...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Psychological medicine >A new scale to assess the therapeutic relationship in community mental health care: STAR.
【24h】

A new scale to assess the therapeutic relationship in community mental health care: STAR.

机译：评估社区精神卫生保健中治疗关系的新量表：STAR。

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

BACKGROUND: No instrument has been developed specifically for assessing the clinician-patient therapeutic relationship (TR) in community psychiatry. This study aimed to develop a measure of the TR with clinician and patient versions using psychometric principles for test construction. METHOD: A four-stage prospective study was undertaken, comprising qualitative semi-structured interviews about TRs with clinicians and patients and their assessment of nine established scales for their applicability to community care, administering an amalgamated scale of more than 100 items, followed by Principal Components Analysis (PCA) of these ratings for preliminary scale construction, test-retest reliability of the scale and administering the scale in a new sample to confirm its factorial structure. The sample consisted of patients with severe mental illness and a designated key worker in the care of 17 community mental health teams in England and Sweden. RESULTS: New items not covered by established scales were identified, including clinician helpfulness in accessing services, patient aggression and family interference. The new patient (STAR-P) and clinician scales (STAR-C) each have 12 items comprising three subscales: positive collaboration and positive clinician input in both versions, non-supportive clinician input in the patient version, and emotional difficulties in the clinician version. Test-retest reliability was r=0.76 for STAR-P and r=0.68 for STAR-C. The factorial structure of the new scale was confirmed with a good fit. CONCLUSIONS: STAR is a specifically developed, brief scale to assess TRs in community psychiatry with good psychometric properties and is suitable for use in research and routine care.
机译：背景：尚未开发出专门用于评估社区精神病学临床-患者治疗关系（TR）的仪器。这项研究的目的是使用心理计量学原理构建测试方法，以针对临床医生和患者版本的TR。方法：进行了一个分为四个阶段的前瞻性研究，包括对临床医生和患者进行TRs的定性半结构化访谈，并评估了九种既定量表的适用性，以适用于社区护理，并采用了100多个项目的合并量表，其次是Principal这些等级的成分分析（PCA）用于初步量表的构建，量表的重试可靠性以及在新样品中使用该量表以确认其阶乘结构。样本包括患有严重精神疾病的患者和英格兰和瑞典的17个社区精神卫生小组的指定关键工作人员。结果：确定的新项目未包括在既定规模内，包括临床医生对获得服务的帮助，患者的侵略性和家庭干扰。新患者（STAR-P）和临床医生量表（STAR-C）每个都有12个项目，包括三个子量表：两个版本中的积极协作和积极临床医生输入，患者版本中不支持临床医生的输入以及临床医生的情绪困难版。 STAR-P的重测可靠性为r = 0.76，STAR-C的r = 0.68。新比例的阶乘结构得到了很好的确认。结论：STAR是专门开发的简短量表，用于评估社区精神病学中的TR，具有良好的心理测量特性，适用于研究和常规护理。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号