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A consumer-constructed scale to measure empowerment among users of mental health services
Abstract
OBJECTIVE: A scale to measure the personal construct of empowerment as defined by consumers of mental health services was developed and field tested. METHODS: After extensive development, pilot testing, and analyses, a 28-item scale to measure empowerment was tested on 271 members of six self-help programs in six states. Factor analyses were used to identify the underlying dimensions of empowerment. To establish the scale's reliability and validity, responses were factor analyzed, and other analyses were conducted. RESULTS: Analyses revealed five factors: self-efficacy-self-esteem, power-powerlessness, community activism, righteous anger, and optimism-control over the future. Empowerment was related to quality of life and income but not to the demographic variables of age, gender, ethnicity, marital status, education level, or employment status. Empowerment was inversely related to use of traditional mental health services and positively related to community activism. CONCLUSIONS: The findings set a framework for a clearer understanding of the imprecise and overused concept of empowerment. The scale demonstrated adequate internal consistency and some evidence for validity. Further testing must be done to establish whether it has discriminant validity and is sensitive to change.
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“Rogers et al. (1997) stated that empowerment consists of a sense of self-worth, self-efficacy, and power.”
From Effects of patient-driven iCBT for anxiety in routine primary care and the relation between increased experience of empowerment and outcome: A randomized controlled trial (2021) · cites this paper as Rogers et al., 1997
In the citing paper
“(Making Decisions Scale; Rogers et al., 1997) is a self-assessment scale constructed to measure perceptions of empowerment.”
From Effects of patient-driven iCBT for anxiety in routine primary care and the relation between increased experience of empowerment and outcome: A randomized controlled trial (2021) · cites this paper as Rogers et al., 1997
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“Anger may also initially be viewed as enabling victims to become empowered (Rogers et al. 1997; Wowra and McCarter 1999).”
From Mindfulness as Mediator and Moderator of Post-traumatic Symptomatology in Adolescence Following Childhood Sexual Abuse or Assault (2016) · cites this paper as Rogers et al. 1997
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Metadata
- Authors
- Rogers, E. S., Chamberlin, J., Ellison, M. L., & Crean, T.
- Affiliations
- Boston University (US)
- Venue
- Psychiatric Services
- Published
- 1997-08-01
- Volume
- 48
- Issue
- 8
- Pages
- 1042-1047
- ISSN
- 0022-1597 (ISSN-L)
- 1075-2730
- 1557-9700
- OpenAlex
- W51019709
- Cited by
- 854
- References
- 18
- Citations by year
- 2026: 16 · 2025: 27 · 2024: 24 · 2023: 35 · 2022: 24 · 2021: 33 · 2020: 45 · 2019: 34 · 2018: 45 · 2017: 43 · 2016: 62 · 2015: 42 · 2014: 47 · 2013: 48 · 2012: 40
- FWCI
- 17.90
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Psychiatric Services (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institute on Disability and Rehabilitation Research
- Topics
- Health Sciences › Health Professions › General Health Professions › Mental Health and Patient Involvement
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Community Health and Development
- Social Sciences › Decision Sciences › Management Science and Operations Research › Psychometric Methodologies and Testing
- Keywords
- empowerment, mental health service users, scale development, self-help programs, self-efficacy, self-esteem, powerlessness, community activism, righteous anger, optimism, quality of life, mental health service utilization
- MeSH terms
- Adult, Community Participation, Consumer Behavior, Humans, Internal-External Control, Mental Health Services, Personality Inventory, Pilot Projects, Power, Psychological, Psychometrics, Quality of Life, Self Concept, Self-Help Groups, United States, Reproducibility of Results
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Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
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