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Completed

NCT Number: NCT02077829

Implementation of Illness Management and Recovery in Mental Health Services

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

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Key information

Conditions

Bipolar Disorder Affective Disorders, Psychotic Bipolar and Related Disorders Mental Disorders Mood Disorders Schizophrenia Schizophrenia Spectrum and Other Psychotic Disorders

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Ahus R&D Mental Health Services

Lørenskog, 1478, Norway

About this study

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.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

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

Treatment and study plan

Illness Management and Recovery

Behavioral

Evidence-based practice given individually or in groups, weekly for 10-12 months.

Other names: IMR

Primary outcomes

  1. 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

Secondary outcomes

  1. 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

  2. The Adult State Hope Scale (Snyder et al., 1996)

    Time frame: 12 months

    A 6-item self-report scale of patients' hope and optimism

  3. 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.

  4. 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

Sponsors and collaborators

Lead sponsor

University Hospital, Akershus

Other

Collaborators

  • Helse Sor-Ost
  • Romeriksprosjektet

Registry information

Official study title

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

Important dates

Study start
2014
Primary completion
2015
Study completion
2015
First posted
Mar 4, 2014
Registry last updated
Jan 12, 2016

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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