Illness management and recovery: one-year follow-up of a randomized controlled trial in Danish community mental health centers: long-term effects on clinical and personal recovery
Abstract Background: Illness Management and Recovery (IMR) is a curriculum-based rehabilitation program for people with severe mental illness with the short-term aim of improving illness self-management and the long-term aim of helping people achieve clinical and personal recovery. Method Participan...
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doaj-8c620b4d6fb34b259c6269d0ac07a5282020-11-25T02:14:50ZengBMCBMC Psychiatry1471-244X2019-02-0119111210.1186/s12888-019-2048-0Illness management and recovery: one-year follow-up of a randomized controlled trial in Danish community mental health centers: long-term effects on clinical and personal recoverySofie Bratberg Jensen0Helle Stentoft Dalum1Lisa Korsbek2Carsten Hjorthøj3John Hagel Mikkelsen4Karin Thomsen5Kristen Kistrup6Mette Olander7Jane Lindschou8Kim T. Mueser9Merete Nordentoft10Lene Falgaard Eplov11Copenhagen Research Center for Mental Health - CORE, Mental Health Center Copenhagen, Copenhagen University HospitalRegion Zealand, University Hospital RoskildeCompetence Center for Rehabilitation and, Recovery, Mental Health Center BallerupCopenhagen Research Center for Mental Health - CORE, Mental Health Center Copenhagen, Copenhagen University HospitalCommunity Mental Health Center Frederiksberg-Vanløse, Mental Health Center FrederiksbergCommunity Mental Health Center Ballerup-Egedal-Herlev, Mental Health Center BallerupMental Health Center FrederiksbergRoskilde CommunityCopenhagen Trial Unit, Center for Clinical Intervention Research, Department 7812, Rigshospitalet, Copenhagen University HospitalBoston University Center for Psychiatric RehabilitationCopenhagen Research Center for Mental Health - CORE, Mental Health Center Copenhagen, Copenhagen University HospitalCopenhagen Research Center for Mental Health - CORE, Mental Health Center Copenhagen, Copenhagen University HospitalAbstract Background: Illness Management and Recovery (IMR) is a curriculum-based rehabilitation program for people with severe mental illness with the short-term aim of improving illness self-management and the long-term aim of helping people achieve clinical and personal recovery. Method Participants with schizophrenia or bipolar disorders were recruited from three community mental health centers in the Capital Region of Denmark and randomized to receive group-based IMR and treatment as usual or only the usual intervention. All outcomes were assessed at baseline, postintervention, and the one-year follow-up. Long-term outcomes were categorized according to clinical recovery (i.e., symptoms, global functioning, and hospitalization) and personal recovery (i.e., hope and personal agency). Generalized linear mixed model regression analyses were used in the intent-to-treat analysis. Results A total of 198 participants were included. No significant differences were found between the IMR and control groups in the Global Assessment of Functioning one year after the intervention, nor were there significant differences in symptoms, number of hospital admissions, emergency room visits, or outpatient treatment. Conclusion The present IMR trial showed no significant effect on clinical and personal recovery at the one-year follow-up. Together with the results of other IMR studies, the present study indicates that the effect of IMR on symptom severity is unclear, which raises questions regarding the impact of IMR on functioning. Additionally, IMR did not affect personal recovery. Although more research is needed, the results indicate that the development of other interventions should be considered to help people with severe mental illness achieve a better level of functioning and personal recovery. Trial registration Trial registered at http://www.clinicaltrials.gov (NCT01361698).http://link.springer.com/article/10.1186/s12888-019-2048-0Illness management and recoveryRehabilitationPsychoeducationRandomized clinical trialOne-year follow-upCommunity mental health |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Sofie Bratberg Jensen Helle Stentoft Dalum Lisa Korsbek Carsten Hjorthøj John Hagel Mikkelsen Karin Thomsen Kristen Kistrup Mette Olander Jane Lindschou Kim T. Mueser Merete Nordentoft Lene Falgaard Eplov |
spellingShingle |
Sofie Bratberg Jensen Helle Stentoft Dalum Lisa Korsbek Carsten Hjorthøj John Hagel Mikkelsen Karin Thomsen Kristen Kistrup Mette Olander Jane Lindschou Kim T. Mueser Merete Nordentoft Lene Falgaard Eplov Illness management and recovery: one-year follow-up of a randomized controlled trial in Danish community mental health centers: long-term effects on clinical and personal recovery BMC Psychiatry Illness management and recovery Rehabilitation Psychoeducation Randomized clinical trial One-year follow-up Community mental health |
author_facet |
Sofie Bratberg Jensen Helle Stentoft Dalum Lisa Korsbek Carsten Hjorthøj John Hagel Mikkelsen Karin Thomsen Kristen Kistrup Mette Olander Jane Lindschou Kim T. Mueser Merete Nordentoft Lene Falgaard Eplov |
author_sort |
Sofie Bratberg Jensen |
title |
Illness management and recovery: one-year follow-up of a randomized controlled trial in Danish community mental health centers: long-term effects on clinical and personal recovery |
title_short |
Illness management and recovery: one-year follow-up of a randomized controlled trial in Danish community mental health centers: long-term effects on clinical and personal recovery |
title_full |
Illness management and recovery: one-year follow-up of a randomized controlled trial in Danish community mental health centers: long-term effects on clinical and personal recovery |
title_fullStr |
Illness management and recovery: one-year follow-up of a randomized controlled trial in Danish community mental health centers: long-term effects on clinical and personal recovery |
title_full_unstemmed |
Illness management and recovery: one-year follow-up of a randomized controlled trial in Danish community mental health centers: long-term effects on clinical and personal recovery |
title_sort |
illness management and recovery: one-year follow-up of a randomized controlled trial in danish community mental health centers: long-term effects on clinical and personal recovery |
publisher |
BMC |
series |
BMC Psychiatry |
issn |
1471-244X |
publishDate |
2019-02-01 |
description |
Abstract Background: Illness Management and Recovery (IMR) is a curriculum-based rehabilitation program for people with severe mental illness with the short-term aim of improving illness self-management and the long-term aim of helping people achieve clinical and personal recovery. Method Participants with schizophrenia or bipolar disorders were recruited from three community mental health centers in the Capital Region of Denmark and randomized to receive group-based IMR and treatment as usual or only the usual intervention. All outcomes were assessed at baseline, postintervention, and the one-year follow-up. Long-term outcomes were categorized according to clinical recovery (i.e., symptoms, global functioning, and hospitalization) and personal recovery (i.e., hope and personal agency). Generalized linear mixed model regression analyses were used in the intent-to-treat analysis. Results A total of 198 participants were included. No significant differences were found between the IMR and control groups in the Global Assessment of Functioning one year after the intervention, nor were there significant differences in symptoms, number of hospital admissions, emergency room visits, or outpatient treatment. Conclusion The present IMR trial showed no significant effect on clinical and personal recovery at the one-year follow-up. Together with the results of other IMR studies, the present study indicates that the effect of IMR on symptom severity is unclear, which raises questions regarding the impact of IMR on functioning. Additionally, IMR did not affect personal recovery. Although more research is needed, the results indicate that the development of other interventions should be considered to help people with severe mental illness achieve a better level of functioning and personal recovery. Trial registration Trial registered at http://www.clinicaltrials.gov (NCT01361698). |
topic |
Illness management and recovery Rehabilitation Psychoeducation Randomized clinical trial One-year follow-up Community mental health |
url |
http://link.springer.com/article/10.1186/s12888-019-2048-0 |
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