Martina Kilbride

The questionnaire about the process of recovery (QPR): A measurement tool developed in collaboration with service users

Aims: To develop and validate a short recovery questionnaire in collaboration with service users. Method: 126 people with experience of psychosis were recruited via the National Health Service (NHS) Trust and self‐help organisations nationwide. Items were generated from in‐depth interviews into recovery and developed into a 25‐item self‐report questionnaire. Data were factor analysed, and a final 22‐item measure (the QPR) was tested for reliability and validity. To assess validity the QPR was administered together with measures of: psychological distress (the General Health Questionnaire – GHQ); empowerment (the Making Decisions and Empowerment Scale – MDES), and quality of life (the Schizophrenia Quality of Life Scale – SQLS). The QPR was administered again at two weeks to assess reliability. Results: The QPR is comprised of two subscales (intrapersonal and interpersonal). Internal consistency and reliability of the scale was satisfactory. There was a high level of association with MDES, GHQ and SQLS scores, and between QPR scores at time one and time two. Conclusions: The QPR possesses internal consistency, construct validity and reliability, and promises to be a useful tool for assisting clients to set goals, evaluation of these goals and promoting recovery from psychosis in routine service evaluation and research trials.

Preferences for psychological therapy in psychosis: trial participation, mode of treatment, and willingness to be randomised.

Abstract Background: Psychological therapies for psychosis are well evidenced; however, service user preferences for psychological treatment and trial participation have been little researched. Aims: To investigate preferences for psychological treatments for psychosis and trial participation decisions within a sample of people with experience of psychosis. Method: Hypothetical preferences were assessed in 90 individuals diagnosed with non-affective psychosis: (a) willingness/unwillingness to participate in a psychological therapy trial; (b) willingness/unwillingness to be randomised to treatment condition; (c) preference for mode of therapy; (d) reasons for preferences; (e) socio-demographic and clinical characteristics associated with preferences. Results: Most participants reported willingness to participate in a therapy trial and preferred not to be randomly allocated. Reasons for preferences were diverse, and preferences were not associated with socio-demographic or clinical variables. Conclusions: The need for treatment choice in services for psychosis and further research in this area has been highlighted.