The outpatient experience questionnaire for child and adolescent mental health services: reliability and validity following a nationwide survey.

IF 2.4 Q2 HEALTH CARE SCIENCES & SERVICES
Hilde Hestad Iversen, Mona Haugum, Oyvind Bjertnaes
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引用次数: 0

Abstract

Background: The main objective was to evaluate the psychometric properties of the OutPatient Experience Questionnaire for Child and Adolescent Mental Health Services (OPEQ-CAMHS) among patients aged 16 and above, with a secondary objective of developing a parsimonious set of items and a short version of the instrument for this age group.

Methods: A national pilot study was conducted with adolescents from outpatient CAMHS in Norway, testing a new digital, continuous measurement approach using a measurement instrument developed through a comprehensive methodological framework. The study assessed missing data, ceiling effects, factor structure, internal consistency, discriminant validity, and construct validity. A shorter version was derived from psychometric results.

Results: The pilot study included responses from 555 (46.3%) patients. Low proportions of missing or "not applicable" responses were found for 18 of the 20 items, and all items were below the ceiling-effect criterion. Two scales emerged: "structure and process", and "outcome", both meeting alpha criteria. Each individual item demonstrated a stronger correlation with its expected scale than with any of the other scales. Construct validity was confirmed through associations with relevant variables expected to be associated with patient-reported experiences, including self-reported current state and well-being. The results supported a six-item short version.

Conclusions: Psychometric testing confirmed data quality, internal consistency, and construct validity of OPEQ-CAMHS. The short version addresses respondent burden concerns and is now ready for broad implementation in Norwegian CAMHS and potentially in similar healthcare settings worldwide.

儿童和青少年心理健康服务门诊经验问卷:信度和效度。
背景:主要目的是评估儿童和青少年心理健康服务门诊经验问卷(OPEQ-CAMHS)在16岁及以上患者中的心理测量特性,次要目的是为该年龄组开发一套简明的项目和简短的工具。方法:对挪威门诊CAMHS的青少年进行了一项全国性的试点研究,使用通过综合方法学框架开发的测量仪器测试了一种新的数字连续测量方法。本研究评估缺失资料、上限效应、因子结构、内部一致性、判别效度及建构效度。一个简短的版本来自心理测量结果。结果:初步研究包括555例(46.3%)患者的应答。在20个项目中,有18个项目的缺失或“不适用”回答比例很低,所有项目都低于天花板效应标准。出现了两个量表:“结构和过程”和“结果”,它们都符合alpha标准。与其他量表相比,每个单独的项目与预期量表的相关性更强。通过与相关变量的关联来确认结构效度,这些变量与患者报告的经历相关,包括自我报告的当前状态和幸福感。结果支持一个六项的简短版本。结论:心理测试证实了OPEQ-CAMHS的数据质量、内部一致性和结构效度。简短版本解决了应答者的负担问题,现已准备在挪威CAMHS中广泛实施,并可能在全球类似的医疗保健环境中实施。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Journal of Patient-Reported Outcomes
Journal of Patient-Reported Outcomes Health Professions-Health Information Management
CiteScore
3.80
自引率
7.40%
发文量
120
审稿时长
20 weeks
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