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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
  1. aScale for items was from 1 = not true to 5 = true. Ratings of negatively phrased items were converted for analysis
  2. bAssignment of items to subscales for testing face validity was carried out by 38 health workers or researchers unfamiliar with the questionnaire. For this test, the sequence of the items was rearranged so that items from each subscale were spread throughout the questionnaire