Stages of Recovery Instrument (STORI)

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Overview

Purpose
Measure recovery from serious mental illness
Respondent
Person with a Disability
Administration Method
Interview
Administration Mode
In-person
Item Count
50
Population
Mental Health Challenges

Instrument Citation(s)

Andresen, R., Caputi, P., & Oades, L.G. (2006). Stage of recovery instrument: Development of a measure
of recovery from serious mental illness. Australian and New Zealand Journal of Psychiatry, 40,
972-980.

Stages of Recovery Instrument (STORI). https://socialsciences.uow.edu.au/iimh/stori/index.html#description

Instrument Domains

DomainNumber of Items
Holistic Health and Functioning28
Individual health and functioning28
Health promotion and prevention0
Caregiver Support0
Access to resources0
Family caregiver/natural support involvement0
Family caregiver/natural support wellbeing0
Training and skill-building0
Choice and Control0
Choice of services and supports0
Personal choices and goals0
Personal freedoms and dignity of risk0
Self-direction0
Community Inclusion0
Employment0
Meaningful activity0
Resources and settings to facilitate inclusion0
Social connectedness and relationships0
Transportation0
Consumer Leadership in System Development0
Evidence of meaningful caregiver involvement0
Evidence of meaningful consumer involvement0
System supports meaningful consumer involvement0
Equity0
Availability0
Equitable access and resource allocation0
Transparency and consistency0
Fluctuation of Need0
Human and Legal Rights0
Freedom from abuse and neglect0
Informed decision-making0
Optimizing the preservation of legal and human rights0
Privacy0
Supporting individuals in exercising their human and legal rights0
Level of Caregiver Well-Being0
Person-Centered Planning and Coordination0
Assessment0
Coordination0
Person-centered planning0
Service Delivery and Effectiveness0
Delivery0
Person's needs met and goals realized0
System Performance and Accountability0
Data management and use0
Evidence-based practice0
Financing and service delivery structures0
Workforce0
Adequately compensated with benefits0
Culturally competent0
Demonstrated competencies when appropriate0
Person-centered approach to services0
Safety of and respect for the worker0
Staff Turnover0
Sufficient workforce numbers dispersion and availability0
Workforce engagement and participation0

Psychometric Citations

  • Andresen, R., Caputi, P., & Oades, L.G. (2006). Stage of recovery instrument: Development of a measure
    of recovery from serious mental illness. Australian and New Zealand Journal of Psychiatry, 40,
    972-980.

    Type of Publication
    Peer review
    Instrument Language
    english
    Sample: Age (Mean and Range)

    Mean=44.13 years

    Sample: Age Group

    18-64 Years

    Sample: Countries/State

    USA

    Sample: Disability Type

    Schizophrenia

    Sample: Gender (%male)

    47.8

    Sample: Race/Ethnicity (%)

    Not Reported

    Sample: Sampling Strategy

    Convenience Sample

    Sample: Size

    94

    Validity: Criterion Validity (Concurrent and Predictive)

    significant correlation with Recovery Assessment Scale (r=.52) & with PWB r=.62, suggesting that the STORI overall scores (stages) are valid measures

    Study design
    Cross-Sectional

  • Lemos-Giraldez, S., Garcia-Alvarez, L., Paino, M., Fonseca-Pedrero, E., Vallina-Fernandez, O., Vallejo-
    Seco, G., Fernandez-Iglesias, P., Ordonez-Camblor, N., Solares-Vazquez, Mas-Exposito, L.,
    Barajas, A., & Andresen, R. (2015). Measuring stages of recovery from psychosis. Comprehensive
    Psychiatry, 56, 51-58.

    Type of Publication
    Peer review
    Instrument Language
    Spanish
    Sample: Age (Mean and Range)

    Mean=34.74 years

    Sample: Age Group

    Under 18 Years, 18-64 Years

    Sample: Countries/State

    Spain

    Sample: Disability Type

    Mental Health Challenges

    Sample: Gender (%male)

    70.5

    Sample: Race/Ethnicity (%)

    Not Reported

    Sample: Sampling Strategy

    Convenience Sample

    Sample: Size

    95

    Reliability: Internal Consistency

    Cronbach's Alpha (α ranging from .83 (Stage 1-3-4) to .87 (stage 5); Cronbach's Alpha (stage 2) (α=.86)

    Validity: Criterion Validity (Concurrent and Predictive)

    significant correlation with Recovery Style Questionnaire stage 2 r=.31-- stage 3 r=.29 -- stage 4 r=.26-- stage 5 r=.33 (No significant correlation with stage 1), suggesting that the STORI overall scores (stages) are valid measures

    Study design
    Cross-Sectional

  • Andresen, R., Caputi, P., & Oades, L. (2013). Development of a short measure of psychological recovery in serious mental illness: the STORI-30. Australasian Psychiatry, 21(3), 267-270.

