The Relationship Between Insight of Illness and Treatment Engagement
Research type
Research Study
Full title
The Relationship Between Insight of Illness and Treatment Engagement
IRAS ID
340296
Contact name
Charlie Bickley
Contact email
Sponsor organisation
Cygnet Hospital Blackheath
Duration of Study in the UK
0 years, 1 months, 27 days
Research summary
The present study aims to find out whether patients who believe their condition -
. is long lasting and recurring (timeline)
. has a more severe impact (consequences)
. is treatable (treatment control)
. can be influenced by their own actions (personal control)
. is less understandable (coherence)
. that its symptoms are attributable to mental health difficulties (identity)
- predicts better engagement scores from both the patient and staff.This will be achieved by participants completing the Illness Perception Questionnaire for Schizophrenia (IPQS) which measures the Common-Sense Model (CSM) constructs.
Constructs:
. Timeline (beliefs about the temporal course of the illness)
. Control:
- Treatment control (beliefs about the treatability of the condition)
- Personal control (belief that one can influence the condition through one’s own actions)
. Identity (beliefs about the diagnosis and symptoms)
. Cause (belief about its aetiology)
. Consequences (beliefs about the wider impact of the condition on one’s life)
. Coherence (how much the person believes they understand their condition)Patients will complete the University of Rhode Island Change Assessment (URICA; only the action sub-scale); measuring the degree to which a participant perceives that they are taking active steps to address their mental health difficulties e.g. “I am actively working on my mental health problems.”
Staff will complete the Treatment Engagement Rating (TER). TER is an observer-rated questionnaire that contains nine subscales: participation, constructive use of sessions, openness, efforts to change behaviour, efforts to improve socio-economic situation, making sacrifices, goal directedness, reflection between sessions, and global evaluation of treatment engagement.
REC name
East Midlands - Derby Research Ethics Committee
REC reference
24/EM/0251
Date of REC Opinion
12 Nov 2024
REC opinion
Unfavourable Opinion