Hancock Nicola, Scanlan Justin Newton, Honey Anne, Bundy Anita C, O'Shea Katrina
The University of Sydney, Sydney, Australia
The University of Sydney, Sydney, Australia.
Aust N Z J Psychiatry. 2015 Jul;49(7):624-33. doi: 10.1177/0004867414564084. Epub 2014 Dec 19.
A self-report instrument of mental health recovery is needed both to facilitate collaborative, recovery-oriented practice and measure recovery-focused outcomes. The Recovery Assessment Scale - Domains and Stages (RAS-DS) has been developed to simultaneously fulfill these goals. The aim of this study was to test the feasibility and measurement properties of the RAS-DS.
Feasibility was examined by 58 consumer-staff pairs volunteering from 3 non-government organisations. Consumers completed the RAS-DS, discussed it with staff, and then both completed Usefulness Questionnaires. The psychometric properties were examined using Rasch analysis with the data from these consumer participants and from additional participants recruited from two Partners in Recovery programs (N=324).
Over 70% of consumers reported taking 15 minutes or less to complete the RAS-DS and rated the instrument as easy or very easy to use. Qualitative data from both consumers and staff indicated that, for most, the RAS-DS was an easy to use, meaningful resource that facilitated shared understandings and collaborative goal setting. However, for a very small number of consumers, the instrument was too confronting and hard to use. Rasch analysis demonstrated evidence for excellent internal reliability and validity. Raw scores were highly correlated with Rasch-generated overall scores and thus no transformation is required, easing use for clinicians. Preliminary evidence for sensitivity to change was demonstrated.
The results provide evidence of the feasibility and psychometric strengths of the RAS-DS. Although further research is required, the RAS-DS shows promise as a potential addition to the national suite of routine outcome measures.
需要一种心理健康康复的自我报告工具，以促进以康复为导向的协作实践，并衡量以康复为重点的结果。已经开发了康复评估量表-领域与阶段（RAS-DS）来同时实现这些目标。本研究的目的是测试RAS-DS的可行性和测量属性。
由来自3个非政府组织的58对消费者-工作人员志愿者对可行性进行了检验。消费者完成RAS-DS，与工作人员进行讨论，然后双方都完成有用性问卷。使用拉施分析对这些消费者参与者以及从两个康复伙伴计划招募的其他参与者（N = 324）的数据进行心理测量属性检验。
超过70%的消费者报告完成RAS-DS用时15分钟或更少，并将该工具评为易于使用或非常易于使用。来自消费者和工作人员的定性数据表明，对大多数人来说，RAS-DS是一种易于使用、有意义的资源，有助于达成共同理解和设定协作目标。然而，对于极少数消费者来说，该工具过于直接且难以使用。拉施分析证明了其具有出色的内部信度和效度。原始分数与拉施生成的总体分数高度相关，因此无需转换，便于临床医生使用。证明了对变化敏感性的初步证据。
结果提供了RAS-DS可行性和心理测量优势的证据。尽管需要进一步研究，但RAS-DS有望成为国家常规结果测量套件的潜在补充。
