Illness management and recovery: Clinical outcomes of a randomized clinical trial in community mental health centers

Helle Stentoft Dalum; Anna Kristine Waldemar; Lisa Korsbek; Carsten Hjorthøj; John Hagel Mikkelsen; Karin Thomsen; Kristen Kistrup; Mette Olander; Jane Lindschou; Merete Nordentoft; Lene Falgaard Eplov

doi:10.1371/journal.pone.0194027

Illness management and recovery: Clinical outcomes of a randomized clinical trial in community mental health centers

Helle Stentoft Dalum, Anna Kristine Waldemar, Lisa Korsbek, Carsten Hjorthøj, John Hagel Mikkelsen, Karin Thomsen, Kristen Kistrup, Mette Olander, Jane Lindschou, Merete Nordentoft, Lene Falgaard Eplov

Department of Clinical Medicine

7 Citations (Scopus)

42 Downloads (Pure)

Abstract

OBJECTIVE: Illness Management and Recovery (IMR) is a psychosocial intervention with a recovery-oriented approach. The program has been evaluated in different settings; however evidence for the effects of IMR is still deficient. The aim of this trial was to investigate the benefits and harms of the IMR program compared with treatment as usual in Danish patients with schizophrenia or bipolar disorder.

METHOD: The trial was designed as a randomized, assessor-blinded, multi-center, clinical trial investigating the IMR program compared with usual treatment. 198 people diagnosed with schizophrenia or bipolar disorder participated. The primary outcome was the Global Assessment of Functioning (GAF-F) at the end of intervention and the secondary and explorative outcomes included severity of symptoms and service utilization.

RESULTS: IMR had no significant effect on functioning, symptoms, substance use or service utilization.

CONCLUSION: This randomized trial contributes to the evidence base of IMR by providing a methodological solid base for its conclusions; however the trial has some important limitations. More research is needed to get a firm answer on the effectiveness of the IMR.

Original language	English
Article number	e0194027
Journal	PLOS ONE
Volume	13
Issue number	4
Number of pages	15
ISSN	1932-6203
DOIs	https://doi.org/10.1371/journal.pone.0194027
Publication status	Published - Apr 2018

Keywords

Adult
Aged
Community Mental Health Centers/organization & administration
Female
Humans
Male
Mental Disorders/therapy
Middle Aged
Remission Induction/methods
Young Adult

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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journal.pone.0194027Final published version, 2.33 MBLicence: CC BY

Cite this

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title = "Illness management and recovery: Clinical outcomes of a randomized clinical trial in community mental health centers",

abstract = "OBJECTIVE: Illness Management and Recovery (IMR) is a psychosocial intervention with a recovery-oriented approach. The program has been evaluated in different settings; however evidence for the effects of IMR is still deficient. The aim of this trial was to investigate the benefits and harms of the IMR program compared with treatment as usual in Danish patients with schizophrenia or bipolar disorder.METHOD: The trial was designed as a randomized, assessor-blinded, multi-center, clinical trial investigating the IMR program compared with usual treatment. 198 people diagnosed with schizophrenia or bipolar disorder participated. The primary outcome was the Global Assessment of Functioning (GAF-F) at the end of intervention and the secondary and explorative outcomes included severity of symptoms and service utilization.RESULTS: IMR had no significant effect on functioning, symptoms, substance use or service utilization.CONCLUSION: This randomized trial contributes to the evidence base of IMR by providing a methodological solid base for its conclusions; however the trial has some important limitations. More research is needed to get a firm answer on the effectiveness of the IMR.",

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AU - Dalum, Helle Stentoft

AU - Waldemar, Anna Kristine

AU - Korsbek, Lisa

AU - Hjorthøj, Carsten

AU - Mikkelsen, John Hagel

AU - Thomsen, Karin

AU - Kistrup, Kristen

AU - Olander, Mette

AU - Lindschou, Jane

AU - Nordentoft, Merete

AU - Eplov, Lene Falgaard

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N2 - OBJECTIVE: Illness Management and Recovery (IMR) is a psychosocial intervention with a recovery-oriented approach. The program has been evaluated in different settings; however evidence for the effects of IMR is still deficient. The aim of this trial was to investigate the benefits and harms of the IMR program compared with treatment as usual in Danish patients with schizophrenia or bipolar disorder.METHOD: The trial was designed as a randomized, assessor-blinded, multi-center, clinical trial investigating the IMR program compared with usual treatment. 198 people diagnosed with schizophrenia or bipolar disorder participated. The primary outcome was the Global Assessment of Functioning (GAF-F) at the end of intervention and the secondary and explorative outcomes included severity of symptoms and service utilization.RESULTS: IMR had no significant effect on functioning, symptoms, substance use or service utilization.CONCLUSION: This randomized trial contributes to the evidence base of IMR by providing a methodological solid base for its conclusions; however the trial has some important limitations. More research is needed to get a firm answer on the effectiveness of the IMR.

AB - OBJECTIVE: Illness Management and Recovery (IMR) is a psychosocial intervention with a recovery-oriented approach. The program has been evaluated in different settings; however evidence for the effects of IMR is still deficient. The aim of this trial was to investigate the benefits and harms of the IMR program compared with treatment as usual in Danish patients with schizophrenia or bipolar disorder.METHOD: The trial was designed as a randomized, assessor-blinded, multi-center, clinical trial investigating the IMR program compared with usual treatment. 198 people diagnosed with schizophrenia or bipolar disorder participated. The primary outcome was the Global Assessment of Functioning (GAF-F) at the end of intervention and the secondary and explorative outcomes included severity of symptoms and service utilization.RESULTS: IMR had no significant effect on functioning, symptoms, substance use or service utilization.CONCLUSION: This randomized trial contributes to the evidence base of IMR by providing a methodological solid base for its conclusions; however the trial has some important limitations. More research is needed to get a firm answer on the effectiveness of the IMR.

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Illness management and recovery: Clinical outcomes of a randomized clinical trial in community mental health centers

Abstract

Keywords

UN SDGs

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