Spanish Adaptation of the BASIS Mental Health Survey

描述(由申请人提供)：本申请的目标是开发一种在文化和语言上适当的精神健康评估工具，旨在评估西班牙语精神健康和药物滥用服务接受者的治疗结果。尤其需要在文化和语言上采取适当的成果措施，以确定健康差距的存在和方向，并评估少数群体的治疗质量和结果。拟议的研究将通过调整、翻译和实地测试并验证修订后的行为和症状识别量表(BASIS-R)来实现这一点，该量表适用于来自波多黎各、墨西哥和多米尼加共和国这三个西班牙语地区的讲西班牙语的人。在目前资助的一个项目(R01 MH58240)下，对BASE-32进行了广泛的修订，BASE-32是一种广泛使用的消费者自我报告精神健康状况的衡量标准。该应用程序通过为美国和波多黎各讲西班牙语的拉丁裔改编和翻译该乐器，并允许将特定于文化的模块添加到核心乐器，从而扩展了目前获得资助的工作。具体目标是：将该工具改编成西班牙语并将其翻译成西班牙语；确定在文化上与讲西班牙语的拉丁裔人有关但不包括在该工具英文版本中的症状和功能领域和项目；实地测试经修改/翻译的工具；以及评估西班牙工具的数据质量、因素结构可靠性、效度、不同项目的功能和对变化的敏感性。这些目标将通过使用最好的已建立的方法来开发初步翻译来实现。为了评估内容和语义对等，我们将进行焦点小组和认知访谈。对结果的分析将用于进一步完善翻译，以便进行实地测试。为了评估技术上的等价性，我们将使用与英语相同的格式和布局对该文书进行西班牙语改编。该仪器的现场测试将招募总共600名拉美裔患者：100名住院患者和100名门诊患者，分别在波士顿、波多黎各和弗雷斯诺的三个参与地点接受治疗。为了评估标准和概念等价性，将使用现场测试数据来评估该工具的信度和效度。项目反应理论将被用来评估西班牙语和英语工具的不同项目功能。根据这项研究开发的工具将为评估拉美裔人口的心理健康治疗结果提供一个重要工具。

DESCRIPTION (provided by applicant): The goal of this application is to develop a culturally and linguistically appropriate mental health assessment instrument designed to assess outcome of treatment for Spanish-speaking mental health and substance abuse service recipients. Culturally and linguistically appropriate outcome measures are especially needed to determine the presence and direction of health disparities, and to assess quality and outcomes of treatment among minority populations. The proposed research will accomplish this by adapting, translating and field testing and validating the revised Behavior and Symptom Identification Scale (BASIS-R) for use among Spanish speakers from three Spanish-speaking regions: Puerto Rico, Mexico and The Dominican Republic. Under a currently funded project (R01 MH58240) an extensive revision of the BASIS-32, a widely used consumer self-report mental health status measure, was undertaken. This application extends the currently funded work by adapting and translating the instrument for Spanish-speaking Latinos in the U.S. and Puerto Rico, and by allowing for culture-specific modules to be added to the core instrument. Specific aims are to: adapt and translate the instrument into Spanish; identify symptom and functioning domains and items that are culturally relevant to Spanish-speaking Latinos but are not included in the English version of the instrument; field test the adapted/translated instrument; and assess data quality, factor structure reliability, validity, differential item functioning and sensitivity to change for the Spanish instrument. These goals will be accomplished by using the best established methods to develop a preliminary translation. To assess content and semantic equivalence we will conduct focus groups and cognitive interviews. Analysis of the results will be used to further refine the translation for field testing. To assess technical equivalence, we will use the same format, and layout for the Spanish adaptation of the instrument as for the English. The field test of the instrument will enroll a total sample of 600 Latinos: 100 inpatients and 100 outpatients receiving treatment at each of three participating sites in Boston, Puerto Rico and Fresno. To assess criterion and conceptual equivalence, field test data will be used to assess reliability and validity of the instrument. Item Response Theory will be used to assess differential item functioning of the Spanish and English instruments. The instrument developed from this research will provide an important tool for assessing outcomes of mental health treatment among the Latino population.