PMID- 34735191
OWN - NLM
STAT- MEDLINE
DCOM- 20220908
LR  - 20230902
IS  - 1559-3126 (Electronic)
IS  - 1095-158X (Print)
IS  - 1095-158X (Linking)
VI  - 45
IP  - 3
DP  - 2022 Sep
TI  - Fit for purpose: Conception and psychometric evaluation of developmentally 
      appropriate measures to assess functional recovery in first-episode psychosis 
      across geo-cultural contexts.
PG  - 226-236
LID - 10.1037/prj0000504 [doi]
AB  - OBJECTIVE: Given the paucity of functional recovery measures for young people 
      with psychosis, we developed and conducted psychometric testing of the Functional 
      Outcomes Interview (FOI) and the Roles and Aspirations Among Youth scale (RAY; a 
      much-needed patient-reported outcome measure). METHOD: Both measures were 
      developed in English, Tamil, and French through discussions with professionals, 
      participants, and families at early psychosis programs in Canada and India. The 
      FOI assesses the number and tenure of functional roles and allows the nuanced 
      assessment of each role in terms of performance, need for support, and quality of 
      social contacts. The roles include work, school, household responsibilities, 
      parenting/caregiving, and efforts to return to work/school. The RAY is a 
      self-report of current roles and future aspirations. Test-retest reliability, 
      internal consistency, factorial validity, and concurrent validity for the RAY; 
      and inter-rater reliability (IRR), internal consistency, and concurrent validity 
      for the FOI were assessed. RESULTS: The RAY had adequate internal consistency and 
      temporal stability and was unidimensional in factor analysis. The FOI had 
      acceptable IRR and internal consistency, as evinced by comparable performance 
      ratings across functional roles. Significant associations between our novel 
      measures and well-established measures of functioning and negative symptoms 
      indicate concurrent validity. CONCLUSIONS AND IMPLICATIONS FOR PRACTICE: The FOI 
      and RAY were designed to be youth friendly, assess aspirations, and acknowledge 
      individuals as desiring and holding multiple roles. They thus represent a 
      significant advancement in assessing functional recovery in first-episode 
      psychosis. Having been tested in two distinct settings, these measures show 
      promise for wider deployment across geo-cultural contexts. (PsycInfo Database 
      Record (c) 2022 APA, all rights reserved).
FAU - Iyer, Srividya N
AU  - Iyer SN
AUID- ORCID: 0000-0001-5367-9086
AD  - Department of Psychiatry.
FAU - Malla, Ashok
AU  - Malla A
AD  - Department of Psychiatry.
FAU - Taksal, Aarati
AU  - Taksal A
AD  - Prevention and Early Intervention Program for Psychosis (PEPP-Montreal).
FAU - Pawliuk, Nicole
AU  - Pawliuk N
AUID- ORCID: 0000-0002-9544-4565
AD  - Prevention and Early Intervention Program for Psychosis (PEPP-Montreal).
FAU - Mangala, Ramamurti
AU  - Mangala R
AD  - Schizophrenia Research Foundation (SCARF).
FAU - Mohan, Greeshma
AU  - Mohan G
AD  - Schizophrenia Research Foundation (SCARF).
FAU - Pope, Megan A
AU  - Pope MA
AD  - Prevention and Early Intervention Program for Psychosis (PEPP-Montreal).
FAU - Schmitz, Norbert
AU  - Schmitz N
AUID- ORCID: 0000-0001-7777-6323
AD  - Department of Psychiatry.
FAU - Loohuis, Heleen
AU  - Loohuis H
AD  - Prevention and Early Intervention Program for Psychosis (PEPP-Montreal).
FAU - Padmavati, Ramachandran
AU  - Padmavati R
AUID- ORCID: 0000-0002-0380-8617
AD  - Schizophrenia Research Foundation (SCARF).
FAU - Joober, Ridha
AU  - Joober R
AD  - Department of Psychiatry.
FAU - Shah, Jai
AU  - Shah J
AD  - Department of Psychiatry.
FAU - Rangaswamy, Thara
AU  - Rangaswamy T
AD  - Schizophrenia Research Foundation (SCARF).
LA  - eng
GR  - CAPMC/CIHR/Canada
GR  - R01 MH093303/MH/NIMH NIH HHS/United States
GR  - NH/NIH HHS/United States
PT  - Journal Article
DEP - 20211104
PL  - United States
TA  - Psychiatr Rehabil J
JT  - Psychiatric rehabilitation journal
JID - 9601800
SB  - IM
MH  - Adolescent
MH  - Humans
MH  - India
MH  - Psychometrics
MH  - *Psychotic Disorders
MH  - Reproducibility of Results
MH  - Social Behavior
MH  - Surveys and Questionnaires
PMC - PMC10150784
MID - NIHMS1888248
EDAT- 2021/11/05 06:00
MHDA- 2022/09/09 06:00
PMCR- 2023/09/01
CRDT- 2021/11/04 17:16
PHST- 2021/11/05 06:00 [pubmed]
PHST- 2022/09/09 06:00 [medline]
PHST- 2021/11/04 17:16 [entrez]
PHST- 2023/09/01 00:00 [pmc-release]
AID - 2022-01163-001 [pii]
AID - 10.1037/prj0000504 [doi]
PST - ppublish
SO  - Psychiatr Rehabil J. 2022 Sep;45(3):226-236. doi: 10.1037/prj0000504. Epub 2021 
      Nov 4.