Department of Nursing, Shonan University of Medical Sciences, 16-48, Kamishinano, Totsuka-ku, Yokohama City, 244-0806, Kanagawa, Japan.
Institute of Advanced Co-Creation Studies, Osaka University, Osaka, Japan.
BMC Psychiatry. 2024 Oct 25;24(1):731. doi: 10.1186/s12888-024-06063-w.
The concept of recovery has become internationally widespread. To promote personal recovery of individuals with mental disorders, it is important that they live life on their own terms. Many people with mental disorders wish to build intimate relationships and marry. However, people with mental disorders face obstacles in building such relationships and communicating with their partners. The program AIRIKI, which means "power to love," was developed to help people with mental disorders gain confidence in building intimate relationships. The AIRIKI pilot study with one-group pre post test showed positive effects on self-esteem, hope, and communication. Therefore, the purpose of the proposed randomized controlled trial (RCT) is to determine the effects of the videoconferencing program on self-esteem, hope, and self-confidence in communication among un-married people with mental disorders.
The proposed randomized controlled trial has two arms (intervention group and control group). After baseline questionnaire assessment, participants will be allocated randomly. Within two months of allocation, the intervention group will participate in videoconferences about intimate relationships and marriage with 2-5 participants and 3 facilitators, which will last 3 h, for two days. Three facilitators will support participants in each session. The intervention group will complete a questionnaire for outcome assessment at termination and one month after the program. The control group will complete the outcome questionnaire at one month after baseline and two months after baseline. The questionnaire will include the Rosenberg Self-Esteem Scale (RSES), Herth Hope Index (HHI), and Self-confidence in Communication Scale (SCS). Control group members can participate in a videoconference program, which will be held separately from the intervention group, after completing their outcome assessments.
This trial is the first randomized controlled trial of which we are aware to test the effects of an online program for un-married people with mental disorders to consider and discuss their romantic relationship and marriage. The results will provide information on the effectiveness of an online program for people with mental disorders to imagine their romantic relationships and marriages.
This trial has been registered with the UNIN Clinical Trials Registry (UMIN000052027; 2023/08/28).
康复的概念在国际上得到了广泛的认可。为了促进精神障碍患者的个人康复，让他们按照自己的条件生活是很重要的。许多精神障碍患者希望建立亲密关系并结婚。然而，精神障碍患者在建立这种关系和与伴侣沟通方面面临障碍。AIRIKI 项目，意为“爱的力量”，旨在帮助精神障碍患者建立亲密关系的信心。一项针对 AIRIKI 的单组预-后测试研究显示，该项目对自尊、希望和沟通能力产生了积极影响。因此，本研究旨在通过随机对照试验（RCT）确定视频会议项目对未婚精神障碍患者自尊、希望和沟通自信心的影响。
本研究采用随机对照试验设计，分为干预组和对照组两个组。在基线问卷调查评估后，参与者将被随机分配。在分配后的两个月内，干预组将参加两次关于亲密关系和婚姻的视频会议，每次会议有 2-5 名参与者和 3 名主持人，每次会议持续 3 小时，共两天。每次会议将有 3 名主持人支持参与者。干预组将在项目结束时和项目结束后一个月完成结局评估问卷。对照组将在基线后一个月和基线后两个月完成结局评估问卷。问卷将包括罗森伯格自尊量表（RSES）、赫尔思希望指数（HHI）和沟通自信心量表（SCS）。对照组成员在完成结局评估后可以参加与干预组分开举行的视频会议项目。
这是我们所知的第一个针对未婚精神障碍患者的在线项目的随机对照试验，旨在探讨和讨论他们的浪漫关系和婚姻。研究结果将提供有关在线项目对精神障碍患者想象浪漫关系和婚姻的有效性的信息。
本试验已在 UNIN 临床试验注册中心（UMIN000052027；2023 年 8 月 28 日）注册。
