Development of the forensic inpatient quality of life questionnaire: short version (FQL-SV)

Schel, Sandra H. H.; Bouman, Yvonne H. A.; Vorstenbosch, Ellen; Bulten, B.H.

doi:10.1007/s11136-016-1461-9

Cited by 11 publications

(12 citation statements)

References 23 publications

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“…To that purpose, the Veneto REMS also included the WHOQoL-Bref in the battery of ROM instruments. The internal consistency of the Italian FQL-SV was good; the Cronbach's alpha was 0.86, which was higher than in the original version (28). Construct validity with the WHOQoL-Bref was largely in accordance with the results presented by Schel and colleagues (2016).…”

Section: Main Findingssupporting

confidence: 83%

“…Improvement of objective indicators does not necessarily enhance the subjective evaluation and differences in subjective QoL can not necessarily be explained by objective indicators (25,26). Studies among forensic psychiatric patients have shown that a better QoL was related to (leisure) activities, living environment and health (27)(28)(29).…”

Section: Introductionmentioning

confidence: 99%

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Exploring Needs and Quality of Life of Forensic Psychiatric Inpatients in the Reformed Italian System, Implications for Care and Safety

Vorstenbosch

Castelletti

2020

Front. Psychiatry

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The Italian forensic psychiatric system underwent drastic reforms. The newly developed facilities are inspired by psychiatric community services, embracing a recovery-oriented approach. Needs and quality of life are broader concepts that consider the more rehabilitative and humanitarian aspects of treatment. In one of the new Italian forensic psychiatric services, this cross-sectional study aimed to investigate the needs and quality of life of forensic psychiatric patients. A second aim was to validate the Italian version of the Forensic inpatient Quality of Life questionnaire Short Version (FQL-SV). Overall, 42 forensic psychiatric patients were assessed using the Forensic version of the Camberwell Assessment of Need (CANFOR), the Historical-Clinical-Risk-Management-20 (HCR-20), the FQL-SV, and the World Health Organization Quality of Life (WHOQoL-Bref). Patients reported significantly fewer needs, whether met or unmet, than their treating clinicians. The general level of agreement between patients and clinicians on specific needs was low Kappa values were < .40 for 64% of the total needs and 46% of the unmet needs. Risk factors according to the HCR-20 mean scores were 13.1, 4.6, and 6.4 for the historical, clinical and risk management subscale. Quality of life was moderate to high for 74% of the patients. Our results showed that lower numbers of needs, whether reported by patients or clinicians, were associated with a better quality of life. The Italian FQL-SV had a Cronbach's alpha of 0.86 and correlated as expected with the WHOQoL-Bref. The FQL-SV is a valid and reliable tool, justifying its use for routinely assessing QoL in Italian forensic psychiatric services. This study enhances our understanding of needs and quality of life of forensic psychiatric patients and how their assessment could have an additional value for recoveryoriented treatment in forensic psychiatry. Although the detained status of forensic patients imposes real limits on the capacity for autonomy and choice, incorporating the patient's perspective on decision-making processes, in relation to aspects of treatment, care, and daily life, may have benefits such as a better treatment adherence or therapeutic alliance. Future research should clarify how routinely assessing needs and quality of life can contribute to the recovery of these forensic psychiatric patients.

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Section: Main Findingssupporting

confidence: 83%

Section: Introductionmentioning

confidence: 99%

Exploring Needs and Quality of Life of Forensic Psychiatric Inpatients in the Reformed Italian System, Implications for Care and Safety

Vorstenbosch

Castelletti

2020

Front. Psychiatry

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“…Patient quality of life was measured with the short version of the Forensic Quality of Life Profile (FQL-SV; 45, 46). This scale was developed in The Netherlands and translated into English by its authors.…”

Section: Instrumentsmentioning

confidence: 99%

“…It has demonstrated good psychometric properties in a Dutch sample (45). Internal consistency was good (α = .79).…”

