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Measuring Recovery Using the Individual Recovery Outcomes Counter: A Cross-Sectional Multi-Center Study on Structural

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This study examined the structural validity of the Individual Recovery Outcomes Counter (I.ROC) in Dutch mental health care. Findings suggest multiple factor structures fit the data, indicating I.ROC

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Area of Science:

  • Mental Health Research
  • Psychometrics
  • Healthcare Quality Improvement

Background:

  • The Individual Recovery Outcomes Counter (I.ROC) is a recovery-oriented measure originating from Scotland.
  • The I.ROC is increasingly utilized within Dutch mental health care settings.
  • Previous research has explored the structural validity of the I.ROC, necessitating further investigation.

Purpose of the Study:

  • To extend previous research on the structural validity of the I.ROC.
  • To investigate the factor structure of the Dutch version of the I.ROC.
  • To assess the fit of various factor models using a large dataset from Dutch mental health care clients.

Main Methods:

  • Utilized data from 8635 mental health care clients across five Dutch organizations.
  • Conducted exploratory factor analysis (EFA) on 4295 clients.
  • Performed confirmatory factor analysis (CFA) on 4340 clients, testing previously identified factor structures.

Main Results:

  • EFA supported both one-factor ('Total-scale') and two-factor ('Empowerment', 'Vitality and Activity') structures.
  • CFA indicated a good fit for a modified two-factor model ('Wellbeing, control, network and meaningfulness' and 'Health safety and abilities').
  • Acceptable fits were also observed for one-, two-, three-, and four-factor models from other studies, indicating inconclusive structural validity.

Conclusions:

  • The structural validity of the I.ROC in Dutch mental health care requires further investigation.
  • While a one-factor structure is suitable for summarization and multiple subscale solutions fit well, conclusive structural validity remains undetermined.
  • Longitudinal data research is recommended to further clarify the I.ROC's structural validity and application in clinical practice.