Browsing by Author "Sacchetto, Beatrice"
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- Adaptation of nussbaum's capabilities framework to community mental health: A consumer-based capabilities measurePublication . Sacchetto, Beatrice; Ornelas, José; Calheiros, Maria Manuela; Shinn, MarybethThe capabilities approach provides a rich evaluative framework to guide transformative change in the community mental health system. This study reports the content and construct validity and psychometric properties of a contextualized measure of the extent to which mental health programs foster achieved capabilities. The Achieved Capabilities Questionnaire for Community Mental Health (ACQ-CMH), adapted from Nussbaum's capabilities framework, was developed previously with consumer collaboration. Content validity was assessed through a collaborative process, involving a panel of eight consumers, staff members, and senior researchers. The resulting shorter version (ACQ-CMH-98) was completed by 332 community mental health consumers sampled throughout Portugal. Factor (PCA) analysis, internal consistency reliability, and test-retest reliability over 2 weeks (N = 33) showed good psychometric properties. The resulting six-factor structure with 48 items explains 48.88% of the total variance (KMO = 0.89; Bartlett p = .00). Internal consistency of the obtained dimensions ranges from .91 to .76. Associations of the measure with recovery, quality of life, and psychological distress scales add further evidence of construct validity. The adaptation of Nussbaum's framework stressed specific components that may enhance understanding and change within the community mental health system.
- Adaptation of Nussbaum's Capabilities Framework to Community Mental Health: A Consumer-Based Capabilities MeasurePublication . Sacchetto, Beatrice; Ornelas, José; Calheiros, Maria Manuela; Shinn, MarybethThe capabilities approach provides a rich evaluative framework to guide transformative change in the community mental health system. This study reports the content and construct validity and psychometric properties of a contextualized measure of the extent to which mental health programs foster achieved capabilities. The Achieved Capabilities Questionnaire for Community Mental Health (ACQ-CMH), adapted from Nussbaum's capabilities framework, was developed previously with consumer collaboration. Content validity was assessed through a collaborative process, involving a panel of eight consumers, staff members, and senior researchers. The resulting shorter version (ACQ-CMH-98) was completed by 332 community mental health consumers sampled throughout Portugal. Factor (PCA) analysis, internal consistency reliability, and test-retest reliability over 2 weeks (N = 33) showed good psychometric properties. The resulting six-factor structure with 48 items explains 48.88% of the total variance (KMO = 0.89; Bartlett p = .00). Internal consistency of the obtained dimensions ranges from .91 to .76. Associations of the measure with recovery, quality of life, and psychological distress scales add further evidence of construct validity. The adaptation of Nussbaum's framework stressed specific components that may enhance understanding and change within the community mental health system.
- Community-based participatory research: a collaborative study to measure capabilities towards recovery in mental health community organizationsPublication . Ornelas, José; Aguiar, Rita; Sacchetto, Beatrice; Monteiro, Maria Fátima JorgeThe purpose of this article is to offer a theoretical review on community based research, namely about collaborative processes and qualitative participatory methodologies, and to present an application of this framework to the research design. Method: It is provided a review on community-based research methodology, university-community partnerships, and is described the qualitative participatory methodology used in one collaborative study. Conclusion: following the partnership guidelines for collaborative community-university research, we highlight the participatory and qualitative process that intended to develop a measure of user’s capability gains fostered by mental health community based organizations.
