Implementation of Illness Management and Recovery in Mental Health Services

January 11, 2016 updated by: Kristin Sverdvik Heiervang, University Hospital, Akershus

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

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

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Detailed Description

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.

Study Type

Interventional

Enrollment (Actual)

40

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

  • Norway
      • Lørenskog, Norway, 1478
        • Ahus R&D Mental Health Services

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

18 years and older (Adult, Older Adult)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Description

Inclusion Criteria Therapists:

  • Voluntary recruited therapists in the participating mental health services
  • trained and consulted in IMR

Inclusion Criteria Patients:

  • Adults (18+)
  • Associated with one of the participating mental health services
  • symptoms on or diagnosis of severe mental illness with or without drug abuse
  • giving informed consent verbally and in writing

Exclusion Criteria Patients:

  • Patients with acute risk of suicidal behaviour
  • not able to communicate in Norwegian

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Health Services Research
  • Allocation: N/A
  • Interventional Model: Single Group Assignment
  • Masking: None (Open Label)

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Other: IMR therapists, IMR patients

30 voluntary therapists from 9 mental health services will be trained and coached in IMR.

40 patients from the 9 mental health services will receive Illness Management and Recovery from the therapists in training.
Behavioral: Illness Management and Recovery
Evidence-based practice given individually or in groups, weekly for 10-12 months.
Other Names:
  • IMR

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
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
12 months

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
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
12 months
The Adult State Hope Scale (Snyder et al., 1996)
Time Frame: 12 months
A 6-item self-report scale of patients' hope and optimism
12 months
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.
About 11 months after start of intervention
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
12 months

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

University Hospital, Akershus

Collaborators

Helse Sor-Ost
Romeriksprosjektet

Investigators

  • Principal Investigator: Kristin S. Heiervang, Ph.D., Akershus University Hospital, Research & Development, Mental Health Services

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

General Publications

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start

March 1, 2014

Primary Completion (Actual)

June 1, 2015

Study Completion (Actual)

June 1, 2015

Study Registration Dates

First Submitted

February 25, 2014

First Submitted That Met QC Criteria

March 3, 2014

First Posted (Estimate)

March 4, 2014

Study Record Updates

Last Update Posted (Estimate)

January 12, 2016

Last Update Submitted That Met QC Criteria

January 11, 2016

Last Verified

January 1, 2016

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

  • IMR 01/2014
  • 2013/2035b (Registry Identifier: Reginal Ethical Committee)

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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