1st Department of Psychiatry, Athens University Medical School, Eginition Hospital, Athens, Greece
1st Department of Psychiatry, Athens University Medical School, Eginition Hospital, Athens, Greece.
Int J Soc Psychiatry. 2014 Nov;60(7):662-71. doi: 10.1177/0020764013511793. Epub 2013 Dec 2.
Evaluation of mental health services based on patients' needs assessments has never taken place in Greece, although it is a crucial factor for the efficient use of their limited resources.
To examine the inter-rater and test-retest reliability and the concurrent/convergent validity of the Greek research version of the Camberwell Assessment of Need-Research (CAN-R).
A total of 53 schizophrenic patient-staff pairs were interviewed twice to test the inter-rater and test-retest reliability of the Greek version of the CAN-R. The World Health Organization Quality of Life-Brief Form (WHOQOL-BREF) and World Health Organization Disability Assessment Schedule-2.0 (WHODAS-2.0) were administered to the patients to examine concurrent validity.
The inter-rater and test-retest reliability of patient and staff interviews for the 22 individual items and the eight summary scores of the instrument's four sections were good to excellent. Significant correlations emerged between CAN scores and the WHOQOL-BREF and WHODAS-2.0 domains for both patient and staff ratings, indicating good concurrent validity.
Our results suggest that the Greek version of the CAN-R is a reliable instrument for assessing mental health patients' needs. Moreover, it is the first CAN-R validity study with satisfactory results using WHOQOL-BREF and WHODAS-2.0 as criterion variables.
尽管对精神卫生服务进行基于患者需求评估是有效利用其有限资源的关键因素，但在希腊，这种评估从未进行过。
检验 Camberwell 需求评估研究工具（CAN-R）希腊研究版的评定者间信度、重测信度和同时效度/聚合效度。
对 53 对精神分裂症患者和工作人员进行了两次访谈，以检验 CAN-R 希腊语版本的评定者间信度和重测信度。对患者进行世界卫生组织生活质量简表（WHOQOL-BREF）和世界卫生组织残疾评定量表-2.0（WHODAS-2.0）的评估，以检验同时效度。
该工具四个部分的 22 个单项和 8 个总结分的患者和工作人员访谈的评定者间信度和重测信度均良好至优秀。患者和工作人员评定的 CAN 评分与 WHOQOL-BREF 和 WHODAS-2.0 各领域之间存在显著相关性，表明具有良好的同时效度。
我们的研究结果表明，CAN-R 希腊语版是评估精神卫生患者需求的可靠工具。此外，这是首次使用 WHOQOL-BREF 和 WHODAS-2.0 作为标准变量进行的具有满意结果的 CAN-R 效度研究。
