Salutogenic Approach Based Interview With People With Schizophrenia
The Effect of Salutogenic Approach Based Interview on Sense of Coherence and Psychological Resistance of People With Schizophrenia: A Randomized Controlled Trial
1 other identifier
interventional
49
1 country
1
Brief Summary
This study determines the effectiveness of the interviewing based on salutogenic approach on the sense of coherence and resilience of people with schizophrenia. For this, while the intervention group was subjected to salutogenic approach-based interview consisting of 16 sessions twice a week. The control group continued their routine activities and was interviewed face-to-face 5 times.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for not_applicable
Started Dec 2018
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
December 31, 2018
CompletedPrimary Completion
Last participant's last visit for primary outcome
November 28, 2019
CompletedStudy Completion
Last participant's last visit for all outcomes
December 31, 2019
CompletedFirst Submitted
Initial submission to the registry
February 3, 2021
CompletedFirst Posted
Study publicly available on registry
February 5, 2021
CompletedFebruary 5, 2021
February 1, 2021
11 months
February 3, 2021
February 3, 2021
Conditions
Keywords
Outcome Measures
Primary Outcomes (2)
Sense of Coherence Scale_13 (SOC_13)
At the end of 8 weeks (16 sessions of salutogenic approach based interview ), they were evaluated using the sense of coherence scale which was developed by Antonovsky (1987) is a self-report scale consisting of a total of 13 items ranging between 1 and 7. The scale allows to use subscale scores and calculate total score. Higher scale scores indicate that individual has higher sense of coherence. In the reliability studies of the original version of the scale, internal consistency coefficients were calculated as .62 for "meaningfulness", .54 for "manageability", .57 for "comprehensibility", and .69 for overall scale.
8 weeks
Brief Resilience Scale (BRS)
At the end of 8 weeks (16 sessions of salutogenic approach based interview ), they were evaluated using brief resilience scale which was developed by Smith et al., (2008) to measure resilience of individuals. The scale is a 5-point likert self-report assessment instrument with 6 items. High BRS scores signify higher resilience of a person.
8 weeks
Secondary Outcomes (2)
Sense of Coherence Scale_13 (SOC_13)
12 weeks
Brief Resilience Scale (BRS)
12 weeks
Study Arms (2)
Intervention group
EXPERIMENTALthe intervention group was subjected to salutogenic approach-based interview consisting of 16 sessions twice a week.
Control group
NO INTERVENTIONThe control group continued their routine activities and was interviewed face-to-face 5 times.
Interventions
Salutogenic Approach Based Interview has five basic components. (1) Continuity of health, (2) The story of the person, (3) Health promoting factors, (4) Understanding the health promoting power of tension and strain, (5) Active adaptation In traditional therapy recommended for recovery, more emphasis is placed on negative life events, diagnosis and medication. In the salutogenic approach-based interview, the resources and coping potential of the person are discussed and three healing factors are focused on for the recovery process. These factors are that the participants (1) perceive themselves as more than just a diagnosis and disease, (2) self-discovery and respect for other people's self-discovery, (3) control over their own lives. In the intervention, mental health nurses take part as group leaders. The focus in interviews is therapeutic conversations.
Eligibility Criteria
You may qualify if:
- Getting diagnosed with schizophrenia or schizoaffective disorder
- Completing acute treatment and being at maintenance medication period
You may not qualify if:
- Being at the period of psychotic relapse
- Having mental development disorder
- Being under the influence of alcohol-drugs
- Having diagnosed with personal disorder
- Being considered unsuitable to include in the group study by doctors and nurses of CMHC.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Istanbul University - Cerrahpasa Institute of Granduate Studies
Istanbul, Turkey (Türkiye)
Related Publications (30)
Arvidsdotter T, Marklund B, Taft C, Kylen S. Quality of life, sense of coherence and experiences with three different treatments in patients with psychological distress in primary care: a mixed-methods study. BMC Complement Altern Med. 2015 Apr 26;15:132. doi: 10.1186/s12906-015-0654-z.
PMID: 25928131BACKGROUNDBadura-Brzoza K, Zajac P, Matysiakiewicz J, Piegza M, Rycerski W, Hese RT, Koczy B, Semenowicz J. [The association of quality of life with mental status and sociodemographic data in patients after total hip replacement]. Psychiatr Pol. 2008 Mar-Apr;42(2):261-9. Polish.
PMID: 19697531BACKGROUNDBag B, Salutogenic model in mental health and psychiatric nursing. Current Approaches in Psychiatry. 2017:9: 284-300.
