Fedosejevs Vladimirs, Shi Jinyu, Hopfenbeck Mark Steven
Division of Psychology and Language Sciences, University College London, London, United Kingdom.
Essex Community Sentence Treatment Requirements Service, St Andrew's Healthcare - Community Partnerships, Essex, United Kingdom.
Front Psychol. 2023 Mar 30;14:1059103. doi: 10.3389/fpsyg.2023.1059103. eCollection 2023.
Peer-supported Open Dialogue (POD) is a novel approach to mental health care that is currently being practiced and researched in the United Kingdom. For POD to be successfully implemented, effective training must be provided to make sure trainees are prepared to deliver the approach as intended. Therefore, a specific instrument that can assess the development and competence of POD trainees, as well as the effectiveness of POD training is crucial. Therefore, the current study aimed to establish an inventory named the (PODACI), measuring the changes in attributes and attitudes of trainees before and after training.
To generate the inventory, a four-round modified Delphi approach was used. We first identified the dimensions that are essential and specific to POD through an extensive literature review and individual interviews with practitioners ( = 8). After generating the items, we further refined the items through two rounds of questionnaires, asking practitioners to rate the relevance of each item from 1 (not essential) to 4 (highly essential; = 21 and = 10), and finalized the inventory a focus group interview with POD trainers ( = 4). In total, 76 items were included in the PODACI. A good consensus on the items was reached: the median score of the items was all above 3.00 (essential) and achieved an agreement level greater than 85%. The Kendall coordination coefficient W was 0.36 and 0.28 in the two questionnaires employed, indicating a fair level of agreement between participants.
The PODACI provides a way to measure attitudinal and competency factors related to the treatment integrity of POD as well as the efficacy of the training courses being offered. This highly enriched instrument opens up a wide range of possibilities for POD research and application, facilitating the development of Open Dialogue services. The next step is to assess the psychometric properties of the inventory.
同伴支持的开放式对话（POD）是一种新型的精神卫生保健方法，目前正在英国实践和研究。为了成功实施POD，必须提供有效的培训，以确保受训人员做好准备，按预期实施该方法。因此，一种能够评估POD受训人员的发展和能力以及POD培训效果的特定工具至关重要。因此，本研究旨在建立一个名为同伴支持开放式对话能力清单（PODACI）的量表，以测量受训人员在培训前后属性和态度的变化。
为了生成该量表，采用了四轮改进的德尔菲法。我们首先通过广泛的文献综述和对从业者（n = 8）的个人访谈，确定了POD的基本和特定维度。生成条目后，我们通过两轮问卷调查进一步完善条目，要求从业者对每个条目的相关性从1（不重要）到4（非常重要）进行评分（n = 21和n = 10），并通过与POD培训师的焦点小组访谈（n = 4）最终确定该量表。PODACI总共包括76个条目。在条目上达成了良好的共识：条目的中位数得分均高于3.00（重要），达成一致水平超过85%。在使用的两份问卷中，肯德尔协调系数W分别为0.36和0.28，表明参与者之间的一致性处于中等水平。
PODACI提供了一种方法来测量与POD治疗完整性相关的态度和能力因素以及所提供培训课程的效果。这种高度丰富的工具为POD研究和应用开辟了广泛的可能性，促进了开放式对话服务的发展。下一步是评估该量表的心理测量特性。
