Bentley Natalie, Bucci Sandra, Hartley Samantha
Division of Psychology and Mental Health, School of Health Sciences, Faculty of Biology, Medicine and Health, Manchester Academic Health Sciences Centre, University of Manchester, Manchester, UK.
Greater Manchester Mental Health NHS Foundation Trust, Manchester, UK.
Child Adolesc Ment Health. 2019 Nov;24(4):329-337. doi: 10.1111/camh.12337. Epub 2019 May 14.
The notion of personal recovery has become central to the delivery of mental health services; however, no published subjective recovery measure has been validated in an inpatient adolescent mental health sample. We aimed to evaluate the psychometric properties of the Recovery Questionnaire for Young People (ReQuest-YP) in this inpatient context.
Both cross-sectional and longitudinal self-report data were collected. The ReQuest-YP was administered to 65 adolescents (11 males, 52 females and 2 who identified as transgender) within inpatient child and adolescent mental health services (UK) along with a feedback questionnaire, to assess the face validity of the measure. The young person's Health of the National Outcome Scales (HoNOSCA) score, as rated by clinicians in inpatient services, was also obtained to assess the convergent validity of the measure.
The results demonstrated that the ReQuest-YP demonstrated excellent internal consistency (alpha ≥ .914), test-retest reliability (ICC = .91) and sensitivity to change (Z = -2.09). The measure did not correlate with the ratings on the HoNOSCA. Feedback indicated the ReQuest-YP was relevant and acceptable to young people. Suggestions were made about refining some questionnaire items.
The ReQuest-YP demonstrated clinical utility as a measure of subjective recovery in inpatient child and adolescent mental health services. Refinement of some of the questions along with further evaluation of the measure in this population is recommended. Key Practitioner Message The ReQuest-YP offers a potential tool for exploring, assessing and evaluating subjective or personal recovery for young people in inpatient units. The measure is potentially reliable, valid and acceptable to service users, and so clinicians may wish to consider use in these settings. There is indication that the questionnaire is also sensitive to change in an inpatient admission context, although further work is needed.
个人康复的概念已成为心理健康服务提供的核心；然而，尚无已发表的主观康复测量方法在住院青少年心理健康样本中得到验证。我们旨在评估青少年康复问卷（ReQuest-YP）在这种住院环境中的心理测量特性。
收集了横断面和纵向的自我报告数据。在英国的住院儿童和青少年心理健康服务机构中，对65名青少年（11名男性、52名女性和2名认定为跨性别者）进行了ReQuest-YP测试，并发放了一份反馈问卷，以评估该测量方法的表面效度。还获取了住院服务临床医生评定的青少年国家结果量表健康状况（HoNOSCA）评分，以评估该测量方法的收敛效度。
结果表明，ReQuest-YP具有出色的内部一致性（α≥.914）、重测信度（ICC =.91）和对变化的敏感性（Z = -2.09）。该测量方法与HoNOSCA评分不相关。反馈表明ReQuest-YP对青少年具有相关性且可接受。针对一些问卷项目的改进提出了建议。
ReQuest-YP在住院儿童和青少年心理健康服务中作为主观康复的测量方法显示出临床实用性。建议对一些问题进行改进，并在该人群中对该测量方法进行进一步评估。关键从业者信息：ReQuest-YP为探索、评估住院青少年的主观或个人康复提供了一个潜在工具。该测量方法可能可靠、有效且为服务使用者所接受，因此临床医生可能希望考虑在这些环境中使用。有迹象表明，该问卷在住院入院环境中对变化也敏感，不过还需要进一步研究。
