Validation of the Health of the Nation Outcome Scales
Validation of the Health of the Nation Outcome Scales
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DOI：
10.1192/bjp.174.5.389
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发表时间：
1999-05-01
影响因子：
10.5
通讯作者：
Window, S
中科院分区：
文献类型：
--
作者：
Bebbington, P;Brugha, T;Window, S
背景国家的健康结果量表（HoNOS）的发展，以评估严重精神障碍的结果与国家的健康战略为England.Aims的验证HoNOS.Method的115例患者进行了评估的关键工人使用HoNOS，和研究工作者使用SCAN，SBS和SRPS，并完成HoNOS在光的这一额外的材料。这些评估重复后6 weeks.Results的性能HoNOS的手中的关键worker普遍较差，无论是研究工作者的评级HoNOS和标准的工具。性能特别差时，分数的变化被用来作为衡量outcome.Conclusions有严重的问题，在使用HoNOS作为一个常规措施的临床状态，在忙碌精神科服务。它的性能可能与关键工作人员的培训和经验有关。序贯评级不是评估结果的好方法。管理人员和规划人员在采用Ho NOS时应谨慎，但在制定一套当地认可的成果衡量标准时，它值得考虑。利益声明这项研究完全由卫生署资助。
Background The Health of the Nation Outcome Scales (HoNOS) were developed to assess the outcome of severe mental disorders in relation to the Health of the Nation Strategy for England.Aims To validate the HoNOS.Method One hundred and fifteen patients were assessed by keyworkers using HoNOS, and by research workers using SCAN, SBS, and SRPS, and completing HoNOS in the light of this additional material. These assessments were repeated after 6 weeks.Results The performance of HoNOS in the hands of keyworkers was generally poor, in relation both to the research workers' rating of HoNOS and to the criterion instruments. Performance was particularly poor when the change in scores was used as a measure of outcome.Conclusions There are serious problems in using HoNOS as a routine measure of clinical status in busy psychiatric services. Its performance is probably related to the training and experience of keyworkers. Sequential ratings are not a good method for assessing outcome. Managers and planners should be cautious in adopting Ho NOS, but it is worthy of consideration in developing a suite of locally agreed outcome measures.Declaration of interest This study was entirely funded by the Department of Health.