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Routine use of mental health outcome assessments: choosing the measure

机译:常规使用心理健康结果评估:选择措施

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Background There is little consensus about which outcome measures to use in mental healthcare. Aims To investigate the relationship between the items in four staff-rated measures recommended for routine use. Method Correlation analysis of total scores and factor analysis using combined data from the Health of the Nation Outcome Scales (HoNOS). The Camberwell Assessment of Need Short Appraisal Schedule (CANSAS), the Threshold Assessment Grid (TAG) and the Global Assessment of Functioning (GAF) were performed. Procrustes analysis on factors and scales, and Ward's cluster analysis to group the items, were applied. Results The total scores of the measures were moderately correlated. The Procrustes analysis, factor analysis and cluster analysis all agreed on better coverage of the patients' problems by HoNOS and CANSAS. Conclusions A global severity factor accounts for 16% of the variance, and is best measured with TAG or GAF. The CANSAS and HoNOS each provide a detailed characterisation of the patient; only CANSAS provides information about met needs.
机译:背景关于在精神卫生保健中使用哪种疗效指标尚无共识。目的调查推荐用于日常工作的四项员工评级措施中各项之间的关系。使用来自国家结果健康状况量表(HoNOS)的组合数据对总分进行方法相关性分析和因素分析。进行了坎伯韦尔需求短期评估计划评估(CANSAS),阈值评估网格(TAG)和整体功能评估(GAF)。应用因素和规模的前兆分析,以及将项目分组的Ward聚类分析。结果各项措施的总分呈中等程度相关。 Procrustes分析,因子分析和聚类分析均同意通过HoNOS和CANSAS更好地覆盖患者的问题。结论全局严重性因素占方差的16%,最好用TAG或GAF进行测量。 CANSAS和HoNOS分别提供了患者的详细特征;只有CANSAS提供有关满足需求的信息。

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