Illness Mgt & Recovery Treatment Integrity Scale & Intervention Development

描述(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严重精神疾病患者更好地管理他们的精神疾病的计划。对程序模型的忠诚度已被证明与其他循证实践的结果有关。尽管IMR有一个程序级的保真度量表，但鉴于其复杂的临床性质，临床医生级的保真度可能更适合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提高了程序模型的保真度，但这种监督的必要组成部分或特定于IMR的指南几乎没有详细说明。目前的建议包括四个目标：1)建立IMR治疗诚信量表(IT-IS)的内容效度，2)检验IT-IS的结构效度，3)开发针对IMR的协作式目标设定监督干预，以及4)试点 这些干预措施的效果。为了实现这些目标，研究小组将首先进行 IMR专家的调查。其次，它将跟踪IMR保真度，并将其与参与IMR小组的消费者结果的变化关联起来。第三，研究团队将开发特定于IMR的目标设置干预，并使用等待名单、交叉设计，测试接受干预和提高IMR保真度之间的关联。

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.