日本版 INSPIRE 量表评估社区精神卫生服务使用者个人康复中工作人员支持的信度和效度。
Reliability and validity of the Japanese version of the INSPIRE measure of staff support for personal recovery in community mental health service users in Japan.
机构信息
Department of Psychiatric Nursing, Graduate School of Medicine, The University of Tokyo, 7-3-1 Hongo, Bunkyo, Tokyo, 113-0033, Japan.
Department of Neuropsychiatry, Graduate School of Medicine, The University of Tokyo, 7-3-1 Hongo, Bunkyo, Tokyo, 113-8655, Japan.
出版信息
BMC Psychiatry. 2020 Feb 7;20(1):51. doi: 10.1186/s12888-020-2467-y.
BACKGROUND
Supporting personal recovery in people with mental health difficulties is central to mental health services. This study aimed to develop the Japanese version of INSPIRE and Brief INSPIRE measure of staff support for personal recovery and to evaluate its reliability and validity.
METHODS
A questionnaire survey was conducted from October to December 2015. The authors asked users to participate in the survey of 14 community mental health services in the Kanto region of Japan. The service users completed self-administered questionnaires that include the Japanese version of INSPIRE, the Recovery Assessment Scale, the Client Satisfaction Questionnaire, the patient version of the Scale to Assess Therapeutic Relationship in Community Mental Health care and the Short Form Health Survey. Internal consistency was assessed using Cronbach's alpha coefficient, and test-retest reliability was assessed using the intraclass correlation coefficient (ICC) and weighted kappa. Convergent validity was examined by assessing correlation with other scales. Factor validity was evaluated by exploratory factor analysis (EFA) with generalized least-squares mean and oblimin rotation. In addition, confirmatory factor analysis was used to check the fitness of the factor structure models derived from the EFA.
RESULTS
A total of 195 out of 212 users gave written informed consent and participated in the study. Data from 190 respondents were analyzed (response rate 89.6%). INSPIRE, Brief INSPIRE, and the subscales all showed Cronbach's alpha coefficient over 0.78. ICC and weighted kappa derived more than 0.92 for subscales and Brief INSPIRE. These numerical values indicated good reliability. The convergent validity of Brief INSPIRE and the subscales was significantly positively correlated with the other scales. Different from the previous study, the factor structure was extracted using EFA. Both factor structures were checked by CFA, but the degree of fitness index was not good in either. Therefore, the factor analysis did not show goodness of fit.
CONCLUSIONS
This study found the Japanese version of INSPIRE and Brief INSPIRE to be reliable and valid for use among community mental health service users in Japan.
背景
支持心理健康障碍患者的个人康复是心理健康服务的核心。本研究旨在开发日本版 INSPIRE 和 Brief INSPIRE 量表，以评估工作人员对个人康复的支持，并评估其信度和效度。
方法
2015 年 10 月至 12 月进行了问卷调查。作者邀请日本关东地区的 14 家社区心理健康服务机构的使用者参与调查。服务使用者完成了自我管理问卷，包括日本版 INSPIRE、康复评估量表、客户满意度问卷、社区精神卫生保健治疗关系量表患者版和简明健康调查问卷。采用 Cronbach's alpha 系数评估内部一致性，采用组内相关系数（ICC）和加权 Kappa 评估重测信度。通过与其他量表的相关性评估收敛效度。采用广义最小二乘法均值和 Oblimin 旋转的探索性因子分析（EFA）评估因子有效性。此外，还采用验证性因子分析（CFA）检查来自 EFA 的因子结构模型的拟合度。
结果
共有 212 名使用者中的 195 名书面同意并参与了研究。对 190 名应答者的数据进行了分析（应答率 89.6%）。INSPIRE、Brief INSPIRE 和子量表的 Cronbach's alpha 系数均超过 0.78。子量表和 Brief INSPIRE 的 ICC 和加权 Kappa 得出的值超过 0.92。这些数值表明可靠性良好。Brief INSPIRE 和子量表的收敛效度与其他量表显著正相关。与先前的研究不同，使用 EFA 提取因子结构。这两种结构都通过 CFA 进行了检查，但拟合度指标都不好。因此，因子分析没有表现出良好的拟合度。
结论
本研究发现日本版 INSPIRE 和 Brief INSPIRE 在日本社区心理健康服务使用者中具有可靠性和有效性。
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