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Study aim
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The effect of family-centered group education (based on Atkinson and coia model) on recurrence and severity of symptoms in schizophrenic patients admitted
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Design
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A randomized clinical trial, intervention and control groups, and sample size in each group: 50 patients.
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Settings and conduct
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This study was performed on 100 patients with schizophrenia in Qazvin 22 Bahman psychiatric hospital. The intervention group received their training from a psychiatric nurse. Before and after training sessions (6 months on a monthly basis), severity of symptoms was measured using PANSS questionnaire. Data were compared in different months in both groups.
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Participants/Inclusion and exclusion criteria
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Inclusion criteria included definitive diagnosis of schizophrenia based on a psychiatrist's diagnosis, having at least one primary caregiver with no communication disorder and no prior psychiatric training. Exclusion criteria for the study were the dissatisfaction of the patient's primary caregiver to attend the training sessions or not to attend more than one.
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Intervention groups
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In the intervention group, in addition to drug therapy, family group training sessions, with the presence of the patient's primary caregiver, were held in three weekly sessions and each session for 90 minutes. The topics discussed at the meetings were in accordance with the Atkinson and Coia model. Important issues such as complete information about schizophrenia, relapse symptoms, treatments, patient-family, family and schizophrenia, rehabilitation, support organizations, and patient care. At the end of each session a question and answer session was conducted.In the control group only the usual drug therapy was unchanged and no educational intervention was performed.
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Main outcome variables
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Decrease in readmission; Decrease in patient-caregiver involvement; Increase in family awareness