Evidencias de Adecuación Psicométrica de la Versión Española de la Escala HoNOS

  1. José Juan Uriarte 1
  2. Nerea Iglesias 2
  3. Patricia Penas 2
  4. María-Concepción Moreno-Calvete 2
  5. Alexander Álvarez-González 2
  6. Ioseba Iraurgi 2
  1. 1 Instituto de Investigación Sanitaria Biobizkaia, Osakidetza, Red de Salud Mental de Bizkaia
  2. 2 Universidad de Deusto
    info

    Universidad de Deusto

    Bilbao, España

    ROR https://ror.org/00ne6sr39

Revista:
Revista iberoamericana de diagnóstico y evaluación psicológica

ISSN: 1135-3848 2183-6051

Año de publicación: 2024

Volumen: 2

Número: 72

Páginas: 145-156

Tipo: Artículo

DOI: 10.21865/RIDEP72.2.10 DIALNET GOOGLE SCHOLAR lock_openAcceso abierto editor

Otras publicaciones en: Revista iberoamericana de diagnóstico y evaluación psicológica

Resumen

Outcome evaluation in mental health intervention programs is presented as an alternative of choice for assessing the effectiveness of treatments. For its implementation, it is necessary to have measuring instruments adequately adapted and validated to the context of application. The aim of the study is to provide evidence of the psychometric adequacy of HoNOS adapted to Spanish. A total of 281 users selected by probabilisticstratified sampling participated in the study. The HoNOS scale was used and the dimensional structure that best fits the data to the theoretical model of symptom clustering was tested using confirmatory factor analysis techniques. Evidence was presented showing the HoNOS scale as an appropriate instrument for result assessment in severe mental illnesses. These results make it possible to propose both the use of an overall assessment index and the use of the specific dimensions proposed by the instrument’s authors.

