Abstract
The aim was to develop a short version of the Swedish Process of Recovery Questionnaire (QPR-Swe) for use with people with severe mental illness and to investigate its internal consistency, construct validity, known-groups validity and any floor or ceiling effects. Two independent samples were used, the first (N = 226) to develop the short version and the second (N = 266) to test its psychometric properties. A seven-item version was developed by selecting items based on item-total correlations. The QPR-Swe-7 showed good internal consistency reliability (α = 0.82). It showed moderate correlations with indicators of convergent validity (self-rated health, self-mastery and quality of life) and weak with those selected to test discriminant validity (psychiatric symptoms and level of functioning). QPR-Swe-7 differentiated between people receiving two different levels of housing support. No floor or ceiling effects were found. The QPR-Swe-7 had appropriate psychometric properties for use with people with a variety of mental disorders when a brief scale is warranted.
Highlights
Psychiatric care has for decades been defined in accordance with a medical paradigm, and the main priority has been curing symptoms for people diagnosed with mental illness (Slade et al 2014)
The current study aimed to develop a short version of the Questionnaire About the Process of Recovery (QPR)-Swe and investigate its internal consistency, construct validity, known-groups validity and any floor or ceiling effects
The QPR-Swe-7 could discriminate between subgroups who differed with respect to access to social interaction, which is known to be of importance for attaining personal recovery (Le Boutillier et al 2011)
Summary
Psychiatric care has for decades been defined in accordance with a medical paradigm, and the main priority has been curing symptoms for people diagnosed with mental illness (Slade et al 2014). The rapidly growing recovery movement recognizes that people with experience of mental illness can live productive lives with symptoms and that many can recover (Davidson 2016). The concept of personal recovery has been defined as “a deeply personal, unique process of changing one’s attitudes, values, feelings, goals, skills and/or roles. It is a way of living a satisfying, contributing life even within the limitation caused by illness” Personal recovery as a concept has been underpinned by an extensive body of research (Slade et al 2012), and various frameworks have been constructed to further conceptualize the meaning of personal recovery (Shanks et al 2013). The CHIME framework was developed by Leamy et al (2011) and is used in both research and clinical settings
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