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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