Health of the nation outcome scales evaluation in a community setting population.
Qual Life Res
; 21(9): 1643-53, 2012 Nov.
Article
em En
| MEDLINE
| ID: mdl-22120893
ABSTRACT
PURPOSE:
To explore the internal structure of the health of the nation outcome scales (HoNOS-12), proposing a shorter one-dimensional version for routine use in community-oriented mental heath services.METHODS:
A validation study involving four mental health departments, located in the province of Milan (Italy). Eligible patients were outpatients and residential inpatients rated on three occasions during the year 2009, with a range of mental illnesses and diagnoses. Methodologically, we use both exploratory factor analysis (EFA) with holdout validation and Rasch approaches and parallel analysis.RESULTS:
EFA, Rasch analysis and parallel analysis demonstrate a large violation of unidimensionality. Both EFA (training sample) and Rasch analyses yield convergent results, generating the same unidimensional abbreviated version of the HoNOS-12, resulting in a six-item scale (HoNOS-6) which demonstrates unidimensionality, good item fit, a solid factor structure (strong loadings and communalities) and acceptable model fit, evaluated using confirmatory factor analysis on a validation sample.CONCLUSIONS:
The HoNOS-12 does not measure a single, underlying construct of mental health status. Nevertheless, the instrument can be utilized in a reduced version (HoNOS-6), as a clinically acceptable outcome scale (measuring self-perceived clinical and social needs for community support, rather than global mental disorder) for routine use in a community setting population.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Psicometria
/
Qualidade de Vida
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Características de Residência
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Nível de Saúde
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Saúde Mental
/
Transtornos Mentais
Tipo de estudo:
Diagnostic_studies
/
Prognostic_studies
/
Qualitative_research
/
Risk_factors_studies
Aspecto:
Determinantes_sociais_saude
/
Patient_preference
Limite:
Adult
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Female
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Humans
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Male
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Middle aged
Idioma:
En
Revista:
Qual Life Res
Ano de publicação:
2012
Tipo de documento:
Article