Evidence map›Paper›PMID 40063577›Full record

ArticlePloS one2025

Strategies for relapse prevention among people with schizophrenia in KwaZulu-Natal Province, South Africa: Healthcare providers' perspectives.

Joyce Protas Mlay, Thirusha Naidu, Suvira Ramlall, Krushika Patankar, Khadija Israel, Laura Esquivel, Laura Curran, Sbusisiwe Sandra Mhlungu, Makhosazane Zondi, Richard Lessells and 2 more

Abstract read
In one paragraph

Article in PloS one, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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

12 authors.

Joyce Protas MlayDiscipline of Public Health Medicine, School of Nursing and Public Health, University of KwaZulu-Natal, Durban, South Africa.ORCID https://orcid.org/0000-0002-9281-3011
Thirusha NaiduDepartment of Innovation in Medical Education, Faculty of Medicine, University of Ottawa, Ottawa, Canada.
Suvira RamlallDepartment of Psychiatry, University of KwaZulu-Natal, Durban, South Africa.
Krushika PatankarSilver School of Social Work, New York University, New York, New York, United States of America.
Khadija IsraelSilver School of Social Work, New York University, New York, New York, United States of America.
Laura EsquivelSilver School of Social Work, New York University, New York, New York, United States of America.
Laura CurranUniversity of South Florida, Tampa, Florida, United States of America.ORCID https://orcid.org/0000-0001-6025-705X
Sbusisiwe Sandra MhlunguPrivate Practice, Durban, South Africa.
Makhosazane ZondiCentre for the AIDS Programme of Research in South Africa (CAPRISA), Durban, South Africa.
Richard LessellsCentre for the AIDS Programme of Research in South Africa (CAPRISA), Durban, South Africa.
Andrew TomitaKwaZulu-Natal Research Innovation and Sequencing Platform (KRISP), College of Health Sciences, University of KwaZulu-Natal, Durban, South Africa.
Jennifer I ManuelSchool of Social Work, University of Connecticut, Hartford, Connecticut, United States of America.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionRelapse is a significant challenge among people with schizophrenia and is broadly recognized by the aggravation of positive or negative symptoms, the need for re-hospitalization, more intensive case management, and/or changes in medication. The quality of inpatient care and proper transition to outpatient care are crucial in reducing the risk of relapse. Healthcare providers play vital roles in ensuring the continuity of care after patients are discharged from the hospital. Little is known about the roles of preventing relapse from the perspective of healthcare providers. This study explored the currently existing strategies for preventing relapse from the perspective of healthcare providers.

methodsWe captured the view of healthcare providers providing services to psychiatric patients using a qualitative methodological approach with descriptive phenomenology. We conducted audio-recorded, in-depth interviews with 15 consenting clinical providers from a public psychiatric hospital in Durban, South Africa. To facilitate analysis, we used Dedoose software (SocioCultural Research Consultants, LLC [www.dedoose.com]), and the themes were inducted from the data.

resultsSix major themes inducted from the analysis: Preparing patients and caregivers for discharge; Developing consistent and caring therapeutic relationships; Using an active approach to transition; Working with patients and caregivers concurrently; Creating and sustaining interagency connections; and Facilitating alternative forms of treatment.

conclusionsDischarge planning and preparation are needed to ensure smooth transitions from hospital to outpatient care for relapse prevention. The healthcare system should ensure the availability of human resources for health at all levels of health facilities, and multidisciplinary teamwork will help a successful transition.

Indexed as

Health PersonnelSchizophreniaSecondary PreventionAdultAttitude of Health PersonnelFemaleHumansMaleMiddle AgedPatient DischargeRecurrenceSouth Africa

Identifiers

PMID40063577
PMCPMC11892825

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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.