Rasch analysis of the illness management and recovery scale‐clinician version

McGuire, Alan B.; Kean, Jacob; Bonfils, Kelsey A.; Presnell, Jade; Salyers, Michelle P.

doi:10.1111/jep.12140

Cited by 8 publications

(30 citation statements)

References 37 publications

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“…Another critical element of IMR is cognitive behavioral therapy (CBT) techniques (McGuire et al, 2014). Numerous clinical trials and some meta-analysis have shown that CBT is an effective and cost-efficient treatment for symptom reduction and management in people with a range of severe mental illnesses (van der Gaag, 2014), including schizophrenia (Wykes, Steel, Everitt, & Tarrier, 2008), major depressive disorders (Cuijpers et al, 2013), and bipolar disorder (Szentagotai & David, 2010).…”

Section: Critical Elements Of Imrmentioning

confidence: 99%

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Illness management and recovery in community practice.

McGuire¹,

Bartholomew²,

Anderson³

et al. 2016

Psychiatric Rehabilitation Journal

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Objective To examine provider competence in providing Illness Management and Recovery (IMR), an evidence-based self-management program for people with severe mental illness, and the association between implementation supports and IMR competence. Methods IMR session recordings, provided by 43 providers/provider pairs, were analyzed for IMR competence using the IMR treatment integrity scale. Providers also reported on receipt of commonly available implementation supports (e.g., training, consultation). Results Average IMR competence scores were in the “Needs Improvement” range. Clinicians demonstrated low competence in several IMR elements: significant other involvement, weekly action planning, action plan follow-up, cognitive-behavioral techniques, and behavioral tailoring for medication management. These elements were commonly absent from IMR sessions. Competence in motivational enhancement strategies and cognitive-behavioral techniques differed based on the module topic covered in a session. Generally, receipt of implementation supports was not associated with increased competence; however, motivational interviewing training was associated with increased competence in action planning and review. Conclusions and Implications for Practice IMR, as implemented in the community, may lack adequate competence and commonly available implementation supports do not appear to be adequate. Additional implementation supports that target clinician growth areas are needed.

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Section: Critical Elements Of Imrmentioning

confidence: 99%

“…These elements were used as the foundation for IMR (Gingerich & Mueser, 2004). In a subsequent effort, McGuire and colleagues (2014) utilized an expert survey to establish agreement regarding a total of sixteen critical elements of IMR. Each of these elements has been independently linked with consumer outcomes.…”

mentioning

confidence: 99%

Illness management and recovery in community practice.

McGuire¹,

Bartholomew²,

Anderson³

et al. 2016

Psychiatric Rehabilitation Journal

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“…The IMRS was selected as a widely used measure of recovery tailored specifically to the treatment targets of the IMR program (McGuire, Kean, Bonfils, Presnell, & Salyers, 2014; Scheyett, DeLuca, & Morgan, 2013). Illness self-management is a key outcome of the IMR intervention and accordingly, was used to assess level of treatment response.…”

Section: Methodsmentioning

confidence: 99%

“…Despite robust evidence for overall treatment effects, consumers receiving IMR vary substantially in their responsiveness (McGuire et al, 2014). Moreover, in our recently completed multi-site trial (see Methods section for description), only 38% of consumers with SMI demonstrated a substantial increase in illness self-management (McGuire et al, 2016).…”

mentioning

confidence: 99%

“…In addition to illness self-management, IMR aims to develop personalized adaptive coping skills for consumers to aid in recovery (McGuire et al, 2014; Salyers et al, 2009). Within chronically ill and SMI samples, research has demonstrated a positive relationship between perceived social support and the development of coping strategies (Luszczynska, Mohamed, & Schwarzer, 2005; Macdonald, Pica, McDonald, Hayes, & Baglioni Jr, 1998).…”

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confidence: 99%

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

White¹,

McGuire²,

Luther³

et al. 2017

Psychiatric Rehabilitation Journal

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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.

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