The Effect of Social Skills Intervention on Praxis and Social Functioning in Individuals With Schizophrenia

Study Overview
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Brief Summary
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This study will be carried out with individuals diagnosed with schizophrenia who continue to community mental health. Social skills training will be applied in the study. This study will be conducted to examine the effect of social skills training on praxis and social functionality in individuals with schizophrenia.

Detailed Description
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This study will be conducted to examine the effect of social skills training on praxis and social functionality in individuals with schizophrenia. Test of Upper Limb Apraxia (TULIA) will be used for praxis assessment. Social Functioning Assessment Scale (SFAS) will be used for social functioning assessment. In this study, individuals with schizophrenia will be examined with the Model of Creativity Ability as an occupational therapy model and role playing activities will be determined according to the model. In secondary outcomes, the effect of social skills training on the symptoms of schizophrenia will be examined. therefore Scale for the Assessment of Positive Symptoms - SAPS and Scale for the Assessment of Negative Symptoms - SANS will be used in the study.

Official Title
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The Effect of Activity-Focused Social Skills Intervention on Praxis and Social Functioning in Individuals With Schizophrenia

Conditions
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Schizophrenia

Intervention / Treatment
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* Behavioral: Social skills training


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Being an individual with a diagnosis of schizophrenia registered with the Community Mental Health Center Volunteering for the study and having written consent Exclusion Criteria: Be under the age of 18 or over the age of 65 Having a physical disability that limits participation in group activities

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 65 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: 2 groups, an application and a control group, will be used. Social skills training will be applied to one of the two groups with schizophrenia and not to the other group.
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: intervention group<br>Social skills training will be applied to this group. social skills training will be applied for 10 sessions. Sessions will be 2 sessions per week. Session duration will be 1 hour. | Behavioral: Social skills training<br>* In this training, role-playing will be done in groups of six. In these role playing, the importance and application of the social skill specified before the session will be studied.<br>|
| No Intervention: control group<br>No intervention. | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| The effect of social skills training on praxis in patients with schizophrenia was evaluated with TULIA | Test of Upper Limb Apraxia- TULIA: TULIA is a short-term apraxia test. TULIA was developed for the evaluation of hand movements (gestures) with and without symbolic meaning. Those that have symbolic value are also gestures associated with communication and also with the use of objects/tools. These three areas are evaluated as imitation (imitation) and pantomime (pretending-following verbal instructions) examination by following the practitioner. Thus, TULIA, which consists of 6 subtests, consists of 48 items in the form of 8 items in each subtest. The 6-point scoring method (0-5) is used to calculate the result (range 0-240). A higher score means a better result in this assessment test. The test has Turkish validity. | 2 months | 
| The effect of social skills training on social functionality in individuals with schizophrenia | Social Functioning Evaluation Scale:This scale, which was developed in Turkey, evaluates social functioning in schizophrenia patients with 19 items and four sub-dimensions. Among the factors, interpersonal relations and entertainment consist of seven items, self-care consists of seven items, independent living skills consist of four items and work life consists of one item. The score that can be obtained from the scale is between 19 and 57, and a high score means a high level of social functionality. | 2 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| The effect of social skills training on schizophrenia positive symptoms in individuals with schizophrenia | Scale for the Assessment of Positive Symptoms - SAPS: The scale evaluates the level, distribution and severity of positive symptoms of patients with schizophrenia. The reliability of the Turkish form was made. It is a scale that has 4 subscales and includes 34 items. The subscales are hallucinations, delusions, strange behavior, and formal thought disorder. The scoring of each item varies between 0-5. The total score varies between 0-170. A lower score means a better result on this assessment test. | 2 months | 
| The effect of social skills training on schizophrenia negative symptoms in individuals with schizophrenia | Scale for the Assessment of Negative Symptoms - SANS: The scale evaluates the level, distribution and severity of negative symptoms of patients with schizophrenia. The reliability of the Turkish form was made. Has 5 subscales and includes 25 items. Subscales are affective blunting, alogy, apathy, anhedonia, and attention deficit. The scoring of each item varies from 0 to 25.The total score ranges from 0 to 125. A lower score means a better result on this assessment test. | 2 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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schizophrenia, Social Skills, Apraxia, Motor, Social Functioning