Effectiveness of the Community-based Rehabilitation Program for Schizophrenia Patients on Health Beliefs and Participation Behavior of Village Health Volunteers

Main Article Content

Uraiwan Kerdsang
Ungsinun Intarakamhang
Narisara Peungposop
Theerayut Kerdsang

Abstract

       


Objective: To study the effectiveness of a community-based rehabilitation program for schizophrenia patients on health beliefs and participation behavior of village health volunteers.


          Material and methods: This is quasi-experimental research; the samples were 10 village health volunteers from Tambon Ban Thamniap, Khiriratnikhom district, Suratthani province. Purposive sampling was used for participating in the program. The data instruments consisted of the demographic information questionnaire, the health belief model about schizophrenia questionnaire, and the participation behavior of schizophrenia rehabilitation questionnaire. Data were collected before and after the program between April and May 2022. Data were analyzed by percentage, mean, standard deviation, and paired t-test.


          Results:  After the program, the mean scores of the health belief model about schizophrenia, and the mean scores of participation behavior of schizophrenia rehabilitation of community health volunteers were significantly higher than before participating in the program with a statistical significance of .05


          Conclusions: The community-based rehabilitation program for schizophrenia patients may influence the village health volunteers to have correct health beliefs towards schizophrenia and support their participation in the rehabilitation of schizophrenia patients.

Article Details

Section
Original article (นิพนธ์ต้นฉบับ)
Author Biography

Uraiwan Kerdsang, Suansaranrom hospital

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References

Liberman RP, Kopelowicz A. Recovery from schizophrenia: A challenge for the 21st century. International Review of Psychiatry 2002; 14:245-55.

Moore D. Textbook of Clinical Neuropsychiatry. 2nd ed. CRC Press Taylor & Francis Group; 2008.

Corrigan PW, Mueser KT. Principles and Practice of Psychiatric Rehabilitation: An Empirical Approach. NY: The Guilford Press; 2008.

Durmaz H, Okanli A. Investigation of the effect of self - efficacy level of caregiver family members of the individuals with schizophrenia on burden of care. Archives of Psychiatric on Nursing 2014;28: 290-94.

Shao WC, Chen H, Chang YF, Lin WC, Lin ECL. The relationship between medication adherence and rehospitalization: A prospective study of schizophrenia patients discharge from psychiatric acute wards. Hu Li Za Zhi 2013; 60: 31-40.

Jaramillo-Gonzalez LE, Sanchez-Pedraza R, Herazo MI. The frequency of rehospitalization and association factors in Colombian psychiatric patients: a cohort study. BMC Psychiatry 2014; 2:161.

Rossler W, Joachim Salize H, Van Os J, Riecher-Rossler A. Size of burden of schizophrenia and psychotic disorder. European Neuropsychophamacology 2005;15:

-409.

Whiteford HA, Degenhardt L, Rehm J, Baxter AJ, Ferrari AJ, Erskine HE, et al. Global burden of disease attributable to mental and substance use disorders: findings from the Global Burden of Disease Study 2010. Lancet 2013; 382:1575-86.

World Health Organization. Schizophrenia. [Internet] WHO; 2019 [cited 2022 Jan 5]. Available from: https://www.who.int/en/news-room/fact-sheets/detail/schizophrenia.

Mental health department. Year report 2019. Nonthaburi; Mental health department, Ministry of public health; 2019.

Awad AG, Voruganti LN. The burden of schizophrenia on caregivers: A review. Pharmacoeconomic 2008; 26:149-62.

Liberman RP. Handbook of psychiatric rehabilitation. Boston: Allyn and Bacon; 1992.

Luprasong S, Thanee S, Saithanu K, Choomuang K. Quality of Life of Psychiatric Patients and Their Caregivers in Ubon Ratchathani Province. Bulletin of Suanprung 2017; 33:175-88.

