Evidence map›Paper›PMID 42846371›Full record

ArticleFrontiers in public health2026

Participant-reported recovery-related outcomes during routine community mental health support: a CHIME-informed longitudinal evaluation.

Olga Isabel Fernández-Rodríguez, Cristina García-Bravo, María Fernández-Blanco, Paloma Guillén-Rogel, Raquel Martínez-Sinovas, Beatriz Fernández-Díez, Alicia Cal-Herrera

Abstract read
In one paragraph

Article in Frontiers in public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0cells of the map it votes in
0citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Olga Isabel Fernández-RodríguezINPRO (Research in Occupational Participation and Performance), Department of Health Sciences, European University Miguel de Cervantes, Valladolid, Spain.
Cristina García-BravoDepartment of Physical Therapy, Occupational Therapy, Rehabilitation and Physical Medicine, Rey Juan Carlos University, Alcorcón, Spain.
María Fernández-BlancoINPRO (Research in Occupational Participation and Performance), Department of Health Sciences, European University Miguel de Cervantes, Valladolid, Spain.
Paloma Guillén-RogelINPRO (Research in Occupational Participation and Performance), Department of Health Sciences, European University Miguel de Cervantes, Valladolid, Spain.
Raquel Martínez-SinovasINPRO (Research in Occupational Participation and Performance), Department of Health Sciences, European University Miguel de Cervantes, Valladolid, Spain.
Beatriz Fernández-DíezINPRO (Research in Occupational Participation and Performance), Department of Health Sciences, European University Miguel de Cervantes, Valladolid, Spain.
Alicia Cal-HerreraINPRO (Research in Occupational Participation and Performance), Department of Health Sciences, European University Miguel de Cervantes, Valladolid, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Recovery-oriented community mental health services seek to support personal recovery, everyday participation, and person-centered care, but these outcomes may not improve in parallel. Objective: To examine longitudinal changes in personal recovery, perceived person-centered care, occupational performance, and satisfaction with performance among adults receiving routine community support in the Spanish public social services system. The Connectedness, Hope and optimism about the future, Identity, Meaning in life, and Empowerment framework informed outcome evaluation and interpretation. Methods: A longitudinal pre-post evaluation without a comparison group included 159 adults receiving routine community mental health support. Participant-reported outcomes were assessed at baseline and follow-up using the 24-item Recovery Assessment Scale, the Spanish version of the Client-Centred Rehabilitation Questionnaire, and the Canadian Occupational Performance Measure. Separate linear mixed models were fitted for each primary outcome, adjusting for sex, age, primary diagnostic group, primary support program domain, primary support intensity, secondary support receipt, and time-by-sex interaction. Sensitivity analyses examined alternative model specifications. Results: Occupational performance increased from baseline to follow-up (adjusted mean change 0.73, 95% confidence interval 0.46-0.99; Holm-adjusted Conclusion: Complementary recovery-related outcomes may follow different trajectories during routine community support and should not be treated as interchangeable indicators of recovery. These findings highlight the value of multidimensional participant-reported outcome monitoring alongside individualized planning to inform the ongoing review and adaptation of community support to changing needs, priorities, and life goals. Systematic multidimensional outcome monitoring may help determine whether planned supports actually remain aligned with changing needs, priorities, and life goals, and may strengthen the ongoing individualization and quality improvement of community mental health services.

Indexed as

Community Mental Health ServicesMental DisordersPatient Reported Outcome MeasuresAdultFemaleHumansLongitudinal StudiesMaleMiddle AgedPatient SatisfactionSpainSurveys and QuestionnairesCHIME frameworkcommunity mental healthempowermentoccupational performancepersonal recoverypsychosocial rehabilitation

Identifiers

PMID42846371
PMCPMC13642703

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.