Recovery assessment scale: Examining the factor structure of the German version (RAS-G) in people with schizophrenia spectrum disorders

Cavelti, Marialuisa; Wirtz, Markus; Corrigan, Patrick W.; Vauth, Roland

doi:10.1016/j.eurpsy.2016.10.006

Cited by 26 publications

(30 citation statements)

References 53 publications

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“…The lower means on the Goal and success orientation and Reliance on others sub-scales reported by Japanese respondents, as compared to US respondents, was explained by differences in emphasis of aspects of hope, personal confidence and collectivism between Eastern and Western cultures. In the present study mean RAS-R scores appeared similar to the scores reported by Cavelti et al (2017) in their recent study from the German cultural context [ 35 ]. The fact that mean RAS-R responses in the Norwegian context were similar to the responses in the study set in the German context, may reflect similarity in cultures among these two countries.…”

Section: Discussionsupporting

confidence: 91%

Validation of the 24-item recovery assessment scale-revised (RAS-R) in the Norwegian language and context: a multi-centre study

Biringer

Tjoflåt

2018

Health Qual Life Outcomes

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BackgroundThe Recovery Assessment Scale-revised (RAS-R) is a self-report instrument measuring mental health recovery. The purpose of the present study was to translate and adapt the RAS-R into the Norwegian language and to investigate its psychometric properties in terms of factor structure, convergent and discriminant validity and reliability in the Norwegian context.MethodsThe present study is a cross-sectional multi-centre study. After a pilot test, the Norwegian version of the RAS-R was distributed to 231 service users in mental health specialist and community services. The factor structure of the instrument was investigated by a confirmatory factor analysis (CFA), and internal consistency was assessed by Cronbach’s alpha.ResultsThe RAS-R was found to be acceptable and feasible for service users. The original five-factor structure was confirmed. All model fit indices, including the standardised root mean square residual (SRMR), which is independent of the χ2-test, met the criteria for an acceptable model fit. Internal consistencies within sub-scales as measured by Cronbach’s alpha ranged from 0.65 to 0.85. Cronbach’s alpha for the total scale was 0.90. As expected, some redundancy between factors existed (in particular among the factors Personal confidence and hope, Goal and success orientation and Not dominated by symptoms).ConclusionsThe Norwegian RAS-R showed acceptable psychometric properties in terms of convergent validity and reliability, and fit indices from the CFA confirmed the original factor structure. We recommend the Norwegian RAS-R as a tool in service users’ and health professionals’ collaborative work towards the service users’ recovery goals and as an outcome measure in larger evaluations.

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Section: Discussionsupporting

confidence: 91%

Validation of the 24-item recovery assessment scale-revised (RAS-R) in the Norwegian language and context: a multi-centre study

Biringer

Tjoflåt

2018

Health Qual Life Outcomes

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“…First of all, our data show that most of the enrolled patients reached the state of recovery and this result is crucial, as it supports that the course of schizophrenia is not inevitably deteriorating . This historic, pessimistic view has progressively changed over recent decades, also thanks to the end of hospitalization and the introduction of new antipsychotics .…”

Section: Discussionsupporting

confidence: 67%

“…In general, recovery can be defined as sustained symptom remission, functional rehabilitation (e.g., cognitive, social, and vocational) and reduced use of medical health services . Whitehorn et al proposed a definition of recovery including autonomous daily living (Global Assessment of Functioning [GAF] score > 50), a normal range of social and occupational functioning (Social and Occupational Functional Assessment score > 60) and a significant reduction of psychopathology (Positive and Negative Syndrome Scale [PANSS] score of ≤4 on all items) .…”

mentioning

confidence: 99%

Achieving recovery in patients with schizophrenia through psychosocial interventions: A retrospective study

