Skip to main content
Fachgebiete
Automobil + Motoren Bauwesen + Immobilien Business IT + Informatik Elektrotechnik + Elektronik Energie + Nachhaltigkeit Finance + Banking Management + Führung Marketing + Vertrieb Maschinenbau + Werkstoffe Versicherung + Risiko
DE
EN
Bücher
Zeitschriften
Themenseiten
Organisationspsychologie Projektmanagement Marketing Smart Manufacturing
Weitere Formate
Podcasts Webinare Technik Webinare Wirtschaft Kongresse Veranstaltungskalender Awards
Jetzt Einzelzugang starten
Zugang für Unternehmen
Referenzkunden
SLX-Digitalkonferenz: Zukunftswerkstatt 2024

Mehr Umsatz mit Top-Kontakten

Am 7. Mai erfahren Sie, wie Vertriebsteams Leadgenerierung, Leadnurturing und Leadstrategien effizient steuern können.
Erweiterte Suche
Anmelden
nach oben
Quality of Life Research
Erschienen in: Quality of Life Research 9/2012

01.11.2012

Health of the nation outcome scales evaluation in a community setting population

verfasst von: Pietro Giorgio Lovaglio, Emiliano Monzani

Erschienen in: Quality of Life Research | Ausgabe 9/2012

Einloggen

Aktivieren Sie unsere intelligente Suche, um passende Fachinhalte oder Patente zu finden.

search-config
loading …

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.
Vorheriger Artikel Pediatric Asthma Caregiver’s Quality of Life Questionnaire is a useful tool for monitoring asthma in children
Nächster Artikel Measuring quality of life in rural Uganda: reliability and validity of summary scores from the Medical Outcomes Study HIV Health Survey (MOS-HIV)

Sie haben noch keine Lizenz? Dann Informieren Sie sich jetzt über unsere Produkte:

Springer Professional "Wirtschaft+Technik"

Online-Abonnement

Mit Springer Professional "Wirtschaft+Technik" erhalten Sie Zugriff auf:

  • über 102.000 Bücher
  • über 537 Zeitschriften

aus folgenden Fachgebieten:

  • Automobil + Motoren
  • Bauwesen + Immobilien
  • Business IT + Informatik
  • Elektrotechnik + Elektronik
  • Energie + Nachhaltigkeit
  • Finance + Banking
  • Management + Führung
  • Marketing + Vertrieb
  • Maschinenbau + Werkstoffe
  • Versicherung + Risiko

Jetzt Wissensvorsprung sichern!

Jetzt informieren

Springer Professional "Wirtschaft"

Online-Abonnement

Mit Springer Professional "Wirtschaft" erhalten Sie Zugriff auf:

  • über 67.000 Bücher
  • über 340 Zeitschriften

aus folgenden Fachgebieten:

  • Bauwesen + Immobilien
  • Business IT + Informatik
  • Finance + Banking
  • Management + Führung
  • Marketing + Vertrieb
  • Versicherung + Risiko




Jetzt Wissensvorsprung sichern!

