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心理健康评估工具，旨在评估西班牙语心理健康和药物滥用服务接受者的治疗结果。特别需要在文化和语言上适当的结果措施，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、实地测试和验证经修订的行为和症状识别量表（BASIS-R）来实现这一目标，该量表将在三个西班牙语地区（波多黎各、墨西哥和多米尼加共和国）的西班牙语使用者中使用。在目前资助的一个项目（R01 MH58240）下，对BASIS-32进行了广泛修订，BASIS-32是一种广泛使用的消费者自我报告心理健康状况测量。该应用程序通过为美国和波多黎各讲西班牙语的拉丁美洲人改编和翻译该仪器，并允许将特定文化模块添加到核心仪器中，从而扩展了目前资助的工作。具体目标是：将该乐器改编并翻译成西班牙语；识别与讲西班牙语的拉丁美洲人在文化上相关但未包括在该工具英文版中的症状和功能领域和项目；现场测试改编/翻译的仪器；并评估西班牙语工具的数据质量、因素结构可靠性、有效性、差异项目功能和对变化的敏感性。这些目标将通过使用最佳的既定方法来开发初步翻译来实现。为了评估内容和语义的等价性，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现场测试的翻译。为了评估技术等效性，我们将使用相同的格式和布局，西班牙语改编的乐器与英语相同。该仪器的现场测试将总共招募600名拉美裔人：在波士顿、波多黎各和弗雷斯诺的三个参与地点各有100名住院病人和100名门诊病人接受治疗。为了评估标准和概念等效性，将使用现场测试数据来评估仪器的可靠性和有效性。项目反应理论将用于评估西班牙语和英语工具的不同项目功能。本研究开发的工具将为评估拉丁裔人口心理健康治疗结果提供重要工具。

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.