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Jordan G, Burke L, Bailey J, Kreidstein S, Iftikhar M, Plamondon L, Young C, Davidson L, Rowe M, Bellamy C, Abdel-Baki A, Iyer SN. A Mixed Methods Study Examining Citizenship Among Youth With Mental Health Challenges. Front Psychiatry 2022; 13:852947. [PMID: 35664471 PMCID: PMC9158458 DOI: 10.3389/fpsyt.2022.852947] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/11/2022] [Accepted: 03/31/2022] [Indexed: 11/13/2022] Open
Abstract
Introduction Multiple stakeholders have recently called for greater research on the barriers to citizenship and community belonging faced by people with mental health challenges. Citizenship has been defined as a person's access to the rights, roles, responsibilities, resources and relationships that help people feel a sense of belonging. Factors that may impact citizenship include financial precarity; intersecting forms of marginalization and oppression (e.g., racism); and the mental health care people receive. Research has yet to examine experiences of citizenship among youth with mental health challenges. To address this gap, this study will examine how youth experience citizenship; predictors of citizenship; how citizenship shapes recovery; and the degree to which youth are receiving citizenship-oriented care. Methods The research objectives will be evaluated using a multiphase mixed methods research design. Quantitative data will be collected cross-sectionally using validated self-report questionnaires. Qualitative data will be collected using a hermeneutic phenomenological method using semi-structured interviews and focus groups. Analyses Multiple stepwise regression analyses will be used to determine predictors of citizenship and if of citizenship predict recovery. Pearson correlations will be computed to determine the relationship between participants' perceived desire for, and receipt of citizenship-oriented care. Phenomenological analysis will be used to analyze qualitative data. Findings will then be mixed using a weaving method in the final paper discussion section. Conclusion Findings from this study may support the development of citizenship-oriented healthcare in Canada.
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Affiliation(s)
- Gerald Jordan
- Department of Psychiatry, McGill University, Montreal, QC, Canada
- Yale Program for Recovery and Community Health, Department of Psychiatry, Yale University, New Haven, CT, United States
| | - Laura Burke
- Department of Psychiatry, McGill University, Montreal, QC, Canada
| | - Julia Bailey
- Department of Psychiatry, McGill University, Montreal, QC, Canada
| | - Sof Kreidstein
- Department of Psychiatry, McGill University, Montreal, QC, Canada
| | - Myera Iftikhar
- Department of Psychiatry, McGill University, Montreal, QC, Canada
| | - Lauren Plamondon
- Department of Psychiatry, McGill University, Montreal, QC, Canada
| | - Courtney Young
- Department of Psychiatry, McGill University, Montreal, QC, Canada
| | - Larry Davidson
- Yale Program for Recovery and Community Health, Department of Psychiatry, Yale University, New Haven, CT, United States
| | - Michael Rowe
- Yale Program for Recovery and Community Health, Department of Psychiatry, Yale University, New Haven, CT, United States
| | - Chyrell Bellamy
- Yale Program for Recovery and Community Health, Department of Psychiatry, Yale University, New Haven, CT, United States
| | - Amal Abdel-Baki
- Department of Psychiatry, Université de Montréal, Montreal, QC, Canada
| | - Srividya N. Iyer
- Department of Psychiatry, McGill University, Montreal, QC, Canada
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Zauszniewski JA, Burant CJ, Lekhak N, Herbell K, Badr HA, Martin RJ. Development and Testing of a Spiritual Resourcefulness Scale: Holistic Expansion in Operationalizing the Resourcefulness Construct. J Holist Nurs 2021; 40:7-15. [PMID: 34142899 DOI: 10.1177/08980101211025370] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Purpose: Research supports holistic expansion of the construct of resourcefulness by adding spiritual practices to the existing personal and social dimensions. This study describes the development and testing of items to measure spiritual resourcefulness. Methods/Design: Study phases were: (1) focus group development of item stems and responses; (2) expert testing; (3) scale construction; (4) field testing in 234 family caregivers; and (5) psychometric analysis to identify items for inclusion in a final scale. Findings: A focus group developed 40 item stems with potential responses reflecting three conceptual components of spiritual practices (rational, ritualistic, and relational). Content experts selected the best response for each item. A six-point Likert scale consistent with the Resourcefulness Scale© was constructed. Data from field testing were factor analyzed. The best solution revealed two factors containing 12 items. Ritualistic and relational items loaded together (44.7% variance explained). Rational items loaded separately (19.5% variance explained). Higher-order factor analysis indicated the two subscales reflected a single construct (71.93% variance explained; r = .44, p < .001). Conclusion: Availability of a psychometrically sound measure of spiritual resourcefulness is critical to expand resourcefulness training interventions to be more holistic. Clinical interventions can be enriched by including strategies to enhance personal, social, and spiritual resourcefulness skills.
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