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The Transtheoretical Model based psychoeducation's effect on healthy lifestyle behaviours in schizophrenia: A randomized controlled trial

      Highlights

      What is known about the subject?
      • Unhealthy lifestyle behaviors play an important role in the formation of physical health problems in individuals with chronic mental disorders such as schizophrenia. The transtheoretic model is an appropriate model used in the development of healthy lifestyle behaviours.
      What is the contribution of this article to what is known?
      • Although the effect of the transtheoretic model in developing healthy lifestyle behaviors is known, the evidence for its effectiveness in individuals with schizophrenia is limited. The study will provide evidence about the effectiveness of the transtheoretic model in individuals with schizophrenia.
      What is its contribution in practice?
      • The study data will contribute to mental health and psychiatry nurses in terms of approaches and models that can be used to identify the physical health problems of individuals with schizophrenia and to develop healthy life behaviors. By using this model, they will be able to make a more systematic and holistic approach to individuals diagnosed with schizophrenia.

      Abstract

      Objective

      The study was conducted with the pretest-posttest randomized controlled trial design to detect the psychoeducation's effect, based on the Transtheoretical Model, on the healthy lifestyle behaviours of individuals with schizophrenia.

      Methods

      The data were collected from 82 participants, as 41 intervention and 41 control. The data were collected via personal information form, behavioural change stage diagnosis form and healthy lifestyle scale II. 6-week psychoeducation, consisting of 6 modules, based on the Transtheoretical Model, was applied to the intervention group. No interventions were applied to the control group. Pretests and posttests were applied to both groups.

      Results

      When the healthy lifestyle scale II of intervention and control groups and final test results arranged according to ANCOVA analysis are compared, average final test results were meaningfully positive for the intervention group with taking control of the pretest and other covariants. When the pretest-posttest results in terms of behavioural change of the intervention group are evaluated; a meaningful difference among nutrition, physical exercises, spiritual self-improvement and stress management, which all are the stages of behavioural change, was detected.

      Conclusion

      It was determined that psychoeducation on a healthy lifestyle, based on the Transtheoretical Model in an individual with schizophrenia affected physical exercises, spiritual self-improvement and interpersonal relationships sub-dimension in medium level, and had a drastic influence on health responsibility, nutrition, stress management sub-dimensions and all healthy lifestyle behaviours. Progress in behavioural change stages was detected.

      Clinical trials ID

      Keywords

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