The Effect of Daily Living Activities Mobile Application Developed for Individuals With Chronic Mental Disorder on Functionality

This study was conducted to evaluate the effect of a mobile application program developed to enable individuals with chronic mental disorders to plan and implement their daily activities on their functionality, daily activities, and medication adherence.

The study was designed as an experimental study with a control group, including pre-test, post-test, and follow-up measurements. A total of 64 patients with chronic mental disorders who met the inclusion criteria were included in the study, with 32 in the intervention group and 32 in the control group. Data were collected using the Introductory Information Form, the Social Functioning Assessment Scale (SFAS), the Lawton Instrumental Activities of Daily Living (IADL) Scale, and the Morisky Medication Adherence Scale (MMAS). Participants in the intervention group were administered the Activities of Daily Living-Based Mobile Application Programme developed in this study.

• Daily Living Activities Mobile Application (Other), also known as Experimental group: mobile application was used for three months
• Individual interviews (Other): The individual's daily living activities are assessed using forms and scales that evaluate disability, functional level, and the ability to perform skill-based activities. Factors affecting daily living activities, such as strengths and weaknesses, barriers, accessible healthcare services, and social support networks, are examined. The client's independent, semi-dependent, and dependent daily living activities are evaluated together. Implementation steps are created to achieve the identified goals. Barriers to achieving the goals and supporting factors are identified.
• Group education (Other): Information is provided about the symptoms of schizophrenia and bipolar disorder, their causes, and treatment. The early warning signs are explained, along with the importance of recognizing that they can lead to an emergency situation. The importance of prior planning for what to do in case of an emergency is discussed. As homework, the family is asked to make this plan together. Information is provided about the importance of daily living activities and what they entail. Information is provided about self-care skills, healthy nutrition, movement planning, good sleep hygiene, the importance of body temperature regulation, and elimination issues. Information is provided about communication skills. Information is given about what to pay attention to in order to establish effective communication.
• Routine rehabilitation program (Other): It includes psychiatric rehabilitation services that are part of the clinic's program.

Primary outcomes

• Social Functioning Assessment Scale [Baseline and 5 months]: The evaluation range of the scale is 19 to 57 points. High score is interpreted as high level of functionality.

Sex: All, ages: 18 Years to 65 Years

Inclusion Criteria: - Individuals diagnosed with schizophrenia and bipolar disorder according to DSM-V

* Individuals aged between 18 and 65
* I've been in treatment for the last 3 months
* Can speak and understand Turkish
* Open to communication and co-operation
* Those who did not get 0 points from the phone usage step of the Lawton IADL (Lawton instrumental activities of daily living scale) data collection tool
* Android phone owner

Exclusion Criteria:

* Hearing, vision, speech and comprehension problems
* Individuals who did not attend the two scheduled sessions