Capturing lived experience of recovery-oriented mental health care: Psychometric validation of the French Recovery Self-Assessment Scale (RSAR-Fr).

Authors

Simon Felix, Caroline Munuera, Adrien Seguela, Yoann Fombouchet, Meryl Caiada, Sarah Guionnet, Kevin-Marc Valery, Sébastien Gard, François Chevrier, Julien Bonilla-Guerrero, Jean-Marc Destaillats, Katia M'Bailara, Antoinette Prouteau

Published in

Psychiatric rehabilitation journal. Jul 06, 2026. Epub Jul 06, 2026.

Abstract

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.
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.
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.
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
Bibliographic data and abstract were imported from PubMed on 06 Jul 2026.

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