Black Anne C, Serowik Kristin L, Ablondi Karen M, Rosen Marc I
Yale University, New Haven, CT, USA.
J Nerv Ment Dis. 2013 Jan;201(1):56-9. doi: 10.1097/NMD.0b013e31827ab210.
The need for accurate and reliable information about income and resources available to individuals with psychiatric disabilities is critical for the assessment of need and evaluation of programs designed to alleviate financial hardship or affect finance allocation. Measurement of finances is ubiquitous in studies of economics, poverty, and social services. However, evidence has demonstrated that these measures often contain error. We compare the 1-week test-retest reliability of income and finance data from 24 adult psychiatric outpatients using assessment-as-usual (AAU) and a new instrument, the Timeline Historical Review of Income and Financial Transactions (THRIFT). Reliability estimates obtained with the THRIFT for Income (0.77), Expenses (0.91), and Debt (0.99) domains were significantly better than those obtained with AAU. Reliability estimates for Balance did not differ. THRIFT reduced measurement error and provided more reliable information than AAU for assessment of personal finances in psychiatric patients receiving Social Security benefits. The instrument also may be useful with other low-income groups.
对于患有精神疾病的个体而言,获取有关其收入和可用资源的准确可靠信息对于需求评估以及旨在缓解经济困难或影响资金分配的项目评估至关重要。在经济学、贫困和社会服务研究中,财务测量无处不在。然而,有证据表明这些测量往往存在误差。我们比较了24名成年精神科门诊患者使用常规评估(AAU)和一种新工具——收入与财务交易时间线历史回顾(THRIFT)得出的收入和财务数据的1周重测信度。使用THRIFT得出的收入(0.77)、支出(0.91)和债务(0.99)领域的信度估计值明显优于使用AAU得出的结果。余额的信度估计值没有差异。对于领取社会保障福利的精神科患者,THRIFT比AAU减少了测量误差并提供了更可靠的个人财务评估信息。该工具对其他低收入群体可能也有用。