- Contributi della psicologia di comunità per lo sviluppo dei servizi su base comunitaria per le persone con malattie mentaliPublication . Ornelas, José; Moniz, Maria João Vargas; Sacchetto, Beatrice; Esposito, FrancescaInexistente
- Psychometric properties of the measure of achieved capabilities in homeless servicesPublication . Greenwood, Ronni; O'Shaughnessy, Branagh R.; Manning, Rachel; Vargas-Moniz, Maria; Sacchetto, Beatrice; Ornelas, José; Jorge-Monteiro, Maria F.; Almas, Inês; Duarte, Teresa; Disperati, Francesca; Gaboardi, Marta; Lenzi, Michela; Santinello, Massimo; Vieno, Alessio; Marques, Rita P.; Carmona, Maria; Nave, Américo; Bernad, Roberto; Rivero, Borja; Julien, Martin; Bokszczanin, Anna; Kalinowska-Witek, Barbara; Katarzyna, Skałacka; Rogowska, Aleksandra; Schel, Sandra; Peters, Yvonne; vanLoenen, Tessa; Raben, Liselotte; Wolf, Judith R.; Beijer, Ulla; Blid, Mats; Källmen, Håkan; Bispo, Maria Teresa; Cruz, Tiago; Pereira, Carla; Auquier, Pascal; Petit, Pascal; Loubière, Sandrine; Tinland, AurélieBackground Purposeful participation in personally meaningful life tasks, enjoyment of positive reciprocal relationships, and opportunities to realize one’s potential are growth-related aspects of a meaningful life that should be considered important dimensions of recovery from homelessness. The extent to which homeless services support individuals to achieve the capabilities they need to become who they want to be and do what they want to do is, in turn, an important indicator of their efectiveness. In this study, we developed a measure of achieved capabilities (MACHS) for use in homeless services settings, and assessed its construct and concurrent validity. Methods We analysed data collected from homeless services users at two time points in eight European countries to assess the factor structure and psychometric properties of the new measure. Participants were adults engaged with either Housing First (n=245) or treatment as usual (n=320). Results Exploratory and confrmatory factor analyses yielded a four-factor structure of the capabilities measure: community integration, optimism, safety, and self-determination. We obtained evidence for construct validity through observed correlations between achieved capabilities and recovery, working alliance and satisfaction with services. Moreover, we obtained evidence of the measure’s concurrent validity from its positive association between HF and personal recovery, which was fully mediated by achieved capabilities. Conclusions Findings demonstrate that the MACHS is a valid and reliable measure that may be used to assess the extent to which homeless services support their clients to develop capabilities needed for growth-related recovery. Implications for practice and future research directions are discussed.
- Psychometric properties of the measure of achieved capabilities in homeless servicesPublication . Greenwood, Ronni Michelle; O'Shaughnessy, Branagh R.; Manning, Rachel M.; Vargas-Moniz, Maria; Sacchetto, Beatrice; Ornelas, José; Jorge-Monteiro, Maria Fátima; Almas, Inês; Duarte, Teresa; Disperati, Francesca; Gaboardi, Marta; Lenzi, Michela; Santinello, Massimo; Vieno, Alessio; Marques, Rita P.; Carmona, Maria; Nave, Américo; Bernad, Roberto; Rivero Jiménez, Borja; Julien, Martin; Bokszczanin, Anna; Zmaczynska-Witek, Barbara; Katarzyna, Skałacka; Rogowska, Aleksandra; Schel, Sandra; Peters, Yvonne; vanLoenen, Tessa; Raben, Liselotte; Wolf, Judith; Beijer, Ulla; Blid, Mats; Källmen, Håkan; Bispo, Maria Teresa; Cruz, Tiago; Pereira, Carla; Auquier, Pascal; Petit, Junie M.; Loubière, Sandrine; Tinland, AurélieBackground Purposeful participation in personally meaningful life tasks, enjoyment of positive reciprocal relationships, and opportunities to realize one’s potential are growth-related aspects of a meaningful life that should be considered important dimensions of recovery from homelessness. The extent to which homeless services support individuals to achieve the capabilities they need to become who they want to be and do what they want to do is, in turn, an important indicator of their efectiveness. In this study, we developed a measure of achieved capabilities (MACHS) for use in homeless services settings, and assessed its construct and concurrent validity. Methods We analysed data collected from homeless services users at two time points in eight European countries to assess the factor structure and psychometric properties of the new measure. Participants were adults engaged with either Housing First (n=245) or treatment as usual (n=320). Results Exploratory and confrmatory factor analyses yielded a four-factor structure of the capabilities measure: community integration, optimism, safety, and self-determination. We obtained evidence for construct validity through observed correlations between achieved capabilities and recovery, working alliance and satisfaction with services. Moreover, we obtained evidence of the measure’s concurrent validity from its positive association between HF and personal recovery, which was fully mediated by achieved capabilities. Conclusions Findings demonstrate that the MACHS is a valid and reliable measure that may be used to assess the extent to which homeless services support their clients to develop capabilities needed for growth-related recovery. Implications for practice and future research directions are discussed.
