Consumer factors predicting level of treatment response to illness management and recovery.

Abstract

Objective This study aims to identify consumer-level predictors of level of treatment response to Illness Management and Recovery (IMR) in order to target the appropriate consumers and aid psychiatric rehabilitation settings in developing intervention adaptations. Methods Secondary analyses from a multi-site study of IMR were conducted. Self-report data from consumer participants of the parent study (n = 236) were analyzed for the current study. Consumers completed pre-post surveys assessing illness management, coping, goal-related hope, social support, medication adherence, and working alliance. Correlations and multiple regression analyses were run in order to identify self-report variables that predicted level of treatment response to IMR. Results Analyses revealed that goal-related hope significantly predicted level of improved illness self-management, (F (1, 164) = 10.93, p <.001, R2 = .248, R2 Change = .05). Additionally, we found that higher levels of maladaptive coping at baseline were predictive of higher levels of adaptive coping at follow-up, (F (2, 180) = 5.29, p < .02, R2 = .38, R2 Change = .02). Evidence did not support additional predictors. Conclusions and Implications for Practice Previously, consumer-level predictors of level of treatment response have not been explored for IMR. Although two significant predictors were identified, study findings suggest more work is needed. Future research is needed to identify additional consumer-level factors predictive of IMR treatment response in order to identify who would benefit most from this treatment program.

Therapeutic Adherence of People with Mental Disorders: An Evolutionary Concept Analysis

“…In all analyzed studies, the process of adherence is dynamic rather than static, involving objective and subjective personal experiences characterized by the ability to establish interpersonal skills [33]. At the individual level, this process includes the patient's readiness to change and motivation for mental health treatment [34][35][36][37], their medication literacy (readiness to understand the role of medication, how to use it, what works for each person, ability to reflect on past experiences and its effects) [3,34,36,[38][39][40], illness/symptom experience [41][42][43], coping and interpersonal skills [33,44], self-care ability [33,43], and self-efficacy [36,37,45].…”

Early recognition method for patients with schizophrenia or bipolar disorder in community mental health care: Illness insight, self‐management and control

“…Evidence shows that better insight reduces the risk of relapse (Lysaker et al, 2018). According to White et al (2017), individual consumer factors, such as engagement in illness management and recovery, predict individual treatment response. Moreover, the level of achieved illness self-management is linked to the extent of patient activation and engagement, based on perceived hope and quality of the patient-physician relationship (White et al, 2017).…”

“…According to White et al (2017), individual consumer factors, such as engagement in illness management and recovery, predict individual treatment response. Moreover, the level of achieved illness self-management is linked to the extent of patient activation and engagement, based on perceived hope and quality of the patient-physician relationship (White et al, 2017). Focussing on self-management strategies in research and care of patients with SMI reflects a change of treatment perspective in SMI.…”

Psychometric properties of the Turkish version of Illness Management and Recovery Scale‐Patient form

“…One program that has an evaluation scale is the Illness Management and Recovery (IMR) program, which focuses on managing the illness and recovery of individuals with mental disorders, preventing relapses, and achieving long‐term remission. The program, which requires the cooperation of healthcare professionals, the patient, and the patient's relatives, is an evidence‐based rehabilitation program that is carried out individually or in groups using structured, curriculum‐based psychosocial interventions 3,7,10‐12 …”

“…The program, which requires the cooperation of healthcare professionals, the patient, and the patient's relatives, is an evidence-based rehabilitation program that is carried out individually or in groups using structured, curriculum-based psychosocial interventions. 3,7,[10][11][12] The IMR Scale (IMRS), was developed to monitor patients' progress towards recovery and better illness management. Previous studies of the scale have proved its validity and reliability for patients with mental disorders.…”