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Psychometric examination of care quality measures in VA psychosocial rehabilitation and recovery centers (PRRCs).
Psychological Services ( IF 1.9 ) Pub Date : 2020-08-01 , DOI: 10.1037/ser0000357
C Beau Nelson 1 , Nicholas Bowersox 2 , Jennifer King 1 , Marcia G Hunt 3
Affiliation  

The Veterans Health Administration (VHA) developed Psychosocial Rehabilitation and Recovery Centers (PRRCs) to enhance recovery-oriented mental health services to large populations of veterans diagnosed with serious mental illness (e.g., psychotic disorders, bipolar disorder) and significant functional challenges. Psychosocial Rehabilitation and Recovery Centers were designed to support a rehabilitation framework to help veterans obtain needed skills and support to integrate into meaningful, self-determined community roles. This study used data collected as part of VHA's development and implementation of a national system to monitor PRRC performance with the purpose of evaluating the psychometric properties and latent structure of outcome measures used in PRRCs. Baseline self-report data from 5,086 veterans and their assigned PRRC staff providers were collected and reviewed. Exploratory factor analyses were used to evaluate the psychometric properties of the Veteran-Rated Psychiatric Symptom Items (VR-PSI), the Clinician-Rated Psychiatric Symptom Items (CR-PSI), and the Internalized Stigma of Mental Illness 10-item scale (ISMI-10). Four latent factors were identified for the VR-PSI and CR-PSI for the total sample, while the ISMI-10 was reduced to 8-items to assess self-stigma as a unitary measure. All measures demonstrated good psychometric properties. This study provides initial support for the latent factor structures and psychometric properties of measures used to assess national VHA PRRC performance. Implications and limitations are discussed. (PsycINFO Database Record (c) 2019 APA, all rights reserved).

中文翻译:

弗吉尼亚州心理社会康复和恢复中心(PRRC)对护理质量措施的心理计量学检查。

退伍军人卫生管理局(VHA)建立了心理社会康复和恢复中心(PRRC),以增强面向以诊断为严重精神疾病(例如,精神病,躁郁症)和重大功能挑战的大量退伍军人为恢复目标的精神卫生服务。社会心理康复和恢复中心旨在支持康复框架,以帮助退伍军人获得所需的技能和支持,以融入有意义的,自定的社区角色。这项研究使用了作为VHA开发和实施的国家系统(用于监视PRRC绩效)的一部分而收集的数据,目的是评估PRRC中使用的心理测量特性和结果度量的潜在结构。来自5的基准自我报告数据 收集并审查了086名退伍军人及其指派的PRRC工作人员。探索性因素分析用于评估退伍军人精神病症状项目(VR-PSI),临床医生精神病症状项目(CR-PSI)以及心理疾病的内在污名10项量表(ISMI) -10)。确定了总样本中VR-PSI和CR-PSI的四个潜在因素,而ISMI-10减少为8个项目以评估自我柱头作为一个统一指标。所有措施均显示出良好的心理测量特性。这项研究为用于评估国家VHA PRRC绩效的措施的潜在因素结构和心理计量学特性提供了初步支持。讨论了含义和局限性。(PsycINFO数据库记录(c)2019 APA,保留所有权利)。探索性因素分析用于评估退伍军人精神病症状项目(VR-PSI),临床医生精神病症状项目(CR-PSI)以及心理疾病的内在污名10项量表(ISMI) -10)。确定了总样本中VR-PSI和CR-PSI的四个潜在因素,而ISMI-10减少为8个项目以评估自我柱头作为一个统一指标。所有措施均显示出良好的心理测量特性。这项研究为用于评估国家VHA PRRC绩效的措施的潜在因素结构和心理计量学特性提供了初步支持。讨论了含义和局限性。(PsycINFO数据库记录(c)2019 APA,保留所有权利)。探索性因素分析用于评估退伍军人精神病症状项目(VR-PSI),临床医生精神病症状项目(CR-PSI)以及心理疾病的内在污名10项量表(ISMI) -10)。确定了总样本中VR-PSI和CR-PSI的四个潜在因素,而ISMI-10减少为8个项目以评估自我柱头作为一个整体指标。所有措施均显示出良好的心理测量特性。这项研究为用于评估国家VHA PRRC绩效的措施的潜在因素结构和心理计量学特性提供了初步支持。讨论了含义和局限性。(PsycINFO数据库记录(c)2019 APA,保留所有权利)。
更新日期:2020-08-01
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