Consistency of the Health of the Nation Outcome Scales (HoNOS) at inpatient-to-community transition
Data(s) |
27/04/2016
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Resumo |
OBJECTIVES: The Health of the Nation Outcome Scales (HoNOS) are mandated outcome-measures in many mental-health jurisdictions. When HoNOS are used in different care settings, it is important to assess if setting specific bias exists. This article examines the consistency of HoNOS in a sample of psychiatric patients transitioned from acute inpatient care and community centres. <br /><br />SETTING: A regional mental health service with both acute and community facilities. <br /><br />PARTICIPANTS: 111 psychiatric patients were transferred from inpatient care to community care from 2012 to 2014. Their HoNOS scores were extracted from a clinical database; Each inpatient-discharge assessment was followed by a community-intake assessment, with the median period between assessments being 4 days (range 0-14). Assessor experience and professional background were recorded. <br /><br />PRIMARY AND SECONDARY OUTCOME MEASURES: The difference of HoNOS at inpatient-discharge and community-intake were assessed with Pearson correlation, Cohen's κ and effect size. <br /><br />RESULTS: Inpatient-discharge HoNOS was on average lower than community-intake HoNOS. The average HoNOS was 8.05 at discharge (median 7, range 1-22), and 12.16 at intake (median 12, range 1-25), an average increase of 4.11 (SD 6.97). Pearson correlation between two total scores was 0.073 (95% CI -0.095 to 0.238) and Cohen's κ was 0.02 (95% CI -0.02 to 0.06). Differences did not appear to depend on assessor experience or professional background. <br /><br />CONCLUSIONS: Systematic change in the HoNOS occurs at inpatient-to-community transition. Some caution should be exercised in making direct comparisons between inpatient HoNOS and community HoNOS scores. |
Identificador | |
Idioma(s) |
eng |
Publicador |
BMJ Group |
Relação |
http://dro.deakin.edu.au/eserv/DU:30083508/luo-consistencyofthehealth-2016.pdf http://www.dx.doi.org/10.1136/bmjopen-2015-010732 |
Direitos |
2016, The Authors |
Palavras-Chave | #Assessment #HoNOS #MENTAL HEALTH |
Tipo |
Journal Article |