Reliability and validity of the Japanese version of the INSPIRE measure of staff support for personal recovery in community mental health service users in Japan

Kotake, Risa; Kanehara, Akiko; Miyamoto, Yuki; Kumakura, Yousuke; Sawada, Utako; Takano, Ayumi; Chiba, Rie; Ogawa, Makoto; Kondō, Shinsuke; Kasai, Kiyoto; Kawakami, Norito

doi:10.1186/s12888-020-2467-y

Cited by 7 publications

(9 citation statements)

References 38 publications

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“…The other nine scales were patient-reported outcome measures. Two were recovery-related scales (Japanese version of the Questionnaire about the Process of Recovery (QPR-J) [24][25][26] and INSPIRE [27,28]). The remaining seven scales included the domains for empowerment (Japanese version of Boston University Empowerment Scale (BUES)) [29][30][31], quality of life (QOL)/well-being (WHO-5) [32,33], social support (Japanese version of the Social Support Questionnaire -Short Form (SSQ-6)) [34,35], subjective value (Japanese version of the Personal Values Questionnaire II (PVQ-II)) [36], relationships between patients and clinicians (Japanese version of the Scale to Assess Therapeutic Relationships (STAR-J)) [37,38], self-stigma (Japanese version of the Internalized Stigma of Mental Illness (ISMI) scale) [39,40], and adherence (Medication Adherence Scale) [41].…”

Section: List Of Outcome Measuresmentioning

confidence: 99%

Perspectives of people with schizophrenia on clinical outcome scales and patient-reported outcome measures: a qualitative study

Sawada,

Matsunaga,

Taneda

et al. 2023

Preprint

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Background Over the past half-century, numerous scales have been designed to quantify outcomes in people with severe mental health disorders. However, little is known about the views of people diagnosed with schizophrenia regarding individual outcome scales, particularly outside of European countries. Aim We conducted this qualitative study to examine people with schizophrenia perspectives concerning multiple scales in Japan. Methods There were 11 participants in this study. There were some had extensive experience as mental health peer supporters and others had no such experience. To address potential power imbalances and facilitate dynamic discourse, participants were intentionally divided into two groups - peer support experience and without - and conducted simultaneous two-hour focus group interviews in separate rooms. Participants reviewed 12 clinical and patient-reported outcome measures and discussed their views on each measure. Interview data for each group were combined prior to analysis and qualitatively analyzed by four researchers using a thematic analysis approach. Results The average age of the participants was 42.7 years (SD = 8.3), and six were male. On average, the participants had been living with schizophrenia for 22.2 years (SD = 11.1). After analyzing the interview data, the following five themes were identified, each containing two to seven subthemes: A) validity and format of the scale construct, B) factors affecting the accuracy of responses, C) plain language and familiar words in Japanese culture, D) psychological impact on the respondents, and E) containing important items in the life of people with schizophrenia. Conclusion The participants provided both favorable and unfavorable feedback regarding each scale. When implementing research utilizing clinical outcome scales and patient-reported outcome measures, researchers must exercise caution considering the potential emotional impact on respondents. Furthermore, scale development should take into account the cultural background and psychological burden experienced by the respondents.

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Section: List Of Outcome Measuresmentioning

confidence: 99%

Perspectives of people with schizophrenia on clinical outcome scales and patient-reported outcome measures: a qualitative study

Sawada,

Matsunaga,

Taneda

et al. 2023

Preprint

Self Cite

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“…The Principal Axis Factor analysis with oblimin rotation (25) and varimax rotation methods were adopted for EFA. The number of factors was determined by eigenvalues and scree plots using an eigenvalue criterion higher than 1 (26).…”

Section: Factor Analysismentioning

confidence: 99%

Psychometric Properties of the Chinese Version of the Functional Assessment of Self-Mutilation (FASM) in Chinese Clinical Adolescents

