Psychological mechanisms to treatment adherence among people with severe mental illness: validating treatment motivation and working alliance measures Public Deposited

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  • March 21, 2019
  • Ferron, Joëlle C.
    • Affiliation: School of Social Work
  • Working alliance and treatment motivation are important indicators for social work clinicians to assess in the course of their practice with individuals with severe mental illness. Measures of treatment motivation have yet to be validated for this population, and measures of working alliance need further confirmatory work. This study further evaluated the Treatment Motivation Questionnaire (TMQ) among people with severe mental illness and used confirmatory factor analysis to test the factor structure of the truncated Working Alliance Inventory short form (WAIs) among people with severe mental illness and their clinicians. Furthermore, the predictive validity of the TMQ and WAI short form was tested by relating these psychological constructs to treatment adherence. Results show that the TMQ had additional subscales of external motivation, which further supports Self Determination Theory. The truncated WAI short forms for clinicians and consumers were modestly supported, although a second-order confirmatory analysis was confirmed. Lastly, the WAI was minimally related to treatment adherence, and the TMQ was not predictive of treatment adherence.
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  • In Copyright
  • Strom-Gottfried, Kim
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  • University of North Carolina at Chapel Hill
  • Open access

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