Validity and reliability of the Health of the Nation Outcome Scales in psychiatric patients in the community

Martin William Orrell · Paula Yard · Julia Handysides · Robert Schapira

120 citations0/0 files storedThe British Journal of Psychiatry

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Psychiatric care and mental health services Psychometric Methodologies and Testing Health Education and Validation

Abstract

BACKGROUND: The Health of the Nation Outcome Scales (HoNOS) have been developed for assessing the effectiveness of mental health services. AIMS: To investigate the validity and reliability of the HoNOS in patients in contact with mental health services. METHOD: Subjects (age range 19-64) came from day hospitals, acute in-patient units and out-patient clinics in general practice. We obtained the opinions of experienced professionals, advocacy groups and patient groups to evaluate consensual and content validity. RESULTS: One hundred patients were assessed using the package of rating scales. Interrater and test-retest reliability were good for some items and poor for others. The HoNOS had good criterion validity: acute in-patients had higher scores than day patients and out-patients. HoNOS also had good concurrent validity, correlating well with other scales. Comments suggested that the HoNOS was a useful and suitable scale for this population but psychotic symptoms and certain social factors were not sufficiently covered. CONCLUSION: The HoNOS had good validity but variable reliability. It may be better than existing scales because of the wide range of areas which it covers.

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References

1992The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection.1992The MOS 36-ltem Short-Form Health Survey (SF-36)1962The Brief Psychiatric Rating Scale 1976The Global Assessment Scale 1990High agreement but low Kappa: I. the problems of two paradoxes 1992THE MOS 36- ITEM SHORT FORM HEALTH SURVEY (SF- 36) CONCEPTUAL FRAMEWORK AND ITEM SELECTION 1998Health of the Nation Outcome Scales (HoNOS)1999Health of the Nation Outcome Scales (HoNOS)

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2000The Reliability and Validity of the Health of the Nation Outcome Scales: Validation in Relation to Patient Derived Measures 2005Posttraumatic stress disorder: An exploratory study examining rates of trauma and PTSD and its effect on client outcomes in community mental health 2014WELLFOCUS PPT – modified positive psychotherapy to improve well-being in psychosis: study protocol for a pilot randomised controlled trial 2010The validity of the German version of the Health of the Nation Outcome Scales (HoNOS‐D): a clinician‐rating for the differential assessment of the severity of mental disorders

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