BACKGROUNDBaş AU, Yurdabakan İ. The predictive value of resilience and school climate in life satisfaction among middle school students. Mehmet Akif Ersoy University Journal of Education Faculty. 2017;1: 202-214.
BACKGROUNDBengtsson-Tops A, Brunt D, Rask M. The structure of Antonovsky's sense of coherence in patients with schizophrenia and its relationship to psychopathology. Scand J Caring Sci. 2005 Sep;19(3):280-7. doi: 10.1111/j.1471-6712.2005.00342.x.
PMID: 16101857BACKGROUNDBengtsson-Tops A, Hansson L. The validity of Antonovsky's Sense of Coherence measure in a sample of schizophrenic patients living in the community. J Adv Nurs. 2001 Feb;33(4):432-8. doi: 10.1046/j.1365-2648.2001.01692.x.
PMID: 11251730BACKGROUNDBilge A, Mermer G, Çam O, Çetinkaya A, Erdoğan E, Üçkuyu N. Profıle of communıty mental health centers in Turkey between 2013-2015 years. Journal of Health Sciences of Kocaeli University. 2016;(2): 1-5.
BACKGROUNDÇapan BE, Arıcıoğlu A. Forgiveness as predictor of psychological resiliency. e-International Journal of Educational Research. 2014;(5): 70-82.
BACKGROUNDDoğan T. Adaptation of the brief resilience scale into Turkish: A validity and reliability study. The Journal of Happiness ve Well-Being. 2015;3: 93-102.
BACKGROUNDEriksson M. The Sense of Coherence in the Salutogenic Model of Health. 2016 Sep 3. In: Mittelmark MB, Sagy S, Eriksson M, Bauer GF, Pelikan JM, Lindstrom B, Espnes GA, editors. The Handbook of Salutogenesis [Internet]. Cham (CH): Springer; 2017. Chapter 11. Available from http://www.ncbi.nlm.nih.gov/books/NBK435812/
PMID: 28590620BACKGROUNDGassmann W, Christ O, Lampert J, Berger H. The influence of Antonovsky's sense of coherence (SOC) and psychoeducational family intervention (PEFI) on schizophrenic outpatients' perceived quality of life: a longitudinal field study. BMC Psychiatry. 2013 Jan 7;13:10. doi: 10.1186/1471-244X-13-10.
PMID: 23294596BACKGROUNDGriffiths CA. Sense of coherence and mental health rehabilitation. Clin Rehabil. 2009 Jan;23(1):72-8. doi: 10.1177/0269215508095360.
PMID: 19114439BACKGROUNDGriffiths CA. A critical analysis of Antonovsky's sense of coherence theory in relation to mental health and mental disorder and the effect of a lifelong learning intervention on the sense of coherence of mental health service users, Doktoral Thesis, Middlesex University.Dubai. 2010.
BACKGROUNDHjelle EG, Bragstad LK, Kirkevold M, Zucknick M, Bronken BA, Martinsen R, Kvigne KJ, Kitzmuller G, Mangset M, Thommessen B, Sveen U. Effect of a dialogue-based intervention on psychosocial well-being 6 months after stroke in Norway: A randomized controlled trial. J Rehabil Med. 2019 Sep 3;51(8):557-565. doi: 10.2340/16501977-2585.
PMID: 31411337BACKGROUNDIzydorczyk B, Sitnik-Warchulska K, Kuhn-Dymecka A, Lizinczyk S. Resilience, Sense of Coherence, and Coping with Stress as Predictors of Psychological Well-Being in the Course of Schizophrenia. The Study Design. Int J Environ Res Public Health. 2019 Apr 9;16(7):1266. doi: 10.3390/ijerph16071266.
PMID: 30970589BACKGROUNDJakovljevic M. Empathy, Sense of Coherence and Resilience: Bridging Personal, Public and Global Mental Health and Conceptual Synthesis. Psychiatr Danub. 2018 Dec;30(4):380-384. doi: 10.24869/psyd.2018.380.
PMID: 30439796BACKGROUNDJensen BB, Dur W, Buijs G. The Application of Salutogenesis in Schools. 2016 Sep 3. In: Mittelmark MB, Sagy S, Eriksson M, Bauer GF, Pelikan JM, Lindstrom B, Espnes GA, editors. The Handbook of Salutogenesis [Internet]. Cham (CH): Springer; 2017. Chapter 22. Available from http://www.ncbi.nlm.nih.gov/books/NBK435853/
PMID: 28590654BACKGROUNDKasperek-Zimowska B, Chadzynska M. [Sense of coherence and coping styles among parents of adult children with schizophrenia]. Psychiatr Pol. 2011 Sep-Oct;45(5):643-52. Polish.
