Needs Tailored Recovery Program for Patients With Severe Mental Illness

Needs Tailored Recovery Program for Community-Dwelling Patients With Severe Mental Illness II: Effectiveness and Development of a Smart Care Platform

The purpose of this study is to establish an innovative smart e-care needs tailored recovery program (NTRP) platform for the community-dwelling patients with severe mental illness, and then evaluate the effectness of e-care needs tailored recovery program (NTRP).

Last year, investigators used the pilot study to test the needs tailored recovery program feasibility, acceptability and preliminary usefulness of the tailored recovery program (NTRP). Based on the findings of the pilot study, then used a randomized controlled trial conducted to evaluate the effectiveness of the NTRP in two psychiatric centers of northern Taiwan. The treatment group receive the needs assessment and then the NTRP by their home-care nurses over 6 months. The control group receive the usual community psychiatric care only. And these participants had been collected baseline data. Investigators will conduct to test 6 months (post- intervention immediately), and 9 months (3 months post-intervention). Outcome measures include recovery, empowerment, hope, health needs score, and psychiatric symptoms. Then, based on the evidence of need-trailed recovery program, this study main aim is innovative smart care technology will be adopted to establish the smart e-care NTRP through the standardized process of platform goal (targeted actions) setting, development (content and format) and verification, and then evaluate this innovative care platform using mixed research methods (experimental and qualitative study design).

Community-dwelling people with mental illness, Needs-tailored, Recovery, Empowerment, Hope, Medication Adherence, Randomized controlled trial, Smart care platform

Smart care technology will be adopted to establish the smart e-care Needs-Tailored Nurse-Led Recovery Program (NTRP) through the standardized process of platform goal (targeted actions) setting, development (content and format) and verification. By the way, the contents of NTRP were divided into five major stages of care:1. Build partnerships; 2. Conduct integrated needs assessment; 3. Set needs-based recovery goals and provide empowerment-oriented measures; 4. Conduct continuous monitoring of goals. 5. Conduct effectiveness evaluation: treat recovery as the primary outcome measure and other elements (needs, empowerment, hope, and medication adherence) as secondary outcome measures.

Participants will complete the Questionnaire about the Process of Recovery (QPR). It is total of 22 questions in this scale to evaluate recovery score.Each question is scored from 0-4 points.The higher scores mean a better outcome.

Participants will complete the Questionnaire about the Process of Recovery (QPR). It is total of 22 questions in this scale to evaluate recovery score.Each question is scored from 0-4 points.The higher scores mean a better outcome.

Participants will complete the Questionnaire about the Process of Recovery (QPR). It is total of 22 questions in this scale to evaluate recovery score.Each question is scored from 0-4 points.The higher scores mean a better outcome.

Participants will complete the Empowerment Scale. It is total of 13 questions in this scale to evaluate empowerment score. Each question is scored from 1-4 points.The higher scores mean a better outcome.

Participants will complete the Empowerment Scale. It is total of 13 questions in this scale to evaluate empowerment score. Each question is scored from 1-4 points.The higher scores mean a better outcome.

Participants will complete the Empowerment Scale. It is total of 13 questions in this scale to evaluate empowerment score. Each question is scored from 1-4 points.The higher scores mean a better outcome.

Participants will complete the Needs Assessment Instrument for the Community-Dwelling People with Mental Illness. It is total of 22 questions in this scale to evaluate need. Each question is scored from 0-2 points. The higher the score, the greater the demand.

Participants will complete the Needs Assessment Instrument for the Community-Dwelling People with Mental Illness. It is total of 22 questions in this scale to evaluate need. Each question is scored from 0-2 points. The higher the score, the greater the demand.

Participants will complete the Needs Assessment Instrument for the Community-Dwelling People with Mental Illness. It is total of 22 questions in this scale to evaluate need. Each question is scored from 0-2 points. The higher the score, the greater the demand.

Participants will complete the Herth Hope Index (HHI). It is total of 12 questions in this scale to evaluate hope score.Each question is scored from 1-4 points.The higher scores mean a better outcome.

Participants will complete the Herth Hope Index (HHI). It is total of 12 questions in this scale to evaluate hope score.Each question is scored from 1-4 points.The higher scores mean a better outcome.

Participants will complete the Herth Hope Index (HHI). It is total of 12 questions in this scale to evaluate hope score.Each question is scored from 1-4 points.The higher scores mean a better outcome.

Participants will complete the Medication Adherence Rating Scale (MARS). It is total of 10 questions in this scale to evaluate medication adherence score. Each question is scored from 0-1 points.The higher scores mean a better outcome.

Participants will complete the Medication Adherence Rating Scale (MARS). It is total of 10 questions in this scale to evaluate medication adherence score. Each question is scored from 0-1 points.The higher scores mean a better outcome.

Participants will complete the Medication Adherence Rating Scale (MARS). It is total of 10 questions in this scale to evaluate medication adherence score. Each question is scored from 0-1 points.The higher scores mean a better outcome.

Participants will complete the Brief Psychiatric Rating Scale (BPRS). It is total of 16 questions in this scale to evaluate psychiatric symptom. Each question is scored from 0-6 points.The higher scores mean a worse outcome.

Participants will complete the Brief Psychiatric Rating Scale (BPRS). It is total of 16 questions in this scale to evaluate psychiatric symptom. Each question is scored from 0-6 points.The higher scores mean a worse outcome.

Participants will complete the Brief Psychiatric Rating Scale (BPRS). It is total of 16 questions in this scale to evaluate psychiatric symptom. Each question is scored from 0-6 points.The higher scores mean a worse outcome.

Inclusion Criteria: living in the community and diagnosed with a schizophrenia- or mood-related disorder aged 20-64 years able to communicate in Mandarin or Taiwanese provided consent to participate in the study. Exclusion Criteria: living in a community institution such as a rehabilitation home, community rehabilitation, center, nursing home, or day hospital organic psychotic disorders drug or alcohol addiction