This study aims to evaluate the impact of a group of activities of occupational therapy in the quality of life and social adjustment of patients with diagnosis of refractory schizophrenia, medicated with clozapine and to investigate the perception of these patients about the positive and negative aspects of the group meetings. This evaluation research will be carried out with the Group of Patients Using Atypical Antipsychotics (GRUMA) in the Psychosocial Rehabilitation Outpatient Clinic. All the members of GRUMA who meet the inclusion criteria and one relative of each patient will participate in the study. Group meetings, interview and participant observation will be used for data collection. In a "closed" group structure, 20 group meetings will be carried out. For the assessment of the impact of the group of activities in the patients' quality of life and social adjustment, the Quality of Life Scale (Q.L.S.) will be applied(individually) to patients, before and after the 20 group meetings. In the same way, the Independent Living Skills Survey (I.L.S.S.) will be applied to the relatives. Semi-structured interview will be applied to identify participants' perception about the group process. A quali-quantitative approach will be used for data analysis. The quantitative data will be analyzed using the program Statistical Package for the Social Science (SPSS, version 11.5). A comparative analysis of data will be carried out before and after the group meetings. Qualitative data analysis will be based on the steps proposed by Minayo. This study will allow for an improvement in the implementation of intervention strategies in health services directed at the quality of care to patients with Schizophrenia.
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