Referencias bibliográficas

  • APA - Asociación Americana de Psiquiatría. (2004). DSM-IV- Manual Diagnóstico y Estadístico de los Trastornos Mentales. Masson.
  • Bebbington, P., Brugha, T., Hill, T., Marsden, L., & Window, S. (1999). Validation of the health of the nation outcome scales. British Journal of Psychiatry, 174, 389-394. https://doi.org/10.1192/bjp.174.5.389
  • Bentler, P.M. (2006). EQS 6 structural equations program manual. Multivariate Software Inc.
  • Bobes, J., Portilla, M.P., Bascarán, M.T., Sáiz, P.A., & Bousoño, M. (2002). Banco de instrumentos psiquiatría clínica. Psiquiatría Editores.
  • Department of Health (1992). Health of the Nation, a strategy for health in England. White Paper. HMSO.
  • Dogmanas, D. (2014). Adaptación y validación en población uruguaya de la escala HoNOS de Resultados en Servicios de Salud Mental. Tesis Doctoral, Universidad de Salamanca.
  • Endicott, J., Spitzer, R.L., Fleiss, J.I., & Cohen, J. (1976). The Global Assessment Scale. A procedure for measuring overall severity of psychiatric disturbance. Archives of General Psychiatry, 33, 766-771. https://doi.org/10.1001/archpsyc.1976.01770060086012
  • Escalada, P., & Marín-Fernández, B. (2015a). The nursing diagnosis disturbed thought processes in psychiatric patients: Prevalence and associated characteristics. International Journal of Nursing Knowledge, 27, 3, 156-161. https://doi.org/10.1111/2047-3095
  • Escalada, P., Lazkanotegui, U., Aolondriz, M., Alameda, M., Flores-del-Redal, C., & Dendarrieta, M. (2015b). Diagnósticos de enfermería, intervenciones y resultados en pacientes institucionalizados con demencia. Revista Ibero-Americana de Salud y Envejecimiento, 1, 1, 22-38. https://doi.org/10.24902/r.riase.2015.1(1).22
  • Escalada, P., Muñoz-Hermoso, P., González–Fraile, E., Santos, B., González-Vargas, J.A., Feria-Raposo, I. (2014). A retrospective study of nursing diagnoses, outcomes, and interventions for patients with mental disorders. Applied Nursing Research, 28, 2, 92-98. https://doi.org/10.1016/j.apnr.2014.05.006
  • Esteba-Castillo, S., Torrents-Rodas, D., García-Alba, J., Ribas-Vidal, N., & Novell-Alsina, R. (2018). Translation and validation of the Spanish version of the Health of the Nation Outcome Scales for People with Learning Disabilities (HoNOS-LD). Revista de Psiquiatría y Salud Mental, 11, 3, 141-150. https://doi.org/10.1016/j.rpsm.2016.11.002
  • EuroQol Group (1990). EuroQol a new facility for the measurement of health-related quality of life. Health Policy, 16, 199-208. https://doi.org/10.1016/0168-8510(90)90421-9
  • Frades, B., Ruipérez, M.A., & Moro, M. (2011). Estudio descriptivo de los pacientes atendidos en la Unidad de Media Estancia de Salud Mental del Hospital Pare Jofré durante los años 2005-2008. Rehabilitación Psicosocial, 8, 1/2, 23-31. https://doi.org/10.5538/2385-703X.2017.6.5
  • Garay-Arostegui, M., Pousa-Rodríguez, V., & Pérez-Cabeza, L. (2014). La relación entre la percepción subjetiva del funcionamiento cognitivo y el autoestigma con la experiencia de recuperación de las personas con enfermedad mental grave. Revista de la Asociación Española de Neuropsiquiatría, 34, 123, 459-475.https://doi.org/10.4321/S0211-57352014000300002
  • Gisbert, C., & Cid-Colom, J. (2010). Evaluación en unidades de rehabilitación hospitalaria: Un balance entre síntomas, funcionalismo, necesidades, expectativas y soporte comunitario. En FEARP (Ed.), Evaluación en rehabilitación psicosocial, (pp. 213-231). Federación Española de Asociaciones de Rehabilitación Psicosocial (FEARP).
  • Guy, W. (1976). ECDEU Assessment Manual for Psychopharmacology. Rockville National Institute Mental Health.
  • Guy, W. (2004). Escala de Impresión Clínica Global. En J. Bobes, M. P. García-Portilla, M. T. Bascarán, P. A. Sáiz & M. Bousoño (Eds). Banco de Instrumentos Básicos para la Práctica de la Psiquiatría Clínica, 101-102. Psiquiatría Editores.
