Goodman-Casanova Jessica Marian, Cuesta-Lozano Daniel, Alupoaei Catalina, Grasa Bello Eva María, Herrera-Imbroda Jesús, Mayoral-Cleries Fermin, Guzman-Parra Jose
Unidad de Gestión Clínica de Salud Mental, Hospital Regional Universitario de Málaga, Instituto de Investigación Biomédica de Málaga (IBIMA), Málaga, Spain.
Departamento de Enfermería y Fisioterapia, Universidad de Alcalá, Madrid, Spain.
Front Psychol. 2023 Jul 5;14:1178341. doi: 10.3389/fpsyg.2023.1178341. eCollection 2023.
Reliable and valid instruments are needed to measure the impact of mental health services and programs on the journeys of recovery of service users. The aim of this study was to explore the psychometric properties of the cross-culturally adapted 15-item Questionnaire about the Process of Recovery in Spain (QPR-15-SP).
One hundred and ten participants from three locations in Spain (Málaga, Barcelona and Madrid), who were users of primary and specialized mental health services, were interviewed from October 2021 to June 2022.
The internal consistency obtained was excellent: =.93 and =.92. Temporal reliability using intraclass correlation coefficients was moderate (ICC=.684, <.000). Regarding convergent validity, the QPR-15-SP had a moderate correlation with the Clinical Outcomes in Routine Evaluation-Outcome Measure (CORE-OM) ( =-.500, <.000), a Visual Numeric Recovery Scale (VNRS) ( =.591, <.000), and the Stages of Recovery Instrument (STORI) ( =.566, <.000). Correlations between advanced stages of recovery and higher QPR-15-SP scores were found (Moratorium: =-.579, <.000; Awareness: =-.130, =.189; Preparation: =-.043, P=.665; Rebuilding: =.460, <.000; Growth: =.697, <.000). In terms of divergent validity, the QPR-15-SP had low correlation with the DUKE-UNC Functional Social Support Scale ( =.273, <.005). The confirmatory factor analysis of the 1-factor structure obtained reasonable goodness of fit indexes.
The QPR-15-SP has acceptable psychometric properties, providing support for measuring recovery in Spain and allowing international comparison research.
需要可靠且有效的工具来衡量心理健康服务和项目对服务使用者康复历程的影响。本研究的目的是探讨在西班牙进行跨文化改编的15项康复过程问卷（QPR - 15 - SP）的心理测量特性。
2021年10月至2022年6月期间，对来自西班牙三个地点（马拉加、巴塞罗那和马德里）的110名初级和专科心理健康服务使用者进行了访谈。
获得的内部一致性非常好：α=.93，ω=.92。使用组内相关系数的时间可靠性为中等（ICC =.684，P <.000）。关于收敛效度，QPR - 15 - SP与常规评估结果测量临床结果量表（CORE - OM）（r = -.500，P <.000）、视觉数字康复量表（VNRS）（r =.591，P <.000）以及康复阶段量表（STORI）（r =.566，P <.000）有中等相关性。发现康复后期阶段与较高的QPR - 15 - SP得分之间存在相关性（延缓期：r = -.579，P <.000；意识期：r = -.130，P =.189；准备期：r = -.043，P =.665；重建期：r =.460，P <.000；成长阶段：r =.697，P <.000）。在区分效度方面，QPR - 15 - SP与杜克 - 北卡罗来纳功能社会支持量表的相关性较低（r =.273，P <.005）。对单因素结构的验证性因素分析获得了合理的拟合优度指标。
QPR - 15 - SP具有可接受的心理测量特性，为在西班牙测量康复情况提供了支持，并允许进行国际比较研究。
