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Continuity of Life Interview: Development and Evaluation of a Novel Instrument for the Assessment of Recovery from Mental Illness

Aleksandar Janca, Alyssa Lillee, Adelln Sng, John Cooper

Abstract


Background: Recovery is not simply the absence of symptoms, but a journey and process of establishing a meaningful life. This concept of recovery aligns closely with the principles of person-centred medicine.

Objectives: The aim of the present study was to develop and evaluate the psychometric properties of a measure entitled Continuity of Life Interview (COLI) that could capture an individual’s perceptions of continuity of life, and that might be used in the assessment of recovery in the spirit and context of person-centred medicine.

Method: Thirty mental health clients participated in the COLI interview at two time points to examine its test-retest reliability. Additionally, the first COLI interview was rated by the interviewer and an observer to assess its inter-rater reliability.

Results: Results showed that the COLI had high internal consistency and inter-rater reliability, and moderate test-retest reliability. The COLI was also perceived as a tool relevant to clients’ clinical care, and in a number of cases, enhanced clinicians’ understanding of their clients.

Discussion: The COLI was found to be a reliable and suitable instrument that complements the concepts of recovery and person-centred medicine. The COLI appears to be a feasible and reliable instrument that may engage the client and clinician in important conversations about provision of care and engender hopefulness for clients and clinicians in the recovery process.

Conclusion: The assessment of an individual’s perceptions of continuity of life using COLI may have important implications for guiding treatment, management and recovery from mental illness and thus is in line with the key principles embedded in person-centred medicine.


Keywords


Continuity of life, psychometric properties, recovery, measurement, psychiatry, clinical services

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References


. Ustun TB, Ayuso-Mateos JL, Chatterji S, Mathers C, Murray CJL. Global burden of depressive disorders in the year 2000. The British Journal of Psychiatry. 2004;184(5):386-92.

. Fernandez A, Saameno JAB, Pinto-Meza A, Luciano JV, Autonell J, Palao D, et al. Burden of chronic physical conditions and mental disorders in primary care. The British Journal of Psychiatry. 2010;196(4):302-9.

. Jablensky A, McGrath J, Herrman H, Castle D, Gureje O, Morgan V, et al. People Living with Psychotic Illness: An Australian Study 1997-98. National Survey of Mental Health and Wellbeing Canberra: Commonwealth of Australia; October 1999.

. Henderson AR. A substantive theory of recovery from the effects of severe persistent mental illness. International Journal of Social Psychiatry. 2010;57(6):564-73.

. Andresen R, Caputi P, Oades L. Stages of recovery instrument: development of a measure of recovery from serious mental illness. Australian & New Zealand Journal of Psychiatry. 2006;40:972-80.

. Jacobson N, Curtis L. Recovery as policy in mental health services: Strategies emerging from the states. Psychosocial Rehabilitation Journal. 2000;23(4):333.

. Australian Health Ministers. National Mental Health Plan 2003-2008. Canberra: Australian Government; 2003.

. Resnick SG, Fontana A, Lehman AF, Rosenheck RA. An empirical conceptualization of the recovery orientation. Schizophrenia Research. 2005;1(75(1)):119-28.

. Burgess P, Pirkis J, Coombs T, Rosen A. Assessing the value of existing recovery measures for routine use in Australian mental health services. Australian and New Zealand Journal of Psychiatry. 2011;45(4):267-80.

. Mental Health Commission. Blueprint for mental health services in New Zealand. Wellington, New Zealand: Mental Health Commission; 1998.

. Andresen R, Oades L, Caputi P. The experience of recovery from schizophrenia: towards an empirically validated stage model. Australian and New Zealand Journal of Psychiatry. 2003;37(5):586 - 94.

. Deegan P. Recovery: The lived experience of rehabilitation. Psychosocial Rehabilitation Journal. 1988;11(4):11-9.

. Chopra P, Herrman HE. The long-term outcomes and unmet needs of a cohort of former long-stay patients in Melbourne, Australia. Community Mental Health Journal. 2011;47(5):531-41.

. Kuehner C, Cooper JE, editors. Quality of life assessment in mental health research: a pilot study of the continuity of life interview. World Psychiatric Association Section on Epidemiology and Public Health Symposium: From Epidemiology to Clinical Practice; 1999 1-4 August; Turku, Finland.

. Janca A, Lee A. Continuity of Life Interview Manual. Perth Western Australia: University of Western Australia; 2002.

. Salvador-Carulla L , Cloninger CR, Thornicroft A, Mezzich JE, 2013 Geneva Declaration Consultation Group: Background, Structure and Priorities of the 2013 Geneva Declaration on Person-centered Health Research. International Journal of Person Centered Medicine 3: 109-113, 2013.




DOI: http://dx.doi.org/10.5750/ijpcm.v4i4.495

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