PMID- 28291691
OWN - NLM
STAT- MEDLINE
DCOM- 20180730
LR  - 20180829
IS  - 1573-2509 (Electronic)
IS  - 0920-9964 (Linking)
VI  - 190
DP  - 2017 Dec
TI  - Explanatory model of illness of the patients with schizophrenia and the role of 
      educational intervention.
PG  - 68-73
LID - S0920-9964(17)30125-1 [pii]
LID - 10.1016/j.schres.2017.03.006 [doi]
AB  - This randomized controlled trial was conducted at Department of Psychiatry, Lady 
      Reading Hospital, Peshawar from February to August 2015 to explore beliefs and 
      concepts of patients with schizophrenia about their illness and to find out the 
      effectiveness of structured educational intervention in changing the explanatory 
      models of illness of the patients and in their symptoms reduction. One hundred 
      and three patients were recruited in the trial who were randomly assigned to two 
      groups i.e., Experimental (n=53) and Control i.e., Treatment As Usual, TAU 
      (n=50). Intervention was applied to experimental group only, once a month for 
      three months. Short Explanatory Model Interview (SEMI), Brief Psychiatric Rating 
      Scale (BPRS), Positive And Negative Syndrome Scale (PANSS), Global Assessment of 
      Functioning (GAF) and Compliance Rating Scale were applied on all patients at 
      baseline and at 3months follow up. Scores on PANSS (Total), BPRS and GAF showed 
      improvement in the experimental group as compared to TAU group, at follow up, 
      with the p values of 0.000, 0.002 and 0.000, respectively. On follow up, 44 
      (95.6%) patients of experimental group achieved complete compliance as compared 
      to 17 (47.2%) patients of TAU group [p=0.000]. On baseline analysis of SEMI, in 
      the experimental group, only 3.8% (n=2) knew about name of the illness, which 
      increased to 54.3% (n=25) on follow up, while in TAU group it improved to 5.6% 
      (n=2) as compared to 0% at baseline (p=0.000). The result suggest that Structured 
      educational intervention can be effective in modifying the beliefs of the 
      patients regarding their illness.
CI  - Copyright (c) 2017 Elsevier B.V. All rights reserved.
FAU - Awan, Naila Riaz
AU  - Awan NR
AD  - Department of Psychiatry, Lady Reading Hospital, Peshawar, Pakistan. Electronic 
      address: nailariazawan@yahoo.com.
FAU - Jehangir, Syeda Farhana
AU  - Jehangir SF
AD  - University of Peshawar, Peshawar, Pakistan.
FAU - Irfan, Muhammad
AU  - Irfan M
AD  - Department of Mental Health, Psychiatry and Behavioural Sciences, Peshawar 
      Medical College, Riphah International University, Islamabad, Pakistan.
FAU - Naeem, Farooq
AU  - Naeem F
AD  - Department of Psychiatry, Queens University, Kingston, Canada.
FAU - Farooq, Saeed
AU  - Farooq S
AD  - Keele University, Keele, UK.
LA  - eng
PT  - Journal Article
PT  - Randomized Controlled Trial
DEP - 20170310
PL  - Netherlands
TA  - Schizophr Res
JT  - Schizophrenia research
JID - 8804207
SB  - IM
MH  - Adult
MH  - Female
MH  - Follow-Up Studies
MH  - *Health Knowledge, Attitudes, Practice
MH  - Humans
MH  - Interview, Psychological
MH  - Male
MH  - Patient Compliance
MH  - *Patient Education as Topic
MH  - Psychiatric Status Rating Scales
MH  - Schizophrenia/*therapy
MH  - Schizophrenic Psychology
MH  - Treatment Outcome
OTO - NOTNLM
OT  - Educational intervention
OT  - Explanatory model of illness
OT  - Schizophrenia
EDAT- 2017/03/16 06:00
MHDA- 2018/07/31 06:00
CRDT- 2017/03/15 06:00
PHST- 2016/11/08 00:00 [received]
PHST- 2017/02/16 00:00 [revised]
PHST- 2017/03/02 00:00 [accepted]
PHST- 2017/03/16 06:00 [pubmed]
PHST- 2018/07/31 06:00 [medline]
PHST- 2017/03/15 06:00 [entrez]
AID - S0920-9964(17)30125-1 [pii]
AID - 10.1016/j.schres.2017.03.006 [doi]
PST - ppublish
SO  - Schizophr Res. 2017 Dec;190:68-73. doi: 10.1016/j.schres.2017.03.006. Epub 2017 
      Mar 10.