Evidence map›Paper›PMID 36037187›Full record

ArticlePloS one2022

Patients' and healthcare professionals' perspectives on a community-based intervention for schizophrenia in Pakistan: A focus group study.

Maria Ishaq Khattak, Lisa Dikomitis, Muhammad Firaz Khan, Mukhtar Ul Haq, Umaima Saeed, Naila Riaz Awan, Zia Ul Haq, Thomas Shepherd, Christian D Mallen, Saeed Farooq

Abstract read
In one paragraph

Article in PloS one, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Maria Ishaq KhattakInstitute of Public Health & Social Sciences, Khyber Medical University, Pakistan Khyber Medical University Peshawar, Peshawar, Pakistan.
Lisa DikomitisKent and Medway Medical School, University of Kent and Canterbury Christ Church University, Canterbury, United Kingdom.
Muhammad Firaz KhanPostgraduate Medical Institute, Lady Reading Hospital, Peshawar, Pakistan.
Mukhtar Ul HaqPostgraduate Medical Institute, Lady Reading Hospital, Peshawar, Pakistan.
Umaima SaeedInstitute of Public Health & Social Sciences, Khyber Medical University, Pakistan Khyber Medical University Peshawar, Peshawar, Pakistan.
Naila Riaz AwanPostgraduate Medical Institute, Lady Reading Hospital, Peshawar, Pakistan.
Zia Ul HaqInstitute of Public Health & Social Sciences, Khyber Medical University, Pakistan Khyber Medical University Peshawar, Peshawar, Pakistan.
Thomas ShepherdSchool of Medicine, Keele University, Staffordshire, United Kingdom.
Christian D MallenSchool of Medicine, Keele University, Staffordshire, United Kingdom.
Saeed FarooqSchool of Medicine, Keele University, Staffordshire, United Kingdom.ORCID 0000-0003-2088-6876

Funding

Department of HealthMedical Research Council MR/S00243X/1
6 · The paper itself

Abstract

objectiveTo explore the perceptions and experiences of schizophrenia from patients, their care givers, health care providers, spiritual and traditional healers to develop a community-based intervention for improving treatment adherence for people with schizophrenia in Pakistan.

methodsThis qualitative study involved four focus group discussions (FGD) with a total of 26 participants: patients and carers (n = 5), primary care staff (n = 7), medical technicians (n = 8) and traditional and spiritual healers (n = 6). The participants were selected using purposive sampling method. FGDs were audio-recorded and transcribed. A thematic analysis was applied to the data set.

resultsThe themes identified were (i) Schizophrenia is not merely a biomedical problem: participants believed that poverty and an inferiority complex resulting from social disparity caused schizophrenia and contributed to non-adherence to medications; (ii) Spiritual healing goes hand in hand with the medical treatment: participants regarded spiritual and traditional treatment methods as an inherent part of schizophrenia patients' well-being and rehabilitation; (iii) Services for mental illness: mental health is not covered under primary health in a basic health unit: participants believed that the lack of services, training and necessary medication in primary care are major issues for treating schizophrenia in community; (iv) Barriers to community-based interventions: primary care staff believed that multiple pressures on staff, lack of incentives, non-availability of medication and lack of formal referral pathways resulted in disintegration of dealing with schizophrenia patients in primary care facilities.

conclusionThe study has identified a number of barriers and facilitators to developing and delivering a psychosocial intervention to support people living with schizophrenia in Pakistan. In particular, the importance of involving spiritual and traditional healers was highlighted by our diverse group of stakeholders.

Indexed as

SchizophreniaDelivery of Health CareFocus GroupsHealth PersonnelHumansPakistanQualitative Research

Identifiers

PMID36037187
PMCPMC9423632

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.