scoring tools and interpreting the results, the situation is provided so that a person is completely unaware of the logic of the present research and its evaluations, receiving the tools completed and the results of the interviews and evaluations from evaluators along with a list of patients and their belonging to test groups and controls and Deliver them to the researcher. The same person, after scoring tools and interpreting the results of the interviews and other evaluations performed, is responsible for communicating data with the patients in the experimental and control groups to prepare them for statistical analysis.

Inclusion criteria: 1) Diagnosis of schizophrenia based on medical records 2) at least a prior hospitalization and passing two years from onset 3) Age range between 22-60 years 4) tolerance for group discipline and inclination for group activity 5) Having family Exclusion criteria: 1) Comorbidity with personality and substance related and addictive disorders 2) Having self management skills

This study consists of an intervention group and a control group that participants in the intervention group are in addition to conventional psychiatric treatment subject to a community re-entry program, while the control group participants receive only conventional psychiatric treatment

Increasing awareness about the nature of disease and drug information, readiness for discharge, the ability to design a daily plan, and quality of life Decreased adhesion, PRN frequency, frequency of physical inhibition, positive and negative syndrome, disability, stigma and hospitalization time

When the names of the patients who were selected in full-scale and according to the inclusion and exclusion criteria from hospitalized patients in the non-educational acute units of Razi Educational Medical Psychiatric Hospital reached number 10, they are listed and grouped in even and odd number according to their order in list. Then the even and odd names are assigned in the subject and control groups based on throwing the coin (tap or line), so that the first throw is done for the odd names and the tap event are assigned to experimental group and the line event in the control group. . By randomly assigning the odd persons in the list according to this method, the assignment group of even names is determined by itself and in a random fashion.

This study is carried out in the inpatients units of the Raazi Psychiatric Center, in which the principles of double-blindedness are implemented. In order to ensure that double-blinded principles are implemented, the implementation and scoring of research tools and all measures , the implementation of tools and conducting interviews and other evaluation and measures in the experimental and control groups are carried out by neutral evaluators, Who are unaware of the implementation of therapeutic intervention in the experimental group and the group (trial or control) in which the patients are assigned. The intervention in the experimental group will be provided by trained instructors who will be unaware of the experimental or control assignment of the participants undergoing training. Meanwhile, subjects are unaware of being present in the experimental, or in the control group. Researcher (investigator) will score tools after implementation and interpret the findings of other measurement and evaluation methods used in this research. In order to prevent the bias in scoring tools and interpreting the results, the situation is provided so that a person is completely unaware of the logic of the present research and its evaluations, receiving the tools completed and the results of the interviews and evaluations from evaluators along with a list of patients and their belonging to test groups and controls and Deliver them to the researcher. The same person, after scoring tools and interpreting the results of the interviews and other evaluations performed, is responsible for communicating data with the patients in the experimental and control groups to prepare them for statistical analysis.

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