NCT05980832

Effect of Peer-Supported Psychosocial Skills Training in Individuals With Chronic Mental Disorder

The Effect of Peer Education-Supported Psychosocial Skills Education Applied to Individuals With Chronic Mental Disorder on Patients' Perceptions of Stigma, Levels of Functionality and Insight

• Status: Completed
• Phase: N/A
• Study type: Interventional
• Enrollment: 39 (actual)
• Sponsor: Tokat Gaziosmanpasa University · Academic / Other
• Sex: All
• Age: 18 Years
• Healthy volunteers: Not accepted

Summary

This study was designed to examine the effects of peer education-supported psychosocial skills training on stigma perceptions, social functionality and insight levels of chronic psychiatric patients followed up in a community mental health center. The research was planned as a mixed method study conducted in a randomized controlled experimental study design and a qualitative study design. With the findings obtained, it is aimed to increase the social functionality of the patients, to increase the level of insight and to reduce the perception of stigma, and to close an important gap in the literature, thanks to peer education-supported psychosocial skills training.

Detailed description

Hypothesis(s) and Question(s): The hypotheses of the quantitative method of the research are as follows; H1-1: Peer Education Supported Psychosocial Skills Training has an effect on the social functionality levels of patients. H1-2: Peer Education Supported Psychosocial Skills Training has an effect on patients' perceptions of stigma. H1-3: Peer Education Supported Psychosocial Skills Training has an effect on patients' insight levels. The research questions of the qualitative method of the research are as follows: Q(1): How do the changes experienced by people with chronic mental disorders affect their lives? Q(2): How does Peer Education Supported Psychosocial Skills Training affect patients' social functionality levels? Q(3): How does Peer Education Supported Psychosocial Skills Training affect patients' perceptions of stigma? Q(4): How does Peer Education Supported Psychosocial Skills Training affect patients' insight levels? Q(5): What are the experiences and opinions of the patients who participated in the Peer Education Supported Psychosocial Skills Training program? The research question created for the research to be mixed method: Q(Mixed): Do the themes revealed by the statements of the patients as a result of the qualitative research support the quantitative findings obtained as a result of the quantitative research? Data Collection and Intervention Firstly, A 13-hour practitioner training about psychosocial skills training supported by peer education and group management will be given by the research psychiatric nurse to 4 patients (one as peer leader, other as assistant, the other two as substitutes) selected according to the inclusion criteria of the study. Individuals who are called peer trainers and who are subjected to practitioner training by the researcher psychiatric nurse will carry out the 6-session psychosocial skills training as leaders and assistant leaders. Researcher psychiatric nurse will support them in this process, even if they need it. It is thought that with the education given by peer educators, patients can benefit from each other's experiences and have an effect on the relevant variables. Groups will be determined by lot by the center staff from among the patients who have or have not received psychosocial skills training before. In the research, "Descriptive Information Form" will be used by the researcher as a data collection tool, indicating the sociodemographic characteristics of the participants. The measurement of the variables specified in the research will be provided by the Self Stigma Scale, Beck Cognitive Insight Scale and Social Functioning Assessment Scale. In order to evaluate the qualitative data, a semi-structured interview form consisting of questions about the effectiveness of education on the variables will be used by the researcher. After the pre-test application, a measurement will be made at the end of the sessions in the 2nd week, 4th week and 6th week in order to measure the effectiveness of the study during the application. Also, a measurement will be made in the 8th week for follow-up purposes. After the collection of quantitative data, 5 people from both experimental groups will be selected and qualitative data will be collected with 10 participants in total. Individual and face-to-face interviews will be conducted with the patients who make up the experimental group, and the interviews will be audio recorded with the knowledge and consent of the participant. Individual interviews will be provided with a semi-structured form for the effectiveness of the training.

Conditions

• Chronic Mental Disorders
• Peer Support
• Psychosocial Skills Training
• Functionality
• Stigmatization
• Insight

Interventions

Type	Name	Description
OTHER	Peer practitioner training - Peer Education Supported Psychosocial Skills Education	Psychosocial skills training-practitioner training will be given to 4 patients diagnosed with chronic mental disorder by the research psychiatry nurse. Educational content 1. Getting acquainted - briefing about the study 2. The Importance, Aims and Objectives of Psychosocial Skills Education 3. The importance of peer support 4. The importance, aims and objectives of peer education supported psychosocial skills training 5. Management of the meeting game, warm-up games and role plays 6. 1st and 2nd session peer education supported psychosocial skills training 7. 3rd and 4th session peer education supported psychosocial skills training 8. The last 5th and 6th sessions of peer education are supported by psychosocial skills training. 9. Key points and termination in group management. The training will be planned to last 10-13 hours in total. Trainer's booklet prepared by the researcher psychiatric nurse.
OTHER	Peer Education Supported Psychosocial Skills Education	It is a psychosocial skills training that will be given to both experimental groups in 6 sessions within 6 weeks. 2 of the 4 peer trainers who received the practitioner training will conduct the training. During the training period, the research psychiatric nurse will support. Session titles are as follows: 1. Session:Preparation Session 2. Session: Understanding Mental Disorders 3. Session: Developing Communication Skills 4. Session: Developing Emotion Recognition and Expression Skills 5. Session: Dealing with Daily Living Activities and Problems 6. Session: Understanding the Stigma Experience The duration of each session is determined as 90 minutes. Taking into account the patient's opinions breaks not exceeding 15 minutes will be given as needed.

Timeline

• Start date: 2023-07-31
• Primary completion: 2023-08-04
• Completion: 2023-09-29
• First posted: 2023-08-08
• Last updated: 2024-02-22

Locations

1 site across 1 country: Turkey (Türkiye)