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The Forensic Restrictiveness Questionnaire: Development, Validation, and Revision.
Jack Tomlin1, Birgit Völlm1, Vivek Furtado2
1Department of Forensic Psychiatry, University of Rostock, Rostock, Germany.
Frontiers in Psychiatry
|December 6, 2019
Summary
Forensic psychiatric patients experience restrictiveness, impacting autonomy. The new 15-item Forensic Restrictiveness Questionnaire (FRQ) is a valid tool to measure these experiences in secure hospitals.
Area of Science:
- Forensic Psychiatry
- Psychometrics
- Clinical Psychology
Background:
- Forensic psychiatric care settings are highly regulated and secure, potentially limiting patient autonomy and self-expression.
- The empirical impact of restrictiveness on forensic patients' experiences remains underexplored.
- There is a need for a validated instrument to assess patient-perceived restrictiveness.
Purpose of the Study:
- To develop and validate the Forensic Restrictiveness Questionnaire (FRQ).
- To provide a psychometrically sound measure for assessing patients' experiences of restrictiveness in secure forensic settings.
Main Methods:
- Development and validation of a 56-item pilot questionnaire.
- Factor analysis (Principle Axis Factor Analysis, Exploratory Factor Analysis) and Cronbach's alpha for psychometric evaluation.
- Convergent validity assessed using ward climate and quality of life measures in 235 patients from secure hospitals in England.
Main Results:
- The analysis supported good psychometric properties for the FRQ.
- Exploratory Factor Analysis revealed a unidimensional structure.
- The final 15-item FRQ demonstrated strong internal consistency (α = 0.93) and significant negative correlations with quality of life (ρ = -0.72) and ward climate (ρ = -0.61), confirming validity.
Conclusions:
- The 15-item FRQ is a valid and reliable measure for assessing restrictiveness experiences.
- This questionnaire offers a valuable tool for clinicians and researchers in forensic mental health.
- The FRQ can aid in understanding and addressing patient experiences within secure hospital environments.
Keywords:
FRQautonomyforensicforensic restrictiveness questionnairemental healthpsychometricrestrictiveMore Related Videos
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