Jetzt informieren
Literatur
1.
Wing, J. K., Curth, R. H., & Beevor, A. S. (1996). HoNOS: Health of the nation outcome scales. Report on research and development. London: Royal College of Psychiatrists Research Unit.
2.
Wing, J. K., Beevor, A. S., Curtis, R. H., Park, S. B., Hadden, S., & Burns, A. (1998). Health of the nation outcome scales (HoNOS). Research and development. British Journal of Psychiatry, 172, 11–18.PubMedCrossRef
3.
Department of Health (1992). The health of the nation: A summary of the strategy for health in England. London: HMSO.
4.
Erlicher, A., & Lora, A. (2002). Pattern di Trattamento e Costi dei Dipartimenti di Salute Mentale in Regione Lombardia. Progetto di Ricerca HoNOS 2. Milano: Pensiero Scientifico Editore.
5.
Lombardy Region (2010). La qualità nel sistema regionale di salute mentale: analisi di indicatori di accessibilità, appropriatezza clinica ed organizzativa, continuità assistenziale ed efficacia nella pratica (Progetto di Ricerca HoNOS 4). Milano: IRER Publishing.
6.
Preston, N. J. (2000). The health of the nation outcome scales: Validating factorial structure and invariance across two health services. Australian and New Zealand Journal of Psychiatry, 34, 512–519.PubMedCrossRef
7.
Trauer, T. (1999). The subscale structure of the health of the nation outcome scales (HoNOS). Journal of Mental Health, 8, 499–509.CrossRef
8.
McClelland, R., Trimble, P., Fox, M. J., Stevenson, M. R., & Bell, B. (2000). Validation of an outcome scale for use in adult psychiatric practice. Quality in Health Care, 9, 98–105.PubMedCrossRef
9.
Newnham, E. A., Harwood, K. H., & Page, A. C. (2009). The subscale structure and clinical utility of the health of the nation outcome scale. Journal of Mental Health, 18, 326–334.CrossRef
10.
Wright, B. D., & Masters, G. N. (1982). Rating scales analysis. Chicago: Mesa Press.
11.
Rasch, G. (1960). Probabilistic models for some intelligence and attainment tests. Chicago: The University of Chicago Press.
12.
Horn, J. L. (1965). A rationale and test for the number of factors in factor analysis. Psychometrica, 30, 179–185.CrossRef
13.
Bond, T. G., & Fox, M. C. (1991). Applying the Rasch model: Fundamental measurement in the human sciences. London: Lawrence Erlbaum Associated.
14.
Singer, J. D., & Willett, J. B. (2003). Applied longitudinal data analysis: Modeling change and event occurrence. New York: Oxford University Press.
15.
Linacre, J. M. (1998). Detecting multidimensionality: Which residual data-type works best? Journal of Outcome Measurement, 2, 266–283.PubMed
16.
Adams, R. J., & Wright, B. D. (1994). When does misfit make a difference. In M. Wilson (Ed.), Objective measurement theory and practice (Vol. 2, pp. 244–270). Norwood, NJ: Ablex.
17.
Linacre, J. M. (2003). Size vs. significance: Infit and outfit mean-square and standardized Chi-square fit statistic. Rasch Measurement Transactions, 17, 9–18.
18.
Karabatsos, G. (2000). A critique of Rasch residual fit statistics. Journal of Applied Measurement, 1, 152–176.PubMed
19.
Linacre, J. M. (2004). A user’s guide to winsteps Rasch-model computer program. Chicago: Mesa Press.
20.
Smith, A. B., Rush, R., Fallowfield, L. J., Velikova, G., & Sharpe, M. (2008). Rasch fit statistics and sample size considerations for polytomous data. BMC Medical Research Methodology, 8, 33.PubMedCrossRef
21.
Smith, R. M., & Miao, C. Y. (1994). Assessing unidimensionality for Rasch measurement. In M. Wilson (Ed.), Objective measurement: Theory into practice (pp. 14–31). Norwood: Ablex.
22.
Smith, E. V. (2002). Detecting and evaluating the impact of multidimensionality using item fit statistics and principal component analysis of residuals. Journal of Applied Measurement, 3, 205–231.PubMed
23.
Raîche, G. (2005). Critical eigenvalue sizes in standardized residual principal components analysis. Rasch Measurement Transaction, 19, 10–12.
24.
Chou, Y. T., & Wang, W. C. (2010). Checking dimensionality in item response models with principal component analysis on standardized residuals. Education and Psychological Measurement, 70, 717–731.CrossRef
25.
Humphreys, L. G., & Montanelli, R. G. (1975). An examination of the parallel analysis criterion for determining the number of common factors. Multivariate Behavioural Research, 10, 193–206.CrossRef
26.
Buja, A., & Eyuboglu, N. (1992). Remarks on parallel analysis. Multivariate Behavioural Research, 27, 509–540.CrossRef
27.
Zwick, W. R., & Velicer, W. F. (1986). Comparison of five rules for determining the number of components to retain. Psychological Bulletin, 99, 432–442.CrossRef
28.
Bentler, P. M. (1990). Comparative fit indices in structural models. Psychological Bulletin, 107, 238–246.PubMedCrossRef
29.
Percudani, M., Belloni, G., Contini, A., & Barbui, C. (2002). Monitoring community psychiatric services in Italy: Differences between patients who leave care and those who stay in treatment. British Journal of Psychiatry, 180, 254–259.PubMedCrossRef
30.
Rossi, A., Amaddeo, F., Bisoffi, G., Ruggeri, M., Thornicroft, G., & Tansella, M. (2002). Dropping out of care: Inappropriate terminations of contact with community-based psychiatric services. British Journal of Psychiatry, 181, 331–338.PubMedCrossRef
31.
Salvi, G., Leese, M., & Slade, M. (2005). Routine use of mental health outcome assessments: choosing the measure. British Journal of Psychiatry, 18, 146–152.CrossRef
32.
Brooks, R. (2000). The reliability and validity of the health of the nation outcome scales: Validation in relation to patient derived measures. Australian and New Zealand Journal of Psychiatry, 34, 504–511.PubMed
33.
Bebbington, P., Brugha, T., Hill, T., Marsden, L., & Window, S. (1999). Validation of the health of the nation outcome scales. British Journal of Psychiatry, 174, 389–394.PubMedCrossRef
34.
Orrell, M., Yard, P., Handysides, J., & Shapira, R. (1999). Validity and reliability of the health of the nation outcome scales in psychiatric patients in the community. British Journal of Psychiatry, 174, 409–412.PubMedCrossRef
35.
Bentler, P. M. (1992). On the fit of models to covariances and methodology to the bulletin. Psychological Bulletin, 112, 400–404.PubMedCrossRef
36.
Browne, M. W. (1984). Asymptotically distribution-free methods for the analysis of covariance structures. British Journal of Mathematical and Statistical Psychology, 37, 1–21.PubMedCrossRef
Metadaten
Titel
Health of the nation outcome scales evaluation in a community setting population
verfasst von
Pietro Giorgio Lovaglio
Emiliano Monzani
Publikationsdatum
01.11.2012
Verlag
Springer Netherlands
Erschienen in
Quality of Life Research / Ausgabe 9/2012
Print ISSN: 0962-9343
Elektronische ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-011-0071-9

Weitere Artikel der Ausgabe 9/2012

Quality of Life Research 9/2012 Zur Ausgabe

OriginalPaper

The effect of family-based multidisciplinary cognitive behavioral treatment on health-related quality of life in childhood obesity

OriginalPaper

Health-related quality of life of mothers of very low birth weight children at the age of five: results from the newborn lung project statewide cohort study

OriginalPaper

Measuring quality of life in rural Uganda: reliability and validity of summary scores from the Medical Outcomes Study HIV Health Survey (MOS-HIV)

OriginalPaper

Changes in life satisfaction in persons with spinal cord injury during and after inpatient rehabilitation: adaptation or measurement bias?

OriginalPaper

Diagnostic delay, quality of life and patient satisfaction among women diagnosed with endometrial or ovarian cancer: a nationwide Danish study

OriginalPaper

Validation of a quality-of-life scale for women with bladder pain syndrome/interstitial cystitis