  • Herdman, M., Badia, X., & Berra, S. (2001). EuroQol-5D: Una alternativa sencilla para la medición de la calidad de vida relacionada con la salud en atención primaria. Atención Primaria, 28, 6, 425-430. https://doi.org/10.1016/S0212-6567(01)70406-4
  • Iglesias, N., Penas, P., Macía, M., & Iraurgi, I. (2019). Revisión sistemática internacional de las características psicométricas de la escala HoNOS (Health of the Nation Outcome Scale). Comunicación oral. IV Congreso Nacional de Psicología y I International Symposium on Psychological Prevention. Vitoria, España.
  • Iraurgi, I. (2010). Evaluación de resultados clínicos (y III): Índices de Cambio Fiable (RCI) en la estimación del cambio clínicamente significativo. Norte de Salud Mental, 36, 105-122. http://www.ome-aen.org/NORTE/36/11.%20Formación%20 continuada%20(1)%20Norte36.pdf
  • Jacobson, N.S., & Truax, P. (1991). Clinical significance: A statistical approach to defining meaningful change in psychotherapy research. Journal of Consulting and Clinical Psychology, 59, 12-19. https://doi.org/10.1037/0022-006x.59.1.12
  • Jury, A., Lai, J., Tuason, C., Koning, A., Smith, M., Boyd, L., Swanson, C., Fergusson, D., & Gruar, A. (2018). People who experience seclusion in adult mental health inpatient services: An examination of health of the nation outcome scales scores. International Journal of Mental Health Nursing, 28, 1, 199-208. https://doi.org/10.1111/inm.12521
  • Lorenzo-Seva, U., & Ferrando, P.J. (2019). Factor 10. Manual of the Program. Universidad Rovira I Virgili. Recuperado de http://psico.fcep.urv.es/utilitats/factor
  • Lovaglio, P.G., & Monzani, E. (2012). Health of the nation outcomes scales evaluation in a community setting population. Quality of Life Research, 21, 1643-1653. https://doi.org/10.1007/s11136-011-0071-9
  • McClelland, R., Trimble, P., Fox, M.L., Stevenson, M.R., & Bell, B. (2000). Validation of an outcome scale for use in adult psychiatric practice. Quality Health Care, 9, 98-105. https://doi.org/10.1136/ghc.9.2.98
  • McDowell. I. (2006). Measuring Health: A Guide to Rating Scales and Questionnaires, Third Edition. Oxford University Press.
  • Mokkink, L. B., Terwee, C. B., Patrick, D. L., Alonso, J., Stratford, P. W., Knol, D. L., de Vet, H. C. (2010). The COSMIN study reached international concensus on taxonomy, terminology, and definitions of measurement properties for health related patient-reported outcomes. Journal of Clinical Epidemiology, 63, 737-745. https://doi.org/10.1016/j.jclinepi.2010.02.006
  • Newnham, E.A., Harwood, K.E., & Page, A.C. (2009). The subscale structure and clinical utility of the Health of the Nation Outcome Scale. Journal of Mental Health, 18, 4, 326-334. https://doi.org/10.1080/09638230802522486
  • Osta-Samanes, R., García-Tejedor, A., & Muro, C. (2012). Integración social del anciano institucionalizado. Gerokomos, 23, 4, 172-176. https://doi.org/10.4321/S1134-928X2012000400006
  • Parabiaghi, A., Barbato, A., D´Avanzo, B., Erlicher, A., & Lora, A. (2005). Assessing reliable and clinically significant change on HoNOS: A method for displaying longitudinal data. Australasian and New Zealand Journal of Psychiatry, 39, 719-725. https://doi.org/10.1080/j.1440-1614.2005.01656.x
  • Parabiaghi, A., Kortrijk, H.E., & Mulder, C.L. (2014). Defining multiple criteria for meaningful outcome in routine outcome measurement using the Health of the Nation Outcome Scales. Social Psychiatry and Psychiatric Epidemiology, 49, 2, 291-305. https://doi.org/10.1007/s00127-013-0750-7
  • Pirkis, J.E., Burgess, P.M., Kirk, P.K., Dodson, S., Coombs, T.J., & Williamson, M.K. (2005). A review of the psychometric properties of the Health of the Nation Outcome Scales (HoNOS) family of measures. Health and Quality of Life Outcomes, 3, 76, 1-12. https://doi.org/10.1186/1477-7525-3-76
  • Prabhu, R., & Oakley-Browne, M. (2008). The use of the Health of the Nation Outcome Scale in an outreach rehabilitation program. Australasian Psychiatry, 16, 3, 195-199. https://doi.org/10.1080/10398560701784813
