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Personal Agency Support Questionnaire in Acute Psychiatric Inpatients: Development and Instrument Validation Study.

Tomomi Kajiwara1,2, Yuta Hayashi3, Masami Sugihara4

  • 1Department of Psychiatric and Mental Health Nursing, Graduate School of Nursing, Mukogawa Women's University, Nishinomiya, Japan.

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Summary
This summary is machine-generated.

A new patient-reported tool, the Personal Agency Support Questionnaire (PASQ), effectively measures support for personal agency in psychiatric care. The PASQ shows promise for improving patient experiences and recovery in acute psychiatric settings.

Keywords:
inpatientsmental disordersmental healthpersonal autonomypsychometricssurveys and questionnaires

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Area of Science:

  • Psychiatry
  • Mental Health Research
  • Patient-Reported Outcomes

Background:

  • Promoting personal agency is crucial for reducing coercion and aiding recovery in acute psychiatric care.
  • Currently, no patient-reported tool exists to assess support for personal agency in this specific clinical setting.

Purpose of the Study:

  • To develop and psychometrically evaluate a patient-reported tool, the Personal Agency Support Questionnaire (PASQ), for assessing perceived support for personal agency.
  • To assess the validity and reliability of the PASQ in inpatients within acute psychiatric wards.

Main Methods:

  • A literature review and focus group interviews generated initial questionnaire items.
  • Cognitive interviews and a pretest refined the item pool.
  • Construct validity, internal consistency, and test-retest reliability were evaluated via a cross-sectional survey of 109 acute psychiatric inpatients, in collaboration with individuals with lived experience.

Main Results:

  • The 10-item PASQ demonstrated excellent convergent validity and acceptable discriminant validity.
  • High internal consistency (Cronbach α=0.92) and moderate test-retest reliability (ICC=0.68) were observed.
  • The study included 109 participants (61.2% response rate), with a mean age of 52.9 years; 54.1% were women, and 56% had a schizophrenia diagnosis.

Conclusions:

  • The Personal Agency Support Questionnaire (PASQ) is a valuable and validated tool for assessing personal agency support in acute psychiatric wards.
  • The PASQ shows significant potential for both clinical application and research within acute psychiatric settings to enhance patient-centered care.