2017
DOI: 10.1186/s12888-017-1565-y
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How effective is the comprehensive approach to rehabilitation (CARe) methodology? A cluster randomized controlled trial

Abstract: BackgroundThe CARe methodology aims to improve the quality of life of people with severe mental illness by supporting them in realizing their goals, handling their vulnerability and improving the quality of their social environment. This study aims to investigate the effectiveness of the CARe methodology for people with severe mental illness on their quality of life, personal recovery, participation, hope, empowerment, self-efficacy beliefs and unmet needs.MethodsA cluster Randomized Controlled Trial (RCT) was… Show more

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Cited by 43 publications
(37 citation statements)
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“…Five of these studies showed (small) positive results (Ellison et al 2011;Fagan-Pryor et al 2009;Magliano et al 2016;Pioli et al 2006;Vandevooren et al 2007), among others, concerning functioning and residential status. Bitter et al (2017) evaluated, by means of a cluster randomized trial, CARe: A rehabilitation approach based on the strengths model and personal recovery in teams of supported accommodation, but did not find any differences in outcomes between the clients of trained and untrained teams.…”
Section: Societal Recoverymentioning
confidence: 97%
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“…Five of these studies showed (small) positive results (Ellison et al 2011;Fagan-Pryor et al 2009;Magliano et al 2016;Pioli et al 2006;Vandevooren et al 2007), among others, concerning functioning and residential status. Bitter et al (2017) evaluated, by means of a cluster randomized trial, CARe: A rehabilitation approach based on the strengths model and personal recovery in teams of supported accommodation, but did not find any differences in outcomes between the clients of trained and untrained teams.…”
Section: Societal Recoverymentioning
confidence: 97%
“…The third challenge is the integration of different approaches towards recovery. In several countries, different forms of support are fragmentized (Boevink et al 2016). For example, in the Netherlands a separation exists between clinical mental health care services and supported accommodation services.…”
Section: Suggestions For Development Of Practice and Researchmentioning
confidence: 99%
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“…Recently, the CARe methodology was evaluated in a cluster-randomised controlled trial (23). In this study, no significant differences were found between the outcomes of clients of trained and untrained teams (24). A possible explanation of this result could be the limited implementation of the methodology.…”
Section: Submitted 14 October 2018 Accepted 27 November 2018mentioning
confidence: 71%
“…This is illustrated by its association with positive results on different outcomes including decreased hospitalisation, improved quality of life, and improved social functioning [16,[28][29][30]. During the conduct of our study the results of another study, one on the effectiveness of CARe, a Strength-based method, were published [31]. Although this study reported an improved quality of life for clients, the difference between the intervention and control groups was not significant.…”
Section: The Feasibility Of Rehabilitation Methods Based On Thementioning
confidence: 79%