  • Preston, N.J. (2000). The Health of the Nation Outcome Scales: Validating factorial structure and invariance across two health services. Australasian and New Zealand Journal of Psychiatry, 34, 512-519. https://doi.org/10.1046/j.1440-1614.2000.00726.x
  • Reise, S.P., Bonifay, W.E., & Haviland, M.G. (2013). Scoring and modeling psychological measures in the presence of multidimensionality. Journal of Personality Assessment, 95, 2, 129-140. https://doi.org/10.1080/00223891.2012.725437
  • Ribas, S., Infante, P., & Fernández-González, D. (2016). Rehabilitation programme of Residential Homes: Compare the results in two different models. International Journal of Integrated Care, 16, 6, A43, 1-8. https://doi.org/10.5334/ijic.2986
  • Rodriguez, A., & Reise, S.P. (2016). Evaluating Bifactor Models: Calculating and interpreting statistical indices. Psychological Methods, 21, 2, 137-150. https://doi.org/10.1037/met0000045
  • Schmitter-Edgecombe, M., McAlister, C., & Weakley, A. (2012). Naturalistic assessment of everyday functioning in individuals with mild cognitive impairment: The day-out task. Neuropsychology, 5, 631-641. https://doi.org/10.1037/a0029352
  • Scholtes, V.A., Terwee, C.B., & Poolman, R.W. (2001). What makes a measurement instrument valid and reliable? Injury, 42, 3, 236-240. https://doi.org/10.1016/j.injury.2010.11.042
  • Slade, M. (2002). What outcomes to measure in routine mental health services, and how to assess them: A systematic review. Australasian and New Zealand Journal of Psychiatry, 36, 6, 743-753. https://doi.org/10.1046/j.1440-1614.2002.01099.x
  • Speak, B., & Muncer, S. (2015). The structure and reliability of the Health of the Nation Outcomes Scale. Australasian Psychiatry, 23, 1, 66-68. https://doi.org/10.1177/1039856214563851
  • Speak, B. L., & Muncer, S. J. (2016). Factorial structure of the Health of the Nation Outcome Scales: An ordinal confirmatory factor analysis using a national sample of clinician ratings in England. International Journal of Mental Health Nursing, 25, 87-98. https://doi.org/10.1111/inm.12199
  • Trauer, T. (1999). The subscale structure of the Health of the Nation Outcomes Scales (HoNOS). Journal of Mental Health, 8, 5, 199-209. https://doi.org/10.1080/096382339917196
  • Uriarte, J., Beramendi, V., Medrano, J., Wing, J., Beevor, A., & Curtis, R. (1999). Presentación de la traducción al castellano de la Escala HoNoS (Health of the Nation Outcome Scales). Psiquiatría Pública, 11, 4, 93-101.
  • Walton, M. K., Powers, J. H., Hobart, J., Patrick, D. L., Marquis, P., Vamvakas, S., Isaac, M., Molsen, E., Cano, S. J., & Burke, L. (2015). Clinical outcome assessments: Conceptual foundation–report of the ISPOR clinical outcomes assessment – emerging good practices for outcomes research task force. Value Health, 18, 6, 741-752. https://doi.org/10.1016/j.jval.2015.08.006
  • Wild, D., Eremenco, S., Mear, I., Martin, M., Houchin, C., Gawlicki, M., Hareendran, A., Wiklund, I., Yee-Chong, L., von-Maltzahn, R., Cohen, L., & Molsen, E. (2009). Multinational trials – recommendations on the translations required, approaches to using the same language in different countries, and the approaches to support pooling the data: the ISPOR patient-reported outcomes translation & linguistic validation good research practices task force report. Value Health, 12, 430-440. https://doi.org/10.1111/j.1524-4733.2008.00471.x
  • Wing, J. K., Beevor, A. S., Curtis, R. H., Park, S. B. G., Hadden, S., & Burns, A. (1998). Health of the Nation Outcome Scales (HoNOS). British Journal of Psychiatry, 172, 11-18. https://doi.org/10.1192/bjp.172.1.11
  • Wing, J.K., Lelliott, P., & Beevor, A.S. (2000). Progress on HoNOS. British Journal of Psychiatry, 176, 392-395. https://doi.org/10.1192/bjp.176.4.392
  • Wise, E.A. (2004). Methods for analyzing psychotherapy outcomes: A review of clinical significance, reliable change, and recommendations for future directions. Journal of Personality Assessment, 82, 1, 50-59. https://doi.org/10.1207/s15327752jpa8201_10