Psychometric properties of the BASIS-24© (Behaviour and Symptom Identification Scale-revised) Mental Health Outcome Measure

Psychometric properties of the BASIS-24© (Behaviour and Symptom Identification Scale-revised) Mental Health Outcome Measure
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DOI:
10.1080/13651500600885531
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发表时间:
2007-03-01
影响因子:
3
通讯作者:
Hamilton, R. J.
Hamilton, R. J.
中科院分区:
医学4区
文献类型:
--
作者:
Cameron, I. M.;Cunningham, L.;Hamilton, R. J.

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目标。精神卫生服务中的结果衡量是一个临床上非常感兴趣的领域和政策优先事项。这项研究试图在英国样本中评估行为和症状识别量表-24(BASE-24(C)),这是一种简短的患者自我报告的精神病理学和功能测量工具,包括建立人口常模以供比较。方法:研究方法。参与者是从精神科住院、门诊和初级保健环境中招募的588名成年人;以及从初级保健列表中随机抽样的630名成年人,他们在两个时间点完成了Basis-24(C)和简明症状问卷(BSI)。结果。BASIC-24(C)量表显示出足够的信度(各子量表的合并临床样本的系数a值在0.75至0.91之间)、效度和对变化的反应性(BSI全球严重程度指数改变的效应值为0.56)。建立了普通人群和成人住院患者(入院时)的人口常量。事实证明,该量表在临床环境中很容易完成。在临床环境中发放调查问卷的不同比率突显了将结果衡量纳入临床环境的持续挑战。结论。Base24(C)是一种简短、易于管理、自我完整的心理健康和功能测量方法,充分满足结果测量所需的可靠性、有效性和对变化的反应能力要求。
Objective. Outcome measurement in mental health services is an area of considerable clinical interest and policy priority. This study sought to assess the Behaviour and Symptom Identification Scale-24 (BASIS-24(C)), a brief, patient self-reported measure of psychopathology and functioning, in a UK sample, including establishing population norms for comparative purposes. Methods. Participants were 588 adults recruited from psychiatric inpatient, outpatient and primary care settings; and 630 adults randomly sampled from primary care lists who completed the BASIS-24(C), and the Brief Symptom Inventory (BSI) at two time points. Results. BASIS-24(C) demonstrated adequate reliability (coefficient a values for combined clinical sample across subscales ranged from 0.75 to 0.91), validity and responsiveness to change (effect size for change of the BASIS-24(C) was 0.56 compared with 0.48 for BSI Global Severity Index). Population norms were established for the general population and adult in-patients (at in-take). The scale proved straightforward to complete across clinical settings. Variable rates of questionnaire distribution across clinical settings highlighted the ongoing challenge of incorporating outcome measures in clinical settings. Conclusion. BASIS-24(C) is a brief, easily administered, self-complete measure of mental well-being and functioning that adequately meets the requirements of reliability, validity and responsiveness to change required of an outcome measure.