Fassaert Thijs, Lauriks Steve, van de Weerd Stef, Theunissen Jan, Kikkert Martijn, Dekker Jack, Buster Marcel, de Wit Matty
Department of Epidemiology and Health Promotion, Public Health Service, Amsterdam, The Netherlands,
Community Ment Health J. 2014 Jul;50(5):583-90. doi: 10.1007/s10597-013-9683-6. Epub 2013 Dec 12.
Measuring treatment outcomes can be challenging in patients who experience multiple interlinked problems, as is the case in public mental health care (PMHC). This study describes the development and psychometric properties of a Dutch version of the self-sufficiency matrix (SSM-D), an instrument that measures outcomes and originates from the US. In two different settings, clients were rated using the SSM-D in combination with the Health of the Nation Outcome Scales (HoNOS) and the Camberwell assessment of need short appraisal schedule (CANSAS). The results provided support for adequate psychometric properties of the SSM-D. The SSM-D had a solid single factor structure and internal consistency of the scale was excellent. In addition, convergent validity of the SSM-D was indicated by strong correlations between HoNOS and CANSAS, as well as between several subdomains. Further research is needed to establish whether the results presented here can be obtained in other PMHC settings.
对于那些存在多种相互关联问题的患者，衡量治疗效果可能具有挑战性，公共精神卫生保健（PMHC）中的情况就是如此。本研究描述了源自美国的用于衡量治疗效果的工具——荷兰版自给自足矩阵（SSM-D）的开发过程及其心理测量特性。在两种不同的环境中，使用SSM-D结合国民健康结果量表（HoNOS）和坎伯韦尔需求评估简短评定量表（CANSAS）对客户进行评分。结果为SSM-D充分的心理测量特性提供了支持。SSM-D具有稳固的单因素结构，量表的内部一致性极佳。此外，HoNOS与CANSAS之间以及几个子领域之间的强相关性表明了SSM-D的收敛效度。需要进一步研究以确定此处呈现的结果是否能在其他公共精神卫生保健环境中获得。
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