AUTHOR=Moeller Stine Bjerrum , Larsen Pia Veldt , Austin Stephen , Slade Mike , Arendt Ida-Marie T. P. , Andersen Martin Stolpe , Simonsen Sebastian 

TITLE=Scalability, test–retest reliability and validity of the Brief INSPIRE-O measure of personal recovery in psychiatric services

JOURNAL=Frontiers in Psychiatry

VOLUME=Volume 15 - 2024

YEAR=2024

URL=https://www.frontiersin.org/journals/psychiatry/articles/10.3389/fpsyt.2024.1327020

DOI=10.3389/fpsyt.2024.1327020

ISSN=1664-0640

ABSTRACT=Introduction. Mental health services have transitioned from primarily treating symptoms towards emphasizing personal recovery. Despite its importance, integrating personal recovery into clinical practice remains a work in progress. This study evaluates the psychometric qualities of the Brief INSPIRE-O, a five-item patient-reported outcome measure assessing personal recovery.
Method. The study collected data from 2018-2020 at the Mental Health Services, Capital Region of Denmark, utilizing an internet-based system examining 8192 non-psychotic patients receiving out-patient treatment.
Materials. The study evaluated the Brief INSPIRE-O and used measures of symptomatology (SCL-10), well-being (WHO-5) and social functioning (modified SDS).
Results. The study population comprised 76.8% females, a mean age of 32.9 years, and diagnoses included anxiety (28%), depression (34%) and personality disorder (19%). The Brief INSPIRE-O mean score (39.9) was lower than the general population norm (71.1). Brief INSPIRE-O showed acceptable test-retest reliability (0.75), scalability (0.39) and internal consistency (0.73). Correlations with other mental health criteria were in the expected direction for symptomatology (-0.46), well-being (0.60) and social functioning (-0.43) and remained consistent across diagnoses.
Discussion. The Brief INSPIRE-O demonstrated strong psychometric qualities and could be recommended as a measure of personal recovery for use in both research and clinical practice. Its strong theoretical basis and short completion time makes it suited for use in research. Incorporating Brief INSPIRE-O into clinical assessment will further support the further process of mental health systems re-orientating towards personal recovery.