Martinelli Alessandra, Pozzan Tecla, Dal Corso Elisa, Procura Elena, D'Astore Camilla, Cristofalo Doriana, Ruggeri Mirella, Bonetto Chiara
Dipartimento di Neuroscienze, Biomedicina e Movimento, Università di Verona - IRCCS Istituto Centro San Giovanni di Dio Fatebenefratelli, Brescia.
IRCCS Istituto Centro San Giovanni di Dio Fatebenefratelli, Brescia.
Riv Psichiatr. 2022 Sep-Oct;57(5):224-237. doi: 10.1708/3893.38745.
The correct placement of people with mental disorders in psychiatric residential facilities (PRF) and the monitoring of their progress in these facilities is a critical issue that has not been fully settled in the Italian system. To overcome this problem, some validated instruments are used, which mostly assess the patient's functioning/disability, while no instruments have been set up to assess functional autonomy in patients with a psychiatric disorder residents in RFs. The Verona Department of Mental Health has created the Monitoring of the Path of Rehabilitation (MPR) Form with the aim of assessing the functional autonomy of patients to admit and monitor them adequately in their residential pathways. The aim of this study is to test the main psychometric properties of the MPR Form.
The study of the psychometric properties of the MPR Form consisted of three steps: an evaluation conducted more than 15 days apart by two independent evaluators on 18 clinical cases to investigate the test-retest reliability; a test of the 18 clinical cases by the two evaluators to measure the inter-rater rieliability; a measure of convergent validity using the Personal and Social Functioning Scale. Eight professionals completed a satisfaction questionnaire regarding the acceptability of the MPR Form. Inter-rater and test-retest analyses were conducted using intraclass correlation coefficients. Convergent validity was investigated using Kendall's tau-b rank correlation coefficient and acceptability using a frequency analysis.
Inter-rater and test-retest reliability were good, as well for concurrent validity and acceptability.
The data presented in this article demonstrate that it is possible to measure the functional autonomy of patients in Italian SRPs using the MPR Form.
在意大利系统中，精神障碍患者在精神病住院设施（PRF）中的正确安置以及对他们在这些设施中进展情况的监测是一个尚未完全解决的关键问题。为克服这一问题，使用了一些经过验证的工具，这些工具大多评估患者的功能/残疾情况，而尚未设立用于评估居住在RFs中的精神障碍患者功能自主性的工具。维罗纳心理健康部门创建了康复路径监测（MPR）表格，旨在评估患者的功能自主性，以便在其住院路径中对他们进行充分接纳和监测。本研究的目的是测试MPR表格的主要心理测量特性。
对MPR表格心理测量特性的研究包括三个步骤：由两名独立评估者对18个临床病例进行间隔超过15天的评估，以调查重测信度；两名评估者对18个临床病例进行测试，以测量评分者间信度；使用个人和社会功能量表测量收敛效度。八名专业人员完成了一份关于MPR表格可接受性的满意度问卷。使用组内相关系数进行评分者间和重测分析。使用肯德尔tau-b等级相关系数研究收敛效度，使用频率分析研究可接受性。
评分者间信度和重测信度良好，同时效度和可接受性也良好。
本文提供的数据表明，使用MPR表格可以测量意大利SRP中患者的功能自主性。
