A randomized controlled trial of the effectiveness of the illness management and recovery program
A randomized controlled trial of the effectiveness of the illness management and recovery program
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DOI：
10.1176/appi.ps.58.11.1461
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发表时间：
2007-11-01
影响因子：
3.8
通讯作者：
Kravetz, Shlomo
中科院分区：
文献类型：
--
作者：
Hasson-Ohayon, Ilanit;Roe, David;Kravetz, Shlomo
目的：本研究评估以小组形式实施的疾病管理和康复计划的有效性。研究方法：共有210名患有严重精神疾病的人在以色列社区康复中心接受治疗，他们被随机分配到疾病管理和康复计划或照常治疗。疾病管理和恢复量表（客户端和临床医生的版本）和应对措施和社会支持的干预前后管理的参与者。结果如下：疾病管理和康复计划的参与者与那些接受常规治疗的人相比，在了解他们的疾病和实现个人目标方面有了显着的改善。临床医生的评级也表明，与那些接受常规治疗的患者相比，疾病管理和康复计划的患者的总体结局有显着改善。两组的应对能力都有显着改善，两组的社会支持没有变化。结论：疾病管理和康复计划有效地增加了客户对自己疾病的了解，并帮助他们朝着个人目标取得进展。
Objective: This study evaluated the effectiveness of the Illness Management and Recovery program implemented in a group format. Methods: A total of 210 persons with a severe mental illness receiving treatment at rehabilitation centers in the community in Israel were randomly assigned to either the Illness Management and Recovery program or treatment as usual. The Illness Management and Recovery Scale (client and clinician versions) and measures of coping and social support were administered to participants before and after the intervention. Results: Participants in the Illness Management and Recovery program showed significant improvement in knowledge about their illness and progress toward their personal goals compared with those receiving treatment as usual. Clinician ratings also indicated significant improvement in overall outcome for clients in the Illness Management and Recovery program compared with those who received treatment as usual. Significant improvement in coping was found in both groups, and no change in social support was found for either group. Conclusions: The Illness Management and Recovery program was effective in increasing clients' knowledge of their illness and helping them make progress toward personal goals.