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The Active Recovery Triad monitor: evaluation of a model fidelity scale for recovery-oriented care in long-term mental health care settings

OBJECTIVE: The Active Recovery Triad (ART) model is a recently developed care model for people who are admitted to an institutional setting for several years and receive 24-h mental health care and support. This study focuses on the ART monitor, a model fidelity scale that measures the degree of com...

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Autores principales: Zomer, Lieke Johanna Cornelia, van der Meer, Lisette, van Weeghel, Jaap, van Melle, Anne Laura, de Vet, Henrica Cornelia Wilhelmina, Kemper, Martijn, Antoine Marie Widdershoven, Guy, Voskes, Yolande
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9118770/
https://www.ncbi.nlm.nih.gov/pubmed/35590299
http://dx.doi.org/10.1186/s12888-022-03949-5
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author Zomer, Lieke Johanna Cornelia
van der Meer, Lisette
van Weeghel, Jaap
van Melle, Anne Laura
de Vet, Henrica Cornelia Wilhelmina
Kemper, Martijn
Antoine Marie Widdershoven, Guy
Voskes, Yolande
author_facet Zomer, Lieke Johanna Cornelia
van der Meer, Lisette
van Weeghel, Jaap
van Melle, Anne Laura
de Vet, Henrica Cornelia Wilhelmina
Kemper, Martijn
Antoine Marie Widdershoven, Guy
Voskes, Yolande
author_sort Zomer, Lieke Johanna Cornelia
collection PubMed
description OBJECTIVE: The Active Recovery Triad (ART) model is a recently developed care model for people who are admitted to an institutional setting for several years and receive 24-h mental health care and support. This study focuses on the ART monitor, a model fidelity scale that measures the degree of compliance with the ART model. Our aim is to evaluate the psychometric properties of the ART monitor and to further improve the instrument. METHODS: Fifteen teams at the start (n = 7, group 1) or in the process (6 months to three years) of implementing care according to the ART model (n = 8, group 2) were audited using the ART monitor. Auditors were trained care workers, peer workers, and family peer workers. Auditors and team members provided feedback on the instrument. The content validity, construct validity and inter-rater reliability of the ART monitor were investigated. Based on the outcomes of these psychometric properties, the ART monitor was finalized. RESULTS: Regarding content validity, auditors and teams indicated that they perceived the ART monitor to be a useful instrument. In terms of construct validity, a significant difference (t(13) = 2.53, p < 0.05) was found between teams at the start of the implementation process (group 1, average score of 2.42 (SD = 0.44)) and teams with a longer duration of implementation (group 2, average score of 2.95 (SD = 0.37)). When allowing for a one-point difference in scores, 88% of the items had an inter-rater agreement over 65%. Items with a relatively low inter-rater reliability, in combination with feedback from auditors and teams regarding content validity, provided direction for further improvement and revision of the instrument. CONCLUSIONS: We concluded that the revised ART monitor is feasible and useful in mental health care practice. However, further evaluation of its psychometric properties will be needed. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12888-022-03949-5.
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spelling pubmed-91187702022-05-20 The Active Recovery Triad monitor: evaluation of a model fidelity scale for recovery-oriented care in long-term mental health care settings Zomer, Lieke Johanna Cornelia van der Meer, Lisette van Weeghel, Jaap van Melle, Anne Laura de Vet, Henrica Cornelia Wilhelmina Kemper, Martijn Antoine Marie Widdershoven, Guy Voskes, Yolande BMC Psychiatry Research OBJECTIVE: The Active Recovery Triad (ART) model is a recently developed care model for people who are admitted to an institutional setting for several years and receive 24-h mental health care and support. This study focuses on the ART monitor, a model fidelity scale that measures the degree of compliance with the ART model. Our aim is to evaluate the psychometric properties of the ART monitor and to further improve the instrument. METHODS: Fifteen teams at the start (n = 7, group 1) or in the process (6 months to three years) of implementing care according to the ART model (n = 8, group 2) were audited using the ART monitor. Auditors were trained care workers, peer workers, and family peer workers. Auditors and team members provided feedback on the instrument. The content validity, construct validity and inter-rater reliability of the ART monitor were investigated. Based on the outcomes of these psychometric properties, the ART monitor was finalized. RESULTS: Regarding content validity, auditors and teams indicated that they perceived the ART monitor to be a useful instrument. In terms of construct validity, a significant difference (t(13) = 2.53, p < 0.05) was found between teams at the start of the implementation process (group 1, average score of 2.42 (SD = 0.44)) and teams with a longer duration of implementation (group 2, average score of 2.95 (SD = 0.37)). When allowing for a one-point difference in scores, 88% of the items had an inter-rater agreement over 65%. Items with a relatively low inter-rater reliability, in combination with feedback from auditors and teams regarding content validity, provided direction for further improvement and revision of the instrument. CONCLUSIONS: We concluded that the revised ART monitor is feasible and useful in mental health care practice. However, further evaluation of its psychometric properties will be needed. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12888-022-03949-5. BioMed Central 2022-05-19 /pmc/articles/PMC9118770/ /pubmed/35590299 http://dx.doi.org/10.1186/s12888-022-03949-5 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/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/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://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.
spellingShingle Research
Zomer, Lieke Johanna Cornelia
van der Meer, Lisette
van Weeghel, Jaap
van Melle, Anne Laura
de Vet, Henrica Cornelia Wilhelmina
Kemper, Martijn
Antoine Marie Widdershoven, Guy
Voskes, Yolande
The Active Recovery Triad monitor: evaluation of a model fidelity scale for recovery-oriented care in long-term mental health care settings
title The Active Recovery Triad monitor: evaluation of a model fidelity scale for recovery-oriented care in long-term mental health care settings
title_full The Active Recovery Triad monitor: evaluation of a model fidelity scale for recovery-oriented care in long-term mental health care settings
title_fullStr The Active Recovery Triad monitor: evaluation of a model fidelity scale for recovery-oriented care in long-term mental health care settings
title_full_unstemmed The Active Recovery Triad monitor: evaluation of a model fidelity scale for recovery-oriented care in long-term mental health care settings
title_short The Active Recovery Triad monitor: evaluation of a model fidelity scale for recovery-oriented care in long-term mental health care settings
title_sort active recovery triad monitor: evaluation of a model fidelity scale for recovery-oriented care in long-term mental health care settings
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9118770/
https://www.ncbi.nlm.nih.gov/pubmed/35590299
http://dx.doi.org/10.1186/s12888-022-03949-5
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