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Trial Illness Management and Recovery (IMR) Effects of IMR on patients with severe mental illness


- candidate number21572
- NTR NumberNTR5033
- ISRCTNISRCTN no longer applicable
- Date ISRCTN created
- date ISRCTN requested
- Date Registered NTR13-jan-2015
- Secondary IDsNL 38605 METC Erasmus MC Rotterdam
- Public TitleTrial Illness Management and Recovery (IMR) Effects of IMR on patients with severe mental illness
- Scientific TitleTrial Illness Management and Recovery (IMR) Effects of IMR on patients with severe mental illness
- ACRONYMTrial IMR
- hypothesisThis study aims at demonstrating the effectiveness of IMR on the illness management skills and recovery of the patients. The added value for participants on different areas of life is examined. The research can contribute to answering the question whether IMR should be a recommended intervention . The hypotheses are that "IMR + CAU", (IMR offered in group format), compared to “CAU only” leads to: 1. Better Illness Management: (Better scores on IMR-scales, less symptoms and relapses, better medication adherence, less alcohol & drugs use, more insight into their own problems, more social and coping skills, more social support). 2. Better recovery: (Better general recovery, less self-perceived stigma, more self-esteem, achievement of more meaningful goals, more quality of life, more satisfaction, and better social functioning). 3. Improved cost-effectiveness.
- Healt Condition(s) or Problem(s) studiedSevere mental illness, Chronic Psychiatric Problems
- Inclusion criteria - Patients with serious and persistent psychiatric illnesses. Most of them will be patients who have a psychotic disorder, schizoaffective disorders or bipolar disorders with or without comorbid disorders (such as substance abuse and personality disorders) - The patient is treated on an outpatient basis - Written informed consent
- Exclusion criteria- Having done an IMR-training - Organic brain syndrome. - Incompetence regarding the giving of informed consent. - Patients with severe cognitive impairments who are unable to follow the training - Insufficient knowledge of the Dutch language (they can not participate in the group)
- mec approval receivedyes
- multicenter trialyes
- randomisedyes
- masking/blindingSingle
- controlActive
- groupParallel
- Type2 or more arms, randomized
- Studytypeintervention
- planned startdate 25-okt-2012
- planned closingdate25-jul-2017
- Target number of participants200
- InterventionsIMR can be described as a structured training course which includes eleven modules, practitioner guides and handouts for participants. In the participating institutes the IMR-training is given in a group format with weekly sessions for about one year.
- Primary outcomePrimary outcome measure is the score on the self-rated Illness management and recovery scale (Mueser et al. 2004)
- Secondary outcome- The IMR-scale clinician-rated version (Mueser et al 2004) - The Brief Symptom Inventory (BSI) (Derogatis & Melisaratos 1983) - The number of relapses (operationalized in the number of hospital admissions)
- TimepointsWe have planned three moments of measurement: before randomisation and 12 months and 18 months after randomisation.
- Trial web site
- statusopen: patient inclusion
- CONTACT FOR PUBLIC QUERIESDrs. B.J Roosenschoon
- CONTACT for SCIENTIFIC QUERIESDrs. B.J Roosenschoon
- Sponsor/Initiator Parnassia groep
- Funding
(Source(s) of Monetary or Material Support)
Parnassia groep
- Publications
- Brief summaryIllness Management and Recovery (IMR) provides a structured psychosocial program which aims to contribute to manage the disabling effects of severe mental illnesses like schizophrenia and bipolar disorders. The design of this study is a randomised multi-centre, single blinded, clinical trial of IMR compared with treatment as usual for 200 outpatients with a severe and persistent mental illness (SMI) getting care in two mental health centres. The hypotheses are that "IMR + CAU", (IMR offered in group format), compared to “CAU only” leads to: 1. Better Illness Management: 2. Better recovery: 3. Improved cost-effectiveness.
- Main changes (audit trail)
- RECORD13-jan-2015 - 12-apr-2015


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