Illness Management & Recovery (IMR) in the Netherlands: A naturalistic pilot study to explore the feasibility of a randomized controlled trial
Autor: | Mathijs Deen, Cornelis L. Mulder, Moniek Bogaards, Jaap van Weeghel, Bert-Jan Roosenschoon |
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Přispěvatelé: | Geestelijke Gezondheidszorg, Tranzo, Scientific center for care and wellbeing, Psychiatry |
Jazyk: | angličtina |
Rok vydání: | 2016 |
Předmět: |
Adult
Male Program evaluation medicine.medical_specialty Adolescent media_common.quotation_subject education Fidelity Pilot Projects law.invention Illness Management and Recovery Young Adult 03 medical and health sciences 0302 clinical medicine Randomized controlled trial Recovery law Humans Medicine 030212 general & internal medicine Aged Netherlands Randomized Controlled Trials as Topic Pilot study media_common IMR Self management Self-management business.industry Mental Disorders Consolidated Standards of Reporting Trials Feasibility Middle Aged Checklist 030227 psychiatry Test (assessment) Clinical trial Psychiatry and Mental health Outcome and Process Assessment Health Care Schizophrenia Physical therapy Feasibility Studies Female business Program Evaluation Research Article Severe mental Illness Clinical psychology |
Zdroj: | BMC Psychiatry, 16(1):73. BioMed Central BMC Psychiatry, 16:391. BioMed Central Ltd. BMC Psychiatry BMC Psychiatry, 2016(16), e391 |
ISSN: | 1471-244X |
Popis: | BackgroundIllness Management & Recovery (IMR) is a curriculum-based program for people with severe and persistent mental illness. To date, four randomized controlled trials (RCTs) have been published on it. As these produced mixed results, we conducted a pilot study to test the feasibility of conducting a new RCT in a Dutch psychiatric institute. Because our primary objective was to evaluate support for implementing IMR on a broader scale, we examined participant recruitment, client outcomes, and clients’ and clinicians’ satisfaction. Secondary objectives were to evaluate fidelity, trainers’ training and supervision, and to explore program duration, dropout, and client characteristics related to dropout. For reporting, we used the checklist for pilot studies adopted from the CONSORT Statement.MethodsThis program evaluation included a process-evaluation and an outcome evaluation with a One Group Pre-Posttest Design (N = 81). Interviews and internal reports were used to monitor participant numbers, program duration, dropout, and completers’ characteristics. Clients’ and clinicians’ satisfaction and provision of trainers’ training and supervision were assessed through interviews. Fidelity was assessed on the IMR Fidelity Scale; client outcomes were assessed on the IMR scale (client and clinician versions) and the Recovery Markers Questionnaire (RMQ).ResultsEighty-one participants were recruited of 167 people who were assessed for eligibility. Completers and clinicians were satisfied, and scores for completers improved significantly on the IMR scale (clinician version) (d = 0.84) and RMQ (d = 0.52), and not significantly on the IMR scale client version (d = 0.41). Mean fidelity was good, but three groups had only moderate fidelity. Our feasibility criterion for trainers’ education and supervision was partly attained. Dropout from treatment was 51 %; female participants and people who scored higher on both IMR-scales at baseline had a significantly lower chance of dropping out. The duration of IMR varied (M = 12.7 months, SD = 2.87).ConclusionsResults suggested that feasibility of conducting an RCT on IMR was good. Special attention is required to fidelity, IMR duration, trainers’ education and supervision, and dropout, especially of men. One study limitation was our inability to conduct follow-up measurements of non-completers.KeywordsIllness Management and Recovery, IMR, Self management, Severe mental Illness, Schizophrenia, Pilot study, Feasibility, Recovery |
Databáze: | OpenAIRE |
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