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Measuring recovery in participants with a schizophrenia spectrum disorder: validation of the Individual Recovery
B Esther Sportel1, Hettie Aardema2, Nynke Boonstra3
1Department of Psychotic Disorders Assen, GGZ Drenthe Mental Health Institute, Dennenweg 9, 9404 LA, Assen, The Netherlands. Esther.Sportel@ggzdrenthe.nl.
Background:
To improve recovery in mental health, validated instruments are needed.
Aims:
This study evaluates psychometric properties of the Individual Recovery Outcomes Counter (I.ROC) in a Dutch population of participants with a schizophrenia spectrum disorder (SSD).
Methods:
326 participants completed the I.ROC at baseline (n = 326), six months (n = 155) and twelve months (n = 84) as part of a routine outcome assessment. Reliability, validity, sensitivity to change, and internal factor structure were examined.
Results:
Participants evaluated the I.ROC as comprehensive. Internal consistency of the I.ROC (α = 0.88) and test-retest reliability (r = .85, p < .001) are good. Negative moderate correlations with the total score of the PANSS (r=-.50, p < .001) and the HoNOS (r=-.52, p < .001) were found, and a small negative correlation with the FR tool (r=-.36, p < .001). Moderate positive correlation with the MANSA (r = .55, p < .001) and the RAS (r = .60, p < .001) were found. The mean total I.ROC scores increased significantly between time points (F(2,166) = 6.351, p < .005), although differences were small. Confirmatory factor analysis showed that fit indices for the one-, two-, and four-factor model are comparable.
Conclusions:
The I.ROC is a valid and reliable instrument, with sensitivity to change, to map recovery in participants with SSD.
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