Table 2 Overview of IMR pilot study (main feasibility objectives and outcomes)
| Â | Objectives | Outcome measures | Feasibility criteria | Outcomes |
|---|---|---|---|---|
1 | To include sufficient participants | Monitoring; interviews | 60 people | 81 people included of 167, assessed for eligibility (49Â %); sufficient for 6 IMR groups |
2 | Clients’ and clinicians’ satisfaction with IMR | Interviews | Satisfaction of most participants and clinicians with IMR | Completers and trainers:(very) positive about IMR |
3 | IMR outcome (pre-post design) | IMR Scale client version (Mueser et al. 2004) IMR Scale clinician version (Mueser et al. 2004) RMQ (Ridgway et al. 2003) | Significant results on our outcome measures | IMRS clinician version (p < 0.001, d = 0.84)a IMRS client version (p = 0.063; d = 0.41) RMQ (p = 0.003, d = 0.52)a. |
4 | Satisfactory fidelity | IMR fidelity scale (Mueser et al. 2009) | Total scores on the fidelity scale of at least 4.0. | Total score (six groups): Mean (SD) = 4.0 (0.20) Three groups: total scores ≥ 4.0 Three groups: total scores < 4.0 |
5 | Trainers' education and supervision | Interviews | Two-day training and Supervision of two hours per week | Two-day course before start of the pilot; Supervision bi-weekly for two hours; Additional training 2 x per year for 4Â h. |
6 | Dropout from IMR | Monitoring; interviews | Exploration, no targets set | Dropout from IMR of 51Â % |
7 | Duration of the IMR-program | Monitoring; interviews | Predictable; 9–12 months | M = 12.7 months, SD = 3.14 |