Effects of an Interpersonal Communication Skills Training Program on Medication Adherence of Schizophrenic Patients
NCT ID: NCT07165821
Last Updated: 2025-09-10
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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COMPLETED
NA
40 participants
INTERVENTIONAL
2024-06-01
2024-09-30
Brief Summary
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Research Hypotheses
1. The experimental group receiving the interpersonal communication skills training program will show higher mean treatment adherence scores post-intervention and at one-month follow-up compared to baseline.
2. The experimental group will show higher mean treatment adherence scores post-intervention and at one-month follow-up than the control group receiving routine nursing care.
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Detailed Description
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Usual Care :
Usual care is defined as the provision of standard psychiatric nursing interventions consistent with usual clinical practice.
Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
NONE
Study Groups
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Experiment group
The group of patients who received Interpersonal Communication Skills Training Program
Interpersonal Communication Skills Training Program
This program was developed based on DeVito's communication theory and integrated with the positive reinforcement-based interpersonal communication training developed by Thiengwiriyakul et al.(11) This program was evaluated by a panel of three experts-a psychiatrist, a psychiatric nurse, and a psychiatric nursing academic-who assessed content relevance, appropriateness, and language clarity. After revisions based on their feedback, the program achieved a Content Validity Index (CVI) of 0.93, exceeding the acceptable threshold.
Control group
The group of patients who received routine psychiatric nursing care
Usual care
Received routine psychiatric nursing care
Interventions
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Interpersonal Communication Skills Training Program
This program was developed based on DeVito's communication theory and integrated with the positive reinforcement-based interpersonal communication training developed by Thiengwiriyakul et al.(11) This program was evaluated by a panel of three experts-a psychiatrist, a psychiatric nurse, and a psychiatric nursing academic-who assessed content relevance, appropriateness, and language clarity. After revisions based on their feedback, the program achieved a Content Validity Index (CVI) of 0.93, exceeding the acceptable threshold.
Usual care
Received routine psychiatric nursing care
Eligibility Criteria
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Inclusion Criteria
2. History of psychiatric readmission due to medication non-adherence
3. Mild psychiatric symptoms(Thai BPRS score ≤ 36).
4. Poor interpersonal communication skills(score ≤ 1.50 on Thiengviriya et al.'s assessment tool
5. Low to moderate medication adherence(score ≤ 42 on Uthaiphan \& Daengdomyut's scale
6. Able to read, write, speak, and without hearing/visual impairments.
7. Had a primary caregiver post-discharge.
8. Provided informed consent voluntarily.
Exclusion Criteria
20 Years
59 Years
MALE
No
Sponsors
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Suranaree University of Technology
OTHER
Responsible Party
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Sakda Khumkom
Sakda Khumkom, Ph.D. , Asst.Prof., School of Psychiatric Nursing, Institue of Nursing, Suranaree University of Technology
Principal Investigators
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Arunee Roongrusamee, Dip.N.S.
Role: STUDY_CHAIR
Prasrimahabhodi Psychiatric Hospital, Ubon Ratchathani, 34000, Thailand
Palida Phalasak, M.N.S
Role: PRINCIPAL_INVESTIGATOR
Prasrimahabhodi Psychiatric Hospital, Ubon Ratchathani, 34000, Thailand
Aungkhana Chaiyarak, Dip.N.S.
Role: PRINCIPAL_INVESTIGATOR
Prasrimahabhodi Psychiatric Hospital, Ubon Ratchathani, 34000, Thailand
Sakda Khumkom, Ph.D.
Role: PRINCIPAL_INVESTIGATOR
Institute of Nursing, Suranaree University of Technology, Nakhon Ratchasima, 30000, Thailand
Thanakamon Leesri, Ph.D.
Role: PRINCIPAL_INVESTIGATOR
Institute of Nursing, Suranaree University of Technology, Nakhon Ratchasima, 30000, Thailand
Locations
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Prasrimahabhodi Psychiatric Hospital, ,Thailand
Nai Muang, Changwat Ubon Ratchathani, Thailand
Countries
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References
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He H, Liu Q, Li N, Guo L, Gao F, Bai L, Gao F, Lyu J. Trends in the incidence and DALYs of schizophrenia at the global, regional and national levels: results from the Global Burden of Disease Study 2017. Epidemiol Psychiatr Sci. 2020 Jan 13;29:e91. doi: 10.1017/S2045796019000891.
Charlson FJ, Ferrari AJ, Santomauro DF, Diminic S, Stockings E, Scott JG, McGrath JJ, Whiteford HA. Global Epidemiology and Burden of Schizophrenia: Findings From the Global Burden of Disease Study 2016. Schizophr Bull. 2018 Oct 17;44(6):1195-1203. doi: 10.1093/schbul/sby058.
Semahegn A, Torpey K, Manu A, Assefa N, Tesfaye G, Ankomah A. Psychotropic medication non-adherence and its associated factors among patients with major psychiatric disorders: a systematic review and meta-analysis. Syst Rev. 2020 Jan 16;9(1):17. doi: 10.1186/s13643-020-1274-3.
While A. Medication adherence: understanding the issues and finding solutions. Br J Community Nurs. 2020 Oct 2;25(10):474-479. doi: 10.12968/bjcn.2020.25.10.474.
Tan XH, Foo MA, Lim SLH, Lim MBXY, Chin AMC, Zhou J, Chiam M, Krishna LKR. Teaching and assessing communication skills in the postgraduate medical setting: a systematic scoping review. BMC Med Educ. 2021 Sep 9;21(1):483. doi: 10.1186/s12909-021-02892-5.
Riedl L, Nagels A, Sammer G, Straube B. A Multimodal Speech-Gesture Training Intervention for Patients With Schizophrenia and Its Neural Underpinnings - the Study Protocol of a Randomized Controlled Pilot Trial. Front Psychiatry. 2020 Mar 6;11:110. doi: 10.3389/fpsyt.2020.00110. eCollection 2020.
Combs DR, Adams SD, Penn DL, Roberts D, Tiegreen J, Stem P. Social Cognition and Interaction Training (SCIT) for inpatients with schizophrenia spectrum disorders: preliminary findings. Schizophr Res. 2007 Mar;91(1-3):112-6. doi: 10.1016/j.schres.2006.12.010. Epub 2007 Feb 12.
Park Y, Han K. Development and evaluation of a Communication Enhancement Program for People with Chronic Schizophrenia: A quasi-experimental pretest-posttest design study. Appl Nurs Res. 2018 Aug;42:1-8. doi: 10.1016/j.apnr.2018.04.007. Epub 2018 Apr 25.
Maassen E, Buttner M, Brocker AL, Stuke F, Bayer S, Hadzibegovic J, Just SA, Bertram G, Rau R, von Haebler D, Lempa G, Montag C. Measuring Emotional Awareness in Patients With Schizophrenia and Schizoaffective Disorders. Front Psychol. 2021 Nov 11;12:725787. doi: 10.3389/fpsyg.2021.725787. eCollection 2021.
Uzun G, Lok N. Effect of emotional awareness skills training on emotional awareness and communication skills in patients with schizophrenia: A Randomized Controlled Trial. Arch Psychiatr Nurs. 2022 Jun;38:14-20. doi: 10.1016/j.apnu.2022.01.005. Epub 2022 Jan 22.
Related Links
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fact- sheets of schizophrenia from WHO
Other Identifiers
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NursingSUT
Identifier Type: -
Identifier Source: org_study_id
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