Shafer Alan, Ang Rosemary
Texas Health and Human Services Commission, Austin, TX, USA.
J Behav Health Serv Res. 2018 Oct;45(4):565-578. doi: 10.1007/s11414-018-9607-x.
The construct validity and generalizability of the Mental Health Statistics Improvement Program (MHSIP) adult consumer satisfaction survey was examined using a representative sample (N = 4242) of public mental health client surveys and assessment data. Factor analysis found five factors generally supporting the hypothesized scales of Satisfaction, Outcomes-Functioning, Access, Quality, and Social Connectedness that had acceptable reliability (average coefficient alpha = 0.91). The relation of the satisfaction survey scales to clinician-rated symptom scales, hospitalization, and functioning for 3 years prior to and after the survey was examined. Correlations were modest in magnitude but were in the predicted directions, with greater patient satisfaction being associated with lower symptoms and more positive outcomes. The largest predictors of the clinician-rated symptom scales were Outcomes-Functioning and Social Connectedness.
使用公共心理健康客户调查和评估数据的代表性样本（N = 4242），对心理健康统计改进计划（MHSIP）成人消费者满意度调查的结构效度和可推广性进行了检验。因子分析发现了五个因子，总体上支持了满意度、结果-功能、可及性、质量和社会联系等假设量表，这些量表具有可接受的信度（平均α系数 = 0.91）。研究了满意度调查量表与调查前3年和调查后3年临床医生评定的症状量表、住院情况及功能之间的关系。相关性大小适中，但方向符合预期，患者满意度越高，症状越低，结果越积极。临床医生评定的症状量表的最大预测因子是结果-功能和社会联系。
