scholarly journals The blended electronic-Illness Management and Recovery program for people with severe mental illness: a qualitative process evaluation alongside a trial (Preprint)

2020 ◽  
Author(s):  
Titus, A. A. Beentjes ◽  
Betsie, G.I. van Gaal ◽  
Hester Vermeulen ◽  
Maria W. G. Nijhuis-van der Sanden ◽  
Peter, J.J. Goossesns
Keyword(s):  
Mental Illness ◽  
Severe Mental Illness ◽  
Process Evaluation ◽  
Controlled Trial ◽  
Added Value ◽  
Great Promise ◽  
Illness Management ◽  
Structured Interviews ◽  
Illness Management And Recovery ◽  
It Resources

BACKGROUND Against the backdrop of the great promise of e-mental health, we tested the e- Illness Management and Recovery (IMR) intervention, which coincide the standard IMR programme content and methodology into face-to-face and Internet based strategies on the constructed e-IMR platform. The e-IMR platform was used too little to provide definite conclusions on the potential efficacy of e-health for people with severe mental illness (SMI). OBJECTIVE This study aims to identify if the added value of the e-IMR intervention and which barriers and facilitators can explain the low use of the e-IMR platform. METHODS This process evaluation was designed alongside a multi-centre cluster randomised controlled trial (RCT). Qualitative data were gathered at the endpoint in semi-structured interviews with trial participants and trainers. Baseline characteristics were used to compare the users and non-users. The study population comprised of participants and trainers from the intervention arm of the e-IMR RCT. RESULTS Out of 41 participants 14 used the e-IMR platform. Twenty-seven participants and eleven trainers were interviewed at the endpoint. e-IMR’s components that had added value were the persuasive nature of using goal-tracking sheets and monitoring and the peer-testimonials’ potential to enhance group discussions and participants’ disclosure. The low use of the e-IMR platform was influence by: the platform’s inflexibility, the lack of IT resources, the group context, the participants’ low computer skills and disabilities, and the trainers’ hesitant e-health attitude. CONCLUSIONS The extent of e-health readiness and correlations with vulnerabilities in persons with SMI need to be further investigated. this study shows that use of e-IMR components need flexible options, provided only in response to a participant’s need. Providing the e-IMR in the future is preconditioned by checking available IT resources, providing tablets to participants in group settings, providing computer/Internet guidance to participants before or parallel to the group sessions, checking the e-health attitude and skills of trainers, and providing necessary e-health training to increase the skills of future e-IMR trainers. CLINICALTRIAL https://www.trialregister.nl/trialreg/admin/rctview.asp?TC=4772 INTERNATIONAL REGISTERED REPORT RR2-10.1186/s12913-016-1267-z

scholarly journals Implementation of a lifestyle intervention for people with a severe mental illness (SMILE): a process evaluation

2022 ◽  
Vol 22 (1) ◽  
Author(s):  
Florine S. Walburg ◽  
Johanna W. de Joode ◽  
Hella E. Brandt ◽  
Maurits W. van Tulder ◽  
Marcel C. Adriaanse ◽  
...  
Keyword(s):  
Mental Illness ◽  
Severe Mental Illness ◽  
Process Evaluation ◽  
Lifestyle Intervention ◽  
Controlled Trial ◽  
Intervention Group ◽  
Individual Characteristics ◽  
Structured Interviews ◽  
Lifestyle Behaviour ◽  
Group Sessions

