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TIPS: telephone intervention--problem solving for persons with schizophrenia.

Lora Humphrey Beebe1, Lili Tian

  • 1University of Florida, College of Nursing, Gainesville, Florida 32610, USA. lbeebe@ufl.edu

Issues in Mental Health Nursing
|February 18, 2004
PubMed
Summary

Establishing rapport through in-person meetings before Telephone Intervention--Problem Solving (TIPS) significantly improves verbal responses in individuals with schizophrenia, enhancing communication during therapy.

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Area of Science:

  • Psychiatry
  • Clinical Psychology
  • Mental Health Interventions

Background:

  • Schizophrenia treatment often involves remote interventions like Telephone Intervention--Problem Solving (TIPS).
  • Establishing therapeutic rapport is crucial for effective patient engagement and treatment outcomes.
  • The impact of pre-intervention rapport-building on verbal responsiveness in schizophrenia patients receiving TIPS is not well-established.

Purpose of the Study:

  • To investigate the effect of face-to-face meetings for rapport establishment on the verbal responses of schizophrenia patients in subsequent TIPS.
  • To determine if pre-intervention rapport-building enhances communication during remote problem-solving therapy.

Main Methods:

  • A prospective experimental design was employed.

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  • Participants with schizophrenia were assigned to either an experimental group (two face-to-face meetings pre-TIPS) or a control group (no pre-TIPS meetings).
  • Verbal responsiveness during six weeks of weekly TIPS was measured by conversation length, feeling statements, and one-word responses.

    • Main Results:

    • Experimental participants showed significantly longer conversation durations, particularly in the first three weeks of TIPS.
    • Participants who had face-to-face meetings were approximately twice as likely to express feeling statements.
    • No significant difference was noted in the number of one-word responses between groups.

    Conclusions:

    • Pre-TIPS face-to-face interventions are effective in establishing rapport and improving verbal responsiveness in schizophrenia patients.
    • Psychiatric nurses should incorporate at least two in-person sessions before initiating TIPS to enhance client engagement.
    • Rapport-building strategies are vital for optimizing the effectiveness of remote mental health support for individuals with schizophrenia.