Illness Mgt & Recovery Treatment Integrity Scale & Intervention Development

描述（由申请人提供）：疾病管理和康复是一个旨在通过提供教育和应对技能来帮助患有严重精神疾病的人更好地管理他们的精神疾病的项目。在其他以证据为基础的实践中，对程序模型的忠诚已被证明与结果有关。虽然IMR有一个程序级保真度量表，但考虑到IMR复杂的临床性质，医生级保真度可能更适合于IMR。应用研究团队创建了这样一个量表，并发现它是可靠的。此外，尽管以循证实践（EBP）为重点的监督已被证明增加了项目模型的保真度，但这种监督的必要组成部分或针对IMR的指导方针的规范很少。目前的建议将包括四个目标：1)建立IMR治疗完整性量表（IT-IS）的内容效度，2)测试IT-IS的结构效度，3)开发针对IMR的协作目标设定监督干预措施，以及4)试点

DESCRIPTION (provided by applicant): Illness management and recovery is a program designed to help people with severe mental illness better manage their mental illnesses by providing education and coping skills. Fidelity to program models has been shown to be linked with outcomes in other evidence-based practices. Although IMR has a program-level fidelity scale, a clinician-level fidelity may be more appropriate for IMR given its complex clinical nature The applying research team has created such a scale and found it to be reliable. Additionally, although evidence-based practice (EBP)-focused supervision has been shown increase fidelity to program models, there is little specification of the necessary components of such supervision or guidelines specific to IMR. The current proposal will include four aims: 1) establishing the content validity of the IMR Treatment Integrity Scale (IT-IS), 2) test the construct validity of th IT-IS, 3) develop an IMR-specific collaborative goal-setting supervision intervention, and 4) pilot the interventions efficacy. In order to accomplish these aims, the research team will first conduct an IMR experts survey. Second, it will track IMR fidelity and correlate it with changes in outcomes in consumer participating in IMR groups. Third, the research team will develop an IMR-specific goal-setting intervention and using a wait-list, cross-over design, test the association between receipt of the intervention and increased IMR fidelity. PUBLIC HEALTH RELEVANCE: This proposed study is addressing fidelity to the program guidelines of illness management and recovery (IMR). IMR helps people with severe mental illness better manage their illness and fidelity to program models, in general, lead to better program outcomes. This study will validate a scale to measure IMR fidelity and develop a program to increase fidelity.