Abstract Background Several interventions have been developed to improve physical health and lifestyle behaviour of people with a severe mental illness (SMI). Recently, we conducted a pragmatic cluster-randomised controlled trial which evaluated the effects of the one-year Severe Mental Illness Lifestyle Evaluation (SMILE) lifestyle intervention compared with usual care in clients with SMI. The SMILE intervention is a 12-month group-based lifestyle intervention with a focus on increased physical activity and healthy food intake. The aim of the current study was to explore the experiences of people with SMI and healthcare professionals (HCPs) regarding implementation feasibility of the SMILE intervention and the fidelity to the SMILE intervention. Methods A process evaluation was conducted alongside the pragmatic randomized controlled trial. The experiences of clients and HCPs in the lifestyle intervention group were studied. First, descriptive data on the implementation of the intervention were collected. Next, semi-structured interviews with clients (n = 15) and HCPs (n = 13) were performed. Interviews were audiotaped and transcribed verbatim. A thematic analysis of the interview data was performed using MAXQDA software. In addition, observations of group sessions were performed to determine the fidelity to the SMILE intervention using a standardised form. Results Ten out of 26 HCPs who conducted the group sessions discontinued their involvement with the intervention, primarily due to changing jobs. 98% of all planned group sessions were performed. Four main themes emerged from the interviews: 1) Positive appraisal of the SMILE intervention, 2) Suggestions for improvement of the SMILE intervention 3) Facilitators of implementation and 4) Barriers of implementation. Both clients and HCPs had positive experiences regarding the SMILE intervention. Clients found the intervention useful and informative. The intervention was found suitable and interesting for all people with SMI, though HCPs sometimes had to tailor the intervention to individual characteristics of patients (e.g., with respect to cognitive functioning). The handbook of the SMILE intervention was perceived as user-friendly and helpful by HCPs. Combining SMILE with daily tasks, no support from other team members, and lack of staff and time were experienced as barriers for the delivery of the intervention. Conclusion The SMILE intervention was feasible and well-perceived by clients and HCPs. However, we also identified some aspects that may have hindered effective implementation and needs to be considered when implementing the SMILE intervention in daily practice.

scholarly journals Identifying the minimal important difference in patient-reported outcome measures in the field of people with severe mental illness: a pre–post-analysis of the Illness Management and Recovery Programme

2021 ◽  
Author(s):  
Titus A. A. Beentjes ◽  
Steven Teerenstra ◽  
Hester Vermeulen ◽  
Peter J. J. Goossens ◽  
Maria W. G. Nijhuis-van der Sanden ◽  
...  
Keyword(s):  
Mental Illness ◽  
Severe Mental Illness ◽  
Minimal Important Difference ◽  
Patient Reported Outcome Measures ◽  
Patient Reported Outcome ◽  
Self Management ◽  
Illness Management ◽  
Meaningful Change ◽  
Illness Management And Recovery ◽  
Patient Reported

Abstract Purpose Complementary interventions for persons with severe mental illness (SMI) focus on both personal recovery and illness self-management. This paper aimed to identify the patient-reported outcome measures (PROMs) associated with the most relevant and meaningful change in persons with SMI who attended the Illness Management and Recovery Programme (IMR). Methods The effect of the IMR was measured with PROMs concerning recovery, illness self-management, burden of symptoms and quality of life (QoL). From the QoL measures, an anchor was chosen based on the most statistically significant correlations with the PROMs. Then, we estimated the minimal important difference (MID) for all PROMs using an anchor-based method supported by distribution-based methods. The PROM with the highest outcome for effect score divided by MID (the effect/MID index) was considered to be a measure of the most relevant and meaningful change. Results All PROMs showed significant pre–post-effects. The QoL measure ‘General Health Perception (Rand-GHP)’ was identified as the anchor. Based on the anchor method, the Mental Health Recovery Measure (MHRM) showed the highest effect/MID index, which was supported by the distribution-based methods. Because of the modifying gender covariate, we stratified the MID calculations. In most MIDs, the MHRM showed the highest effect/MID indexes. Conclusion Taking into account the low sample size and the gender covariate, we conclude that the MHRM was capable of showing the most relevant and meaningful change as a result of the IMR in persons with SMI.

scholarly journals Integrating Assertive Community Treatment and Illness Management and Recovery for Consumers with Severe Mental Illness

2010 ◽  
Vol 46 (4) ◽  
pp. 319-329 ◽  
Author(s):  
Michelle P. Salyers ◽  
Alan B. McGuire ◽  
Angela L. Rollins ◽  
Gary R. Bond ◽  
Kim T. Mueser ◽  
...  
Keyword(s):  
Mental Illness ◽  
Severe Mental Illness ◽  
Assertive Community Treatment ◽  
Community Treatment ◽  
Illness Management ◽  
Illness Management And Recovery

Implementing the Illness Management and Recovery Program for Consumers With Severe Mental Illness

2009 ◽  
Vol 60 (4) ◽  
pp. 483-490 ◽  
Author(s):  
Michelle P. Salyers ◽  
Jenna L. Godfrey ◽  
Alan B. McGuire ◽  
Tim Gearhart ◽  
Angela L. Rollins ◽  
...  
Keyword(s):  
Mental Illness ◽  
Severe Mental Illness ◽  
Illness Management ◽  
Illness Management And Recovery ◽  
Recovery Program
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