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IRCT20180103038207N1 IRCT 2018-03-04 University of social welfare and rehabilitation sciences The Effectiveness of Community Re-entry Program (CRP) in Treatment of Schizophrenia The Effectiveness of Community Re-entry Program On Therapeutic Outcomes in Raazi Psychiatric Center Hospitalized Schizophrenic Patients, in Comparison with Conventional Psychiatric Treatment 2018-02-18 anticipated 80 Complete https://irct.ir/trial/28699 interventional Randomization: Randomized, Blinding: Double blinded, Placebo: Not used, Assignment: Parallel, Purpose: Supportive, Randomization description: 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, Blinding description: 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. N/A Schizophrenia disorder (F25.2), Treatment and Rehabilitation. Intervention 1: Intervention group: It consists of 40 patients who, in addition to conventional psychiatric treatment according to hospital routines, are also subject to Community Reentry Program. The program for returning to the community consists of 16 sessions of 30 to 90 minutes as follows: By default, and based on the recommendation of the author, at least 3 sessions per week are to be held for patients and the participants should not exceed 8 persons. Session 1: Introducing the Return to Community Program. Session 2: Explain the signs and symptoms of schizophrenia spectrum disorders according to the diagnosis of the participants Session 3: Determine the readiness of patients for discharge. Session 4: Planning a Community Return Program. Session 5: Communicating with Society Session 6: Coping with Stress in the Community. Session 7: Designing a Daily Program. Session 8: Exercise Rendezvous (Visit) and Do It. Session 9: How do medications prevent recurrence Session 10: Assessing the Effect of Medications. Session 11: Solving Drug Problems. Session 12: Solving Drug Side Effects. Session 13: Determine the symptoms of recurrence. Session 14: Tracking the symptoms of recurrence. Session 15: Implementing the Emergency Plan. Session 16: Bring your plan to the community. In each of these sessions, educational activities are conducted in a variety of ways, including viewing videos and asking questions about its content, internship and exterior classes, oral education through lecture and verbal interaction between trainer and patients, and role playing along with motivational components with Including scenarios related to the daily lives of patients will be made on their own initiative. Meanwhile, classroom assignments and the content of the sessions are recorded in a booklet by the patients and will be provided to the patients after the end of the session. Intervention 2: Control group: It consists of 40 patients who receive only routine treatment of routine psychiatric treatment and are not subject to a community reunion program. No - There is not a plan to make this available Justification or reason for not sharing IPD is This item will based on the policies of recruitment center and related university
public Davood Arab Ghahestany
Shahid rastegari Blvd., Taghi abad threeway, Moallem Sq., Raazi Psychiatric Center
Rey Iran (Islamic Republic of) 1866958891 +98 21 3341 6084 psychosis@uswr.ac.ir University of social welfare and rehabilitation sciences scientific Davood Arab Ghahestany
Shahid rastegari Blvd., Taghi abad threeway, Moallem Sq., Raazi Psychiatric Center
Rey Iran (Islamic Republic of) 1866958891 +98 21 3341 6084 psychosis@uswr.ac.ir University of social welfare and rehabilitation sciences Iran (Islamic Republic of) Diagnosis of schizophrenia based on medical records Age range between 22-60 years Having family Tolerance for group disciplines and inclination for group activities At least a prior hospitalization and passing two years from onset 22 years 60 years Both Comorbidity with personality substance related and addictive disorders Having self management skills F25.2 Rehabilitation N/A Intervention group: It consists of 40 patients who, in addition to conventional psychiatric treatment according to hospital routines, are also subject to Community Reentry Program. The program for returning to the community consists of 16 sessions of 30 to 90 minutes as follows: By default, and based on the recommendation of the author, at least 3 sessions per week are to be held for patients and the participants should not exceed 8 persons. Session 1: Introducing the Return to Community Program. Session 2: Explain the signs and symptoms of schizophrenia spectrum disorders according to the diagnosis of the participants Session 3: Determine the readiness of patients for discharge. Session 4: Planning a Community Return Program. Session 5: Communicating with Society Session 6: Coping with Stress in the Community. Session 7: Designing a Daily Program. Session 8: Exercise Rendezvous (Visit) and Do It. Session 9: How do medications prevent recurrence Session 10: Assessing the Effect of Medications. Session 11: Solving Drug Problems. Session 12: Solving Drug Side Effects. Session 13: Determine the symptoms of recurrence. Session 14: Tracking the symptoms of recurrence. Session 15: Implementing the Emergency Plan. Session 16: Bring your plan to the community. In each of these sessions, educational activities are conducted in a variety of ways, including viewing videos and asking questions about its content, internship and exterior classes, oral education through lecture and verbal interaction between trainer and patients, and role playing along with motivational components with Including scenarios related to the daily lives of patients will be made on their own initiative. Meanwhile, classroom assignments and the content of the sessions are recorded in a booklet by the patients and will be provided to the patients after the end of the session. Control group: It consists of 40 patients who receive only routine treatment of routine psychiatric treatment and are not subject to a community reunion program. Awareness of the nature of disease and drug information, and readiness for discharge. Timepoint: At the beginning of the study and after the end of the intervention. Method of measurement: community re entry program test. Ability to design a daily schedule. Timepoint: At the beginning of the study and after the end of the intervention. Method of measurement: Depending on the ability to complete the daily schedule, the program returns to the community. Quality of life. Timepoint: At the beginning of the study and after the end of the intervention. Method of measurement: Short form health questionnaire. Viscosity. Timepoint: During hospitalization period. Method of measurement: Based on the number of visits to the Nursing Station. The number of times a venous or muscular injection of psychoactive substance to calm the patient (I.e. PRN). Timepoint: At the end of intervention. Method of measurement: View patient records documentation. The number of fixation. Timepoint: At the end of intervention. Method of measurement: View patient records documentation. Positive and negative syndrome. Timepoint: At the beginning of the study and after the end of the intervention. Method of measurement: Positive and negative syndrome scale. Inability. Timepoint: At the beginning of the study and after the end of the intervention. Method of measurement: World Health Organization disability assessment schedule 2.0. Stigma. Timepoint: At the beginning of the study and after the end of the intervention. Method of measurement: Stigma scale Michael King. Duration of hospitalization. Timepoint: After inserting the discharge order in the patient file. Method of measurement: View patient records documentation. University of social welfare and rehabilitation sciences Approved 2017-07-09 Ethics committee of University of Social Welfare and Rehabilitation Sciences kodakyar Ave., daneshjo Blvd. Tehran Tehran Iran (Islamic Republic of)