Assessing personal recovery in individuals with severe mental illness: validation of the Dutch Brief INSPIRE-O.

IF 3.5 2区医学 Q1 PSYCHIATRY Social Psychiatry and Psychiatric Epidemiology Pub Date : 2025-06-01 Epub Date: 2025-01-31 DOI:10.1007/s00127-025-02815-5

Wilma E Swildens, Ellen Visser, Welmoed van Ens, Barbara Schaefer, Annet Nugter, Philippe Delespaul, Jaap van Weeghel, Mike Slade, Sarita A Sanches

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Abstract

Purpose: Recovery is a key objective in mental health services for people with severe mental illness (SMI). In addition to clinical and functional recovery, personal recovery has gained increasing attention. The CHIME Framework identifies five personal recovery processes-Connectedness, Hope, Identity, Meaning, Empowerment-and is the theoretical foundation for the Brief INSPIRE, a validated Patient-Rated Experience Measure (PREM) to evaluate recovery support. Brief INSPIRE was modified to a five-item Patient-Rated Outcome Measure (PROM) assessing recovery, called Brief INSPIRE-Outcome (Brief INSPIRE-O). Subject of this study are the psychometric properties of the Brief INSPIRE-O.

Methods: Data on validity and reliability gathered through annual routine outcome monitoring were collected for 861 individuals with SMI of Flexible Assertive Community Treatment teams and a follow-up measurement was available for 232 of these individuals. Test-retest reliability was evaluated in a separate subset of 30 individuals with SMI.

Results: The Brief INSPIRE-O shows good internal consistency (Cronbach's alpha 0.77), test-retest reliability, construct validity, sensitivity to change and no floor or ceiling effects. Furthermore, change in Brief INSPIRE-O was positively related to changes in quality of life and negatively to problems in clinical functioning and unmet care need.

Conclusion: Brief INSPIRE-O can be used for research and monitoring to better understand and improve processes of personal recovery in individuals with SMI.

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评估严重精神疾病患者的个人康复：荷兰简要INSPIRE-O的验证。

目的：康复是为患有严重精神疾病（SMI）的人提供精神卫生服务的关键目标。除了临床康复和功能康复外，个人康复也越来越受到关注。CHIME框架确定了五个个人康复过程——连通性、希望、身份、意义、赋权——这是Brief INSPIRE的理论基础，这是一种经过验证的患者评分体验测量（PREM），用于评估康复支持。Brief INSPIRE被修改为评估恢复的五项患者评分结果测量（PROM），称为Brief INSPIRE-Outcome （Brief INSPIRE- o）。本研究的主题是Brief INSPIRE-O的心理测量特性。方法：对861例灵活自信社区治疗小组的重度精神障碍患者进行年度常规结果监测，收集其效度和信度数据，并对其中232例进行随访测量。在30名重度精神障碍患者的单独子集中评估了重测信度。结果：Brief INSPIRE-O具有良好的内部一致性（Cronbach’s alpha = 0.77）、重测信度、结构效度、变化敏感性，不存在地板效应和天花板效应。此外，Brief INSPIRE-O的变化与生活质量的变化呈正相关，与临床功能问题和未满足的护理需求呈负相关。结论：Brief INSPIRE-O可用于研究和监测，以更好地了解和改善重度精神分裂症患者的个人康复过程。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Social Psychiatry and Psychiatric Epidemiology 医学-精神病学

CiteScore

8.50

自引率

2.30%

发文量

184

审稿时长

3-6 weeks

期刊介绍： Social Psychiatry and Psychiatric Epidemiology is intended to provide a medium for the prompt publication of scientific contributions concerned with all aspects of the epidemiology of psychiatric disorders - social, biological and genetic. In addition, the journal has a particular focus on the effects of social conditions upon behaviour and the relationship between psychiatric disorders and the social environment. Contributions may be of a clinical nature provided they relate to social issues, or they may deal with specialised investigations in the fields of social psychology, sociology, anthropology, epidemiology, health service research, health economies or public mental health. We will publish papers on cross-cultural and trans-cultural themes. We do not publish case studies or small case series. While we will publish studies of reliability and validity of new instruments of interest to our readership, we will not publish articles reporting on the performance of established instruments in translation. Both original work and review articles may be submitted.