Illness Management and Recovery Treatment Integrity Scale Validation and Leadership Intervention Development
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 299
- 主要终点
- Illness Management and Recovery Scale
研究概览
简要总结
Illness Management and Recovery (IMR) is an evidenced-based approach to teaching consumers with severe mental illness how to set and achieve personal recovery goals and acquire the knowledge and skills to independently manage their illnesses. Longitudinal, multi-site, and randomized controlled trials have shown IMR to be effective in increasing illness self-management and coping; some evidence also points to reduced hospitalization rates. Fidelity, or adherence to a specific treatment model, is equally important to both clinical research and to the practical dissemination of evidence-based practices to the field.
To this end, the research team has developed an IMR clinician-level fidelity assessment, the IMR Treatment Integrity Scale (IT-IS). However, the validity of the preliminary IT-IS has not been rigorously evaluated. Additionally, it is crucial to develop strategies to utilize the IT IS to increase adherence to the IMR model and ultimately increase consumer outcomes.
The purpose of this study is to assess the construct validity of the IT-IS by testing the relationship between IT-IS elements and mechanisms of change and proximal outcomes. The investigators will collect a sample of IMR session recordings and pre-post data from IMR participants from recruitment sites in Indiana, New Jersey and several other states. The investigators will test hypothesized relationships between specific program elements and theoretically proposed mechanisms of change. The investigators will also assess organizational and clinician factors affecting IMR competence by including a survey for the staff members who are located as sites where the investigators have clinicians participating in providing IMR.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Clinicians:
- •18 years or older
- •Providing IMR individually or in group format at a participating agency
- •Willing and able to provide consent
- •Willing to complete study measures
- •Willing to be audio recorded
- •18 years or older
- •Willing and able to provide consent
- •Able to complete a brief cognitive screener
- •Willing to complete study measures
- •Receiving IMR intervention at a participating agency
- •Willing to be audio recorded
排除标准
- •Individuals younger than 18 years old
结局指标
主要结局
Illness Management and Recovery Scale
时间窗: 3-Months
Post-intervention scores were assessed. This measure is designed to assess consumer-rated illness self management skills. This scale is based on a 15 items, each rated on a 5 point Likert scale, ranging from 1 to 5. Higher numbers of this scale represent better outcomes. A mean score of all 15 items is provided as the primary outcome score for this scale.
Illness Management and Recovery Treatment Integrity Scale
时间窗: 3-Months
Clinician competency rating scale was used to assess clinician competence in providing IMR. This data was used to test the theory that IMR competency would impact consumers' ability to engage in illness self management practices as rated by the Illness Management and Recovery Scale. This scale is rated by trained observers, and the scale contains 16 items, rated on a 1 - 5 point scale. A 5 indicates higher competency and fidelity to the IMR treatment model. A mean score is calculated across all 16 items. Higher scores indicate higher clinician competence in providing IMR.
次要结局
- Working Alliance Inventory Short Form(3-Months)
- Multidimensional Scale of Perceived Social Support(3-Months)
- Adult State Hope Scale(3-Months)
- Brief COPE Adaptive Subscale(3-Months)
- Medication Adherence Rating Scale(3-Months)
- UNCOPE Measure(3-Months)
- Brief COPE Maladaptive Subscale(3-Months)
研究者
Alan McGuire
Research Scientist
Indiana University