Motivational Interviewing in Patients With Schizophrenia
Condition: Motivational Interviews; Schizophrenia
MeSH terms: Schizophrenia
Study type: Interventional

Summary: 
      Introduction: A poor therapeutic relationship, low insight and lack of motivation are
      associated with poor adjustment (to symptoms, treatment, and environment) in patients with
      schizophrenia. In order to achieve better compliance and results, the therapeutic
      relationship and insight should be developed by increasing the motivation of individuals.

      Purpose: This study examines the effect of Interpersonal Relations Theory-Based motivational
      interviews on functional recovery and insight levels of patients with schizophrenia.

      Methods: This single-blind, randomized controlled study used the simple randomization method
      and employed a pretest-posttest control group design, which is an experimental research
      design. The study was conducted at Pamukkale University, Health Research and Application
      Center, Habib Kızıltaş Psychiatric Hospital from November 2019 to June 2020 and included 40
      individuals (20 in the experimental and 20 in the control groups). Study data were collected
      using a personal information form, the Functional Remission of General Schizophrenia Scale
      (FROGS) and the Scale for Assessing the Three Components of Insight (SAI). The researchers
      carried out a 6-session Interpersonal Relations Theory-based motivational interview with the
      participants in the experimental group. No intervention was made to the control group. The
      data were analyzed on the basis of pre-intervention, post-intervention and 3 months after the
      intervention (follow-up).
    

Detailed description: 
      Schizophrenia is a severe mental illness that causes problems in the thoughts, feelings, and
      behaviors of the individual, impairs the ability to evaluate reality, has a unique world and
      keeps the individual away from social life, causes difficulties in his family and social
      environment, relapses, and is a progressive, severe mental illness when regular treatment is
      not applied.

      It is reported that individuals diagnosed with schizophrenia have poor insight into how they
      evaluate the symptoms of the disease and what they expect from treatment. One of the problems
      of individuals diagnosed with schizophrenia is lack of motivation. It is stated that this may
      be caused by the dopaminergic system. This situation can cause individuals to have
      difficulties in social life.

      In this context, it is important to evaluate motivational processes in the treatment of
      schizophrenia and to plan and implement initiatives that will increase motivation. A poor
      therapeutic relationship, low insight and lack of motivation are associated with poor
      adjustment (to symptoms, treatment, and environment) in patients with schizophrenia. In order
      to achieve better compliance and results, the therapeutic relationship and insight should be
      developed by increasing the motivation of individuals. Nurses need to establish a therapeutic
      relationship in order for the nursing care to produce effective results in the recovery
      process of these patients.

      In this study, it is thought that Interpersonal Relations-Based Motivational Interviewing can
      be effective in increasing the symptom management, social-occupational functionality,
      adherence to treatment, daily life skills and insight levels of patients with schizophrenia,
      and may shed light and guide psychiatric nursing interventions.
    

Intervention name(s): 6-session Interpersonal Relations Theory-based Motivational Interviews and 3 month follow-up.
Intervention type(s): Behavioral
Intervention description(s): 6-session Interpersonal Relations Theory-based Motivational Interviews were applied to the individuals in the study group. All sessions were conducted face-to-face in the form of individual interviews. Each interview lasted an average of 30-40 minutes. With this intervention, it was aimed to increase treatment cooperation and motivation in individuals with schizophrenia, to increase insight, to improve adherence to treatment, daily living skills and social functionality.Study data were collected using a personal information form, the Functional Remission of General Schizophrenia Scale (FROGS) and the Scale for Assessing the Three Components of Insight (SAI). The data were analyzed on the basis of pre-intervention, post-intervention and 3 months after the intervention.
Allocation: Randomized
Intervention model: Parallel Assignment
Intervention model description: Randomized controlled pre-post test design
Masking: Double (Participant, Care Provider)
Primary purpose: Supportive Care
Keywords: Insight; Functional Recovery; Interpersonal Relations Theory; Motivational Interviews; Schizophrenia