Investigating the factor structure of a translated recovery-orientation instrument in inpatient treatment for substance use disorder

There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

Abstract

Background

Recovery has been outlined as a process of change through which involvement and empowerment enables individuals to reach their goals and aspirations. Recovery self-assessment (RSA) is an instrument that has been acknowledged as an applicable measure of recovery-orientation in services for people with mental health problems or substance use disorder (SUD). This study aimed to translate RSA from US English to Norwegian and to investigate the factor structure of the translated version (RSA-N).

Methods

A translate/back-translate procedure was used. Confirmatory factor analysis (CFA) was applied to investigate the factor structure of RSA-N in a sample of clinicians ( n = 407) working in inpatient SUD treatment facilities.

Results

The results suggested that the hypothesised five-factor structure originally obtained by the developers showed an inadequate fit with the current data sample. RSA-N was modified and restructured by removing twelve misfitting items and combining factors with high covariance using data from one subsample. The alternative three-factor structure yielded an acceptable fit for the data from a second subsample. Acceptable alpha coefficients, suggesting good internal consistency, supported the adequacy of the three-factor structure.

Conclusions

Results from the present study are in line with previous findings, which have failed to replicate the hypothesised five-factor structure without modifications. Knowledge about the degree to which SUD services are recovery-oriented may contribute to SUD services’ pursuit of establishing an inpatient treatment environment that fosters change and development of inpatients. The present study’s findings imply RSA-N’s potential as an instrument to assess recovery-orientation in inpatient SUD treatment.

Supplementary Information

The online version contains supplementary material available at 10.1186/s13011-021-00363-0.

Related collections

Most cited references 66

Record: found
Abstract: not found
Article: not found

Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives

Li‐tze Hu, Peter M. Bentler (1999)

0 comments Cited 11454 times – based on 0 reviews      Review now

Bookmark

Record: found
Abstract: found
Article: not found

Principles of Good Practice for the Translation and Cultural Adaptation Process for Patient-Reported Outcomes (PRO) Measures: report of the ISPOR Task Force for Translation and Cultural Adaptation.

Diane Wild, Alyson Grove, Mona Martin … (2005)

In 1999, ISPOR formed the Quality of Life Special Interest group (QoL-SIG)--Translation and Cultural Adaptation group (TCA group) to stimulate discussion on and create guidelines and standards for the translation and cultural adaptation of patient-reported outcome (PRO) measures. After identifying a general lack of consistency in current methods and published guidelines, the TCA group saw a need to develop a holistic perspective that synthesized the full spectrum of published methods. This process resulted in the development of Translation and Cultural Adaptation of Patient Reported Outcomes Measures--Principles of Good Practice (PGP), a report on current methods, and an appraisal of their strengths and weaknesses. The TCA Group undertook a review of evidence from current practice, a review of the literature and existing guidelines, and consideration of the issues facing the pharmaceutical industry, regulators, and the broader outcomes research community. Each approach to translation and cultural adaptation was considered systematically in terms of rationale, components, key actors, and the potential benefits and risks associated with each approach and step. The results of this review were subjected to discussion and challenge within the TCA group, as well as consultation with the outcomes research community at large. Through this review, a consensus emerged on a broad approach, along with a detailed critique of the strengths and weaknesses of the differing methodologies. The results of this review are set out as "Translation and Cultural Adaptation of Patient Reported Outcomes Measures--Principles of Good Practice" and are reported in this document.

0 comments Cited 895 times – based on 0 reviews      Review now

Bookmark

Record: found
Abstract: found
Article: not found

Conceptual framework for personal recovery in mental health: systematic review and narrative synthesis.

Mary Leamy, Victoria Bird, Clair Le Boutillier … (2011)

No systematic review and narrative synthesis on personal recovery in mental illness has been undertaken. To synthesise published descriptions and models of personal recovery into an empirically based conceptual framework. Systematic review and modified narrative synthesis. Out of 5208 papers that were identified and 366 that were reviewed, a total of 97 papers were included in this review. The emergent conceptual framework consists of: (a) 13 characteristics of the recovery journey; (b) five recovery processes comprising: connectedness; hope and optimism about the future; identity; meaning in life; and empowerment (giving the acronym CHIME); and (c) recovery stage descriptions which mapped onto the transtheoretical model of change. Studies that focused on recovery for individuals of Black and minority ethnic (BME) origin showed a greater emphasis on spirituality and stigma and also identified two additional themes: culturally specific facilitating factors and collectivist notions of recovery. The conceptual framework is a theoretically defensible and robust synthesis of people's experiences of recovery in mental illness. This provides an empirical basis for future recovery-oriented research and practice.

0 comments Cited 467 times – based on 0 reviews      Review now

Bookmark

All references

Author and article information

Contributors

Dagny Adriaenssen Johannessen:

ORCID: http://orcid.org/0000-0002-8601-6534

dagnyaj@live.com

Journal

Journal ID (nlm-ta): Subst Abuse Treat Prev Policy

Journal ID (iso-abbrev): Subst Abuse Treat Prev Policy

Title: Substance Abuse Treatment, Prevention, and Policy

Publisher: BioMed Central (London )

ISSN (Electronic): 1747-597X

Publication date (Electronic): 19 March 2021

Publication date PMC-release: 19 March 2021

Publication date Collection: 2021

Volume: 16

Electronic Location Identifier: 24

Affiliations

[1 ]Blue Cross East, Oslo, Norway

[2 ]GRID grid.412414.6, ISNI 0000 0000 9151 4445, Department of Social Work, Child Welfare and Social Policy, , OsloMet – Oslo Metropolitan University, ; Oslo, Norway

[3 ]GRID grid.5947.f, ISNI 0000 0001 1516 2393, Department of Psychology, , Norwegian University of Science and Technology (NTNU), ; Trondheim, Norway

Author information

Dagny Adriaenssen Johannessen http://orcid.org/0000-0002-8601-6534

Article

Publisher ID: 363

DOI: 10.1186/s13011-021-00363-0

PMC ID: 7980679

PubMed ID: 33741021

SO-VID: 51294529-419d-48f1-bab0-0808871b071d

License:

Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.

History

Date accepted : 9 March 2021

Custom metadata

ScienceOpen disciplines: Health & Social care

Keywords: confirmatory factor analysis,recovery-orientation,recovery self-assessment,substance use disorder,translate/back-translate

Data availability:

ScienceOpen disciplines: Health & Social care

Keywords: confirmatory factor analysis, recovery-orientation, recovery self-assessment, substance use disorder, translate/back-translate

Investigating the factor structure of a translated recovery-orientation instrument in inpatient treatment for substance use disorder

Read this article at

Abstract

Background

Methods

Results

Conclusions

Supplementary Information

Related collections

Tobacco Prevention & Cessation

Most cited references 66

Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives

Principles of Good Practice for the Translation and Cultural Adaptation Process for Patient-Reported Outcomes (PRO) Measures: report of the ISPOR Task Force for Translation and Cultural Adaptation.

Conceptual framework for personal recovery in mental health: systematic review and narrative synthesis.

Author and article information

Contributors

Journal

Affiliations

Author information

Article

History

Categories

Custom metadata

Comments

Comment on this article

Similar content 100

Cited by 2

Most referenced authors 657