Amagasa Takashi, Inagaki Akiko, Suzuki Wataru, Suzukamo Yoshimi, Nagai Kuniyoshi, Sawada Kingo, Inadomi Hiroyuki, Mukaiyachi Ikuyoshi, Anzai Nobuo, Ikebuchi Emi, Niwa Shinichi
Graduate School of Public Health Shizuoka Graduate University of Public Health Shizuoka Japan.
Department of Neuropsychiatry, School of Medicine Fukushima Medical University Fukushima Japan.
PCN Rep. 2024 Aug 18;3(3):e232. doi: 10.1002/pcn5.232. eCollection 2024 Sep.
To support the achievement of life goals and social participation of persons with mental illness, based on the World Health Organization's International Classification of Functioning, Disability, and Health (ICF), we generated items, identified domains, and examined the content validity of the Comprehensive Assessment of Functioning for Mental Illness-Subjective Version (CAMI-S). The purpose was to assess patients' strengths and weaknesses by incorporating the patient and public involvement perspective.
Focus group interviews on the items to be included were conducted with Group A. A draft scale was constructed by extracting articles mentioning factors for social participation and recovery for each ICF component from PubMed. Group B participants rated themselves using the draft and highlighted items they considered inappropriate. Experts then rated the importance of the items through the Delphi method. Lastly, Group C participants evaluated whether the draft scale would help in understanding their strengths and weaknesses.
The interviews revealed subjective experience items. The draft scale had 81 items (physical and mental functions, 10; activities, 23; participation, 24; environment, 12; individuals, six; and subjective experience, six). Through the Delphi method, the number of items was reduced to 34 in six domains. Most participants ( = 50) indicated that it helped them ascertain patients' strengths and weaknesses (mean = 2.11 ± .714). Completion time for the scale was 56 min, including the 60-item face sheet (20-110 min).
The CAMI-S helped participants ascertain patients' strengths and weaknesses. Its reliability and validity will be verified through a large-scale survey in the future.
基于世界卫生组织的《国际功能、残疾和健康分类》（ICF），为支持精神疾病患者实现生活目标和社会参与，我们生成了条目，确定了领域，并检验了精神疾病功能综合评估主观版（CAMI-S）的内容效度。目的是通过纳入患者和公众参与的视角来评估患者的优势和劣势。
对A组就拟纳入的条目进行焦点小组访谈。通过从PubMed中提取提及每个ICF组件的社会参与和康复因素的文章构建了一个初步量表。B组参与者使用该初步量表对自己进行评分，并突出显示他们认为不合适的条目。然后专家通过德尔菲法对条目的重要性进行评分。最后，C组参与者评估该初步量表是否有助于理解他们的优势和劣势。
访谈揭示了主观体验条目。初步量表有81个条目（身体和心理功能，10个；活动，23个；参与，24个；环境，12个；个人，6个；主观体验，6个）。通过德尔菲法，条目数量减少到6个领域的34个。大多数参与者（n = 50）表示它有助于他们确定患者的优势和劣势（均值 = 2.11 ±.714）。量表的完成时间为56分钟，包括60项的封面页（20 - 110分钟）。
CAMI-S有助于参与者确定患者的优势和劣势。其信度和效度将在未来通过大规模调查进行验证。
