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
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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