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Telephone Intervention-Problem Solving (TIPS) for Schizophrenia Spectrum Disorders: Responses of Stable Outpatients
Lora Beebe1, Kathlene D Smith2, Lauren Michelle Oppizzi3
1a University of Tennessee, College of Nursing , Knoxville , Tennessee , United States.
Issues in Mental Health Nursing
|February 22, 2018
Summary
This study on schizophrenia patients found mood disturbances like depression and anxiety were most common. Racial disparities in antipsychotic delivery methods require further research.
Area of Science:
- Psychiatry and Behavioral Sciences
- Clinical Psychology
- Public Health
Background:
- Schizophrenia spectrum disorders significantly impact medication adherence and community living.
- Stable outpatients often require ongoing support to manage daily living challenges.
- Telephone interventions offer a scalable approach to patient support.
Purpose of the Study:
- To assess medication adherence and community living problems in stable outpatients with schizophrenia spectrum disorders.
- To identify prevalent issues and explore potential disparities in treatment delivery.
- To evaluate the effectiveness of a telephone intervention program (TIPS).
Main Methods:
- Descriptive analysis of data from weekly telephone calls to 87 participants over nine months.
- Utilized content analysis, Pearson correlations, and Chi-square tests.
- Focused on themes including mood disturbances, psychotic symptoms, coping, adherence, and cravings.
Main Results:
- Mood disturbances (depression, anxiety) were the most frequently reported problems.
- Significant racial differences observed: 42% of Caucasians vs. 72.1% of African Americans received intramuscular (IM) antipsychotic delivery (p=0.016).
- Common themes included psychotic symptoms, coping difficulties, medication adherence issues, and substance cravings.
Conclusions:
- Telephone interventions can identify key challenges faced by outpatients with schizophrenia.
- Mood disturbances are a primary concern requiring targeted interventions.
- Observed racial disparities in antipsychotic delivery methods necessitate further investigation and may indicate systemic issues.
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