Illness management and recovery is a program designed to help people with severe mental illness better manage their mental illnesses by providing education and coping skills. Fidelity to program models has been shown to be linked with outcomes in other evidence-based practices. Although IMR has a program-level fidelity scale, a clinician-level fidelity may be more appropriate for IMR given its complex clinical nature The applying research team has created such a scale and found it to be reliable. Additionally, although evidence-based practice (EBP)-focused supervision has been shown increase fidelity to program models, there is little specification of the necessary components of such supervision or guidelines specific to IMR. The current proposal will include four aims: 1) establishing the content validity of the IMR Treatment Integrity Scale (IT-IS), 2) test the construct validity of th IT-IS, 3) develop an IMR-specific collaborative goal-setting supervision intervention, and 4) pilot the interventions efficacy. In order to accomplish these aims, the research team will first conduct an IMR experts survey. Second, it will track IMR fidelity and correlate it with changes in outcomes in consumer participating in IMR groups. Third, the research team will develop an IMR-specific goal-setting intervention and using a wait-list, cross-over design, test the association between receipt of the intervention and increased IMR fidelity.

Public Health Relevance

This proposed study is addressing fidelity to the program guidelines of illness management and recovery (IMR). IMR helps people with severe mental illness better manage their illness and fidelity to program models, in general, lead to better program outcomes. This study will validate a scale to measure IMR fidelity and develop a program to increase fidelity.

Agency
National Institute of Health (NIH)
Institute
National Institute of Mental Health (NIMH)
Type
Exploratory/Developmental Grants Phase II (R33)
Project #
5R33MH096835-04
Application #
8927688
Study Section
Special Emphasis Panel (ZMH1-ERB-B (01))
Program Officer
Juliano-Bult, Denise M
Project Start
2012-09-15
Project End
2016-08-31
Budget Start
2015-09-01
Budget End
2016-08-31
Support Year
4
Fiscal Year
2015
Total Cost
$271,134
Indirect Cost
$66,748
Name
Indiana University-Purdue University at Indianapolis
Department
Psychology
Type
Schools of Arts and Sciences
DUNS #
603007902
City
Indianapolis
State
IN
Country
United States
Zip Code
46202
White, Dominique A; McGuire, Alan B; Luther, Lauren et al. (2017) Consumer factors predicting level of treatment response to illness management and recovery. Psychiatr Rehabil J 40:344-353
McGuire, Alan B; Bartholomew, Tom; Anderson, Adrienne I et al. (2016) Illness management and recovery in community practice. Psychiatr Rehabil J 39:343-351