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

What this Trial Is About

Researchers are evaluating two different evidence-based self-management programs for people with serious mental illness who also have chronic medical conditions. The study compares Integrated Illness Management and Recovery (I-IMR), a program developed to train individuals on both physical and mental health self-management, with the Stanford Chronic Disease Self-Management Program (CDSMP), which focuses mainly on physical health self-management. This study aims to understand which program better supports people with serious mental illness in managing their health and preventing hospital events. The study randomly assigns 600 participants to one of two groups: 300 will receive I-IMR, which consists of 16 sessions including 2 individual sessions for recovery principles and goal setting followed by 14 group sessions tailored to individual needs; the other 300 will participate in the CDSMP, a group-based 6-session educational program co-delivered by trained peers or a peer and a health professional. Both interventions are delivered through community mental health providers or outreach workers. Participants will be involved in assessments over 12 months, including measuring their knowledge and skills in illness management, patient activation, acute hospital events through medical record review, and behaviors related to preventing COVID-19 spread over 12 weeks. Researchers will track progress from baseline through these follow-up periods to evaluate changes in self-management abilities and health outcomes. The total study duration extends to early 2027, with safety and outcome monitoring throughout.

Comparative Effectiveness of IIMR Versus CDSMP