Buonocore

Bosia

Baraldi

et al. 2017

Psychiatry Clin Neurosci

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Aim: Recovery, or functional remission, represents the ultimate treatment goal in schizophrenia. Despite its importance, a standardized definition of remission is still lacking, thus reported rates significantly vary across studies. Moreover, the effects of rehabilitative interventions on recovery have not been thoroughly investigated. This study aimed to evaluate recovery in a sample of patients with chronic schizophrenia engaged in rehabilitation programs and to explore contributing factors, with a focus on sociocognitive rehabilitative interventions.Methods: Data from 104 patients with schizophrenia treated either with a standard rehabilitation program, including cognitive remediation (n = 46), or the latter plus a specific sociocognitive intervention (n = 58), and assessed for psychopathology, cognition, social cognition, and Quality of Life Scale, were retrospectively analyzed for this study.Results: Recovery, evaluated with the Quality of Life Scale, was achieved by 56.76% of patients in our sample. While no effects were observed for clinical, cognitive, or sociocognitive variables, participation in the sociocognitive rehabilitative interventions was positively associated with recovery. Conclusion:Our results indicate that high rates of recovery can be achieved in patients treated with psychosocial interventions and suggest that rehabilitative programs targeting social cognition may further facilitate the process of recovery. If confirmed, these results may have relevant implications for daily clinical practice and service provision, allowing clinicians to develop and optimize specific rehabilitation programs in order to promote recovery.

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“…For patients, the baseline assessment will take place before randomisation and include a set of validated questionnaires: PHQ-9,25 GAD-7,12 German version of the Recovery Assessment Scale,40 EQ-5D,41 Somatic Symptom Disorder–B Criteria Scale42 and Patient Assessment of Chronic Illness Care 43. Following the Medical Research Council guidance on developing and evaluating complex interventions,44 a health-economic evaluation is planned for the main trial.…”

Section: Methods and Analysismentioning

confidence: 99%

“…1. Patient Health Questionnaire 9 (PHQ-9),25 Generalised Anxiety Disorder Scale (GAD-7),25 Recovery Assessment Scale (RAS-G),40 EQ-5D,41 Somatic Symptom Disorder–B Criteria Scale (SSD-12) 42. 2.…”

Section: Methods and Analysismentioning

confidence: 99%

Mental health specialist video consultations for patients with depression or anxiety disorders in primary care: protocol for a randomised controlled feasibility trial

et al. 2019

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IntroductionMost people suffering from depression and anxiety disorders are entirely treated in primary care. Due to growing challenges in ageing societies, for example, patients’ immobility and multimorbidity, the transition to specialised care becomes increasingly difficult. Although the co-location of general practitioners and mental health specialists improves the access to psychosocial care, integrated in-person approaches are not practical for rural and single-doctor practices with limited personnel and financial resources. Treating primary care patients via internet-based video consultations by remotely located mental health specialists bears the potential to overcome structural barriers and provide low-threshold care. The aim of this randomised controlled feasibility trial is to investigate the feasibility of implementing of mental health specialist video consultations in primary care practices.Methods and analysisFifty primary care patients with significant depression and/or anxiety symptomatology will be randomised in two groups receiving either the treatment as usual as provided by their general practitioner or up to five video consultations conducted by a mental health specialist. The video consultations focus on (1) systematic diagnosis plus proactive monitoring using validated clinical rating scales, (2) the establishment of an effective working alliance and (3) a stepped-care algorithm within integrated care adjusting treatments based on clinical outcomes. We will investigate the following outcomes: effectiveness of the recruitment strategies, patient acceptance of randomisation, practicability of the technical and logistical processes related to implementing video consultations in the practices’ workflows, feasibility of the data collection and clinical parameters.Ethics and disseminationThis trial has undergone ethical scrutiny and has been approved by the Medical Faculty of the University of Heidelberg Ethics Committee (S-634/2018). The findings will be disseminated to the research community through presentations at conferences and publications in scientific journals. This feasibility trial will prepare the ground for a large-scale, fully powered randomised controlled trial.Trial registration numberDRKS00015812.

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Recovery assessment scale: Examining the factor structure of the German version (RAS-G) in people with schizophrenia spectrum disorders

Abstract: The study results are discussed in the light of other studies examining the factor structure of the RAS. Overall, they support the use of the RAS-G as a means to promote recovery oriented services, policies, and research in German-speaking countries.

Cited by 26 publications

References 53 publications

Validation of the 24-item recovery assessment scale-revised (RAS-R) in the Norwegian language and context: a multi-centre study

Validation of the 24-item recovery assessment scale-revised (RAS-R) in the Norwegian language and context: a multi-centre study

Achieving recovery in patients with schizophrenia through psychosocial interventions: A retrospective study

Mental health specialist video consultations for patients with depression or anxiety disorders in primary care: protocol for a randomised controlled feasibility trial

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