Silva Manuela, Aluh Deborah Oyine, Lourenço Ana, Resende Beatriz, Agostinho Francisco, Rodrigues João Bessa, Azenha João Pedro, Lopes João Revez, Ribeiro Marta, Heitor Maria João, Gago Joaquim, Cardoso Graça
Lisbon Institute of Global Mental Health, Comprehensive Health Research Centre, Nova University of Lisbon, Lisbon, Portugal.
Department of Psychiatry and Mental Health, Unidade Local de Saúde Santa Maria, Lisboa, Portugal.
BMC Psychiatry. 2025 Jul 1;25(1):636. doi: 10.1186/s12888-025-07060-3.
BACKGROUND: The importance of mental health services that support a recovery-oriented approach is increasingly recognized, and measures that evaluate this practice and promote change over time are needed. The INSPIRE measure is a 27-item questionnaire designed to assess service users' perceptions of the support received from health professionals in their personal recovery. This study aimed to validate the Portuguese version of INSPIRE and assess its psychometric properties as a measure of staff support for personal recovery. METHODS: The questionnaire survey was conducted from October 2023 to February 2024. Service users completed the Portuguese version of INSPIRE, the Client Satisfaction Questionnaire (CSQ-8), and a demographic and clinical questionnaire. Internal consistency was assessed using Cronbach's alpha and McDonald's model-based Omega. Test-retest reliability was assessed through the intraclass correlation coefficient (ICC) and weighted kappa. Convergent validity was examined by assessing correlation with CSQ-8. Factor validity was evaluated using exploratory factor analysis (EFA), with confirmatory factor analysis (CFA) performed to test the fit of factor structures derived from the EFA. RESULTS: The study included 165 participants from seven psychosocial rehabilitation units which primarily target persons with a severe mental illness. For test-retest evaluation, 52 participants completed the questionnaire a second time. Internal consistency was satisfactory across all subscales and dimensions of the Support subscale, except for the Identity domain, which had marginally acceptable values. INSPIRE demonstrated significant positive correlations with CSQ-8 scores, supporting its convergent validity. EFA identified five factors for the Support scale and one factor for the Relationship scale, explaining 62% and 59% of the cumulative variance, respectively. CFA confirmed a good model fit for the Relationship scale and all Support subscales, except for the Identity and Empowerment subscales. CONCLUSIONS: The Portuguese version of INSPIRE showed strong internal consistency, as well as convergent and factor validity. This validated instrument can be applied in research and clinical settings to assess staff support for personal recovery and promote recovery-oriented mental health practices. CLINICAL TRIAL NUMBER: Not applicable.
背景:支持以康复为导向方法的心理健康服务的重要性日益得到认可,需要有评估这种做法并促进其随时间变化的措施。INSPIRE量表是一份包含27个条目的问卷,旨在评估服务使用者对从健康专业人员那里获得的个人康复支持的看法。本研究旨在验证INSPIRE的葡萄牙语版本,并评估其作为衡量工作人员对个人康复支持的心理测量特性。 方法:问卷调查于2023年10月至2024年2月进行。服务使用者完成了INSPIRE的葡萄牙语版本、客户满意度问卷(CSQ - 8)以及一份人口统计学和临床问卷。使用克朗巴哈系数(Cronbach's alpha)和基于麦克唐纳模型的欧米伽系数(Omega)评估内部一致性。通过组内相关系数(ICC)和加权卡帕系数评估重测信度。通过评估与CSQ - 8的相关性来检验收敛效度。使用探索性因子分析(EFA)评估因子效度,并进行验证性因子分析(CFA)以检验从EFA得出的因子结构的拟合度。 结果:该研究纳入了来自七个心理社会康复单元的165名参与者,这些单元主要针对患有严重精神疾病的人。为重测评估,52名参与者第二次完成了问卷。除身份领域(其值勉强可接受)外,支持性子量表的所有子量表和维度的内部一致性均令人满意。INSPIRE与CSQ - 8得分显示出显著正相关,支持其收敛效度。EFA为支持量表确定了五个因子,为关系量表确定了一个因子,分别解释了累积方差的62%和59%。CFA证实关系量表和所有支持性子量表(除身份和赋权子量表外)具有良好的模型拟合度。 结论:INSPIRE的葡萄牙语版本显示出很强的内部一致性以及收敛效度和因子效度。这个经过验证的工具可应用于研究和临床环境,以评估工作人员对个人康复的支持,并促进以康复为导向的心理健康实践。 临床试验编号:不适用。
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