A controlled trial of a needs-based, nurse-led psychoeducation programme for Chinese patients with first-onset mental disorders: 6 month follow up

Authors

  • Wai-Tong Chien PhD MPhil BN (Hons) RMN RTN,

    Professor, Corresponding author
    • School of Nursing, Faculty of Health & Social Sciences, The Hong Kong Polytechnic University, Kowloon, Hong Kong
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  • Sau-Fong Leung MSc(HC) BN RN RNT

    Lecturer
    1. School of Nursing, Faculty of Health & Social Sciences, The Hong Kong Polytechnic University, Kowloon, Hong Kong
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Correspondence: Wai-Tong Chien, School of Nursing, Faculty of Health & Social Sciences, The Hong Kong Polytechnic University, Kowloon, Hong Kong. Email: hschien@inet.polyu.edu.hk

Abstract

The study reported herein a randomized controlled trial was conducted to test the effectiveness of a nurse-led, needs-based psycho-education program for Chinese patients with first-onset mental illness over a 6-month follow-up. Ninety-six families of Chinese patients with schizophrenia newly referred to one outpatient clinic in Hong Kong were randomly assigned to a nurse-led psycho-education program or usual outpatient care, each comprising 48 subjects. The patients’ mental health, illness insight, self-efficacy, services utilization, and hospitalization rates were measured at recruitment and at one week and six months post-intervention. The patients in the psycho-education program reported significantly greater improvements in mental health, insights into treatment and illness, and hospitalization rates over the 6-month follow-up, when compared with those who received usual care. The findings provide evidence that the needs-based, nurse-led psycho-education program can improve the health conditions and treatment insights of Chinese out-patients with first-onset mental illness.

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