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Title: Perceived rehabilitation needs of people with schizophrenia and their caregivers in Wuxi
Authors: Tsui, Chi Man
Degree: Ph.D.
Issue Date: 2018
Abstract: This three-phased study aimed to 1) examine the psychometric properties of the two questionnaires developed in Hong Kong, namely, The Perceived Rehabilitation Needs Questionnaire for People with Schizophrenia (PRNQ-S) and The Perceived Rehabilitation Needs Questionnaire for Caregivers of people with schizophrenia (PRNQ-C), for their use in Wuxi, 2) explore and compare the views of the people with schizophrenia and their caregivers towards the needs for psychiatric rehabilitation, and 3) measure and compare their perceived rehabilitation needs using the Wuxi version of the two questionnaires (i.e., PRNQ-S-WX and PRNQ-C-WX). In the first phase, exploratory factor analysis was to explore the interrelationships among the items of both scales based on a sample of 250 persons with schizophrenia and 200 caregivers respectively. The 75 items of PRNQ-S-WX in the seventeen-factor solution and the 50 items of PRNQ-C-WX in the eight-factor solution accounted for 81.3% and 65.0% of the total variance respectively. In the qualitative study in the second phase, individual face-to-face semi-structured interviews were conducted with four urban and four rural consumers, and four urban and four rural caregivers. Using thematic analysis, the transcripts were analyzed by two independent coders. There were commonalities and discrepancies on their views about the unmet needs of rehabilitation interventions and community care, the disparities of healthcare resources for medication, the major factors hindering open employment, and the insufficient support to caregivers for facilitating recovery. These findings served as a triangulation to the quantitative survey in the third and last phase that consisted of a sample of 375 persons with schizophrenia and 250 caregivers to complete PRNQ-S-WX and PRNQ-C-WX respectively. The mean scores of the factors indicated the importance of the needs. Factors predicting the participants in the urban or rural regions were investigated by binary logistic regression. Ordinal regression was adopted to test for the demographic variable(s) which determined the score in each of the factors having predicted the urban-rural categorization. "Psychosocial care" and "Behavior and impulse control" respectively predicted the urban-rural categorization of the consumers. Differences in the levels of the perceived importance in both factors were found across the employment status groups. The urban-rural categorization of the caregivers was predicted by "Security" and "Accommodation" respectively. Age was the demographics predicting the score in the factor "Security". Some policy and service implications to promote psychiatric rehabilitation of the people with schizophrenia and their caregivers are discussed. With the original and insightful findings from the three phases, the central and provincial governments would be better informed to more precisely formulate or fine-tune the mental health policies and strategies to tailor needs-driven psychiatric rehabilitation services in China.
Subjects: Hong Kong Polytechnic University -- Dissertations
Caregivers -- China -- Hong Kong
Schizophrenia -- China -- Hong Kong
Schizophrenics -- Rehabilitation -- China -- Hong Kong
Pages: ix, 178 pages : color illustrations
Appears in Collections:Thesis

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