Abstract
We report the development of a self-assessed consumer recovery outcome measure by way of a consumer led and focused iterative
process, informed by exploratory and confirmatory factor analysis. The process began with a deliberately over-inclusive preliminary
measure of 127 items, based on 12 presumptive domains derived from the recovery literature and consumer consultation, being
piloted with over 500 mental health consumers. The full 504 participant data set was randomly split into two discrete sets
of 300 and 204 to provide one for the initial exploratory factor analysis and another (of independence) for the subsequent
confirmatory factor analysis and reliability estimation. Analyses identified and confirmed (using the separate data sets)
a robust factor structure, with 11 distinct and relatively independent factors (relationships; day-to-day life; culture; physical
health; quality of life; mental health; recovery; hope and empowerment; spirituality; resources; and satisfaction with services)
underlying one substantial principal construct (that we refer to as consumer recovery). The measure was refined to 65 items, between three and ten items for each of the 11 domains, the reliabilities for which
are uniformly high.
process, informed by exploratory and confirmatory factor analysis. The process began with a deliberately over-inclusive preliminary
measure of 127 items, based on 12 presumptive domains derived from the recovery literature and consumer consultation, being
piloted with over 500 mental health consumers. The full 504 participant data set was randomly split into two discrete sets
of 300 and 204 to provide one for the initial exploratory factor analysis and another (of independence) for the subsequent
confirmatory factor analysis and reliability estimation. Analyses identified and confirmed (using the separate data sets)
a robust factor structure, with 11 distinct and relatively independent factors (relationships; day-to-day life; culture; physical
health; quality of life; mental health; recovery; hope and empowerment; spirituality; resources; and satisfaction with services)
underlying one substantial principal construct (that we refer to as consumer recovery). The measure was refined to 65 items, between three and ten items for each of the 11 domains, the reliabilities for which
are uniformly high.
- Content Type Journal Article
- Category Original Article
- Pages 1-12
- DOI 10.1007/s10488-012-0417-9
- Authors
- Sarah E. Gordon, Department of Psychological Medicine, University of Otago, P.O. Box 7343, Wellington, 6242 New Zealand
- Pete M. Ellis, Department of Psychological Medicine, University of Otago, P.O. Box 7343, Wellington, 6242 New Zealand
- Richard J. Siegert, Department of Palliative Care, Policy and Rehabilitation, King’s College London, Cicely Saunders Institute, London, UK
- Frank H. Walkey, School of Psychology, Victoria University, Wellington, New Zealand
- Journal Administration and Policy in Mental Health and Mental Health Services Research
- Online ISSN 1573-3289
- Print ISSN 0894-587X