The content validity of the TCMSP for persons
with schizophrenia was approved by a panel of seven
experts. The panel consisted of three psychiatrists with
expertise working with psychiatric patients, two
nursing instructors, expert in caring for persons with
schizophrenia, one advanced practice nurse, expert in
caring for persons with schizophrenia, and one clinical
nurse who had expertise and experience related to
mutual support groups for persons with schizophrenia.
The engagement phase included guidelines for
solving the problems of lifestyle when persons with
schizophrenia and their family caregivers stay
together in the community. In the drug compliance
enhancement phase, the contents of a case study were
revised for role playing for training about the
effectiveness of promoting drug compliance. In the
Buddhist-based emotional management training
phase, the contents of meditation and emotional
management were summarized and revised. In the
communication skills training phase, the contents of
the case study for role playing for training about effective
communications were revised. The researcher then
conducted a pilot study with 6 persons with schizophrenia
and 6 family caregivers to ensure the feasibility of the
Thai culturally-based mutual support program in clinical
settings. After the pilot study: work sheet 1 in the
engagement phase was revised for persons with
schizophrenia and their families, separately. In the
Buddhist-based emotional management training phase,
the times for practicing meditation and emotional
management were re-organized and revised.