The order and content of the training sessions based partnership care model.
|(1) Motivation||The purpose of this stage is to stimulate the patient. At this stage (the first meeting for 2 hours) a description of the study protocol was explained to the intervention group. Then training need was evaluated by assessing and identifying patients through history taking (purposive questions designed by thalassemia and clinical psychology specialists) and paraclinical examination that resulted in a list of problems in the field of treatment and care in three dimensions of unhealthy behavior, unawareness of diet, and inability to control psychological problems of the disease. The results and findings were discussed and exchanged with the active participation of team members including patients, clinical psychologists, nurses, and physician (according to areas of responsibility).|
|(2) Readiness||At this stage (the second session for one hour), the intervention group was informed about the nature of visits (training sessions and follow-up) and the objectives and duration of visits and they were provided with the timing of the training program.|
|(3) Involvement||This phase includes three visits to educational partnership and two visits to follow-up partnership.|
Three visits were scheduled in educational phase (each visit lasting 60 to 90 minutes with an interval of two weeks between appointments). The first visit was about the nature of the disease and treatment, the second visit was in the field of diet and activities, and the third visit was about psychological issues. In each visit, the contents were simply provided to patients by physician and nurses (according to areas of responsibility) and clinical psychologists (in the session of psychological issues) through lectures, PowerPoint presentations, pamphlets, and questions and answers.
In the follow-up phase, two visits were scheduled (30–45 minutes for each visit with two-week interval). During these sessions, while discussing the problems of patients, the positive and negative results of education and previous measures were assessed and reviewed and necessary guidance was provided to correct errors.
|(4) Evaluation||Phased evaluation was conducted in the beginning and end of each visit. In the final assessment (for 60–90 minutes), the GHQ-28 questionnaire was used to assess the impact of partnership care model on mental health of patients in the intervention group after three months. Then the same method of evaluation was conducted for the control group.|