Development and Effects of the Self-Determination Improvement Program for Patients with Schizophrenia in CRISIS

Purpose: The purpose of this study were to develop a self-determination improvement program for patients with schizophrenia and to confirm their effects on autonomy, competence, relationship, and self-care agency. Method: The study was in a pre-test, post-test for a nonequivalent control group design. The participants were 47 inpatients who were diagnosed with schizophrenia(experimental group:24; control group:23). The self-determination improvement program was provided in 8 session over 4 weeks. Data was collected from Sep-tember to October 2020. Data were analyzed using SPSS/WIN 25.0 program with Chi-square test, Fisher s exact test, and the independent t-test. Results: After participating self-determination improvement program, the experimental group showed a significant increased in autonomy(t=4.24, p<.001), competence(t=5.33, p<.001), relationship(t=7.90, p<.001) and self-care agency(t=2.49, p=.016) compared to the control group. Conclusion: The findings of this study it was confirmed that the self-determination improvement program for patients with schizophrenia improves basic psychological needs(autonomy, competence, relationship) and self-care agency. This suggests that it is useful as an intervention program for the recovery of patients with schizophrenia in clinical practice.