Effectiveness of Peer-Led Self-Management Programme (PLSMP) for People with Schizophrenia: Pilot Study Outcomes

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Hdl Handle:
http://hdl.handle.net/10755/304094
Category:
Abstract
Type:
Presentation
Title:
Effectiveness of Peer-Led Self-Management Programme (PLSMP) for People with Schizophrenia: Pilot Study Outcomes
Author(s):
Li, Ziqiang; Chan, Sally Wai-Chi; Klainin-Yobas, Piyanee
Lead Author STTI Affiliation:
Upsilon Eta
Author Details:
Ziqiang Li, RN, RMN, BS, a0078756@nus.edu.sg; Sally Wai-Chi Chan, PhD, MSc, BSc, DipEd, RN, RMN, FHKCERN; Piyanee Klainin-Yobas, PhD, RN;
Abstract:

Session presented on: Tuesday, July 23, 2013

Purpose:

 A 6-week peer-led self-management (PLSMP) was developed based on the theoretical support and active components identified from a systematic review. It has English and Chinese versions. It was reviewed by experts’ panel and modified according to the participants’ opinion. The study aims:

1.         To examine the effectiveness of the designed PLSMP for people with schizophrenia in reducing psychotic symptom severity, and in enhancing, empowerment, medication adherence, perceived recovery, and social support.

2.         To explore peer trainers’ perspectives in leading PLSMP, and participants’ perspectives in the PLSMP and the standard rehabilitation programme.

Methods:

A pilot study was conducted to evaluate the PLSMP with pretest-posttest design. Twenty participants were recruited from three community psychiatric rehabilitation centres in Singapore. They have schizophrenia and Global Assessment of Functioning level of 50 and above. Participants completed the 6-week PLSMP in group sessions. It was conducted in English or Chinese by peer trainers, who have schizophrenia and were trained and delivered the PLSMP. Paired t-test was used to analyse participant’s outcomes before and after the PLSMP.

Results:

After completing the PLSMP, participants reported significantly improved empowerment score (t=-2.70, p=0.014), and perceived recovery score (t= -2.59, p=0.018), and medication adherence attitude (t=-3.04, p=0.007). Symptom severity level was reportedly reduced with borderline significant level (t=2.03, p=0.056). Participants’ perceived social support was reported to be non-significant (t=-1.81, p=0.087).

Conclusion:

The significant results reported in the pilot study were congruent with current literatures. Further rigorous RCT is in progress to provide more conclusive evidence on its long-term effectiveness comparing to no intervention.

Keywords:
Recovery; Self-management; Schizophrenia
Repository Posting Date:
22-Oct-2013
Date of Publication:
22-Oct-2013
Conference Date:
2013
Conference Name:
24th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Prague, Czech Republic
Description:
24th International Nursing Research Congress Theme: Bridge the Gap Between Research and Practice Through Collaboration. Held at the Hilton Prague Hotel.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titleEffectiveness of Peer-Led Self-Management Programme (PLSMP) for People with Schizophrenia: Pilot Study Outcomesen_GB
dc.contributor.authorLi, Ziqiangen_GB
dc.contributor.authorChan, Sally Wai-Chien_GB
dc.contributor.authorKlainin-Yobas, Piyaneeen_GB
dc.contributor.departmentUpsilon Etaen_GB
dc.author.detailsZiqiang Li, RN, RMN, BS, a0078756@nus.edu.sg; Sally Wai-Chi Chan, PhD, MSc, BSc, DipEd, RN, RMN, FHKCERN; Piyanee Klainin-Yobas, PhD, RN;en_GB
dc.identifier.urihttp://hdl.handle.net/10755/304094-
dc.description.abstract<p>Session presented on: Tuesday, July 23, 2013</p><b>Purpose: </b> <p> A 6-week peer-led self-management (PLSMP) was developed based on the theoretical support and active components identified from a systematic review. It has English and Chinese versions. It was reviewed by experts’ panel and modified according to the participants’ opinion. The study aims: <p>1.         To examine the effectiveness of the designed PLSMP for people with schizophrenia in reducing psychotic symptom severity, and in enhancing, empowerment, medication adherence, perceived recovery, and social support. <p>2.         To explore peer trainers’ perspectives in leading PLSMP, and participants’ perspectives in the PLSMP and the standard rehabilitation programme. <p><b>Methods: </b> <p>A pilot study was conducted to evaluate the PLSMP with pretest-posttest design. Twenty participants were recruited from three community psychiatric rehabilitation centres in Singapore. They have schizophrenia and Global Assessment of Functioning level of 50 and above. Participants completed the 6-week PLSMP in group sessions. It was conducted in English or Chinese by peer trainers, who have schizophrenia and were trained and delivered the PLSMP. Paired t-test was used to analyse participant’s outcomes before and after the PLSMP. <p><b>Results: </b> <p>After completing the PLSMP, participants reported significantly improved empowerment score (t=-2.70, p=0.014), and perceived recovery score (t= -2.59, p=0.018), and medication adherence attitude (t=-3.04, p=0.007). Symptom severity level was reportedly reduced with borderline significant level (t=2.03, p=0.056). Participants’ perceived social support was reported to be non-significant (t=-1.81, p=0.087). <p><b>Conclusion: </b> <p>The significant results reported in the pilot study were congruent with current literatures. Further rigorous RCT is in progress to provide more conclusive evidence on its long-term effectiveness comparing to no intervention.en_GB
dc.subjectRecoveryen_GB
dc.subjectSelf-managementen_GB
dc.subjectSchizophreniaen_GB
dc.date.available2013-10-22T20:29:01Z-
dc.date.issued2013-10-22-
dc.date.accessioned2013-10-22T20:29:01Z-
dc.conference.date2013en_GB
dc.conference.name24th International Nursing Research Congressen_GB
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen_GB
dc.conference.locationPrague, Czech Republicen_GB
dc.description24th International Nursing Research Congress Theme: Bridge the Gap Between Research and Practice Through Collaboration. Held at the Hilton Prague Hotel.en_GB
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