School of Nursing and Midwifery, Medical Biology Centre, Queen's University Belfast, Belfast, Northern Ireland, United Kingdom.
School of Psychology, Ulster University, Coleraine, Northern Ireland, United Kingdom.
PLoS One. 2023 May 22;18(5):e0285835. doi: 10.1371/journal.pone.0285835. eCollection 2023.
Parental mental illness is a major public health issue and there is growing evidence that family focused practice can improve outcomes for parents and their families. However, few reliable and valid instruments measure mental health and social care professionals' family focused practice.
To explore the psychometric properties of the Family Focused Mental Health Practice Questionnaire in a population of health and social care professionals.
Health and Social Care Professionals (n = 836) in Northern Ireland completed an adapted version of the Family Focused Mental Health Practice Questionnaire. Exploratory factor analysis was used to test the structure of the underlying dimensions in the questionnaire. The results, and theoretical considerations, guided construction of a model that could explain variation in respondents' items. This model was then validated using confirmatory factor analysis.
Exploratory factor analysis revealed that solutions including 12 to 16 factors provided a good fit to the data and indicated underlying factors that could be meaningfully interpreted in line with existing literature. From these exploratory analyses, we derived a model that included 14 factors and tested this model with Confirmatory Factor Analysis. The results suggested 12 factors that summarized 46 items that were most optimal in reflecting family focused behaviours and professional and organizational factors. The 12 dimensions identified were meaningful and consistent with substantive theories: furthermore, their inter-correlations were consistent with known professional and organizational processes known to promote or hinder family focused practice.
This psychometric evaluation reveals that the scale provides a meaningful measure of professionals' family focused practice within adult mental health and children's services, and the factors that hinder and enable practice in this area. The findings, therefore, support the use of this measure to benchmark and further develop family focused practice in both adult mental health and children's services.
父母的精神疾病是一个主要的公共卫生问题，越来越多的证据表明，以家庭为中心的实践可以改善父母及其家庭的结果。然而，很少有可靠和有效的工具来衡量心理健康和社会保健专业人员的以家庭为中心的实践。
探索家庭为中心的心理健康实践问卷在卫生和社会保健专业人员中的心理测量特性。
北爱尔兰的卫生和社会保健专业人员（n=836）完成了家庭为中心的心理健康实践问卷的改编版本。探索性因素分析用于测试问卷中潜在维度的结构。结果和理论考虑指导了构建一个能够解释受访者项目差异的模型。然后使用验证性因素分析验证该模型。
探索性因素分析表明，包含 12 到 16 个因素的解决方案为数据提供了良好的拟合，并表明潜在因素可以根据现有文献进行有意义的解释。从这些探索性分析中，我们得出了一个包含 14 个因素的模型，并使用验证性因素分析对该模型进行了测试。结果表明，12 个因素概括了 46 个项目，这些项目最能反映以家庭为中心的行为以及专业和组织因素。确定的 12 个维度具有意义且与实质性理论一致：此外，它们之间的相互关系与已知的专业和组织过程一致，这些过程已知可促进或阻碍以家庭为中心的实践。
这项心理计量评估表明，该量表提供了一个有意义的衡量成人心理健康和儿童服务中专业人员以家庭为中心的实践的方法，以及在该领域阻碍和促进实践的因素。因此，这些发现支持使用该措施来基准和进一步发展成人心理健康和儿童服务中的以家庭为中心的实践。
