Schön Ulla-Karin, Svedberg Petra, Rosenberg David
Ulla-Karin Schön, School of Health and Social Work, Dalarna University , Sweden.
Nord J Psychiatry. 2015 May;69(4):275-81. doi: 10.3109/08039488.2014.972453. Epub 2014 Nov 7.
Recovery is understood to be an individual process that cannot be controlled, but can be supported and facilitated at the individual, organizational and system levels. Standardized measures of recovery may play a critical role in contributing to the development of a recovery-oriented system. The INSPIRE measure is a 28-item service user-rated measure of recovery support. INSPIRE assesses both the individual preferences of the user in the recovery process and their experience of support from staff.
The aim of this study was to evaluate the psychometric properties of the Swedish version of the INSPIRE measure, for potential use in Swedish mental health services and in order to promote recovery in mental illness.
The sample consisted of 85 participants from six community mental health services targeting people with a diagnosis of psychosis in a municipality in Sweden. For the test-retest evaluation, 78 participants completed the questionnaire 2 weeks later.
The results in the present study indicate that the Swedish version of the INSPIRE measure had good face and content validity, satisfactory internal consistency and some level of instability in test-retest reliability.
While further studies that test the instrument in a larger and more diverse clinical context are needed, INSPIRE can be considered a relevant and feasible instrument to utilize in supporting the development of a recovery-oriented system in Sweden.
康复被认为是一个无法控制但可在个人、组织和系统层面得到支持与促进的个体过程。标准化的康复测量可能在促进以康复为导向的系统发展中发挥关键作用。INSPIRE测量工具是一项由服务使用者自评的包含28个条目的康复支持测量工具。INSPIRE既评估使用者在康复过程中的个人偏好,也评估他们从工作人员那里获得支持的体验。
本研究的目的是评估INSPIRE测量工具瑞典语版本的心理测量特性,以便在瑞典心理健康服务中潜在使用,并促进精神疾病的康复。
样本包括来自瑞典一个市的六个社区心理健康服务机构的85名参与者,这些机构针对被诊断患有精神病的人群。在重测评估中,78名参与者在两周后完成了问卷。
本研究结果表明,INSPIRE测量工具瑞典语版本具有良好的表面效度和内容效度、令人满意的内部一致性以及重测信度方面一定程度的不稳定性。
虽然需要在更大且更多样化的临床环境中对该工具进行测试的进一步研究,但INSPIRE可被视为在支持瑞典以康复为导向的系统发展中使用的相关且可行的工具。