title: Psychometric validation of the Clubhouse climate questionnaire as an autonomy support measure for people with severe mental illness.
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.
  
  
  OBJECTIVE
  The purpose of this study was to validate the Clubhouse climate questionnaire (CCQ) as an autonomy support measure.
  
  
  METHODS
  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.
  
  
  RESULTS
  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.
authors.affiliation: Department of Counseling, San Francisco State University , San Francisco, CA , USA and.
authors.forename: Sandra
authors.initials: S
authors.lastname: Fitzgerald
authors.forename: Emre
authors.initials: E
authors.lastname: Umucu
authors.forename: Simran
authors.initials: S
authors.lastname: Arora
authors.forename: Garrett
authors.initials: G
authors.lastname: Huck
authors.forename: Susan Flowers
authors.initials: SF
authors.lastname: Benton
authors.forename: Fong
authors.initials: F
authors.lastname: Chan
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000175:diagnosis* / Q000523:psychology*; D008875:Middle Aged; D026684:Personal Autonomy; D011594:Psychometrics; D020377:Self Efficacy; D011795:Surveys and Questionnaires / Q000592:standards*; D055815:Young Adult
keywords: Autonomy support; self-determination theory; severe mental illness