[Evaluation of the German Version of the "INTERMED-Self-Assessment"-Questionnaire (IM-SA) to Assess Case Complexity]. / Evaluation der deutschsprachigen Version des "INTERMED-Self-Assessment"- Fragebogens (IM-SA) zur Erfassung von Patienten mit komplexem Versorgungsbedarf.
Psychother Psychosom Med Psychol
; 66(5): 180-6, 2016 May.
Article
em De
| MEDLINE
| ID: mdl-27128827
ABSTRACT
INTRODUCTION:
The INTERMED- interview (IM-CAG=INTERMED complexity assessment grid) is a well validated instrument for the identification of complex patients in need of integrated health care (score ≥21). The IM-SA (INTERMED self-assessment)-questionnaire, derived from the INTERMED- interview, was developed in cooperation with the international INTERMED group in order to facilitate its use in various clinical settings and to foster the patients' perspective on health-care needs.METHODS:
The German version of the IM-SA was evaluated in a clinical sample (n=136) of psychosomatic outpatients and compared to the IM-CAG. Construct validity was examined by analyzing the correlations of the IM-SA with quality-of-life (SF-36) and anxiety/depression (HADS). Sensitivity and specificity for the identification of complex patients were examined by using ROC (Receiver Operating Characteristic) analysis.RESULTS:
The correlations between the total score and the subscales of the IM-SA, compared to the INTERMED, were high (total score r=0.79 (95%-KI [0.70; 0.85]). Cronbach's α was 0.77, and construct validity was high (SF-36 mental component score r=-0.57; HADS Depression r=0.59). The IM-SA total score was significantly lower compared to IM-CAG, mainly because of low IM-SA scores in the somatic domain. According to ROC analysis, the IM-SA-cut-off for identifying complex patients has to be lowered (score ≥17).DISCUSSION:
The IM-SA can be used as an instrument to identify complex patients in need of integrated bio-psycho-social care.CONCLUSION:
The IM-SA is a reliable instrument to be used in various clinical settings to identify complex patients and to provide integrated, bio-psycho-social care.
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Base de dados:
MEDLINE
Assunto principal:
Transtornos de Ansiedade
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Psicometria
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Transtornos Psicofisiológicos
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Autoavaliação (Psicologia)
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Comparação Transcultural
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Inquéritos e Questionários
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Transtorno Depressivo
Tipo de estudo:
Evaluation_studies
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Prognostic_studies
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Qualitative_research
Limite:
Adult
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Female
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Humans
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Male
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Middle aged
Idioma:
De
Ano de publicação:
2016
Tipo de documento:
Article