Comprehensive Patient-Reported Outcomes Tracking Solution for State SPMI Clients

描述(由申请者提供)：该项目的总体目标是开发一套完整的精神健康筛查和结果跟踪包，供国家精神卫生机构使用。该包将包括一套公共领域题库，用于管理员和临床医生要求最频繁的领域，以及PROMIS和SAMHSA的国家成果衡量标准(NOMS)和统一报告标准(URS)指定的项目和领域。国家或机构将能够选择与其需求最相关的领域和项目，以及收集患者报告数据和向利益攸关方提交报告的技术解决方案。这个第一阶段的项目将开发和预先测试14个新域名的英文新项目，翻译成西班牙语的四个已建立的领域的项目，并预先测试这些西班牙项目。将在第二阶段完成对SPMI客户的英语和西班牙语项目的全面验证，使用IRT分析并与黄金标准工具进行比较。将根据与每个领域相关的核心概念，为14个新领域生成英语新项目；项目将通过整合DSM-IV-TR、现有工具以及PROMIS、NOM、MHSIP和URS建立的标准的信息生成。项目前测试将包括专家小组审查和对具有代表性的SPMI客户样本的认知访谈。西班牙语翻译将包括多个正向翻译和一个反向翻译，将通过翻译员共识和专家小组审查进行协调。四个既定领域的西班牙语项目也将通过与讲西班牙语的SPMI客户的代表性样本进行认知访谈进行试点测试。这项提议的目的是建立一个完整、全面的结果跟踪系统，供国家精神卫生机构使用，包括一个模块化的公共领域工具和用于数据收集和报告的适当技术。该系统的中心将是一套公共领域题库，包括那些被确定为对州精神卫生系统最有用的领域，以及联邦结果跟踪倡议所需的领域和项目。这种资源的建立将使各国能够收集统一的数据集，以确定最佳做法和有效的资源分配。其结果将是更好地照顾患者，州政府管理人员在决策中使用更好的资源，以及联邦、州和地方利益相关者关于精神卫生系统的更统一的数据。

DESCRIPTION (provided by applicant): The overall aim of this project is to develop a complete mental health screening and outcomes tracking package for use by state mental health agencies. The package will feature a set of public-domain item banks for the domains most frequently requested by administrators and clinicians and items and domains specified by PROMIS and SAMHSA's National Outcomes Measures (NOMs) and Uniform Reporting Standards (URS). States or agencies will be able to choose the domains and items most relevant to their needs, as well as technological solutions for collecting patient-reported data and delivering reports to stakeholders. This Phase I project will develop and pretest new items in English for 14 new domains, translate items into Spanish for four established domains, and pretest these Spanish items. Full validation of both English- and Spanish- language items on SPMI clients, using IRT analysis and comparisons with gold standard instruments, will be completed in Phase II. New items will be generated in English for 14 new domains, based on core concepts relevant to each domain; items will be generated by integrating information from DSM- IV-TR, existing instruments, and standards established by PROMIS, NOM, MHSIP, and URS. Item pretesting will include expert panel review and cognitive interviews with a representative sample of SPMI clients. Spanish translation will include multiple forward translations and a back translation, which will be reconciled via translator consensus and expert panel review. Spanish-language items in four established domains will also undergo pilot testing via cognitive interviewing with a representative sample of Spanish- speaking SPMI clients. The object of this proposal is a complete, comprehensive outcomes tracking system for use by state mental health agencies, including both a modular, public domain instrument and appropriate technology for data gathering and reporting. The centerpiece of the system will be a set of public-domain item banks comprising those domains identified as most useful to state mental health systems, as well as domains and items required by federal outcomes tracking initiatives. The creation of such a resource will allow collection of uniform data sets across states for identification of best practices and efficient resource allocation. The result will be better care for patients, better resources for state administrators to use in decision making, and more uniform data regarding mental health systems for federal, state, and local stakeholders.