A randomized controlled trial on the effectiveness of the abridged illness management and recovery program for people with schizophrenia spectrum disorders

Objective This study aimed to investigate the effectiveness of an abridged version of the Illness Management and Recovery Programme (AIMR) that was modified and developed in Hong Kong through a mult-centre randomized controlled trial for patients with schizophrenia spectrum disorders. Methods This s...

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Published in:	Hong Kong journal of occupational therapy Vol. 36; no. 2; pp. 118 - 127
Main Authors:	Wong, Raymond Hung Kei, Wing Cheong Au, Raymond, Wai Lan, Chan, Pi Fan, Chiu, Chiu, Frank Pi Fan, Chu, Mann Man Keung, Chung Lung Kong, Thomas, Lo, Ada Wai Yu, Mak, Donald Chi Shing, Wong, Justina KP, Yam, Sharifa YP
Format:	Journal Article
Language:	English
Published:	London, England SAGE Publications 01-12-2023 Sage Publications Ltd SAGE Publishing
Subjects:	Clinical trials Occupational therapy Schizophrenia Hong Kong China China Occupational therapy illness management and recovery abridged version of the illness management and recovery programme schizophrenia recovery illness management
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Summary:	Objective This study aimed to investigate the effectiveness of an abridged version of the Illness Management and Recovery Programme (AIMR) that was modified and developed in Hong Kong through a mult-centre randomized controlled trial for patients with schizophrenia spectrum disorders. Methods This study was implemented in 10 occupational therapy departments, psychiatric day hospitals of 7 Hospital Authority clusters in Hong Kong. A total of 211 patients with schizophrenia or schizoaffective disorder was recruited and randomized into either the experimental or the control condition. In the control group, the subjects went through conventional occupational therapy programmes. In the experimental group, the subjects went through an additional 10-session programme of AIMR. Participants were measured at baseline, completion of the AIMR, and 3-month after the AIMR programme. Measures include the expanded version of the Brief Psychiatric Rating Scale (BPRS-E), the client version of the Illness Management and Recovery Scale (IMRS), the Snyder Hope Scale, the Social and Occupational and Occupational Functioning Assessment Scale (SOFAS), the WHO Quality of Life Scale (WHOQOL-BREF), and the Chinese Version of the Short Warwick-Edinburgh Mental Well-Being Scale (C-SWEMWBS). Results Both the experimental and control cohorts had comparable clinical and socio-demographic characteristics except years of education and duration of illness. These two variables were entered as covariates in the linear mixed model which showed that the experimental group had significantly higher improvement than the control group in terms of illness management (F = 4.82; p = .03; Cohen’s d = .45), functional (F = 10.65; p = .001; Cohen’s d = .58), and hope (F = 5.52; p = .02; Cohen’s d = .08) measures after the completion of treatment. Conclusion The results supported the effectiveness of the AIMR programm which would be important in the recovery oriented practices in psychiatry.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	1569-1861 1876-4398
DOI:	10.1177/15691861231204904