- The Achieved Capabilities Questionnaire for Community Mental Health (ACQ‐CMH): A consumer‐based measure for the evaluation of community mental health interventionsPublication . Sacchetto, Beatrice; Ornelas, José; Calheiros, Maria ManuelaThe capabilities approach offers a multidimensional, ecological, and agent‐centered framework that may inspire models of intervention and evaluation. Agrowing number of measures grounded on the capabilities approach for outcomemeasurement are appearing. Regarding community mental health, newconsumer‐valued measures—constructed in collaboration with consumers—arehere considered crucial for a transformative shift. Meanwhile, new measurementsneed to provide psychometric evidence to enable proper choice and applica-tion. The Achieved Capabilities Questionnaire for Community Mental Health(ACQ‐CMH) was developed in collaboration with consumers of communitymental health services. It aims to assess consumers' capabilities achieved throughprogram support. The present paper shows advancements in the measurevalidation through a confirmatory factor analysis within a sample of communitymental health consumers (N= 225). Reliability and construct‐related validity werealso observed. A structural solution composed offive factors and 43 itemsrevealed a better modelfit than that obtained in a previous exploratory study.Findings support the reliability, sensibility, and both convergent and discriminantvalidity of using the ACQ‐CMH in the evaluation of community mental healthinterventions. The ACQ‐CMH offers a consumer‐valued framework with specificdimensions and indicators of capabilities for use in a routine service evaluationsetting
- The Achieved Capabilities Questionnaire for Community Mental Health (ACQ‐CMH): a consumer‐based measure for the evaluation of community mental health interventionsPublication . Sacchetto, Beatrice; Ornelas, José; Calheiros, Maria ManuelaThe capabilities approach offers a multidimensional, ecological, and agent‐ centered framework that may inspire models of intervention and evaluation. A growing number of measures grounded on the capabilities approach for outcome measurement are appearing. Regarding community mental health, new consumer‐valued measures—constructed in collaboration with consumers—are here considered crucial for a transformative shift. Meanwhile, new measurements need to provide psychometric evidence to enable proper choice and application. The Achieved Capabilities Questionnaire for Community Mental Health (ACQ‐CMH) was developed in collaboration with consumers of community mental health services. It aims to assess consumers' capabilities achieved through program support. The present paper shows advancements in the measure validation through a confirmatory factor analysis within a sample of community mental health consumers (N = 225). Reliability and construct‐related validity were also observed. A structural solution composed of five factors and 43 items revealed a better model fit than that obtained in a previous exploratory study. Findings support the reliability, sensibility, and both convergent and discriminant validity of using the ACQ‐CMH in the evaluation of community mental health interventions. The ACQ‐CMH offers a consumer‐valued framework with specific dimensions and indicators of capabilities for use in a routine service evaluation setting.
- The Achieved Capabilities Questionnaire for Community Mental Health (ACQ‐CMH): a consumer‐based measure for the evaluation of community mental health interventionsPublication . Sacchetto, Beatrice; Ornelas, José; Calheiros, Maria ManuelaThe capabilities approach offers a multidimensional, ecological, and agent‐ centered framework that may inspire models of intervention and evaluation. A growing number of measures grounded on the capabilities approach for outcome measurement are appearing. Regarding community mental health, new consumer‐valued measures—constructed in collaboration with consumers—are here considered crucial for a transformative shift. Meanwhile, new measurements need to provide psychometric evidence to enable proper choice and application. The Achieved Capabilities Questionnaire for Community Mental Health (ACQ‐CMH) was developed in collaboration with consumers of community mental health services. It aims to assess consumers' capabilities achieved through program support. The present paper shows advancements in the measure validation through a confirmatory factor analysis within a sample of community mental health consumers (N = 225). Reliability and construct‐related validity were also observed. A structural solution composed of five factors and 43 items revealed a better model fit than that obtained in a previous exploratory study. Findings support the reliability, sensibility, and both convergent and discriminant validity of using the ACQ‐CMH in the evaluation of community mental health interventions. The ACQ‐CMH offers a consumer‐valued framework with specific dimensions and indicators of capabilities for use in a routine service evaluation setting.
- The Capabilities Questionnaire for the Community Mental Health context (CQ-CMH) : A measure inspired by the capabilities approach and constructed through consumer–researcher collaborationPublication . Sacchetto, Beatrice; Aguiar, Rita; Monteiro, Maria Fátima Jorge; Neves, Maria João; Cruz, Maria Adelaide; Coimbra, José António; Ornelas, JoséThe involvement of people with psychiatric disabilities in research and service evaluation has traditionally been rare, especially in the construction of outcome measures. This study documents a collaborative process with consumers from 2 Portuguese community mental health services in the construction of the Capabilities Questionnaire for the Community Mental Health context (CQ-CMH). The measure is inspired by Nussbaum's capabilities approach and aims to measure consumers' capabilities when supported by the community mental health services.