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HoNOS-Rome: an expanded, customized, and longitudinally oriented version of the HoNOS

  • Pierluigi Morosini (a1), Antonella Gigantesco (a1), Angelica Mazzarda (a2) and Loredana Gibaldi (a2)

Summary

Aims – To clarify the acceptability, reliability and factorial validity of a new Italian version of the HoNOS called HoNOS-Rome. Its main innovations are both in design and in contents. Methods – Face validity was assessed by surveying 3 focus groups. Reliability was assessed in 8 different pairs of raters on a sample of 24 patients; construct validity was analysed by factor analysis using a sample of 187 patients at 6 day centres. Acceptability was investigated by means an anonymous questionnaire filled by professionals that were using the instrument. Results – Time of completion was low (range 4–12 minutes), the tool proved very acceptable and the reliability was good (weighted kappa ≥ 0.71 for all items). Factor analysis was consistent with the division of HoNOS–Rome into four sensible factors accounting for 52% of the total variance. Conclusions – The findings indicate that HoNOS–Rome has a satisfactory degree of acceptability, construct validity and reliability, and may promote the routine evaluation of outcomes in mental health services.

Declaration of Interest: the authors declare that the study was supported by grant no. 96/Q/T41 of the Italian National Mental Health Project – Istituto Superiore di Sanità – Sub-project: Development and validation of tools for outcome evaluation of mental health services, Italy (Professor P. Morosini).

Copyright

Corresponding author

Address for correspondence: Dr. P. Morosini, Istituto Superiore di Sanità, Viale Regina Elena 299, 00161 Roma. Fax: +39-06-4938 7069 E-mail: morosini@iss.it

