Chinman Matthew, Young Alexander S, Rowe Melissa, Forquer Sandy, Knight Edward, Miller Anita
VA VISN-22 Mental Illness Research, Education, and Clinical Center, Los Angeles, California 90073, USA.
Ment Health Serv Res. 2003 Jun;5(2):97-108. doi: 10.1023/a:1023281527952.
One approach to improving the quality of care for severe mental illnesses (SMI) such as schizophrenia is through the improvement of provider competencies; the attitudes, knowledge, and skills needed to deliver high-quality care. This paper describes a new instrument designed to measure such a set of competencies. A total of 341 providers of services to clients with SMI at 38 clinics within 5 publicly financed treatment organizations in 2 western states were asked to complete a paper-and-pencil survey including the new Competency Assessment Instrument (CAI: 15 scales, each assessing a particular provider competency), and additional measures used to establish validity (Recovery Attitude Questionnaire--7, Client Optimism Scale). Seventy-nine percent (N = 269) responded at baseline, 83% (N = 282) responded at 2 weeks. Ninety-seven percent of baseline respondents completed the survey at 2 weeks. Most CAI scales have good internal consistency (Cronbach's alphas = .52-.93), test-retest reliability (scales ranged from .42 to .78), and validity, and should be useful in efforts to improve care.
提高精神分裂症等严重精神疾病（SMI）护理质量的一种方法是提高医疗服务提供者的能力，即提供高质量护理所需的态度、知识和技能。本文介绍了一种旨在测量此类能力的新工具。在西部两个州的5个公共资助治疗机构的38家诊所中，共有341名向患有严重精神疾病的患者提供服务的医疗服务提供者被要求完成一份纸笔调查，其中包括新的能力评估工具（CAI：15个量表，每个量表评估一种特定的医疗服务提供者能力），以及用于确定效度的其他测量工具（康复态度问卷——7项，患者乐观量表）。79%（N = 269）的人在基线时做出了回应，83%（N = 282）的人在2周时做出了回应。97%的基线受访者在2周时完成了调查。大多数CAI量表具有良好的内部一致性（克朗巴哈系数 = 0.52 - 0.93）、重测信度（量表范围为0.42至0.78）和效度，应该有助于改善护理工作。
