TTM-Based Social Media Psychoeducation for Psychosis

NCT07080827 | Active Not Recruiting

• 1 other identifier: 2024229
• Study Type: interventional
• Target: 60
• Locations: 1 country
• Sites: 1

Brief Summary

This doctoral research investigates the effect of a Transtheoretical Model (TTM)-based psychoeducation program delivered via social media on treatment adherence in individuals diagnosed with psychosis. The study follows a randomized controlled trial design with pretest, posttest, and three-month follow-up assessments. A total of 60 participants were selected from among 354 individuals registered at the Balıkesir Community Mental Health Center (CMHC), based on predefined inclusion and exclusion criteria. Participants were randomly assigned into three groups:

1. 1.an online intervention group receiving a 5-week TTM-based treatment adherence psychoeducation program via WhatsApp;
2. 2.a face-to-face intervention group receiving a standard, non-TTM-based treatment adherence psychoeducation program over 3 weeks at the CMHC; and
3. 3.a control group that received no educational intervention, only assessments.

Conditions

Treatment Compliance; Social Media; Psychotic Disorders

Keywords

Treatment Compliance and Compliance; Mental Health Nursing; Online Psychoeducation

Outcome Measures

Primary Outcomes (2)

• Medication Adherence (Treatment adherence)

  Score on a 5-point Likert scale

  Baseline (Week 0) and Post-Intervention (Week 5)

• Change in Medication Adherence Scores (MARS-5)

  Medication adherence will be assessed using the 5-item Medication Adherence Report Scale (MARS-5), originally developed by Horne and Hankins (2001). It is a generic, self-reported Likert-type scale validated across various chronic physical and psychiatric conditions, including bipolar disorder, hypertension, asthma, and schizophrenia. Each item is rated on a 5-point scale from 1 (always) to 5 (never), yielding a total score between 5 and 25. Higher scores indicate better adherence. The Turkish version of the scale was adapted by the investigators and demonstrated acceptable internal consistency (Cronbach's α = 0.78). Factor analyses supported a unidimensional structure (KMO = 0.79; CFI = 0.97; RMSEA = 0.089), consistent with the original. In this study, MARS-5 will be administered at three time points: prior to the intervention (baseline), immediately following the intervention (post-test), and three months after the intervention (follow-up) to assess changes in treatment adherence

  Baseline, Post-Intervention (Week 5), and 3-Month Follow-Up

Study Arms (3)

Online TTM-Based Psychoeducation

EXPERIMENTAL

Behavioral: TTM-Based Online Psychoeducation Program

Face-to-Face Standard Psychoeducation

ACTIVE COMPARATOR

Behavioral: Standard Face-to-Face Psychoeducation Program

Delayed Online Psychoeducation Group

ACTIVE COMPARATOR

Other: TTM-Based Online Psychoeducation Program

Interventions

Standard Face-to-Face Psychoeducation Program BEHAVIORAL

A 3-week conventional psychoeducation program delivered face-to-face at the Community Mental Health Center. The program focused on general treatment adherence without utilizing the Transtheoretical Model and included verbal education, printed materials, and discussions.

Face-to-Face Standard Psychoeducation

TTM-Based Online Psychoeducation Program BEHAVIORAL

A 5-week structured psychoeducation program based on the Transtheoretical Model (TTM), delivered via WhatsApp. Educational content was tailored to the participant's stage of change and included videos, texts, and interactive materials to promote treatment adherence in individuals with psychosis.

Online TTM-Based Psychoeducation

Eligibility Criteria

• Age: 18 Years - 65 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Age between 18 and 65 years
• Diagnosed with a psychotic disorder according to DSM-5 criteria, including:
• Schizophrenia
• Schizophreniform disorder
• Schizoaffective disorder (with mild mood symptoms)
• Brief psychotic disorder
• Substance/medication-induced psychotic disorder (in remission)
• Paranoid disorder
• On the same prescribed psychiatric medication for at least one month
• Able to communicate in Turkish
• Has access to the internet and owns at least one active social media account (Instagram, Twitter, Facebook, WhatsApp, etc.)
• Literate and able to complete self-report forms
• Willing to participate and provide informed consent
• Clinical Global Impression-Severity (CGI-S) score of 4 or below

You may not qualify if:

• Under 18 or over 65 years of age
• Acute psychotic episode at the time of recruitment
• Diagnosed with neurocognitive disorders (e.g., dementia)
• Diagnosed with intellectual disability (mental retardation)
• Unable to use smartphone, tablet, or other digital communication tools
• Missed more than 20% of the intervention sessions

Sponsors & Collaborators

• Istanbul University - Cerrahpasa: lead

Study Sites (1)

Balıkesir Provincial Health Directorate, Community Mental Health Center

Balıkesir, Balıkesir, 10050, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Patient Compliance; Psychotic Disorders

Condition Hierarchy (Ancestors)

Patient Acceptance of Health Care; Treatment Adherence and Compliance; Health Behavior; Behavior; Schizophrenia Spectrum and Other Psychotic Disorders; Mental Disorders

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Doctoral Researcher

Study Record Dates

• First Submitted: July 11, 2025
• First Posted: July 23, 2025
• Study Start: March 1, 2025
• Primary Completion: April 1, 2025
• Study Completion: November 30, 2025
• Last Updated: July 23, 2025

Record last verified: 2025-07

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)