RecruitingNot ApplicableNCT03966872

Comparative Effectiveness of IIMR Versus CDSMP

Comparative Effectiveness of Integrated Illness Management and Recovery Versus the Chronic Disease Self-Management Program


Sponsor

Dartmouth-Hitchcock Medical Center

Enrollment

600 participants

Start Date

Sep 2, 2019

Study Type

INTERVENTIONAL

Conditions

Summary

The study will enroll 600 people with serious mental illness who receive services at Centerstone in KY or TN and will compare two different evidence-based self-management interventions: Integrated Illness Management and Recovery (I-IMR), a program developed by the study team at Dartmouth that trains people with serious mental illness on physical and mental health self-management, and the Stanford Chronic Disease Self-Management Program (CDSMP), a program largely focused on physical health self-management that has been used widely in the general population.


Eligibility

Min Age: 18 Years

Inclusion Criteria2

  • Serious Mental Illness (diagnosis of schizophrenia, schizoaffective disorder, bipolar disorder, or chronic depression with moderate impairment in functioning) receiving services at Centerstone(KY and TN)
  • Diagnosis of a chronic medical condition increasing risk of early mortality from cardiovascular or respiratory disease (e.g., diabetes, hyperlipidemia, hypertension, COPD, heart failure, tobacco dependence, obesity), and at least 1 ER visit or hospitalization within the past year or judgment by the treatment team of substantial need for illness self-management training.

Exclusion Criteria5

  • Consumers who do not speak English
  • Consumers with either no, or a well-controlled medical condition will not be included
  • Individuals residing in a nursing home or other institution
  • Evidence of significant cognitive impairment as indicated by a Mini Mental Status Examination score <24, will be excluded
  • Eligibility for the COVID -related substudy is dependent on enrollment and participation in the parent project.

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Interventions

BEHAVIORALIntegrated Illness Management and Recovery

Education and skills training groups on illness management of chronic medical and psychiatric illness.

BEHAVIORALChronic Disease Self-Management Program

Education and skills training groups on illness management of chronic conditions


Locations(2)

Seven Counties Services

Louisville, Kentucky, United States

Centerstone

Nashville, Tennessee, United States

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NCT03966872


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