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帮助严重精神疾病患者更好地管理他们的精神疾病，通过提供教育和应对技能的计划。对计划模型的忠诚已被证明与其他循证实践的结果有关。虽然IMR有一个程序级保真度量表，但鉴于其复杂的临床性质，临床医生级保真度可能更适合IMR。申请研究团队创建了这样一个量表，并发现它是可靠的。此外，虽然循证医学实践（EBP）为重点的监督已被证明增加保真度的程序模型，有这样的监督或指导方针具体IMR的必要组成部分的规格很少。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的合作目标设定监督干预，4）试点 干预的有效性。为了实现这些目标，研究小组将首先进行 IMR专家调查。其次，它将跟踪IMR保真度，并将其与参与IMR组的消费者的结果变化相关联。第三，研究小组将开发一种IMR特定的目标设定干预措施，并使用等待列表，交叉设计，测试干预措施的接受与IMR保真度增加之间的关联。

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.