Using self-efficacy as a client-centred outcome measure.
BACKGROUND
The concept of self-efficacy has been proposed as a suitable outcome measure in psychiatry. Self-efficacy refers to an individual's belief that he or she can control important aspects of his or her life. An audit of 67 consecutive clients attending an acute psychiatric day unit was conducted, measuring self-efficacy at admission to the unit and at discharge.


CONCLUSIONS
The concept of self-efficacy was easily explained to clients, and was measured using a 15-point questionnaire. Self-efficacy increased following treatment in the day unit, and this increase appears to reflect an underlying change in the individual's self-belief.
Fleming
Gerry
G
Soutra Day Unit, Herdmanflat Hospital, Haddington, East Lothian.
McKenna
Maureen
M
Murchison
Virginia
V
Wood
Yvette
Y
Nixon
Jo
J
Rogers
Tim
T
Hutcheson
Fiona
F
D000328:Adult; D000368:Aged; D003631:Day Care, Medical / Q000592:standards*; D005260:Female; D006801:Humans; D007389:Internal-External Control; D008131:London; D008297:Male; D001523:Mental Disorders / Q000523:psychology* / Q000628:therapy*; D008875:Middle Aged; D009731:Nursing Audit / Q000379:methods*; D015403:Nursing Evaluation Research / Q000379:methods; D017063:Outcome Assessment, Health Care / Q000379:methods*; D018802:Patient-Centered Care / Q000592:standards*; D011209:Power, Psychological; D015397:Program Evaluation / Q000379:methods; D011568:Psychiatric Nursing / Q000592:standards*; D020377:Self Efficacy; D011795:Surveys and Questionnaires