Department of Psychology, University of Limerick, Limerick, Ireland.
Am J Community Psychol. 2018 Mar;61(1-2):88-103. doi: 10.1002/ajcp.12215. Epub 2018 Jan 11.
There is still much to learn about how aspects of the ecology of homelessness shape homeless adults' recovery experiences. In the present mixed-methods study, the relationship of service providers' work-related values to their service users' recovery experiences in the microsystem of homelessness were examined. Service providers completed semi-structured qualitative interviews about their service users, daily work activities, and work-related goals. At three time points, their service users completed quantitative measures of choice, mastery, and recovery in four life domains: physical health, psychiatric symptoms, substance use, and community integration. Service providers' interview transcripts were coded for three indicators of values: assumptions, actions, and end-states. Summative Content Analysis was used to transform qualitative codes into numeric data so they could be used to predict service users' recovery. In a series of growth curve models, the extent to which service providers' end-state values, as an indicator of consumer-led values, was shown to indirectly predict service users' recovery experiences, through their perceived choice and mastery. Findings confirm that providers' values are an important influence on service users' recovery. Results are discussed in terms of their implications for recovery-oriented theory and practice.
关于无家可归者生态的各个方面如何影响无家可归成年人的康复体验，我们仍有很多需要学习的地方。在本项混合方法研究中，我们研究了服务提供者的工作相关价值观与他们在无家可归者微观系统中服务使用者的康复体验之间的关系。服务提供者完成了关于他们服务使用者、日常工作活动和工作相关目标的半结构化定性访谈。在三个时间点，他们的服务使用者完成了四个生活领域（身体健康、精神症状、物质使用和社区融合）中选择、掌握和康复的定量测量。服务提供者的访谈记录被编码为三个价值观指标：假设、行动和最终状态。总结性内容分析将定性代码转化为数字数据，以便用于预测服务使用者的康复情况。在一系列增长曲线模型中，服务提供者的最终状态价值观（作为以消费者为导向的价值观的指标）通过他们感知的选择和掌握，间接地预测了服务使用者的康复体验。研究结果证实，服务提供者的价值观是服务使用者康复的重要影响因素。研究结果从以康复为导向的理论和实践的角度进行了讨论。
