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IRCT20220619055214N1 IRCT 2022-06-25 Islamic Azad University Investigating the effect of biography on psychological integration and social stigma of Patients with paralysis of the spinal cord The effect of group narrative therapy on sense of coherence and social stigma associated with traumatic spinal cord injury 2022-07-01 anticipated 16 Complete https://irct.ir/trial/64285 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Supportive, Randomization description: Random allocation in this study is done in a simple random method - lottery - first the names of people who have the conditions to enter and wish to participate in order to make a random allocation on a sheet of paper is written then each patient is assigned a code in the next step In order to have the same chance in each person, the names of the people in the wheel (or any similar method) are poured and selected by a third party. N/A Condition 1: Patients with traumatic spinal cord injury (Paraplegia). Condition 2: Patients with traumatic spinal cord injury( Quadriplegia). Intervention 1: Intervention group: Intervention group: The treatment protocol of narrative therapy sessions will be performed in two sessions per week and in 8 90-minute sessions in a group manner in the counseling room of Tabriz Welfare Office according to the treatment plan of Michael White and Epston 1 (1990). The description of the narrative-therapy sessions will be as follows: Session 1: Introduction, presentation of intervention schedule, number of sessions, time interval of sessions, expectations from the group, introduction of skills, goal statement, comprehensive evaluation, creating a good relationship, familiarity with narrative therapy, work sample, life narration and storytelling; Second: Objectification and externalization of the problem, naming the problem, identifying the problematic words and beginning of metaphorization ; From the problem by the exceptions of life, narrative analysis, attitudes toward the problem and the interactions between the individual and the problem; Session 5: Reconstruction stage: new metaphors, mental representations of life situations with new metaphor, creation of reality by the individual and the beginning of narration; Session 6: Enrichment of the new story using unique strategies, examining the story and its meaning to the future; : Living in a new story, answering questions and rewriting past stories; Session 8: Examining the meaning of life, external documentation, enriching and encouraging the person to continue the story, post-test and end of treatment Prior to randomization and intervention, all samples will complete the research questionnaires in order to ensure the same chance of selection in each individual. Then, the members of the experimental group will receive the narrative-therapy narrative as a group by the researcher in 8 sessions of 1.5 hours (2 months). After the sessions, they will complete the questionnaire of psychological cohesion and social stigma again. This (post-test implementation) will be done to evaluate the effectiveness of the independent variable (narrative therapy) on the dependent variables (psychological cohesion and social stigma). Intervention 2: Control group: First, all questionnaires will be filled by this group. However, this group will not receive any counseling or psychotherapy, and eventually the questionnaires will be filled out again by this group after about (about a month). Undecided - It is not yet known if there will be a plan to make this available Justification or reason for indecision in sharing IPD is Confidentiality in protecting the personal information of each person - There is no more information.
public Mahtab Razavinezhad
No. 11 , second west, first ten meters, twelve meters, Saffron town, Tabriz
Tabriz Iran (Islamic Republic of) 5166755666 +98 41 3330 8219 razavi73@yahoo.com Islamic Azad University scientific Mahtab Razavinezhad
No. 11 , second west, first ten meters, Saffron town, twelve meters,Tabriz
Tabriz Iran (Islamic Republic of) 51667-55666 +98 41 3330 8219 razavi73@yahoo.com Islamic Azad University Iran (Islamic Republic of) Willingness to participate in the study Be literate Age 18 years and older 18 years no limit Both No serious illness other than spinal cord injury No mental illness Lack of individual and group counseling and psychotherapy sessions G82.2 G82.5 Paraplegia Quadriplegia Behavior Behavior Intervention group: Intervention group: The treatment protocol of narrative therapy sessions will be performed in two sessions per week and in 8 90-minute sessions in a group manner in the counseling room of Tabriz Welfare Office according to the treatment plan of Michael White and Epston 1 (1990). The description of the narrative-therapy sessions will be as follows: Session 1: Introduction, presentation of intervention schedule, number of sessions, time interval of sessions, expectations from the group, introduction of skills, goal statement, comprehensive evaluation, creating a good relationship, familiarity with narrative therapy, work sample, life narration and storytelling; Second: Objectification and externalization of the problem, naming the problem, identifying the problematic words and beginning of metaphorization ; From the problem by the exceptions of life, narrative analysis, attitudes toward the problem and the interactions between the individual and the problem; Session 5: Reconstruction stage: new metaphors, mental representations of life situations with new metaphor, creation of reality by the individual and the beginning of narration; Session 6: Enrichment of the new story using unique strategies, examining the story and its meaning to the future; : Living in a new story, answering questions and rewriting past stories; Session 8: Examining the meaning of life, external documentation, enriching and encouraging the person to continue the story, post-test and end of treatment Prior to randomization and intervention, all samples will complete the research questionnaires in order to ensure the same chance of selection in each individual. Then, the members of the experimental group will receive the narrative-therapy narrative as a group by the researcher in 8 sessions of 1.5 hours (2 months). After the sessions, they will complete the questionnaire of psychological cohesion and social stigma again. This (post-test implementation) will be done to evaluate the effectiveness of the independent variable (narrative therapy) on the dependent variables (psychological cohesion and social stigma). Control group: First, all questionnaires will be filled by this group. However, this group will not receive any counseling or psychotherapy, and eventually the questionnaires will be filled out again by this group after about (about a month). Evaluation of the effect of group narrative therapy on psychological cohesion related to spinal cord traumatic injury --- Mental cohesion score in Flensberg questionnaire. Timepoint: Measurement of psychological cohesion (before the intervention) and one month after the intervention. Method of measurement: Flensberg Questionnaire. The effect of group narrative therapy on social stigma associated with traumatic spinal cord injury --- Social stigma score in the social stigma questionnaire after spinal cord injury. Timepoint: Measurement of social stigma (before the intervention) and one month after the intervention. Method of measurement: Social Stigma Questionnaire after spinal cord injury. Islamic Azad University Approved 2022-05-01 Ethics Committee of Islamic Azad University of Isfahan (Khorasgan) University Blvd, Arghavanieh , East Jay St , Isfahan Isfahan Isfehan Iran (Islamic Republic of)