PMID: 22220482BACKGROUNDKorlin D, Wrangsjo B. Treatment effects of GIM therapy. Nordic Journal of Music Therapy. 2002.(11): 3-15.
BACKGROUNDKöroğlu A, Hocaoğlu Ç. The effect of schizophrenia on the family. Journal of Duzce Univertsity Health Sciences Institute. 2017;(7): 170-175.
BACKGROUNDLangeland E, Sense of coherence and life satisfaction in people suffering from mental health problems. An intervention study in talk-therapy groups with focus on salutogenesis. Doctoral Thesis, Dissertation for The Degree Doctor Rerum Politicarum, University of Bergen, Norway.(2007).
BACKGROUNDLangeland E, Riise T, Hanestad BR, Nortvedt MW, Kristoffersen K, Wahl AK. The effect of salutogenic treatment principles on coping with mental health problems A randomised controlled trial. Patient Educ Couns. 2006 Aug;62(2):212-9. doi: 10.1016/j.pec.2005.07.004. Epub 2005 Oct 19.
PMID: 16242903BACKGROUNDLangeland E, Vinje HF. The Application of Salutogenesis in Mental Healthcare Settings. 2016 Sep 3. In: Mittelmark MB, Sagy S, Eriksson M, Bauer GF, Pelikan JM, Lindstrom B, Espnes GA, editors. The Handbook of Salutogenesis [Internet]. Cham (CH): Springer; 2017. Chapter 28. Available from http://www.ncbi.nlm.nih.gov/books/NBK435815/
PMID: 28590623BACKGROUNDMenzies V. Depression in schizophrenia: nursing care as a generalized resistance resource. Issues Ment Health Nurs. 2000 Sep;21(6):605-17. doi: 10.1080/01612840050110308.
PMID: 11271136BACKGROUNDPetavy F, Guizzaro L, Antunes Dos Reis I, Teerenstra S, Roes KCB. Beyond "Intent-to-treat" and "Per protocol": Improving assessment of treatment effects in clinical trials through the specification of an estimand. Br J Clin Pharmacol. 2020 Jul;86(7):1235-1239. doi: 10.1111/bcp.14195. Epub 2020 Mar 27.
PMID: 31883123BACKGROUNDSchrank B, Brownell T, Jakaite Z, Larkin C, Pesola F, Riches S, Tylee A, Slade M. Evaluation of a positive psychotherapy group intervention for people with psychosis: pilot randomised controlled trial. Epidemiol Psychiatr Sci. 2016 Jun;25(3):235-46. doi: 10.1017/S2045796015000141. Epub 2015 Feb 20.
PMID: 25698298BACKGROUNDTan KK, Chan SWC, Vehviläinen-Julkunen K. Self-care program for older Community-dwellers: protocol for a randomized controlled trial. Central European Journal of Nursing and Midwifery. 2014; 5(4): 145-155.
BACKGROUNDVeltro F, Nicchiniello I, Pica A, Pontarelli I, Iannone C, Pontarelli C, Zappone L, Vendittelli N. [Description and impact of a structured psychoeducational and salutogenetic approach (InteGRO) to support the recovery of people with severe mental disorders]. Riv Psichiatr. 2018 Jul-Aug;53(4):205-213. doi: 10.1708/2954.29697. Italian.
PMID: 30087491BACKGROUNDWitkowska-Luc B. Schizophrenia and sense of coherence. Psychiatr Pol. 2018 Apr 30;52(2):217-226. doi: 10.12740/PP/OnlineFirst/69697. Epub 2017 Jun 29. English, Polish.
PMID: 29975362BACKGROUNDForsberg KA, Bjorkman T, Sandman PO, Sandlund M. Influence of a lifestyle intervention among persons with a psychiatric disability: a cluster randomised controlled trail on symptoms, quality of life and sense of coherence. J Clin Nurs. 2010 Jun;19(11-12):1519-28. doi: 10.1111/j.1365-2702.2009.03010.x. Epub 2010 Apr 5.
PMID: 20384660RESULT
Related Links
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
OZGUR S ACI, Dr
Istanbul University - Cerrahpasa
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- HEALTH SERVICES RESEARCH
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Dr
Study Record Dates
First Submitted
February 3, 2021
First Posted
February 5, 2021
Study Start
December 31, 2018
Primary Completion
November 28, 2019
Study Completion
December 31, 2019
Last Updated
February 5, 2021
Record last verified: 2021-02
Data Sharing
- IPD Sharing
- Will not share
There is no plan to share to IPD