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Do Health Workers Believe that Personal Recovery is Possible? An Evaluation of the Recovery Attitudes Questionnaire
Journal article   Peer reviewed

Do Health Workers Believe that Personal Recovery is Possible? An Evaluation of the Recovery Attitudes Questionnaire

Esario IV Daguman and Joanne E. Taylor
Journal of psychosocial rehabilitation and mental health, Vol.First online
01/11/2024
DOI: https://doi.org/10.1007/s40737-024-00442-y
Appears in  Recent Faculty of Health Publications

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Abstract

recovery attitudes Recovery Attitudes Questionnaire mental health validation measurement
Although there have been positive advancements in mental health recovery research, pessimistic attitudes continue to prevail among many mental health workers, and the outlook for health workers outside mental health services remains uncertain. Interventions have been developed to address these attitudes. However, mixed validity support exists for measures of recovery attitudes used in evaluating interventions, including those created with service user involvement. The current study aimed to provide a psychometric examination of one such measure, the seven-item Recovery Attitudes Questionnaire (RAQ-7; Borkin et al. in Psychiatr. Rehabil. J 24(2):95, 2000. https://doi.org/10.1037/h0095 112), with 286 health workers and 19 retest samples from a paid survey platform, with a focus on addressing methodological limitations of previous psychometric evaluations. While there were overall positive recovery attitudes (mdn=28), scores demonstrated unsatisfactory internal consistency (ωt=.52–.68) and test–retest reliability (r=−.14–.14). Confirmatory factor analyses identified that scores poorly fitted the two-factor structure (SRMR=.066; RMSEA=.082; TLI=.761; CFI=.753) and unidimensional model (SRMR=.086; RMSEA=.122; TLI=.474; CFI=.479), and neither of the models was supported. The RAQ-7 has limitations in terms of psychometric precision and stability. More open and robust evaluations of measures of attitudes towards personal recovery are needed, especially measures developed with service user involvement, so that workforce interventions can be appropriately evaluated.

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