Effects of psychosocial program for preparing long-term hospitalized patients with schizophrenia for discharge from hospital: Randomized controlled trial

Aim The aims of the present study were to revise the Community Re‐entry Program–Japanese version and to review the effectiveness of the revised Program, named the Discharge Preparation Program. Methods This study was a randomized controlled trial. The Discharge Preparation Program (DPP) was the inte...

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Veröffentlicht in:Psychiatry and clinical neurosciences 2012-10, Vol.66 (6), p.474-481
Hauptverfasser: Sato, Sayaka, Ikebuchi, Emi, Anzai, Nobuo, Inoue, Shimpei
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container_issue 6
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container_title Psychiatry and clinical neurosciences
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creator Sato, Sayaka
Ikebuchi, Emi
Anzai, Nobuo
Inoue, Shimpei
description Aim The aims of the present study were to revise the Community Re‐entry Program–Japanese version and to review the effectiveness of the revised Program, named the Discharge Preparation Program. Methods This study was a randomized controlled trial. The Discharge Preparation Program (DPP) was the intervention condition (n = 26), and the usual rehabilitation program was the control condition (n = 23). Outcome indicators included factors that make patient discharge difficult (which nurses evaluated), psychiatric symptom, knowledge about the illness or medication, and the number of patients who were discharged within 6 months after the end of a program. Results Significant improvements were found in the score of the ‘Issues on treatment compliance’ factor and the score of the ‘Autistic life’ factor, which are subscales of the Discharge Difficulty Scale, for the DPP group, on two‐way ANOVA (‘Issues on treatment compliance’: F = 3.818, P 
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Methods This study was a randomized controlled trial. The Discharge Preparation Program (DPP) was the intervention condition (n = 26), and the usual rehabilitation program was the control condition (n = 23). Outcome indicators included factors that make patient discharge difficult (which nurses evaluated), psychiatric symptom, knowledge about the illness or medication, and the number of patients who were discharged within 6 months after the end of a program. Results Significant improvements were found in the score of the ‘Issues on treatment compliance’ factor and the score of the ‘Autistic life’ factor, which are subscales of the Discharge Difficulty Scale, for the DPP group, on two‐way ANOVA (‘Issues on treatment compliance’: F = 3.818, P &lt; 0.10; ‘Autistic life’: F = 4.155, P &lt; 0.05) These factors affected discharge outcome. Thus, the program may be capable of promoting discharge of long‐term hospitalized psychiatric patients. With regard to the number of patients discharged in 6 months after the end of a program, there was no significant difference between both groups. Conclusion The present result is in agreement with past studies, and the DPP is useful in discharge support for patients with schizophrenia in Japan.</description><identifier>ISSN: 1323-1316</identifier><identifier>EISSN: 1440-1819</identifier><identifier>DOI: 10.1111/j.1440-1819.2012.02393.x</identifier><identifier>PMID: 23066765</identifier><language>eng</language><publisher>Richmond: Blackwell Publishing Ltd</publisher><subject>Adult ; Adult and adolescent clinical studies ; Aged ; Biological and medical sciences ; Community Re-entry Program ; deinstitutionalization ; Discharge Preparation Program ; discharge support ; Female ; Health Knowledge, Attitudes, Practice ; Humans ; Indexing in process ; Institutionalization ; Japan ; Length of Stay ; Long-Term Care ; Male ; Medical sciences ; Middle Aged ; Patient Compliance ; Patient Discharge ; Patients ; Psychiatric Status Rating Scales ; Psychology. Psychoanalysis. Psychiatry ; Psychopathology. Psychiatry ; Psychoses ; Research Design ; Schizophrenia ; Schizophrenia - rehabilitation ; Schizophrenic Psychology ; Social Support ; Treatment Outcome</subject><ispartof>Psychiatry and clinical neurosciences, 2012-10, Vol.66 (6), p.474-481</ispartof><rights>2012 The Authors. Psychiatry and Clinical Neurosciences © 2012 Japanese Society of Psychiatry and Neurology</rights><rights>2015 INIST-CNRS</rights><rights>2012 The Authors. 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Methods This study was a randomized controlled trial. The Discharge Preparation Program (DPP) was the intervention condition (n = 26), and the usual rehabilitation program was the control condition (n = 23). Outcome indicators included factors that make patient discharge difficult (which nurses evaluated), psychiatric symptom, knowledge about the illness or medication, and the number of patients who were discharged within 6 months after the end of a program. Results Significant improvements were found in the score of the ‘Issues on treatment compliance’ factor and the score of the ‘Autistic life’ factor, which are subscales of the Discharge Difficulty Scale, for the DPP group, on two‐way ANOVA (‘Issues on treatment compliance’: F = 3.818, P &lt; 0.10; ‘Autistic life’: F = 4.155, P &lt; 0.05) These factors affected discharge outcome. Thus, the program may be capable of promoting discharge of long‐term hospitalized psychiatric patients. With regard to the number of patients discharged in 6 months after the end of a program, there was no significant difference between both groups. 