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| ID | Type | Description | Link |
|---|---|---|---|
| 2013/2035b | Registry Identifier | Reginal Ethical Committee |
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| Name | Class |
|---|---|
| Romeriksprosjektet | UNKNOWN |
| Helse Sor-Ost | OTHER_GOV |
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The purpose of this study is to examine the barriers and facilitators of implementing Illness Management and Recovery (IMR) in Norwegian mental health services.
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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| IMR therapists, IMR patients | Other | 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. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Illness Management and Recovery | Behavioral | Evidence-based practice given individually or in groups, weekly for 10-12 months. |
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| Measure | Description | Time Frame |
|---|---|---|
| The Illness Management Fidelity Scale (SAMHSA, 2009) | 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 |
| Measure | Description | Time Frame |
|---|---|---|
| The Illness Management & Recovery Treatment Integrity Scale (IT-IS) (McGuire et al., 2012 | A 16-item scale measuring clinicians' faithful replication of the model | 12 months |
| The Adult State Hope Scale (Snyder et al., 1996) |
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Inclusion Criteria Therapists:
Inclusion Criteria Patients:
Exclusion Criteria Patients:
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| Name | Affiliation | Role |
|---|---|---|
| Kristin S. Heiervang, Ph.D. | Akershus University Hospital, Research & Development, Mental Health Services | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Ahus R&D Mental Health Services | Lørenskog | 1478 | Norway |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 31190179 | Derived | Egeland KM, Hauge MI, Ruud T, Ogden T, Heiervang KS. Significance of Leaders for Sustained Use of Evidence-Based Practices: A Qualitative Focus-Group Study with Mental Health Practitioners. Community Ment Health J. 2019 Nov;55(8):1344-1353. doi: 10.1007/s10597-019-00430-8. Epub 2019 Jun 12. | |
| 28127388 | Derived |
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| Type | Date | Date Unknown |
|---|---|---|
| Release | Jul 5, 2018 | |
| Reset | Jan 11, 2019 | |
| Release | Jul 6, 2020 | |
| Reset | Jul 16, 2020 | |
| Release | Aug 26, 2022 | |
| Reset | May 31, 2023 |
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| Release Date | Unrelease Date | Unrelease Date Unknown | Reset Date | MCP Release Number |
|---|---|---|---|---|
| Jul 5, 2018 | Jan 11, 2019 | |||
| Jul 6, 2020 |
| ID | Term |
|---|---|
| D001714 | Bipolar Disorder |
| D012559 | Schizophrenia |
| D000341 | Affective Disorders, Psychotic |
| D019964 | Mood Disorders |
| D001523 | Mental Disorders |
| ID | Term |
|---|---|
| D000068105 | Bipolar and Related Disorders |
| D019967 | Schizophrenia Spectrum and Other Psychotic Disorders |
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| ID | Term |
|---|---|
| D016879 | Salvage Therapy |
| ID | Term |
|---|---|
| D013812 | Therapeutics |
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A 6-item self-report scale of patients' hope and optimism
| 12 months |
| The Illness Management and Recovery Scale (SAMHSA, 2009) | Assessing patients' recovery outcomes in the IMR program with 15 items. | About 11 months after start of intervention |
| General Organizational Index (SAMHSA, 2009) | A 12-item scale measuring organisational outcome of implementation by common agency practices that support evidence-based practices | 12 months |
| Egeland KM, Ruud T, Ogden T, Fardig R, Lindstrom JC, Heiervang KS. How to implement Illness Management and Recovery (IMR) in mental health service settings: evaluation of the implementation strategy. Int J Ment Health Syst. 2017 Jan 23;11:13. doi: 10.1186/s13033-017-0120-z. eCollection 2017. |
| Jul 16, 2020 |
| Aug 26, 2022 | May 31, 2023 |