Boston University, USA.
Psychiatr Rehabil J. 2011 Winter;34(3):177-85. doi: 10.2975/34.3.2011.177.185.
The purpose of this study was to empirically validate a set of conceptually derived recovery-promoting competencies from the perspectives of mental health consumers, consumer-providers and providers.
A national sample of 603 consumers, 153 consumer-providers and 239 providers completed an anonymous survey via the Internet. The survey evaluated respondents' perceptions about a set of 37 competencies hypothesized to enhance clients' hope and empowerment and inquired about interactions with providers that enhanced clients' recovery process. We used descriptive statistics and ranking to establish the relevance of each competency and generalized linear models and post-hoc tests to examine differences in the consumers', consumer-providers' and providers' assessments of these competencies.
Analyses confirmed the recovery relevance of several competencies and their relative importance within each group of study participants. They also revealed that while most competencies tended to have universal significance, others depended more strongly on the client's preferences. Finally, differences in the perceptions of consumers, consumer-providers and providers about the recovery relevance of these competencies were established.
The study highlighted the crucial role practitioners play in enhancing recovery from serious mental illnesses through specific strategies and attitudes that acknowledge clients' personhood and foster their hopefulness, empowerment and illness management. It informed the development of a new instrument measuring providers' recovery-promoting competence and provides guidelines for sharpening the recovery focus of a wide range of mental health and rehabilitation services.
本研究旨在从心理健康消费者、消费者提供者和提供者的角度,对一组从概念上得出的促进康复的能力进行实证验证。
通过互联网,对全国 603 名消费者、153 名消费者提供者和 239 名提供者进行了一项匿名调查。该调查评估了受访者对一组 37 项能力的看法,这些能力假设可以增强客户的希望和赋权,并询问了与提供者的互动情况,这些互动可以增强客户的康复过程。我们使用描述性统计和排名来确定每个能力的相关性,并使用广义线性模型和事后检验来检验消费者、消费者提供者和提供者对这些能力的评估差异。
分析证实了一些能力的康复相关性及其在每个研究参与者群体中的相对重要性。它们还表明,虽然大多数能力往往具有普遍性,但其他能力则更多地取决于客户的偏好。最后,确定了消费者、消费者提供者和提供者对这些能力的康复相关性的看法存在差异。
该研究强调了从业者通过承认客户的人格并培养他们的希望、赋权和疾病管理来通过特定策略和态度促进严重精神疾病康复的关键作用。它为开发一种新的衡量提供者促进康复能力的工具提供了信息,并为广泛的心理健康和康复服务的康复重点提供了指导方针。