Satir model–based health literacy programme for behaviour modification in patients with stable schizophrenia

OBJECTIVES: To develop a Satir model-based health literacy programme for individuals with stable schizophrenia and evaluate its effects on health literacy, health behaviours, relapse prevention, and key metabolic indicators. METHODS: The study comprised three phases: (1) situation analysis and health literacy survey in 972 outpatients with stable schizophrenia, (2) programme development and validation by five experts, and (3) a 12-week quasi-experimental pilot study in 24 outpatients with stable schizophrenia. Outcome measures included health literacy, health behaviours, relapse prevention behaviours, and metabolic indicators. RESULTS: = 0.59, p = 0.025), while HDL cholesterol significantly increased by a mean of 4.83 mg/dL (d = 0.69, p = 0.003). CONCLUSIONS: The Satir model-based health literacy programme is feasible for rehabilitation in patients with stable schizophrenia. By fostering personal responsibility and intrapersonal restructuring, the programme empowered patients towards active self-regulation. Addressing the internal 'iceberg' is essential for sustainable metabolic health and recovery in schizophrenia.