The Program Development on Self-Care Capaciticy Building for Persons with Schizophrenia Positive Symptoms

Abstract

The research and development design study aimed to develop a self-care capacity building program for persons with positive symptoms of schizophrenia and to examine the effectiveness of the developed program. The research methods included 1) analysis the problems, 2) design and development, 3) program testing, and  4) evaluation. The sample included 50 persons with positive symptoms of schizophrenia which were divided into two groups, a control and experimental group, of 25. Data collection utilized an interview and a self-administered questionnaire. The research instrument was the self-care capacity of persons with positive symptoms of schizophrenia questionnaire. The instrument’s Cronbach’s alpha coefficient testing showed acceptable reliability at 0.95. Data analysis used content analysis, percentages, means, standard deviations, and t-tests.

       The results showed that First. the program was composed of 6 activities: namely:-1) illness and self-care,
2) assessment of perceptions regarding capacity to live with residual positive symptoms, 3) self-care confidence related to  self-care capacity in daily life, 4) goal and confidence in communication , 5) self-care goal setting in relation to  managing their  symptoms, eating and medication taking, and 6) reinforcement and summary of the capacities assessments. The mean scores of the index of item-objective congruence (IOC) among the 6 activities in the program was equal to 0.89. Secondly, it was found that mean scores for self-care capacity in the experimental group were statistically significantly higher than those in the control group immediately after receiving the program and at one month after receiving the program. The findings suggested that this program was useful for promoting appropriate self-care among persons with schizophrenia with positive symptoms and other patients who have corresponding problems concerning their self-care capacity.