Center for Psychiatric Rehabilitation, Sargent College of Health and Rehabilitation Sciences, Boston University, MA 02215, USA.
Psychiatr Rehabil J. 2013 Mar;36(1):7-14. doi: 10.1037/h0094741.
The purpose of this study was to construct and validate an instrument that measures practitioners' competence to promote the recovery among individuals with psychiatric disabilities from the perspective of the person served. Items were developed based upon input from individuals served and practitioners as well as the extant literature on recovery. "Recovery-promoting competence" was conceptualized as a set of practitioner capabilities that promote the recovery process and enhance the working alliance.
A scale was developed using a two-stage process that initially identified specific recovery-promoting competencies and then tested candidate items measuring those competencies. Item Response Theory and Classical Test Theory approaches were used to validate the instrument and assess its psychometric properties with a national sample of 382 individuals with psychiatric disabilities.
Analyses revealed two distinct sets of recovery-promoting competencies: (a) competencies that enhance clients' recovery, and (b) competencies that build and maintain a strong therapeutic or working alliance. The first set further differentiated into subcompetencies-enhancing clients' hopefulness, empowerment, and self-acceptance. The instrument had high internal consistency and acceptable stability over time, convergent, criterion, and known groups' validity.
This scale is a tool for assessing mental health and rehabilitation practitioners' competencies from the perspective of the individual served which can be used both in research and program evaluation of agencies serving individuals with psychiatric disabilities.
本研究旨在构建和验证一种工具，从服务对象的角度衡量从业者促进精神病残疾个体康复的能力。这些项目是基于服务对象和从业者的投入以及关于康复的现有文献开发的。“促进康复的能力”被概念化为一套促进康复过程和增强工作联盟的从业者能力。
该量表采用两阶段的过程开发，首先确定特定的促进康复的能力，然后测试衡量这些能力的候选项目。采用项目反应理论和经典测试理论方法，对 382 名精神病残疾患者的全国样本进行了工具的验证和心理测量特性评估。
分析显示了两组不同的促进康复的能力：（a）增强客户康复的能力，（b）建立和维护强大的治疗或工作联盟的能力。第一组进一步细分为增强客户希望、赋权和自我接受的子能力。该工具具有较高的内部一致性和可接受的时间稳定性，具有收敛、标准和已知群体的有效性。
该量表是一种从服务对象的角度评估心理健康和康复从业者能力的工具，可用于服务精神病残疾个体的机构的研究和项目评估。