Wang

Zhang

et al. 2022

Front. Psychiatry

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BackgroundFunctional Assessment of Self-Mutilation (FASM) is one of the most widely used tools assessing adolescent's non-suicidal self-injury. However, the Chinese version of FASM (C-FASM) is lacking. The present study aimed to adapt the FASM to the Chinese patients and examine its reliability and validity.MethodsThe original English version of the FASM was translated into Chinese following Brislin's model of cross-culture translation, and then, pilot study and cognitive interview were carried out with 15 adolescent patients to assess the acceptability and comprehensibility of all items. The items were subsequently tested in a sample of 621 Chinese adolescent patients recruited by 20 psychiatric or general hospitals in nine provinces across China. We examined the distribution of responses for each item. Factor analysis, Cronbach's α and McDonald's Ω, intraclass coefficient, and Spearman's rank correlations were deployed to assess the dimensional structure, internal consistency reliability, test–retest reliability, and criterion validity.ResultsThe final adapted C-FASM included a 10-item method checklist and a 15-item function checklist of NSSI, and other characteristics of NSSI. C-FASM exhibited acceptable internal consistency (α = 0.81 and Ω = 0.80 for method checklist; α = 0.80 and Ω = 0.76 for function checklist) and test–retest reliability (method checklist: 0.79; function checklist: 0.87). Factor analysis for NSSI functions yielded a three-factor model with a good model fit. In addition, the instrument showed an expected correlation with the instrument of the Deliberate Self-Harm Behavior Inventory (r = 0.84, p < 0.001).ConclusionsThe C-FASM has good content, structural validity, and reliability. The instrument can be helpful to Chinese adolescents as a comprehensive measure of NSSI behaviors.

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“…The INSPIRE was originally developed in the United Kingdom and has two subscales, "Support" and "Relationship" (Williams et al, 2015). Previous research reported that the Japanese version of the INSPIRE had good reliability and convergent validity (Kotake et al, 2020). A higher score indicates that the participant more strongly agrees that they have been receiving recovery-oriented services and have built a good relationship with an employment specialist.…”

Section: Patient-reported Outcome Measuresmentioning

confidence: 99%

Predictive Association of Low- and High-Fidelity Supported Employment Programs with Multiple Outcomes in a Real-World Setting: A Prospective Longitudinal Multi-site Study

Yamaguchi

Sato

Shiozawa

et al. 2021

Adm Policy Ment Health

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Purpose The individual placement and support (IPS) model of supported employment is a leading evidence-based practice in community mental health services. In Japan, individualized supported employment that is highly informed by the philosophy of the IPS model has been implemented. While there is a body of evidence demonstrating the association between program fidelity and the proportion of participants gaining competitive employment, the association between fidelity and a wider set of vocational and individual outcomes has received limited investigation. This study aimed to assess whether high-fidelity individualized supported employment programs were superior to low-fidelity programs in terms of vocational outcomes, preferred job acquisition, and patient-reported outcome measures (PROMs). Methods A prospective longitudinal study with 24-month follow-up analyzed 16 individualized supported employment programs. The Japanese version of the individualized Supported Employment Fidelity scale (JiSEF) was used to assess the structural quality of supported employment programs (scores: low-fidelity program, ≤ 90; high-fidelity program, ≥ 91). Job acquisition, work tenure, work earnings, job preference matching (e.g., occupation type, salary, and illness disclosure), and PROMs such as the INSPIRE and WHO-Five Well-being index were compared between groups. Results There were 75 and 127 participants in the low-fidelity group (k = 6) and high-fidelity group (k = 10), respectively. The high-fidelity group demonstrated better vocational outcomes than the low-fidelity group, i.e., higher competitive job acquisition (71.7% versus 38.7%, respectively, adjusted odds ratio (aOR) = 3.6, p = 0.002), longer work tenure (adjusted mean difference = 140.8, p < 0.001), and better match for illness disclosure preference (92.6% versus 68.0%, respectively, aOR = 5.9, p = 0.003). However, we found no differences between groups in other preference matches or PROM outcomes. Conclusion High-fidelity individualized supported employment programs resulted in good vocational outcomes in a real-world setting. However, enhancing service quality to increase desired job acquisition and improve PROMs will be important in the future. Clinical Trial Registration UMIN000025648

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Reliability and validity of the Japanese version of the INSPIRE measure of staff support for personal recovery in community mental health service users in Japan

Cited by 7 publications

References 38 publications

Perspectives of people with schizophrenia on clinical outcome scales and patient-reported outcome measures: a qualitative study

Perspectives of people with schizophrenia on clinical outcome scales and patient-reported outcome measures: a qualitative study

Psychometric Properties of the Chinese Version of the Functional Assessment of Self-Mutilation (FASM) in Chinese Clinical Adolescents

Predictive Association of Low- and High-Fidelity Supported Employment Programs with Multiple Outcomes in a Real-World Setting: A Prospective Longitudinal Multi-site Study

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