Phuttharod P. Development of a continuing care model to reduce recurrence in schizophrenia patients. Journal of health science 2018; 27: 478-86.

Juntapim S. Care of Schizophrenia Patients by the Community. Doctor of Philosophy Nursing Science, Faculty of Nursing, Khon Kaen University; 2017.

Saengkaew S, Thongkhamrod R, Sarakan K. Effect of the family and health volunteer participation care program to symptom severity of patient with schizophrenia. Proceedings of the 8th STOU national research conference; 2018 Nov23; Sukhothai Thammathirat Open University. Nonthaburi: The Office of the University Press;2018:p.381-91.

Sadock BJ, Sadock VA. Handbook of Clinical Psychiatry. 5thed. NY: Lippincott Williams and Wilkins; 2010.

Bharathi GD, Huang N, Lu Z. Psychosocial interventions for patients with schizophrenia. Shanghai Arch. Psychiatry 2011; 23:368-75.

Addington J, Lecomte T. Cognitive behaviour therapy for schizophrenia. F1000 medicine reports 2012;4:6.

Wang L, Zhou J, Yu X, Qiu J, Wang B. Psychosocial rehabilitation training in the treatment of schizophrenia outpatients: a randomized, psychosocial rehabilitation training-and monomedication-controlled study. Pak J Med Sci 2013; 29:

- 600.doi:10.12669/pjms.292.2951.

Guo X, Zhai J, Liu Z, Fang M, Wang B, Wang, et al. Effect of antipsychotic medication alone vs combined with psychosocial intervention on outcomes of early-stage schizophrenia: a randomized, 1-Year study. Archives of General Psychiatry 2010; 67: 895–904.

World Health Organization. Community-based rehabilitation: CBR guidelines. [Internet]. WHO; 2010 [cited 2021 Nov 24]. Available from: https://www.who.int/publications/i/item/9789241548052.

Nantabut K. Community health care system, Concepts, Instruments and Designs. Usa printer; 2008.

Rosenstock I, Strecher V, Becker M. Social Learning Theory and Health Belief model. Health Education Quarterly 1988; 15:175-83.

Balaji M, Chatterjee S, Koschorke M, Rangaswamy T, Chavan A, Dabholkar H, Patel V. The development of a lay health worker delivered collaborative community-based intervention for people with schizophrenia in India. BMC health services research 2012; 12:42.

Chatterjee S, Patel V, Chatterjee A, Weiss HA. Evaluation of a community-based rehabilitation model for chronic schizophrenia in rural India. The British Journal of Psychiatry 2003;182:57-62.

Puspitosari WA, Wardaningsih S, Nanwani S. Improving the quality of life of people with schizophrenia through community-based rehabilitation in Yogyakarta Province, Indonesia: A quasi-experimental study. Asian journal of psychiatry 2019;42:67-73.

Kerdsang U. Success Factors of Community in Complete Mental health problem solving- based on CBR Model. Suansaranrom Hospital, Department of Mental health, Ministry of Public Health; 2018.

Department of Mental Health. Year report 2019. Nonthaburi, Department of Mental health, Ministry of Public Health; 2019.

30. Intarakamhang U. Health Literacy: Measurement and Development. Bangkok: Sukhumvit Printing Company Limited; 2017.

Best JW. Research in Education. New Jersey: Prentice – Hall; 1981;184.

Thongyoo C, Dangdomyouth P. The effect of health belief enhancement program on medication compliance behavior of schizophrenic patients. The journal of psychiatric nursing and mental health 2017; 31:75-87.

Damrak P, Wangthong A, Wangthong A. Community participation in caring of complex chronic schizophrenia patients in Nongjik, Pattani province. Journal of the association of researchers 2014;19:92-103.

Aunjaroen G. Community participation in caring of co-occurring disorder in Baan Hom Health Promoting Hospital, Amphoe Maung Nakhon Phanom [A minor thesis]. Bangkok:Thammasart University; 2017.