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Psychiatry</subject><subject>Psychoses</subject><subject>Research Design</subject><subject>Schizophrenia</subject><subject>Schizophrenia - rehabilitation</subject><subject>Schizophrenic Psychology</subject><subject>Social Support</subject><subject>Treatment Outcome</subject><issn>1323-1316</issn><issn>1440-1819</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkd9u0zAUxiMEYmPwCsg3SNwk-F_cBIkLVLYBqgaainZpnTp26-LEwU61dm_C2-K0pbudb3x0_Pu-c6wvyxDBBUnnw7ognOOcVKQuKCa0wJTVrNg-y85PD89TzSjLCSPiLHsV4xpjzJggL7MzyrAQE1GeZ38vjdFqiMgb1MedWvnolQWH-uCXAVpkfEi17iHYbomc75b5oEOLEtjbAZx90A3qYbC6Sy73dlihqFb2wferoDsLe4PGph6EpUYm-EftR3QLXePbvYfy3RC8c6kcQtrgdfbCgIv6zfG-yH5dXc6nX_PZj-tv08-zXJWcs5wZAgJTXi4aoJWpsQJSq0ZTMcFiwXlqw6RSpWINMFxW5UJwWikBTVMJJjC7yN4ffNOP_2x0HGSbttXOQaf9JkpCaElZMnsKStJYVlc0odUBVcHHGLSRfbAthJ0keOSIXMsxKjlGJccM5T5DuU3St8cpm0Wrm5Pwf2gJeHcEICpwJkCnbHzkRCkErkXiPh24e-v07skLyJ_Tm7FK-vygt3HQ25Mewm-Zfjkp5d3Ntbz6Mr-bz75zecv-AQkuykk</recordid><startdate>201210</startdate><enddate>201210</enddate><creator>Sato, Sayaka</creator><creator>Ikebuchi, Emi</creator><creator>Anzai, Nobuo</creator><creator>Inoue, Shimpei</creator><general>Blackwell Publishing Ltd</general><general>Wiley-Blackwell</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>7TK</scope></search><sort><creationdate>201210</creationdate><title>Effects of psychosocial program for preparing long-term hospitalized patients with schizophrenia for discharge from hospital: Randomized controlled trial</title><author>Sato, Sayaka ; Ikebuchi, Emi ; Anzai, Nobuo ; Inoue, Shimpei</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5443-3f1a60245bda28f90ca19cde26706b44bdaa78c5c3da30585b6428c6add863603</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Adult</topic><topic>Adult and adolescent clinical studies</topic><topic>Aged</topic><topic>Biological and medical sciences</topic><topic>Community Re-entry Program</topic><topic>deinstitutionalization</topic><topic>Discharge Preparation Program</topic><topic>discharge support</topic><topic>Female</topic><topic>Health Knowledge, Attitudes, Practice</topic><topic>Humans</topic><topic>Indexing in process</topic><topic>Institutionalization</topic><topic>Japan</topic><topic>Length of Stay</topic><topic>Long-Term Care</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Patient Compliance</topic><topic>Patient Discharge</topic><topic>Patients</topic><topic>Psychiatric Status Rating Scales</topic><topic>Psychology. Psychoanalysis. Psychiatry</topic><topic>Psychopathology. Psychiatry</topic><topic>Psychoses</topic><topic>Research Design</topic><topic>Schizophrenia</topic><topic>Schizophrenia - rehabilitation</topic><topic>Schizophrenic Psychology</topic><topic>Social Support</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Sato, Sayaka</creatorcontrib><creatorcontrib>Ikebuchi, Emi</creatorcontrib><creatorcontrib>Anzai, Nobuo</creatorcontrib><creatorcontrib>Inoue, Shimpei</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>Neurosciences Abstracts</collection><jtitle>Psychiatry and clinical neurosciences</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Sato, Sayaka</au><au>Ikebuchi, Emi</au><au>Anzai, Nobuo</au><au>Inoue, Shimpei</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effects of psychosocial program for preparing long-term hospitalized patients with schizophrenia for discharge from hospital: Randomized controlled trial</atitle><jtitle>Psychiatry and clinical neurosciences</jtitle><addtitle>Psychiatry Clin Neurosci</addtitle><date>2012-10</date><risdate>2012</risdate><volume>66</volume><issue>6</issue><spage>474</spage><epage>481</epage><pages>474-481</pages><issn>1323-1316</issn><eissn>1440-1819</eissn><abstract>Aim The aims of the present study were to revise the Community Re‐entry Program–Japanese version and to review the effectiveness of the revised Program, named the Discharge Preparation Program. Methods This study was a randomized controlled trial. The Discharge Preparation Program (DPP) was the intervention condition (n = 26), and the usual rehabilitation program was the control condition (n = 23). Outcome indicators included factors that make patient discharge difficult (which nurses evaluated), psychiatric symptom, knowledge about the illness or medication, and the number of patients who were discharged within 6 months after the end of a program. Results Significant improvements were found in the score of the ‘Issues on treatment compliance’ factor and the score of the ‘Autistic life’ factor, which are subscales of the Discharge Difficulty Scale, for the DPP group, on two‐way ANOVA (‘Issues on treatment compliance’: F = 3.818, P &lt; 0.10; ‘Autistic life’: F = 4.155, P &lt; 0.05) These factors affected discharge outcome. Thus, the program may be capable of promoting discharge of long‐term hospitalized psychiatric patients. 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subjects Adult
Adult and adolescent clinical studies
Aged
Biological and medical sciences
Community Re-entry Program
deinstitutionalization
Discharge Preparation Program
discharge support
Female
Health Knowledge, Attitudes, Practice
Humans
Indexing in process
Institutionalization
Japan
Length of Stay
Long-Term Care
Male
Medical sciences
Middle Aged
Patient Compliance
Patient Discharge
Patients
Psychiatric Status Rating Scales
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Psychoses
Research Design
Schizophrenia
Schizophrenia - rehabilitation
Schizophrenic Psychology
Social Support
Treatment Outcome
title Effects of psychosocial program for preparing long-term hospitalized patients with schizophrenia for discharge from hospital: Randomized controlled trial
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