Hess Kristen L, Fisher Dennis G, Pilon David, Reynolds Grace L, Ruiz Joe
Center for Behavioral Research and Services, California State University Long Beach, 1090 Atlantic Avenue, Long Beach, CA, 90813, USA.
Mental Health America of Los Angeles, 100 W. Broadway #5010, Los Angeles, CA, 90813, USA.
Community Ment Health J. 2016 Nov;52(8):1098-1105. doi: 10.1007/s10597-016-9992-7. Epub 2016 Feb 11.
The Milestones of Recovery Scale (MORS) is a tool that mental health professionals can use to track clients' recovery. It has been shown to have good reliability and validity in an adult population. It is important to demonstrate its psychometric properties among the elderly. This study assessed the reliability and validity of the MORS among a multi-ethnic (52 % White) sample of adults 54 and older (M = 67) at several mental health agencies in California. The clients, N = 432, were assessed by two raters each at two time points 2 weeks apart. Ratings were obtained on the MORS, the modified Global Assessment of Functioning scale (mGAF), and the Multnomah Community Ability Scale (MCAS). The MORS demonstrated acceptable reliability: inter-rater r = .65 and test-retest r = .71; the mGAF was .56 and .79; the MCAS was .66 and .85. The validity of the MORS was also supported: mGAF-MORS r = .68 and MCAS-MORS r = .74. This study lends support for the use of the MORS in older adult populations. In addition, this is the first report of the psychometric properties of the MCAS with an entirely older adult sample.
康复里程碑量表（MORS）是一种心理健康专业人员可用于追踪客户康复情况的工具。研究表明，该量表在成年人群体中具有良好的信度和效度。在老年人中验证其心理测量特性很重要。本研究在加利福尼亚州几家心理健康机构对54岁及以上（平均年龄67岁）的多民族（52%为白人）成年样本评估了MORS的信度和效度。共有432名客户参与，由两名评估者在相隔两周的两个时间点分别进行评估。评估内容包括MORS、修订版总体功能评估量表（mGAF）和摩特诺玛社区能力量表（MCAS）。MORS显示出可接受的信度：评估者间相关系数r = 0.65，重测相关系数r = 0.71；mGAF分别为0.56和0.79；MCAS分别为0.66和0.85。MORS的效度也得到了支持：mGAF与MORS的相关系数r = 0.68，MCAS与MORS的相关系数r = 0.74。本研究为在老年人群体中使用MORS提供了支持。此外，这是关于MCAS在完全由老年人组成的样本中的心理测量特性的首份报告。
