Effectiveness of Wellness Recovery Action Plan (WRAP) on Schizophrenic patients in Gaza strip

Abstract

This study was aimed to know the effectiveness of ( WRAP) wellness recovery action plan on schizophrenic patient in Gaza governorate . Total sample of (33) female patients was picked through random selection then divided into two groups, experimental and control. Age, level of education, marital status, work, residential area and income were matched to maintain neutrality. Quantitative and qualitative method through (pre post design) through international scale (Recovery assessment scale ) that modified to be suitable Arabic culture, and focusing group then follow up was done after 4 months to know whether the effectiveness persistence of the program . Experimental group was conducted (WRAP) session (8-12weeks) but control group conducting usual care. Pretest conducted for both group shown there are no statistically significant differences at the level (0.05) between the mean scores of schizophrenic patients at the intervention group and schizophrenic patients at the control group regarding the dimensions of scale wellness recovery action . While for applied posttest for both group is shown that there are significant differences in patients with schizophrenic in the intervention and control groups ( P-value = 0.001), and the differences were in favor of the Intervention group, for the follow up test four month later shown, the presence of statistically significant differences in the dimension scores of hope in patients with schizophrenia in degrees post- test and sequential in the Intervention group (p-value = 0.036), and the differences were for the favor of post-test, this indicates that for degree of hope may decline with members of the intervention group after the passage of time. But other domain of (WRAP) there was no statistically significant differences in the degrees of dimensions scale of wellness recovery action plan regarding (goal, Self-responsibility, Support, Knowledge and self-advocacy) between the degrees in posttest and sequential in the intervention group. (p-value < 0.05). This mean that dimensions degrees of scale of wellness recovery action plan did not show differences or a significances for members of the Intervention group after passage of time. Also Experimental had reported significant increases in their hopefulness for their own recovery , awareness of their own early warning signs of decompensating, use of wellness tools in their daily routine , awareness of their own symptom triggers, having a crisis plan in place, having a plan for dealing with symptoms, and having a social support system, and , ability to take responsibility for their own wellness .