Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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ACTIVE_NOT_RECRUITING
NA
60 participants
INTERVENTIONAL
2025-03-01
2025-11-30
Brief Summary
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A total of 60 participants were selected from among 354 individuals registered at the Balıkesir Community Mental Health Center (CMHC), based on predefined inclusion and exclusion criteria. Participants were randomly assigned into three groups:
1. an online intervention group receiving a 5-week TTM-based treatment adherence psychoeducation program via WhatsApp;
2. a face-to-face intervention group receiving a standard, non-TTM-based treatment adherence psychoeducation program over 3 weeks at the CMHC; and
3. a control group that received no educational intervention, only assessments.
Data collection instruments include a Sociodemographic Information Form, the Stage of Change Identification Form, the Medication Adherence Report Scale (MARS-5), and the Clinical Global Impression-Severity Scale (CGI-S). Measurements were conducted at baseline, post-intervention, and three months after the intervention.
The study hypotheses are:
Research Hypotheses H1: The treatment adherence scale scores of individuals diagnosed with psychosis who participate in the TTM-based psychoeducation group administered via social media will differ compared to the scores of individuals who participate in the face-to-face treatment adherence psychoeducation group.
H2: The treatment adherence scale scores of individuals diagnosed with psychosis who participate in the TTM-based psychoeducation group administered via social media will differ compared to the scores of individuals who do not receive TTM-based psychoeducation.
This study aims to provide evidence for the efficacy of theory-based, technology-supported psychoeducation programs in enhancing treatment adherence among individuals with psychosis. Furthermore, it evaluates whether a model-based online psychoeducation program is more effective than a conventional treatment adherence education.
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Detailed Description
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Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
SINGLE
Study Groups
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Online TTM-Based Psychoeducation
TTM-Based Online Psychoeducation Program
A 5-week structured psychoeducation program based on the Transtheoretical Model (TTM), delivered via WhatsApp. Educational content was tailored to the participant's stage of change and included videos, texts, and interactive materials to promote treatment adherence in individuals with psychosis.
Face-to-Face Standard Psychoeducation
Standard Face-to-Face Psychoeducation Program
A 3-week conventional psychoeducation program delivered face-to-face at the Community Mental Health Center. The program focused on general treatment adherence without utilizing the Transtheoretical Model and included verbal education, printed materials, and discussions.
Delayed Online Psychoeducation Group
TTM-Based Online Psychoeducation Program
The intervention was provided after a 3-month delay following initial observation. Participants received the same 5-week online psychoeducation program as the main intervention group
Interventions
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TTM-Based Online Psychoeducation Program
A 5-week structured psychoeducation program based on the Transtheoretical Model (TTM), delivered via WhatsApp. Educational content was tailored to the participant's stage of change and included videos, texts, and interactive materials to promote treatment adherence in individuals with psychosis.
Standard Face-to-Face Psychoeducation Program
A 3-week conventional psychoeducation program delivered face-to-face at the Community Mental Health Center. The program focused on general treatment adherence without utilizing the Transtheoretical Model and included verbal education, printed materials, and discussions.
TTM-Based Online Psychoeducation Program
The intervention was provided after a 3-month delay following initial observation. Participants received the same 5-week online psychoeducation program as the main intervention group
Eligibility Criteria
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Inclusion Criteria
* Diagnosed with a psychotic disorder according to DSM-5 criteria, including:
* Schizophrenia
* Schizophreniform disorder
* Schizoaffective disorder (with mild mood symptoms)
* Brief psychotic disorder
* Substance/medication-induced psychotic disorder (in remission)
* Paranoid disorder
* On the same prescribed psychiatric medication for at least one month
* Able to communicate in Turkish
* Has access to the internet and owns at least one active social media account (Instagram, Twitter, Facebook, WhatsApp, etc.)
* Literate and able to complete self-report forms
* Willing to participate and provide informed consent
* Clinical Global Impression-Severity (CGI-S) score of 4 or below
Exclusion Criteria
* Acute psychotic episode at the time of recruitment
* Comorbid psychiatric diagnoses not covered under the inclusion list
* Diagnosed with neurocognitive disorders (e.g., dementia)
* Diagnosed with intellectual disability (mental retardation)
* Unable to use smartphone, tablet, or other digital communication tools
* Missed more than 20% of the intervention sessions
18 Years
65 Years
ALL
No
Sponsors
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Istanbul University - Cerrahpasa
OTHER
Responsible Party
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Ibrahim Aldemir, PhD
Doctoral Researcher
Locations
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Balıkesir Provincial Health Directorate, Community Mental Health Center
Balıkesir, Balıkesir, Turkey (Türkiye)
Countries
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Other Identifiers
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2024229
Identifier Type: -
Identifier Source: org_study_id
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