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ADHERENCE AND EMPOWERMENT: Service Participation and Meaningful Outcomes

坚持和授权：服务参与和有意义的成果

基本信息

批准号：
8531351
负责人：
PATRICK W CORRIGAN
金额：
$ 83.73万
依托单位：
ILLINOIS INSTITUTE OF TECHNOLOGY
依托单位国家：
美国
项目类别：
财政年份：
2009
资助国家：
美国
起止时间：
2009-09-09 至 2015-08-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8531351
关键词：
Achievement Address Adherence Advocate Area Belief Caring Chicago Collaborations Collection Community Health Community Integration Complex Data Data Collection Development Ensure Evaluation Evidence based practice Faculty Failure Fostering Foundations Funding Goals Health Policy Health Services Research Human Resources Individual Instruction Intervention Knowledge Life Literature Measurement Mental Health Mental Health Services Mental disorders Mentors Methods Modeling Monitor National Institute of Mental Health Outcome Participant Persons Postdoctoral Fellow Provider Public Health Recovery Research Research Design Research Infrastructure Research Methodology Research Personnel Research Project Grants Research Training Resources Role Services Symptoms Testing Time Training Work base design empowered empowerment evidence base heuristics improved innovation interest member motivational enhancement therapy multidisciplinary organizational structure pre-doctoral preference programs psychiatric disability service utilization severe mental illness social stigma theories treatment adherence treatment effect virtual

项目摘要

DESCRIPTION (provided by applicant): Despite evidence that suggests many psychiatric services help people with serious mental illness manage their illness and attain their life goals, some individuals who might benefit from these services opt not to participate or not to fully engage after beginning treatment. Treatment adherence is a complex and sometimes contentious concept that has been discussed for decades to explain failures to fully participate in and benefit from services. In this same time period, mental health consumers, service providers and researchers have begun to develop frameworks around concepts of empowerment, which emphasize consumer choice in treatment and services. The goal of our proposed Developing Center for Interventions and/or Services Research (DCISR) is to better understand relationships among these phenomena and to examine change strategies that enhance empowerment and adherence, which, in turn, influence participation in quality services and achievement of personally meaningful goals. Treatment adherence research has a rich empirical base which, unfortunately, offers little in terms of theory or treatment concepts (except perhaps for research on extended or intensive monitoring). The empowerment literature, by comparison, have developed a strong conceptual and theoretical approach but lack much empirical testing or development. We contend that generative, positive development in both these fields can be fostered by the intentional effort to develop a national scale research program, grounded in the efforts of productive investigators. Such a research program would support developmental activities that produce emergent theoretical frameworks that can be empirically tested, and theoretically driven research that contributes to new knowledge. Such knowledge could drive public health policy towards new, pro-active directions that improve the lives of people with mental illness. RELEVANCE (See instructions): One prominent goal of services research is to identify evidence-based practices (EBPs) that help people with serious mental illness achieve these outcomes. Many people who might benefit from EBPs and other psychiatric services decide not to seek them out or fully participate in them. One way in which service participation may be understood is in terms of the number of people who might benefit from psychiatric services but never seek them out.

描述（由申请人提供）：尽管有证据表明许多精神病服务可以帮助患有严重精神疾病的人管理他们的疾病并实现他们的生活目标，但一些可能从这些服务中受益的人选择不参与或在开始治疗后不完全参与。坚持治疗是一个复杂的，有时是有争议的概念，几十年来一直在讨论，以解释未能充分参与和受益于服务。在同一时期，心理健康消费者、服务提供者和研究人员已开始围绕赋权概念制定框架，强调消费者在治疗和服务方面的选择。我们提出的干预和/或服务研究发展中心（DCISR）的目标是更好地了解这些现象之间的关系，并研究提高授权和坚持的变革战略，这反过来又会影响参与优质服务和实现个人有意义的目标。治疗依从性研究有丰富的经验基础，不幸的是，在理论或治疗概念方面提供的很少（也许除了扩展或强化监测的研究）。相比之下，关于增强权能的文献已经形成了强有力的概念和理论方法，但缺乏大量的实证检验或发展。我们认为，在这两个领域的生成性，积极的发展可以通过有意识的努力，以发展一个国家规模的研究计划，在生产调查的努力为基础，培育。这样一个研究计划将支持发展活动，产生新兴的理论框架，可以通过经验检验，理论驱动的研究，有助于新的知识。这些知识可以推动公共卫生政策朝着新的积极方向发展，改善精神疾病患者的生活。相关性（参见说明）：服务研究的一个突出目标是确定循证实践（EBP），帮助严重精神疾病患者实现这些结果。许多可能从EBP和其他精神病服务中受益的人决定不去寻找他们或完全参与他们。理解服务参与的一种方式是，从可能受益于精神病服务但从未寻求服务的人数方面来理解。

项目成果

期刊论文数量（27）

专著数量（0）

科研奖励数量（0）

会议论文数量（0）

专利数量（0）

Measurement equivalence of the Empowerment Scale for White and Black persons with severe mental illness.

患有严重精神疾病的白人和黑人赋权量表的测量等效性。

DOI：
10.1037/prj0000069
发表时间：
2014
期刊：
Psychiatric rehabilitation journal
影响因子：
1.9
作者：
Morris,ScottB;Huang,Jialin;Zhao,Lei;Sergent,JessicaD;Neuhengen,Jonas
通讯作者：
Neuhengen,Jonas

Factors predicting help seeking for mental illness among college students.

预测大学生中寻求精神疾病的因素。

DOI：
10.1080/09638237.2020.1739245
发表时间：
2021-06
期刊：
JOURNAL OF MENTAL HEALTH
影响因子：
3.3
作者：
Kosyluk, Kristin A.;Conner, Kyaien O.;Al-Khouja, Maya;Bink, Andrea;Buchholz, Blythe;Ellefson, Sarah;Fokuo, Konadu;Goldberg, David;Kraus, Dana;Leon, Adeline;Powell, Karina;Schmidt, Annie;Michaels, Patrick;Corrigan, Patrick W.
通讯作者：
Corrigan, Patrick W.

Who Comes Out With Their Mental Illness and How Does It Help?