Mental Health Recovery: Evaluation of a Recovery-Oriented Training Program

Wilrycx, Greet; Croon, Marcel A.; Broek, A.H.S. van den; Nieuwenhuizen, Chijs van

doi:10.1100/2012/820846

Cited by 20 publications

(20 citation statements)

References 32 publications

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“…RKI has revealed some factors associated with recovery orientation in cross-sectional studies [ 18 – 20 ], as well as in longitudinal studies [ 21 ]. Appreciably, in recent years, RKI has been notably used in several interventional studies in Australia [ 22 – 25 ], USA [ 26 ], Canada [ 27 , 28 ], UK [ 29 ], and Netherlands [ 30 ], as various educational programs have been developed for service providers to enhance recovery orientation.…”

Section: Introductionmentioning

confidence: 99%

The property of the Japanese version of the Recovery Knowledge Inventory (RKI) among mental health service providers: a cross sectional study

Chiba

Umeda

Goto³

et al. 2017

Int J Ment Health Syst

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BackgroundThe Recovery Knowledge Inventory (RKI) is one of the influential scales to assess knowledge and attitude toward recovery-oriented practices among mental health service providers. In the present study, we aimed to develop a Japanese version of RKI and examine the validity and reliability.MethodsWe translated RKI into Japanese by reference to the guidelines for translating and adapting psychometric scales. A cross-sectional questionnaire survey was conducted with mental health service providers. Of a total of 475 eligible professionals, we used data from the 299 participants without missing value for the analyses (valid response rate = 62.9%). The questionnaire included Japanese RKI, Recovery Attitudes Questionnaire, The positive attitudes scale, and Japanese-language version of the Social Distance Scale. To examine the factorial validity of RKI, explanatory factor analysis and confirmatory factor analysis was employed. Convergent validity was assessed by calculating Pearson’s correlation coefficients between the total RKI score and the scores for the other three scales. We also calculated Cronbach’s α coefficients for the total score and for each domain of RKI to assess internal consistency reliability.ResultsThe participants’ mean age was 40.4 years and 30.4% were men. 20-item RKI did not provide any adequate or interpretable factor solutions at any number of factors by EFAs. Thus four items (#1, 4, 5, and 13) were subsequently eliminated in stages, then 16-item RKI was employed as a consequence for further analyses. EFA with four factor structures yielded marginally interpretable constitution. Each factor represented the knowledge regarding psychiatric symptoms and recovery; knowledge about the recovery process; the understanding of what is important for recovery; and the understanding of the challenges and responsibility in recovery, respectively. Subsequent CFA suggested good fit to the data. Good convergent validity and understandable internal consistency reliability were also observed.ConclusionsThe Japanese 16-item RKI revealed reasonable factorial validity, good convergent validity, and understandable internal consistency reliability among mental health professionals. Japanese cultural settings seemed to influence the four-factor structure in the present study. It can be used for future study in Japan, while future large-scale research is required to ensure robust verification.

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Section: Introductionmentioning

confidence: 99%

The property of the Japanese version of the Recovery Knowledge Inventory (RKI) among mental health service providers: a cross sectional study

Chiba

Umeda

Goto³

et al. 2017

Int J Ment Health Syst

View full text Add to dashboard Cite

show abstract

“…, Wilrycx et al . ). Further research is recommended on evaluating skills development, transfer and mastery of skills and translation of skills to practice following training (Peebles et al .…”

Section: Discussionmentioning

confidence: 97%

“…For example, Wilrycx et al . () tested the psychometric properties of the RKI and found that it was unsuitable for use in Holland (mainly due to subtleties of meaning lost in translation). An Australian study (Hungerford et al .…”

Section: Discussionmentioning

confidence: 99%

Knowledge and attitudes of Irish Mental Health Professionals to the concept of recovery from mental illness – five years later

Gaffey

Evans

Walsh³

2016

Psychiatric Ment Health Nurs

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Introduction A study of Irish mental health practitioners (Cleary & Dowling ) identified the need to improve knowledge and attitudes towards recovery. This led to the Advancing Recovery in Ireland Project (ARI) which promoted recovery-orientated services and a need to 'benchmark' progress. There is little evidence regarding the types of educational interventions that maintain positive recovery knowledge and attitudes in providers. Aim The study assessed current knowledge and attitudes to recovery. Methods The methodology of Cleary & Dowling () was replicated. A survey was administered to practitioners (n = 337) using the adapted Recovery Knowledge Inventory (RKI) (Cleary & Dowling ). Results No significant differences were found in recovery scores compared to Cleary & Dowling () or by level of experience. Working in dual settings, being a non-nurse, and training was associated with better recovery scores. Significantly more respondents had received training in recovery (40% versus 23%) compared to Cleary & Dowling (). Training appears to be the strongest factor predicting better recovery knowledge. Conclusions There is considerable scope to improve recovery knowledge. Key recommendations include the need for more recovery training, using 'Recovery Champions', introducing peer support workers and developing local policies and protocols to support recovery working.

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“…Personal recovery implies a client-oriented definition of recovery in which the emphasis lies more on personal development and growth than on symptom reduction. Important aspects of recovery are: hope, empowerment and the feeling of living a satisfying life despite symptoms of illness [ 8 – 16 ]. While recovery is an individual and subjective process, mental health care organizations can be recovery-oriented.…”

Section: Introductionmentioning

confidence: 99%

How effective is the comprehensive approach to rehabilitation (CARe) methodology? A cluster randomized controlled trial

et al. 2017

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BackgroundThe CARe methodology aims to improve the quality of life of people with severe mental illness by supporting them in realizing their goals, handling their vulnerability and improving the quality of their social environment. This study aims to investigate the effectiveness of the CARe methodology for people with severe mental illness on their quality of life, personal recovery, participation, hope, empowerment, self-efficacy beliefs and unmet needs.MethodsA cluster Randomized Controlled Trial (RCT) was conducted in 14 teams of three organizations for sheltered and supported housing in the Netherlands. Teams in the intervention group received training in the CARe methodology. Teams in the control group continued working according to care as usual. Questionnaires were filled out at baseline, after 10 months and after 20 months. A total of 263 clients participated in the study.ResultsQuality of life increased in both groups, however, no differences between the intervention and control group were found. Recovery and social functioning did not change over time. Regarding the secondary outcomes, the number of unmet needs decreased in both groups. All intervention teams received the complete training program. The model fidelity at T1 was 53.4% for the intervention group and 33.4% for the control group. At T2 this was 50.6% for the intervention group and 37.2% for the control group.ConclusionAll clients improved in quality of life. However we did not find significant differences between the clients of the both conditions on any outcome measure. Possible explanations of these results are: the difficulty to implement rehabilitation-supporting practice, the content of the methodology and the difficulty to improve the lives of a group of people with longstanding and severe impairments in a relatively short period. More research is needed on how to improve effects of rehabilitation trainings in practice and on outcome level.Trial registration ISRCTN77355880, retrospectively registered (05/07/2013).

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Mental Health Recovery: Evaluation of a Recovery-Oriented Training Program

Cited by 20 publications

References 32 publications

The property of the Japanese version of the Recovery Knowledge Inventory (RKI) among mental health service providers: a cross sectional study

The property of the Japanese version of the Recovery Knowledge Inventory (RKI) among mental health service providers: a cross sectional study

Knowledge and attitudes of Irish Mental Health Professionals to the concept of recovery from mental illness – five years later

How effective is the comprehensive approach to rehabilitation (CARe) methodology? A cluster randomized controlled trial

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