    Type of Publication
    Peer review
    Instrument Language
    English
    Sample: Age (Mean and Range)

    43.56 years (SD = 12.23)

    Sample: Age Group

    18-64 Years

    Sample: Countries/State

    United Kingdom

    Sample: Disability Type

    Mental Health Challenges

    Sample: Gender (%male)

    109 male, 123 female

    Sample: Race/Ethnicity (%)

    Not Reported

    Sample: Sampling Strategy

    Not Reported

    Sample: Size

    232

    Reliability: Internal Consistency

    Cronbach’s α=.77 (stage 2); Cronbach’s α=.85 (stage 4)

    Study design
    Cross-Sectional

  • Andresen, R., Caputi, P., & Oades, L. (2006). Stages of recovery instrument: development of a measure of recovery from serious mental illness. Australian and New Zealand Journal of Psychiatry, 40(11-12), 972-980.

    Type of Publication
    Peer review
    Instrument Language
    English
    Sample: Age (Mean and Range)

    from 19 to 76 years (M = 44.13, SD = 12.59)

    Sample: Age Group

    18-64 Years, 65+ Years

    Sample: Countries/State

    Not Reported

    Sample: Disability Type

    Mental Health Challenges

    Sample: Gender (%male)

    45 men and 49 women

    Sample: Race/Ethnicity (%)

    Not Reported

    Sample: Sampling Strategy

    Not Reported

    Sample: Size

    94

    Reliability: Internal Consistency

    from α = 0.88 [Stage 4] to α = 0.94 [Stage 3]

    Validity: Criterion Validity (Concurrent and Predictive)

    Pearson correlations between STORI stage and all other measures were highly significant and ranged from r = 0.52 (p < 0.01) with the RAS to r = 0.62 (p < 0.01) with the PWB total scale, indicating that overall scores on the STORI are a valid measure of the recovery construct.

    Study design
    Cross-Sectional

  • Lemos-Giráldez, S., García-Alvarez, L., Paino, M., Fonseca-Pedrero, E., Vallina-Fernández, O., Vallejo-Seco, G., ... & Barajas, A. (2015). Measuring stages of recovery from psychosis. Comprehensive psychiatry, 56, 51-58.

    Type of Publication
    Peer review
    Instrument Language
    Spanish
    Sample: Age (Mean and Range)

    mean = 34.74 (sd = 9.25), range: 14–52

    Sample: Age Group

    18-64 Years

    Sample: Countries/State

    Spain

    Sample: Disability Type

    Mental Health Challenges

    Sample: Gender (%male)

    male = 67 (70.5%)

    Sample: Race/Ethnicity (%)

    87 (91.6%) were Spanish and 8 (7.4%) were immigrants

    Sample: Sampling Strategy

    Not Reported

    Sample: Size

    95

    Reliability: Internal Consistency

    0.86 for stage 1, 0.83 for stage 2, 0.86 for stage 3, 0.83 for stage 4, and 0.87 for stage 5

    Reliability: Test-retest

    r = 0.81

    Validity: Criterion Validity (Concurrent and Predictive)

    Pearson correlations between the STORI recovery stage subscales, and between each stage and the RSQ total score supported criterion validity evidence.

    Study design
    Cross-Sectional

  • Weeks, G., Slade, M., & Hayward, M. (2011). A UK validation of the stages of recovery instrument. International Journal of Social Psychiatry, 57(5), 446-454.

    Type of Publication
    Peer review
    Instrument Language
    English
    Sample: Age (Mean and Range)

    between 18 and 60 years

    Sample: Age Group

    18-64 Years

    Sample: Countries/State

    United Kingdom

    Sample: Disability Type

    Mental Health Challenges

    Sample: Gender (%male)

    male = 66%

    Sample: Race/Ethnicity (%)

    White British: 24 White Non-British: 5 Black African: 7 Caribbean: 7 Other:1 Asian:4 Other:3

    Sample: Sampling Strategy

    Convenience Sample

    Sample: Size

    52

    Reliability: Internal Consistency

    values were between 0.81 and 0.87, which all being above 0.8, indicated adequate internal consistency

    Reliability: Test-retest

    κ = 0.96 for stage 1; κ = 0.9 for stage 2 κ = 0.91 for stage 3; κ = 0.92 for stage 4; κ = 0.95 for stage 5.

    Study design
    Cross-Sectional