Abstract
Background: Self-determination represents a paradigm shift from “shoulds” to “decisions and behaviors” as the best options for helping people with mental illness achieving recovery goals. Autonomy support plays an important role in self-determination.
Aims: The purpose of this study was to validate the Clubhouse climate questionnaire (CCQ) as an autonomy support measure.
Method: One hundred and twenty-four participants were recruited from eight Clubhouse programs in Hawaii. Measurement structure of the CCQ was evaluated using exploratory and confirmatory factor analysis.
Findings: CCQ is a unidimensional scale with good reliability and acceptable levels of divergent and convergent validity.
Conclusions: CCQ is a brief, reliable and valid instrument for assessing autonomy support and contributes to the use of self-determination as a paradigm for improving recovery outcomes in psychiatric rehabilitation.
Declaration of interest
The authors report no conflicts of interest. The authors alone are responsible for the content and writing of this article.
The contents of this article were developed with support from the Rehabilitation Research and Training Center on Evidence-Based Practice in Vocational Rehabilitation (RRTC-EBP VR) at the University of Wisconsin-Madison and the University of Wisconsin-Stout and with funding provided by the U.S. Department of Education, National Institute on Disability and Rehabilitation Research (Grant H133B100034). The ideas, opinions, and conclusions expressed, however, are those of the authors and do not represent recommendations, endorsements, or policies of the U.S. Department of Education.