Schizophrenia
Conditions
Brief summary
Schizophrenia affects about 0.7% of the population. Poor insight, which is common in this disease, linked to poor drug compliance is leads to rehospitalisation with major impact on quality of life. Indeed, many patients relapse with exacerbation of symptoms. Psychoeducation can improve therapeutic alliance and medication compliance. In this context, an individual psycho-education program (PEPITS) has been developed. PEPITS carried out by nurses during the initial stages of hospitalisation. The hypothesis is that PEPITS program will decrease relapse and improve the compliance and insight and and so the quality of life.
Interventions
DIAGNOSTIC_TESTPEPITS Programme
The programme has three main phases: Phase I: Introduction phase (Session 1) Phase II: Pathology and care work phase (Sessions 2 - 3 - 4) Phase III: Recovery and stepping stone phase (Sessions 5 - 6 - 7) The programme provides information, keys and new skills to the patient through 3 phases focusing on pathology and recovery.
OTHERUsual care
Patients will receive the same psychiatric care as the experimental group except of the PEPITS programme.
Sponsors
University Hospital, Tours
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
* Age between 18 and 65 years * Patient with a diagnosed and reported schizophrenic disorder announced : * Schizophrenia * Schizoaffective disorder * Or a diagnosed and reported Delusional Disorder * Express written consent by the participant after receiving information about the study * Be able to communicate verbally * Participant affiliated to a social security scheme
Exclusion criteria
* Pregnant or breastfeeding woman * Patient who does not speak French * Participation in a psycho-education group in the last 2 years * Patient under legal protection or guardianship
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Evolution of insight | From inclusion (T0) up to one year (T12) after randomisation | using the Introspection Self Assessment Questionnaire (IAQ) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Medication compliance | From inclusion (T0) up to one year (T12) after randomisation | by the Medication Adherence Rating Scale (MARS) |
| Evolution of quality of life at work | From prior to their training in the programme up to 6 months after their first inclusion | Measured by the Quality of life at work scale (Elizur and Shye scale, validated in French by Delmas, 2001) for nurses. Score from 1 to 6 per question. Average of all scores.The higher the average, the higher the level of quality of life at work. |
| Evolution of psychological well-being at work | From prior to their training in the programme up to 6 months after their first inclusion | Scale of psychological well-being at work (Gilbert, Dagenais-Desmarais, & Savoie, 2011) for nurses. Score from 1 to 5 per question. Average of all scores.The higher the average, the higher the Psychological well-being at work. |
| Evolution of patient's quality of life | From inclusion (T0) up to one year (T12) after randomisation | using the S-QOL (Subjective - Quality of Life) |
| Evolution of sense of self-efficacy | From prior to their training in the programme up to 6 months after their first inclusion | Self-efficacy scale (Nagels, 2008). Score from 1 to 4 per question. Average of all scores. The higher the average, the higher the sense of self-efficacy . |
| Evolution of commitment to work | From prior to their training in the programme up to 6 months after their first inclusion | Work Engagement Scale (Scaufeli, Baker, & Salanova, 2006) for nurses. score from 1 to 6 per question. Average score. The higher the average, the higher the work vigour, dedication to work and absorption at work. |
| Evolution of job satisfaction | From prior to their training in the programme up to 6 months after their first inclusion | Job satisfaction scale (Fouquereau & Rioux, 2002) for nurses. Score from 1 to 7 per question. Average of all scores. The higher the average, the higher the job satisfaction. |
Countries
France
Contacts
Primary ContactArnaud CHESSE
Backup ContactMarie LECLERC
Outcome results
None listed