Bigelow D A, McFarland B H, Olson M M
Ministry of Health, Victoria, British Columbia.
Community Ment Health J. 1991 Feb;27(1):43-55. doi: 10.1007/BF00752714.
A quality of life theory is proposed as a framework for conceptualizing and evaluating mental health services. Quality of life consists of fulfilling needs, meeting social expectations, and accessing opportunities by using abilities. Abilities are impaired by mental illness. Mental health services moderate social demands, supplement opportunities, and restore abilities. A 263 item questionnaire was developed to assess the impact of mental health services on clients' quality of life. A 24 site study including 1,154 pre-tests, 758 post-tests, and 190 interviews with randomly selected community residents was conducted. Evidence for the reliability and validity of the questionnaire are presented. The instrument discriminates among four known client groups, client and community samples, communities with known quality of life differences, and pre- versus post-treatment samples of clients. The convergence between client's retrospective impressions of improvement and measured pre-post improvement is discussed.
提出了一种生活质量理论，作为构建心理健康服务概念和评估其效果的框架。生活质量包括通过运用能力来满足需求、达到社会期望以及获得机会。精神疾病会损害能力。心理健康服务可调节社会需求、补充机会并恢复能力。开发了一份包含263个条目的问卷，以评估心理健康服务对客户生活质量的影响。开展了一项涉及24个地点的研究，包括1154次预测试、758次后测试以及对随机选取的社区居民进行的190次访谈。文中呈现了该问卷可靠性和有效性的证据。该工具能够区分四个已知的客户群体、客户和社区样本、生活质量存在已知差异的社区，以及客户治疗前与治疗后的样本。还讨论了客户对改善情况的回顾性印象与测量得出的治疗前后改善情况之间的一致性。
