Chapter 5 132 This study provides indications regarding the efficacy of IMR on components of personal recovery. However, we found no effects on clinical and functional recovery. There is a need for further research to confirm these findings. We suggest that challenges in implementing the multiple specific clinical skills required for IMR may impede the achievement of specific outcomes. Therefore, more training as well as more specific and comprehensive training in different IMR elements is recommended based on the results of this research. However, within IMR, protocolized application of the EBPs underlying IMR may present a logistical challenge. The quality of IMR implementation appeared to be relevant given the association of IMR fidelity with effects on self-esteem; moreover, greater exposure to IMR appeared to enhance these effects. Therefore, based on the findings of the current research as well as the overall literature to date, we propose more comprehensive initial and continuing education for IMR trainers to improve high-fidelity IMR implementation, as well as an emphasis on new and innovative strategies focusing on promoting IMR completion.
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