Impact of Watson’s human caring-based health promotion program on caregivers of individuals with schizophrenia

Abstract Background Caring for people with schizophrenia is accompanied by challenges that impact caregiver health. We conducted this study to explore the effect of a Caring Science-Based health promotion program on the sense of coherence and well-being among caregivers of persons with schizophrenia...

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Main Authors: Shahpar Bagheri, Ladan Zarshenas, Mahnaz Rakhshan, Farkhondeh Sharif, Ebrahim Moghimi Sarani, Zahra Hadian Shirazi, Kathleen Sitzman
Format: Article
Language:English
Published: BMC 2023-06-01
Series:BMC Health Services Research
Subjects:
Online Access:https://doi.org/10.1186/s12913-023-09725-9
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author Shahpar Bagheri
Ladan Zarshenas
Mahnaz Rakhshan
Farkhondeh Sharif
Ebrahim Moghimi Sarani
Zahra Hadian Shirazi
Kathleen Sitzman
author_facet Shahpar Bagheri
Ladan Zarshenas
Mahnaz Rakhshan
Farkhondeh Sharif
Ebrahim Moghimi Sarani
Zahra Hadian Shirazi
Kathleen Sitzman
author_sort Shahpar Bagheri
collection DOAJ
description Abstract Background Caring for people with schizophrenia is accompanied by challenges that impact caregiver health. We conducted this study to explore the effect of a Caring Science-Based health promotion program on the sense of coherence and well-being among caregivers of persons with schizophrenia. Methods This randomized clinical trial with the Solomon four-group design was conducted on 72 caregivers randomly allocated into two intervention and two control groups. A health promotion program based on Watson’s theory was performed individually through five face-to-face sessions and a four-week follow-up. Settings were the psychiatric centers of the three educational, specialty, and subspecialty Ibn-e-Sina, Moharary, and Hafez hospitals affiliated with Shiraz University of Medical Sciences (SUMS), south of Iran. The data were collected using a demographic information form, the Sense of Coherence Scale, and the Caregiver Well-Being Scale. One-way ANOVA, chi-square, Kruskal–Wallis, and independent t-test were used to determine the homogeneity at baseline. In the post-test, multiple between-groups and pairwise comparisons were assessed by One-way ANOVA and Tukey’s post-hoc. Within-group comparisons were evaluated using paired t-tests. All tests were two-tailed, and the statistical level was considered 0.05. Results Data analysis showed that the mean scores of caregiver sense of coherence and well-being from pre-intervention to post-intervention were significantly increased in the intervention groups (p < 0.001). At the same time, there were no significant differences in the control groups. Conclusion The health promotion program based on Watson’s human caring theory facilitated ongoing intrapersonal, and holistic caring and improved the sense of coherence and well-being in caregivers of persons with schizophrenia. Hence, this intervention is recommended for developing healing care programs. Trial registration https://www.irct.ir/trial/55040 : IRCT20111105008011N2 (11/04/2021).
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spelling doaj.art-3913086c42d44c29beb8c96bc9ccbcf12023-07-16T11:13:11ZengBMCBMC Health Services Research1472-69632023-06-0123111210.1186/s12913-023-09725-9Impact of Watson’s human caring-based health promotion program on caregivers of individuals with schizophreniaShahpar Bagheri0Ladan Zarshenas1Mahnaz Rakhshan2Farkhondeh Sharif3Ebrahim Moghimi Sarani4Zahra Hadian Shirazi5Kathleen Sitzman6Student Research Committee, Community Based Psychiatric Care Research Center, Department of Nursing, School of Nursing and Midwifery, Shiraz University of Medical SciencesDepartment of Nursing, School of Nursing and Midwifery, Shiraz University of Medical SciencesDepartment of Nursing, School of Nursing and Midwifery, Shiraz University of Medical SciencesDepartment of Nursing, School of Nursing and Midwifery, Shiraz University of Medical SciencesDepartment of Psychiatry, School of Medicine, Research Center for Psychiatry and Behavior Science, Ibn-E-Sina Hospital, Shiraz University of Medical SciencesDepartment of Nursing, School of Nursing and Midwifery, Shiraz University of Medical SciencesDistinguished Watson Caring Science Scholar, East Carolina University, College of NursingAbstract Background Caring for people with schizophrenia is accompanied by challenges that impact caregiver health. We conducted this study to explore the effect of a Caring Science-Based health promotion program on the sense of coherence and well-being among caregivers of persons with schizophrenia. Methods This randomized clinical trial with the Solomon four-group design was conducted on 72 caregivers randomly allocated into two intervention and two control groups. A health promotion program based on Watson’s theory was performed individually through five face-to-face sessions and a four-week follow-up. Settings were the psychiatric centers of the three educational, specialty, and subspecialty Ibn-e-Sina, Moharary, and Hafez hospitals affiliated with Shiraz University of Medical Sciences (SUMS), south of Iran. The data were collected using a demographic information form, the Sense of Coherence Scale, and the Caregiver Well-Being Scale. One-way ANOVA, chi-square, Kruskal–Wallis, and independent t-test were used to determine the homogeneity at baseline. In the post-test, multiple between-groups and pairwise comparisons were assessed by One-way ANOVA and Tukey’s post-hoc. Within-group comparisons were evaluated using paired t-tests. All tests were two-tailed, and the statistical level was considered 0.05. Results Data analysis showed that the mean scores of caregiver sense of coherence and well-being from pre-intervention to post-intervention were significantly increased in the intervention groups (p < 0.001). At the same time, there were no significant differences in the control groups. Conclusion The health promotion program based on Watson’s human caring theory facilitated ongoing intrapersonal, and holistic caring and improved the sense of coherence and well-being in caregivers of persons with schizophrenia. Hence, this intervention is recommended for developing healing care programs. Trial registration https://www.irct.ir/trial/55040 : IRCT20111105008011N2 (11/04/2021).https://doi.org/10.1186/s12913-023-09725-9CaregiversHealth promotionSchizophreniaSense of coherenceWatson’s Human Caring TheoryWell-being
spellingShingle Shahpar Bagheri
Ladan Zarshenas
Mahnaz Rakhshan
Farkhondeh Sharif
Ebrahim Moghimi Sarani
Zahra Hadian Shirazi
Kathleen Sitzman
Impact of Watson’s human caring-based health promotion program on caregivers of individuals with schizophrenia
BMC Health Services Research
Caregivers
Health promotion
Schizophrenia
Sense of coherence
Watson’s Human Caring Theory
Well-being
title Impact of Watson’s human caring-based health promotion program on caregivers of individuals with schizophrenia
title_full Impact of Watson’s human caring-based health promotion program on caregivers of individuals with schizophrenia
title_fullStr Impact of Watson’s human caring-based health promotion program on caregivers of individuals with schizophrenia
title_full_unstemmed Impact of Watson’s human caring-based health promotion program on caregivers of individuals with schizophrenia
title_short Impact of Watson’s human caring-based health promotion program on caregivers of individuals with schizophrenia
title_sort impact of watson s human caring based health promotion program on caregivers of individuals with schizophrenia
topic Caregivers
Health promotion
Schizophrenia
Sense of coherence
Watson’s Human Caring Theory
Well-being
url https://doi.org/10.1186/s12913-023-09725-9
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