Effectiveness of individual counseling program based on motivation interviewing and cognitive behavioral technique for treatment compliance in schizophrenia
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Date
2010-02-12
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Journal of Mental Health of Thailand - วารสารสุขภาพจิต แห่งประเทศไทย
Abstract
Objective: This study aimed to examine the effect of individual counseling program based on motivation interviewing and cognitive behavioral technique for treatment compliance in schizophrenic patients attending at Udonthani hospital.Materials and methods: A research design was a quasi experimental study with pretest-posttest control group. The sample study consisted of one hundred schizophrenic patients who had caregivers and were noncompliant with medications. The subjects were randomly recruited from a hospital register. The subjects were assigned to either control group or intervention group by matching length of illness and level impact from side-effect. Fifty patients who were in the experimental group received 5 sessions individual counseling program based on the concepts of motivation interviewing and cognitive behavioral technique. The control group received routine care. Study measurements included 1) Compliance Behaviors Assessment Scale, 2) Psychiatric Symptoms Assessment 3) Knowledge on Self-management and 4) Family’s Emotional Expressions. Data were collected at one month before intervention, immediately upon therapy completion, 3 and 6 months follow-up. Data were analyzed using repeated measurement ANOVA with Bonferroni correction.Results: Patients in the intervention group had a significant improvement in compliance behaviors and knowledge more than those in the control group at the posttest, 3 and 6 months follow-up.Conclusion: The motivation interviewing and cognitive behavioral technique individual counseling program can improved treatment compliance, knowledge and understanding about the illness. It also helps to increase their awareness and recognition of a problem, thus decreasing the risk of relapse. However, booster dose of the intervention is recommend in order to prevent prolong relapse.
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Journal of Mental Health of Thailand - วารสารสุขภาพจิต แห่งประเทศไทย; Volume 16 Number 1 January 2008; 41-51