Table 1 Content of subscales based on factor analysis of the questionnaire
From: Training frontline workforce on psychosis management: a prospective study of training effects
Subscale (with Cronbach’s alpha/year) and itemsa in subscale | Factor loadings | Face validityb | ||
|---|---|---|---|---|
Year 0 | Year 1 | Year 2 | ||
N = 842 | N = 470 | N = 207 | % | |
(1) Understanding psychoses and treatment (alpha: 0.90; 0.80; 0.86) | ||||
3. Understand much of the experience of having a psychosis | 0.76 | 0.73 | 0.73 | 84 |
4. Know a good deal about how different causes may contribute to psychosis | 0.81 | 0.81 | 0.79 | 100 |
5. Know a good deal about how different severe mental disorders appear | 0.80 | 0.77 | 0.78 | 100 |
6. Understand psychosis from a psychological development perspective | 0.78 | 0.73 | 0.77 | 100 |
7. Know how medical and psychosocial treatments should be used for psychosis | 0.65 | 0.71 | 0.72 | 95 |
8. Know what tasks I have in the treatment of patients with severe mental illness | 0.66 | 0.50 | 0.52 | 39 |
9. Have adequate knowledge and training for treatments I may contribute to | 0.64 | 0.46 | 0.52 | 63 |
10. Have a clear picture of psychotherapy for patients with a psychosis | 0.74 | 0.54 | 0.55 | 89 |
(2) Building and maintaining relationships with patients (alpha: 0.83; 0.78; 0.75) | ||||
16. Uncertain how to establish a confident relationship with a psychotic patient | 0.59 | 0.66 | 0.62 | 89 |
17. Feel confident in how to keep and develop my contact with a psychotic patient | 0.71 | 0.75 | 0.58 | 95 |
18. Fully understand how to relate to a psychotic patient | 0.76 | 0.73 | 0.55 | 87 |
(3) Using own feelings and reactions to understand patients (alpha: 0.66; 0.49; 0.67) | ||||
12. Often aware of my own feelings while observing and interacting with patients | 0.79 | 0.68 | 0.75 | 92 |
13. My reactions to patients often help me to understand how to relate to them | 0.75 | 0.68 | 0.79 | 92 |
15. Emotional reactions of different staff can help my understanding of the patient | 0.67 | 0.66 | 0.71 | 55 |
(4) Participating in multidisciplinary collaboration (alpha: 0.66; 0.66; 0.65) | ||||
21. Experience myself as able to contribute greatly in multidisciplinary collaboration | 0.62 | 0.45 | 0.53 | 87 |
22. Have many thoughts that I do not express in multidisciplinary collaboration | 0.71 | 0.75 | 0.62 | 61 |
23. Unclear picture of my role or tasks in multidisciplinary collaboration | 0.75 | 0.77 | 0.73 | 87 |
24. Have good experiences of multidisciplinary collaboration for persons with psychosis | 0.53 | 0.36 | 0.58 | 89 |
(5) Teamwork and collaboration (alpha: 0.64; 0.45; 0.65) | ||||
25. Fully aware of who my local coworkers are in relation to patients with psychosis | 0.48 | 0.12 | 0.47 | 76 |
26. In this area, we usually do not collaborate across services regarding psychoses | 0.59 | 0.01 | 0.68 | 74 |
27. Psychotic patients have several needs for which there is no local competence | 0.63 | 0.73 | 0.55 | 29 |
28. Easy to ask other collaborators for advice regarding patients with psychosis | 0.60 | 0.39 | 0.64 | 89 |
29. Many collaborators do not know how my team works with psychotic patients | 0.65 | 0.69 | 0.66 | 87 |
(6) Supporting family/relatives of patients (alpha: 0.58; 0.77; 0.76) | ||||
30. Where I work, it is not typical to collaborate with relatives of psychotic patients | 0.59 | 0.79 | 0.77 | 89 |
32. Where I work, relatives of patients in the acute phase get little information | 0.79 | 0.79 | 0.75 | 97 |
33. Where I work, we try to give relatives of psychotic patients support and care | 0.76 | 0.82 | 0.79 | 100 |
34. We usually inform relatives about local organizations for relatives | 0.42 | 0.60 | 0.66 | 100 |
(7) Taking care of myself (alpha: 0.57; 0.63; 0.59) | ||||
35. Feel content in my work | 0.52 | 0.56 | 0.60 | 95 |
37. Do not have opportunities to share my feelings regarding patients with my colleagues | 0.59 | 0.62 | 0.59 | 63 |
38. Make sure to take breaks when I am tired | 0.69 | 0.72 | 0.71 | 100 |
39. Make sure to get supervision regarding patients I have problems relating to | 0.73 | 0.73 | 0.56 | 63 |