Clinical Trial: Implementation of Illness Management and Recovery in Mental Health Services

Study Status: Completed
Recruit Status: Completed
Study Type: Interventional

Official Title: Implementation of Illness Management and Recovery in Mental Health Services: Facilitators and Barriers in the Implementation Process.

Brief Summary: The purpose of this study is to examine the barriers and facilitators of implementing Illness Management and Recovery (IMR) in Norwegian mental health services.

Detailed Summary:

IMR is an evidence-based practice developed for people with severe mental illnesses. It is based on the principles of recovery to help people set individual meaningful goals for their lives and gain illness self-management skills and thereby contribute to their individual recovery-process. IMR can be given individually or in groups, once a week for 10-12 months.

In this project the investigators will implement Illness Management and Recovery (IMR) in mental health services. The implementation strategy are carried out according to the IMR toolkits which include informational and training materials, implementation recommendations, and fidelity scales to facilitate use of the model in routine practices. The implementation process and outcome will be of main focus.

The study has an observational prospective cohort design. 30 therapists from 9 different mental health services will be trained and supervised in IMR. The investigators aim to enrol 40 patients. The primary outcome is therapists' fidelity to the model and organisational implementation outcome. Secondary outcomes are patients' level of functioning and hope.


Sponsor: University Hospital, Akershus

Current Primary Outcome: The Illness Management Fidelity Scale (SAMHSA, 2009) [ Time Frame: 12 months ]

Assesses the degree of fidelity with 13 items on a 5-point likert scale where 5 indicates full implementation and 0 indicates no implementation


Original Primary Outcome: The Illness Management and Recovery Scale (SAMHSA, 2009) [ Time Frame: About 11 months after start of intervention ]

Assessing patients' recovery outcomes in the IMR program with 15 items.


Current Secondary Outcome:

  • The Illness Management & Recovery Treatment Integrity Scale (IT-IS) (McGuire et al., 2012 [ Time Frame: 12 months ]
    A 16-item scale measuring clinicians' faithful replication of the model
  • The Adult State Hope Scale (Snyder et al., 1996) [ Time Frame: 12 months ]
    A 6-item self-report scale of patients' hope and optimism
  • The Illness Management and Recovery Scale (SAMHSA, 2009) [ Time Frame: About 11 months after start of intervention ]
    Assessing patients' recovery outcomes in the IMR program with 15 items.
  • General Organizational Index (SAMHSA, 2009) [ Time Frame: 12 months ]
    A 12-item scale measuring organisational outcome of implementation by common agency practices that support evidence-based practices


Original Secondary Outcome:

  • The Illness Management Fidelity Scale (SAMHSA, 2009) [ Time Frame: 12 months ]
    Assesses the degree of fidelity with 13 items on a 5-point likert scale where 5 indicates full implementation and 0 indicates no implementation
  • General Organizational Index (SAMHSA, 2009) [ Time Frame: 12 months ]
    A 12-item scale measuring organisational outcome of implementation by common agency practices that support evidence-based practices
  • The Illness Management & Recovery Treatment Integrity Scale (IT-IS) (McGuire et al., 2012 [ Time Frame: 12 months ]
    A 16-item scale measuring clinicians' faithful replication of the model
  • The Adult State Hope Scale (Snyder et al., 1996) [ Time Frame: 12 months ]
    A 6-item self-report scale of patients' hope and optimism
  • The Global Assessment of Functioning Scale (GAF) (Goldman, Skodol, & Lave, 1992 [ Time Frame: 12 months ]


Information By: University Hospital, Akershus

Dates:
Date Received: February 25, 2014
Date Started: March 2014
Date Completion:
Last Updated: January 11, 2016
Last Verified: January 2016