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Not recruiting

IIMR vs. CDSMP

Sponsor:

Dartmouth-Hitchcock Medical Center

Code:

NCT03966872

Conditions

Mental Illness

Chronic Disease

Eligibility Criteria

Sex: All

Age: 18+

Healthy Volunteers: Not accepted

Interventions

Integrated Illness Management and Recovery

Chronic Disease Self-Management Program

Study Details

Brief 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.

Conditions

Mental Illness

Chronic Disease

Study ID

NCT03966872

Start date

Sep 2, 2019

Status verified date

Jul, 2026

Completion date

Jan, 2027

Anticipated

Primary completion date

Jul 15, 2026

Eligibility Criteria

Eligibility Criteria

Sex: All

Age: 18+

Healthy Volunteers: Not accepted

Inclusion Criteria:

  • 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 Criteria:

  • 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.

Study Design

Enrollment

601 participants

Allocation

Randomized

Intervention Model

Factorial

Primary purpose

Health Services Research

Interventions and Outcome Measures

Arms

experimental: Integrated Illness Management and Recovery (I-IMR):

Participants assigned to I-IMR will receive 2 individual sessions to discuss principles of recovery and set personally meaningful goals, with the remainder of the 14 I-IMR sessions delivered in groups of 8-10 (to enable individual tailoring)

experimental: Stanford Chronic Disease Self-Management Program (CDSMP):

Participants randomly assigned get a 6-session group-based educational program co-delivered by two peers (lay people who have successfully managed a chronic illness) or a peer and a professional

Interventions

Integrated Illness Management and Recovery

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

Chronic Disease Self-Management Program

Education and skills training groups on illness management of chronic conditions

Primary outcome measure

  • Change in Knowledge and skills in illness self-management using the Illness Management and Recovery Scale [ Time Frame: Change from Baseline to 12 months ]
  • Change in Patient Activation on the Patient Activation Measure (PAM) [ Time Frame: Change from Baseline to 12 months ]
  • Change in Acute Hospital Events from Electronic Medical Record Review. [ Time Frame: Change from Baseline to 12 months ]
  • Knowledge and Behaviors for Preventing Catching and Spreading COVID-19 Scale [ Time Frame: Change from Baseline to 12 weeks ]

Central Contacts and Locations

More Information

Sponsor

Dartmouth-Hitchcock Medical Center

Last update posted

Jul 22, 2026

Last verified

Jul, 2026

Keywords

  • integrated health
  • mental health
  • illness management
  • cardiovascular disease
  • physical health

Trial information was received from ClinicalTrials.gov and was last updated on 2026-09-16. This information was provided to ClinicalTrials.gov by Dartmouth-Hitchcock Medical Center on 2026-07-22.