Effectiveness of continuity of care in schizophrenia through virtual modality at the National Institute of Mental Health, Lima, Peru

Rosales-Gabino G.L.; del Rosario Clapés Vargas C.; Villaverde L.D.C.; Zanabria J.Y.; Gastelú M.E.C.; del Rosario Cerna Sánchez E.; Romero-Solorzano O.; Loayza R.H.A. · Revista de Neuro-Psiquiatria (2026) · DOI: 10.20453/rnp.v89i1.6599

Resumen

Objective: To determine the effectiveness of a virtual comprehensive care continuity program for individuals with paranoid schizophrenia. Methodology: A quasi-experimental design with pretest-posttest measurements was used with a sample of fifteen adults. The interdisciplinary intervention lasted six months and focused on the remote monitoring of participants. Results: Significant improvements were evidenced in treatment adherence (p = 0.018) and community skills within activities of daily living (p = 0.023). A significant decrease in positive (p = 0.016) and negative (p = 0.005) psychotic symptoms was observed, with an overall result of high relevance (p = 0.001). Regarding functionality, progress was found in cognition (p = 0.004), interpersonal relationships (p = 0.014), and social participation (p = 0.001). Although areas such as mobility, self-care, and work did not show statistically significant differences, the overall functionality score was significant (p = 0.001). Regarding family dynamics, an improvement in cohesion was recorded (p = 0.028), while adaptability did not reach statistical significance (p = 0.067). Conclusions: The program demonstrated effectiveness in key dimensions of treatment and psychosocial functioning, with positive implications for clinical management and the participants’ quality of life. Artículo de acceso abierto, distribuido bajo los términos de la Licencia Creative Commons Atribución 4.0 Internacional.