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CONNECT:一种衡量心理健康服务中照护连续性的指标。

CONNECT: a measure of continuity of care in mental health services.

作者信息

Ware Norma C, Dickey Barbara, Tugenberg Toni, McHorney Colleen A

机构信息

Department of Psychiatry, Harvard Medical School, 641 Huntington Avenue, Boston, Massachusetts 02115, USA.

出版信息

Ment Health Serv Res. 2003 Dec;5(4):209-21. doi: 10.1023/a:1026276918081.

Abstract

This paper introduces a measure of continuity of care (CONNECT) developed for mental health services research. CONNECT addresses qualities of interpersonal interaction in service-user/practitioner relationships through 13 scales and one single-item indicator. The scales are grouped into five domains: knowledge, flexibility, availability, coordination, and transitions. Domains were derived from ethnographic data. Service users rate responses to items using 5-point scales The measure is administered in interview format. CONNECT was developed for use with persons who have serious mental illness. Preliminary testing included cognitive interviews and two pilot studies. The results of a field test in which 400 persons with serious mental illness completed CONNECT indicate that the measure is easily administered and produces well-distributed responses. Five scales meet the .80 criterion for internal-consistency reliability for group-level research. Estimates of 2-week test-retest reliability indicate fair-to-good agreement. A broad initial validation strategy including known groups and convergent validity assessments produced results that will inform and focus future efforts. Next steps in the measure development process are discussed.

摘要

本文介绍了一种为心理健康服务研究开发的护理连续性测量方法(CONNECT)。CONNECT通过13个量表和一个单项指标来衡量服务使用者/从业者关系中的人际互动质量。这些量表分为五个领域:知识、灵活性、可及性、协调性和过渡性。这些领域源自人种志数据。服务使用者使用5分量表对项目的回答进行评分。该测量方法以访谈形式进行。CONNECT是为患有严重精神疾病的人开发的。初步测试包括认知访谈和两项试点研究。一项有400名严重精神疾病患者完成CONNECT的现场测试结果表明,该测量方法易于实施,且产生的回答分布良好。五个量表满足群体水平研究内部一致性信度的0.80标准。两周重测信度估计表明一致性为中等至良好。包括已知群体和收敛效度评估在内的广泛初始验证策略产生的结果将为未来的工作提供信息并指明方向。文中还讨论了测量方法开发过程的后续步骤。

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