Effect of the Needs Management Program Based on Shared Decision Making on Unmet Needs and Recovery in Individuals With Severe Mental Illness at Community Mental Health Centers: A Quasi-Experimental Feasibility and Pilot Study.

IF 1.1 4区 医学 Q3 NURSING
Gülsüm Zekiye Tuncer, Zekiye Çetınkaya Duman
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引用次数: 0

Abstract

Purpose: To conduct a pilot trial of the Shared Decision Making-Needs Management Program (SDM-NeedMan) for individuals with severe mental illness (SMI) attending community mental health centers (CMHCs), focusing on unmet and total needs and recovery outcomes.

Method: This feasibility and pilot study had a pre-/posttest quasi-experimental design with no control group. Twenty-nine individuals with SMI who attended a CMHC from May 2023 to March 2024 completed the study. The intervention, selected from five independent modules of the SDM-NeedMan, was administered over three sessions. Outcomes were measured using the Camberwell Assessment of Need Short Appraisal Schedule (CANSAS) and Recovery Assessment Scale (RAS).

Results: One module was applied to 23 participants, whereas an additional two modules were applied to six participants. Prior to the SDM-NeedMan intervention, mean unmet needs score on the CANSAS was 6.17 (SD = 3.18), which significantly decreased to 2.44 (SD = 1.95) after the intervention (t = -4.638, p < 0.05). Mean total needs score before the intervention was 8.89 (SD = 3.05), which significantly decreased to 5.62 (SD = 2.82) after the intervention (t = -4.556, p < 0.05). Mean total score on the RAS before the intervention was 63.57 (SD = 23.65), which significantly increased to 91.62 (SD = 18.1) after the intervention (t = -4.294, p < 0.05).

Conclusion: Results provide initial evidence of the feasibility of the SDMNeedMan by psychiatric-mental health nurses in CMHCs. [Journal of Psychosocial Nursing and Mental Health Services, xx(x), xx-xx.].

基于共享决策的需求管理方案对社区精神卫生中心重度精神疾病患者未满足需求及康复的影响:准实验可行性与试点研究
目的:对社区精神卫生中心(CMHCs)重度精神疾病(SMI)患者进行共同决策-需求管理项目(SDM-NeedMan)的试点试验,重点关注未满足需求和总需求以及康复结果。方法:本研究采用前后准实验设计,不设对照组。在2023年5月至2024年3月期间参加CMHC的29名重度精神障碍患者完成了这项研究。干预措施从SDM-NeedMan的五个独立模块中选择,分三个阶段进行。采用Camberwell需求短期评估量表(CANSAS)和恢复评估量表(RAS)测量结果。结果:一个模块应用于23名参与者,另外两个模块应用于6名参与者。SDM-NeedMan干预前,CANSAS未满足需求评分均值为6.17 (SD = 3.18),干预后为2.44 (SD = 1.95),差异有统计学意义(t = -4.638, p < 0.05)。干预前平均总需求评分为8.89 (SD = 3.05),干预后为5.62 (SD = 2.82),差异有统计学意义(t = -4.556, p < 0.05)。干预前RAS总分均值为63.57分(SD = 23.65),干预后为91.62分(SD = 18.1),差异有统计学意义(t = -4.294, p < 0.05)。结论:研究结果初步证明了cmhc精神卫生护士实施SDMNeedMan的可行性。[社会心理护理与精神卫生服务杂志,xx(x), xx-xx.]
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来源期刊
CiteScore
1.60
自引率
0.00%
发文量
117
审稿时长
6-12 weeks
期刊介绍: The Journal of Psychosocial Nursing and Mental Health Services is a peer-reviewed, monthly journal for psychosocial and mental health nurses in a variety of community and institutional settings. For more than 50 years, the Journal has provided the most up-to-date, practical information available for today’s psychosocial-mental health nurse, including short contributions about psychopharmacology, mental health care of older adults, addictive behaviors and diagnoses, and child/adolescent disorders and issues. Begin to explore the Journal and all of its great benefits such as: • Monthly feature, “Clip & Save: Drug Chart,” a one-page resource of up-to-date information on current medications for various psychiatric illnesses • Access to current articles, as well as several years of archived content • Articles posted online just 2 months after acceptance • Continuing Nursing Education credits available each month
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