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康复导向的急性住院精神卫生保健:实施和测量。

Recovery-oriented acute inpatient mental health care: Operationalization and measurement.

机构信息

Health Services Research and Development.

Department of Psychiatry.

出版信息

Psychiatr Rehabil J. 2021 Dec;44(4):318-326. doi: 10.1037/prj0000494. Epub 2021 Jul 29.

Abstract

OBJECTIVE

The current article describes efforts to develop and test a measure of recovery-oriented inpatient care.

METHOD

The Recovery-oriented Acute INpatient (RAIN) scale was based on prior literature and current Veterans Health Administration (VHA) policy and resources and further revised based on data collection from 34 VHA acute inpatient units.

RESULTS

A final scale of 23, behaviorally anchored items demonstrated a four-factor structure including the following factors: inpatient treatment planning, outpatient treatment planning, group programming, and milieu. While several items require additional revision to address psychometric concerns, the scale demonstrated adequate model fit and was consistent with prior literature on recovery-oriented inpatient care. Conclusions and Implementations for Practice: The RAIN scale represents an important tool for future implementation and empirical study of recovery-oriented inpatient care. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

摘要

目的

本文描述了开发和测试以康复为导向的住院治疗措施的努力。

方法

以先前的文献和当前退伍军人健康管理局(VHA)政策和资源为基础,康复导向的急性住院(RAIN)量表进一步根据从 34 个 VHA 急性住院单位收集的数据进行了修订。

结果

最终的 23 项行为锚定项目量表表现出四个因素结构,包括以下因素:住院治疗计划、门诊治疗计划、团体编程和环境。虽然有几个项目需要进一步修订以解决心理测量学方面的问题,但该量表表现出了足够的模型拟合度,并且与先前关于康复导向的住院治疗的文献一致。结论和实践建议:RAIN 量表是未来实施和实证研究康复导向的住院治疗的重要工具。

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