Does the HoNOS 65+ meet the criteria for a clinical outcome indicator for mental health services for older people?
Does the HoNOS 65+ meet the criteria for a clinical outcome indicator for mental health services for older people?
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DOI：
10.1002/gps.592
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发表时间：
2002-03-01
影响因子：
4
通讯作者：
Rock, D
中科院分区：
文献类型：
--
作者：
Spear, J;Chawla, S;Rock, D
背景临床指标应证明有临床意义的变化、相关、允许服务之间进行比较、为临床医生所接受，并且具有可接受的有效性、可靠性和对变化的敏感性。HoNOS 65+已被建议作为临床结局指标。HoNOS 65+的变化敏感性尚不清楚。采用简易精神状态检查量表（MMSE）、老年抑郁量表（GDS-15）和简易激越评定量表（BARS）对42名健康志愿者进行同时效度检验。结果HoNOS 65+量表能被个案管理者接受，大多数HoNOS 65+条目具有良好的评定者间信度，同时具有良好的效度。HoNOS 65+评分在评估和出院之间的变化有中度，但与CIBIC+ scores.Conclusion的HoNOS 65+，符合标准的临床结果指标为老年人提供社区精神卫生服务的显着相关性。该HoNOS 65+是敏感的变化，版权所有（C）2002约翰威利儿子，有限公司。
Background A clinical indicator should demonstrate clinically meaningful change, be relevant, allow comparisons between services, be acceptable to clinicians, and have acceptable validity, reliability and sensitivity to change. The HoNOS 65+ has been suggested as a clinical outcome indicator. The sensitivity to change of the HoNOS 65+ is not known.Methods This is a prospective studs using routine clinical data. A pilot cohort (n = 42) was used to measure the concurrent validity of the HoNOS 65+, with the Mini-Mental State Examination (MMSE), Geriatric Depression Scale (GDS-15) and Brief Agitation Rating Scale (BARS). The main cohort of 245 consecutive referrals to a community mental health service for older adults was used to assess sensitivity to change against the CIBIC+.Results The HoNOS 65+ was acceptable to case managers, most HoNOS 65+ items had excellent interrater reliability and the HoNOS 65+ had good concurrent validity. Changes in the HoNOS 65+ scores between assessment and discharge had a moderate, but significant correlation with CIBIC+ scores.Conclusion The HoNOS 65+, meets the criteria for a clinical outcome indicator for community mental health services for older people. The HoNOS 65+ is sensitive to change, Copyright (C) 2002 John Wiley Sons, Ltd.