Evaluating the Health of the Nation Outcome Scales (HoNOS)
Author Information
Author(s): Lovaglio Pietro G, Monzani Emiliano
Primary Institution: CRISP and Department of Quantitative Methods, University Bicocca-Milan
Hypothesis
The study aims to assess the psychometric properties of the Italian version of the Health of the Nation Outcome Scales (HoNOS).
Conclusion
The Italian version of the HoNOS does not measure a single underlying construct of mental health status, but it remains a clinically valid tool for routine outcome assessment.
Supporting Evidence
- The HoNOS has been widely used in various countries for mental health assessments.
- The study found that the HoNOS scores have an acceptable level of discriminatory power.
- Item scores demonstrated sufficient reliability across different diagnostic groups.
Takeaway
The HoNOS is a tool used to measure mental health outcomes, but it doesn't just measure one thing; it looks at many different aspects of mental health.
Methodology
The study used Principal Component Analysis, Confirmatory Factor Analysis, Discriminant Analysis, and Partial Credit Rasch Model to evaluate the psychometric properties of the HoNOS.
Potential Biases
Potential bias in scoring due to differences in training and experience among raters.
Limitations
The study does not consider patients who changed from community-based settings to psychiatric hospitals during the study period.
Participant Demographics
{"gender":{"female":1152,"male":1010},"age_distribution":{"<25":87,"25-34":499,"35-44":554,"45-54":449,"55-64":366,">64":204},"education_level":{"illiterate":128,"primary_school":550,"secondary_school":916,"high_school_university":501},"job_status":{"not_employed":452,"invalid":455,"retired":268,"housewife":255},"living_situation":{"alone":311,"with_parents":954,"with_partner":705,"with_other_relatives":65},"setting":{"community":1340,"community_day_care":583,"residential":172}}
Statistical Information
Confidence Interval
95% CI = [0.69-0.74]
Statistical Significance
p<0.05
Digital Object Identifier (DOI)
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