Harris Meredith G, Tapp Caley, Arnautovska Urska, Coombs Tim, Dickson Rosemary, Smith Mark, Jury Angela, Lai Jennifer, James Mick, Painter Jon, Burgess Philip M
The University of Queensland, Brisbane, Australia.
Australian Mental Health Outcomes and Classification Network, Brisbane, Australia.
BJPsych Bull. 2023 Aug;47(4):195-202. doi: 10.1192/bjb.2022.37.
Recently, the Health of the Nation Outcome Scales 65+ (HoNOS65+) were revised. Twenty-five experts from Australia and New Zealand completed an anonymous web-based survey about the content validity of the revised measure, the HoNOS Older Adults (HoNOS OA).
All 12 HoNOS OA scales were rated by most (≥75%) experts as 'important' or 'very important' for determining overall clinical severity among older adults. Ratings of sensitivity to change, comprehensibility and comprehensiveness were more variable, but mostly positive. Experts' comments provided possible explanations. For example, some experts suggested modifying or expanding the glossary examples for some scales (e.g. those measuring problems with relationships and problems with activities of daily living) to be more older adult-specific.
Experts agreed that the HoNOS OA measures important constructs. Training may need to orient experienced raters to the rationale for some revisions. Further psychometric testing of the HoNOS OA is recommended.
近期，《国家健康成果量表65岁及以上版》（HoNOS65+）进行了修订。来自澳大利亚和新西兰的25位专家完成了一项基于网络的匿名调查，内容涉及修订后的量表《老年人健康量表》（HoNOS OA）的内容效度。
在确定老年人总体临床严重程度方面，所有12个HoNOS OA量表被大多数（≥75%）专家评为“重要”或“非常重要”。对变化的敏感性、可理解性和全面性的评分则更具差异，但大多为正面评价。专家的意见提供了可能的解释。例如，一些专家建议修改或扩充某些量表（如测量人际关系问题和日常生活活动问题的量表）的术语表示例，使其更具老年人针对性。
专家们一致认为HoNOS OA能够测量重要的构念。可能需要对经验丰富的评分者进行培训，使其了解某些修订的基本原理。建议对HoNOS OA进行进一步的心理测量测试。
