Psychiatr Rehabil J. 2026 Jul 6. doi: 10.1037/prj0000686. Online ahead of print.
ABSTRACT
OBJECTIVE: As mental health systems worldwide shift toward supporting personal recovery, valid tools are needed to evaluate and guide service transformation. The Recovery Self-Assessment Scale (RSA-R) is the leading patient-reported measure of recovery-oriented care. This study aimed to adapt the RSA-R to the French context and assess its psychometric properties.
METHODS: The RSA-R was translated and administered online to 169 adults with serious mental illness. Exploratory factor analyses were conducted to assess the structural validity of the French RSA-R French Recovery Self-Assessment-Revised (RSAR-Fr), and internal consistency statistics were computed. Multiple linear regression analysis tested the RSAR-Fr association with a measure of personal recovery (the French Questionnaire about the Process of Recovery). Items were mapped onto an established framework of recovery-oriented care to assess content validity.
RESULTS: Exploratory factor analyses supported a concise three-factor model: The person-centered, organizational engagement, and social inclusion dimensions accounted for 46.3% of the variance, with excellent internal consistencies (McDonald’s ω values ranging from .92 to .94). Hypotheses for construct validity were not verified, as RSAR-Fr subscales did not significantly predict personal recovery. Expert review supported content validity, confirming the items’ relevance and comprehensiveness.
CONCLUSIONS AND IMPLICATIONS FOR PRACTICE: The RSAR-Fr demonstrated adequate psychometric properties, addressing known concerns regarding the scale’s dimensionality. Despite sample limitations and the absence of test-retest data, these findings highlight the utility of the RSAR-Fr in measuring recovery-oriented care from the perspective of service users. Routine use of the RSAR-Fr may strengthen the recognition of lived experience within services and support improvements in recovery-oriented practices. (PsycInfo Database Record (c) 2026 APA, all rights reserved).
PMID:42406462 | DOI:10.1037/prj0000686
