Development of an e-supported illness management and recovery programme for consumers with severe mental illness using intervention mapping, and design of an early cluster randomized controlled trialReport as inadecuate




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BMC Health Services Research

, 16:20

Organization, structure and delivery of healthcare

Abstract

BackgroundE-mental health is a promising medium to keep mental health affordable and accessible. For consumers with severe mental illness the evidence of the effectiveness of e-health is limited. A number of difficulties and barriers have to be addressed concerning e-health for consumers with severe mental illness. One possible solution might be to blend e-health with face-to-face delivery of a recovery-oriented treatment, like the Illness Management and Recovery IMR programme. This paper describes the development of an e-health application for the IMR programme and the design of an early clustered randomized controlled trial.

Method-DesignWe developed the e-IMR intervention according to the six-step protocol of Intervention Mapping. Consumers joined the development group to address important and relevant issues for the target group. Decisions during the six-step development process were based on qualitative evaluations of the Illness Management and Recovery programme, structured interviews, discussion in the development group, and literature reviews on qualitative papers concerning consumers with severe mental illness, theoretical models, behavioural change techniques, and telemedicine for consumers with severe mental illness. The aim of the e-IMR intervention is to help consumers with severe mental illness to involve others, manage achieving goals, and prevent relapse. The e-IMR intervention consists of face-to-face delivery of the Illness Management and Recovery programme and an e-health application containing peer-testimonials on videos, follow up on goals and coping strategies, monitoring symptoms, solving problems, and communication opportunities.

We designed an early cluster randomized controlled trial that will evaluate the e-IMR intervention. In the control condition the Illness Management and Recovery programme is provided. The main effect-study parameters are: illness management, recovery, psychiatric symptoms severity, self-management, quality of life, and general health. The process of the IMR program will be evaluated on fidelity and feasibility in semi-structured interviews with participants and trainers.

DiscussionIntervention Mapping provided a systematic procedure for the development of this e-health intervention for consumers with severe mental illness and the preparation of an early randomized controlled trial.

Trial RegistrationThe trial is registered in the Dutch Trial Register: NTR4772 .

KeywordsSevere mental illness E-Mental health Illness management and recovery Intervention mapping Early randomized controlled trial AbbreviationsSMISevere mental illness

IMRIllness management and recovery

e-IMRElectronic illness management and recovery

PRECEDEPredisposing, reinforcing and enabling constructs in educational diagnosis and evaluation

ICTInformation and communication technology

TTMTrans theoretical model

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Author: Titus A. A. Beentjes - Betsie G. I. van Gaal - Peter J. J. Goossens - Lisette Schoonhoven

Source: https://link.springer.com/







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