Aartsen M J, Spitsbaard A K, van Baarsen C, Dhondt A D F, Mascini M, Nefs A, Snoeijers A, van Diest M, Wilting R
Vrije Universiteit, Fakgroep Sociale Wetenschappen, afeling Sociologie, Amsterdam.
Tijdschr Psychiatr. 2010;52(8):543-53.
Within the mental health care services for older persons there is a growing need for insight into and evaluation of the results of clinical treatment. The Health of the Nations Outcome Scales 65+ (honos65+) is a promising instrument for the assessment of mental, social and physical health in older persons, but it is not yet known whether it is valid for older persons in the Netherlands.
To assess the reliability, validity and sensibility to change of the honos65+ when applied to older persons with psychiatric disorders.
The bio-psycho-social level of functioning of clients aged 60 and over (n=168) receiving mental health care was assessed by means of existing and validated measuring instruments and the results were compared with those obtained with the honos65+. Three months later the population sample was re-assessed in order to test the extent to which the honos65+ was sensitive to change.
The reliability and validity of the honos65+ could be ascertained for 168 clients aged 60 and over. After three months 116 clients were re-assessed so that the sensitivity of the honos65+ to change could be noted.
The honos65+ is a reliable and valid instrument for assessing clients with affective disorders such as depression and anxiety and for detecting changes in clients’ problems and functioning. No conclusions could be reached regarding the reliability and validity of the honos65+ when used for clients with other psychiatric disorders because the clinical subgroups were too small for patterns to be detected.
在老年人心理健康护理服务中，对临床治疗结果的洞察和评估需求日益增长。《国家健康结果量表65岁及以上版》（honos65+）是评估老年人心理、社会和身体健康的一种有前景的工具，但尚不清楚它对荷兰的老年人是否有效。
评估honos65+应用于患有精神疾病的老年人时的信度、效度和对变化的敏感性。
通过现有的经过验证的测量工具，对接受心理健康护理的60岁及以上客户（n = 168）的生物 - 心理 - 社会功能水平进行评估，并将结果与使用honos65+获得的结果进行比较。三个月后，对总体样本进行重新评估，以测试honos65+对变化的敏感程度。
可以确定honos65+对168名60岁及以上客户的信度和效度。三个月后，对116名客户进行了重新评估，从而可以观察到honos65+对变化的敏感性。
honos65+是评估患有抑郁症和焦虑症等情感障碍的客户以及检测客户问题和功能变化的可靠且有效的工具。对于用于患有其他精神疾病的客户时honos65+的信度和效度，无法得出结论，因为临床亚组规模太小，无法检测出模式。