References

Hide All
Altman, D.G. (1991). Practical Statistics for Medical Research. Chapman and Hall: London.
Amin, S., Singh, S.P., Croudace, T., Jones, P., Medley, I. & Harrison, G. (1999). Evaluating the Health of the Nation Outcome Scales. Reliability and validity in a three year follow up of first onset psychosis. British Journal of Psychiatry 174, 400403.
Annex, A. (1999). Outcome indicators for severe mental illness. In A National Service Framework for Mental Health. Modern Standards and Service Models Department of Health.
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, 389394.
Brooks, R. (2000). The reliability and validity of the Health of the Nation Outcome Scales: validation in relation to patient derived measures. Australian and New Zealand Journal of Psychiatry 34, 504511.
Callaly, T. & Hallebone, E.L. (2001). Introducing the routine use of outcomes measurement to mental health services. Australian Health Review 24(1), 4350.
Clifford, P. (1996). Structuring the Clinical Record: the Face Assessment and Outcome System. CORE Centre for Outcomes Research and Effectiveness: London.
Fischer, E.P., Marder, S.R., Smith, G.R., Owen, R.R., Rubenstein, L., Hedrick, S.C. & Curran, G.M. (2000). Quality enhancement research initiative in mental health. Medical Care 38, Suppl. 1, 170181.
Gigantesco, A., Morosini, P., Alunno Pergentini, S., Minardi, A. & Cavagnaro, P. (1995). Validazione di un nuovo strumento di valutazione multidimensionale degli anziani. Giornale di Gerontologia 43, 379385.
Goldney, R.D., Fisher, L.J. & Walmsley, S.H. (1998). The Health of the Nation Outcome Scales in psychiatric hospitalisation: a multicentre study examining outcome and prediction of length of stay. Australian and New Zealand Journal of Psychiatry 32, 199205.
Lauzon, S., Corbière, M., Bonin, J.P., Bonsack, C., Lesage, A.D. & Ricard, N. (2001). Validation de la version francaise du Health of the Nation Outcome Scales (HoNOS-F). Canadian Journal of Psychiatry 46 (8), 841846.
Lora, A., Bai, G., Bianchi, S., Bolongaro, G., Civenti, G., Erlicher, A., Maresca, G., Monzani, E., Panetta, B., Von Morgen, D., Rossi, F., Torn, V. & Morosini, P. (2001). The Italian version of HoNOS (Health of the Nation Outcome Scales), a scale for evaluating the outcome and the severity in mental health services. Epidemiologia e Psichiatria Sociale 10(3), 198212.
Me Clelland, R., Trimble, P., Fox, M.L., Stevenson, M.R. & Bell, B. (2000). Validation of an outcome scale for use in adult psychiatric practice. Quality in Health Care 9, 98105.
Morosini, P. (1995) La valutazione degli esiti nell'attività di routine dei servizi psichiatrici. Epidemiologia e Psichiatria Sociale 4(1), 110.
National Service of Health (1999). Outcome indicators for severe mental illness. In A National Service Framework for Mental Health. Modern Standards and Service Models, pp. 127129. Retrieved October 30, 2002, from http://www.doh.gov.uk/pub/docs/doh/mhmain.pdf.
Orrell, M., Yard, P., Handysides, J. & Shapira, R. (1999). Validity and reliability of the Health of the Nation Outcome Scales in psychiatric patients in the community. British Journal of Psychiatry 174, 409412.
Posternak, M.A., Zimmerman, M. & Solomon, D.A. (2002). Integrating outcomes research into clinical practice. Psychiatric Services 53(3), 335336.
Preston, N.J. (2000). The Health of the Nation Outcome Scales: validating factorial structure and invariance across two health services. Australian and New Zealand Journal of Psychiatry 34, 512519.
Rossi, R., Blaco, R., Castelli, C., Civenti, G., Cocchi, A., Contini, A., Erlicher, A., Lanzara, D., Lora, A., Marcandalli, S., Morosini, P. & Pisapia, D. (1999). II costo dei pazienti psichiatrici per classi di gravità. Epidemiologia e Psichiatria Sociale 7, 198208.
Ruggeri, M. (2001). Health of the Nation Outcome Scale (HoNOS). Epidemiologia e Psichiatria Sociale 10(3), 194212.
Slade, M., Thornicroft, G. & Glover, G. (1999). The feasibility of routine outcome measures in mental health. Social Psychiatry and Psychiatric Epidemiology 34(5), 243249.
Tansella, M. & Thornicroft, G. (2000). Mental Health Outcome Measure, 2nd ed. Royal College of Psychiatrists, Gaskell: London.
Thornicroft, G. & Slade, M. (2000). Are routine outcome measures feasible in mental health? Quality in Health Care 9(2), 84.
Thornicroft, G., Becker, T., Knapp, M., Knudsen, H.C., Schene, A., Tansella, M., Vazquez-Barquero, J.L. & the EPSILON Study Group (2002). The conduct of successful multi-site EU collaborative research: the EPSILON Study. Epidemiologia e Psichiatria Sociale 11(1), 25.
Trauer, T. (1998). The Health of Nation Outcome Scales in outcome measurement: a critical review. Australasian Psychiatry 6, 1114.
Trauer, T., Callaly, T., Hantz, P., Little, J.Shields, R. & Smith, J. (1999). Health of Nation Outcome Scales. Results of the Victorian field trial. British Journal of Psychiatry 174, 380388.
Wing, J.K., Curtis, R.H. & Beevor, A.S. (1996). HoNOS. Health of the Nation Outcome Scales. Report on Research and Development. College Research Unit: London.
Wing, J.K., Curtis, R.H., Beevor, A.S., Park, B.G., Hadden, S. & Burns, A. (1998). Health of the Nation Outcome Scales (HoNOS): research and development. British Journal of Psychiatry 172, 1118.
Wing, J.K.Curtis, R.H. & Beevor, A.S. (1999). Health of the Nation Outcome Scales. Glossary for HoNOS score sheets. British Journal of Psychiatry 174, 432434.

Keywords

HoNOS-Rome: an expanded, customized, and longitudinally oriented version of the HoNOS

  • Pierluigi Morosini (a1), Antonella Gigantesco (a1), Angelica Mazzarda (a2) and Loredana Gibaldi (a2)

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