Page 213 - HA Convention 2016 [Full Version]

Service Enhancement Presentations HOSPITAL AUTHORITY CONVENTION 2016

F5.6 Healthcare Advances, Research and Innovations 09:00 Room 421

Preliminary Result of a Multi-centre Randomised Controlled Trial on Abridged Illness Management and Recovery

Programme (AIMR) for Patient with Schizophrenia
Wong HK 1, Au R 2, Chan WL 3, Chiu F 4, Chu M 5, Kong T 6, Lo A 7, Mak D 8, Wong J 9, Yam S10
1Occupational Therapy Department, Queen Mary Hospital, 2Occupational Therapy Department, United Christian Hospital,
3Occupational Therapy Department, Castle Peak Hospital, 4Occupational Therapy Department, Tai Po Hospital, 5Occupational
Therapy Department, Shatin Hospital, 6Occupational Therapy Department, Rehabilitation Activity Centre, Kwai Chung Hospital,
7Occupational Therapy Department, Kowloon Hospital, 8Occupational Therapy Department, East Kowloon Psychiatric Centre,
Kwai Chung Hospital, 9Occupational Therapy Department, Pamela Youde Nethersole Eastern Hospital, 10Occupational Therapy

Department, West Kowloon Psychiatric Center, Kwai Chung Hospital, Hong Kong

Introduction

The evidence-based Illness Management and Recovery (IMR) programme of the Substance Abuse and Mental Health
Services Administration (SAMHSA) has been widely used around the world to promote recovery of patients with mental
illness. However, the programme is in English and is too lengthy. Thus a task group under the Coordinating Committee,
Occupational Therapy (OTCOC) has developed an abridged Chinese version (AIMR) for use in Hong Kong. A multi-centre
randomised controlled trial was conducted to investigate the effectiveness of the AIMR programme.

Objectives

To investigate the effectiveness of AIMR for individuals with schizophrenia spectrum disorders in Hong Kong.

Methodology Wednesday, 4 May

A sample of 88 individuals with schizophrenia or schizoaffective disorder was recruited from psychiatric day hospitals from
seven clusters of the Hospital Authority. Subjects were randomised into either experimental or control group. In control
group, 41 subjects went through traditional occupational therapy programmes. In the experimental group, 47 subjects went
through an additional 10-session programme of AIMR aiming at building abilities in self-management, personal goal setting,
social support, appropriate use of medication, relapse prevention, and coping with persistent symptoms. Each individual
was measured at baseline and completion of the AIMR programme. Measures included 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 experimental and control groups have comparable socio-demographic, and baseline clinical and functional
characteristics. Repeated measure ANOVA shows that the experimental group has significantly higher clinical and functional
outcomes including IMRS (p < 0.005), SOFAS (p = 0.005), Hope Scale (p < 0.05), QOL question one (p < 0.05), and QOL
psychological (p = 0.005). The preliminary results support the effectiveness of the AIMR programme which would be
important in the recovery-oriented practices in psychiatry.

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