Section: Instrumentsmentioning

confidence: 99%

The Forensic Restrictiveness Questionnaire: Development, Validation, and Revision

et al. 2019

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Introduction: Forensic psychiatric care is often practiced in closed institutions. These highly regulated, secure, and prescriptive environments arguably reduce patient autonomy, self-expression, and personhood. Taken together these settings are restrictive as patients' active participation in clinical, organizational, community, and personal life-worlds are curtailed. The consequences of patients' experiences of restrictiveness have not been explored empirically. This study aimed to develop a psychometrically-valid measure of experiences of restrictiveness. This paper presents the development, validation, and revision of the Forensic Restrictiveness Questionnaire (FRQ). Methods: In total, 235 patients recruited from low, medium, and high secure hospitals across England completed the FRQ. The dimensionality of the 56-item FRQ was tested using Principle Axis Factor Analysis and parallel analysis. Internal consistency was explored with Cronbach's α. Ward climate (EssenCES) and quality of life (FQL-SV) questionnaires were completed by participants as indicators of convergent validity. Exploratory Factor Analysis (EFA) and Cronbach's α guided the removal of items that did not scale adequately. Results: The analysis indicated good psychometric properties. EFA revealed a unidimensional structure, suggesting a single latent factor. Convergent validity was confirmed as the FRQ was significantly negatively correlated with quality of life (Spearman's ρ = −0.72) and ward climate (Spearman's ρ = −0.61). Internal consistency was strong (α = 0.93). Forty-one items were removed from the pilot FRQ. The data indicate that a final 15-item FRQ is a valid and internally reliable measure. Conclusion: The FRQ offers a novel and helpful method for clinicians and researchers to measure and explore forensic patients' experiences of restrictiveness within secure hospitals.

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“…The disease-specific Lancashire Quality of Life Profile (LQoLP), intended for people with mental health problems, was used in seven studies. This instrument was later described as influencing the development of the FQL (Schel et al, 2017). The LQoLP was in turn based on, and a somewhat shorter version of, the disease-specific Lehman Quality of Life Interview (LQOLI), which was used in six studies.…”

Section: Table 2 (Continued)mentioning

confidence: 99%

A Systematic Review of Quality of Life Assessments of Offenders

Muller

2020

Int J Offender Ther Comp Criminol

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Strength-based theories of rehabilitation emphasize the importance of opportunities for offenders to achieve “good lives” to not re-offend. The extent to which these groups feel enabled to achieve a good life may be measured through subjective, overall quality of life (QoL). The aim is to systematically review the QoL instruments used among detained offenders and synthesize the factors related to their QoL. A systematic literature review was conducted to retrieve articles that assessed the overall QoL of a sample of detained offenders using a validated instrument. The instruments’ specificity, dimensionality, and respondent and administrator burden were assessed, and factors reported as significantly related to QoL were summarized. In total, 41 articles were included in the review: 20 reported on forensic samples and 20 on prisoners, with one study randomly assigning offenders to either forensic treatment or prison. Among the included articles, 12 validated instruments were utilized. Only one instrument, the Forensic Inpatient Quality of Life Questionnaire, was specifically developed for and validated in forensic patients. Detained offending populations reported lower QoL than the general population, and those with untreated mental illness reported the lowest. The most consistent predictors of QoL longitudinally were social factors, while substance use and detention-specific variables were not consistently related. In general, the relationships between poor mental health, loneliness, and poor QoL seen in offenders are also seen among other marginalized populations. To improve the evidence base for QoL assessment in this vulnerable group, current gold standard QoL instruments should be validated in detained populations.

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Development of the forensic inpatient quality of life questionnaire: short version (FQL-SV)

Cited by 11 publications

References 23 publications

Exploring Needs and Quality of Life of Forensic Psychiatric Inpatients in the Reformed Italian System, Implications for Care and Safety

Exploring Needs and Quality of Life of Forensic Psychiatric Inpatients in the Reformed Italian System, Implications for Care and Safety

The Forensic Restrictiveness Questionnaire: Development, Validation, and Revision

A Systematic Review of Quality of Life Assessments of Offenders

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