Hostname: page-component-78c5997874-s2hrs Total loading time: 0 Render date: 2024-11-17T07:23:50.707Z Has data issue: false hasContentIssue false

Development of the self-administered Spanish version of the Health of the Nation Outcome Scales for Older Adults: HoNOS65+A

Published online by Cambridge University Press:  16 April 2020

B. Ausín
Affiliation:
Psychology School, Facultad de Psicología, Campus de Somosaguas, Universidad Complutense de Madrid s/n, 28223Madrid, Spain
M. Muñoz*
Affiliation:
Psychology School, Facultad de Psicología, Campus de Somosaguas, Universidad Complutense de Madrid s/n, 28223Madrid, Spain
E. Pérez-Santos
Affiliation:
Medicine and Psychology Schools, Madrid Complutense University, Madrid, Spain
*
*Corresponding author. Tel.: +34 913943129; fax: +34 913943189. E-mail address: [email protected] (M. Muñoz).
Get access

Abstract

Objectives

The purpose of this study is to develop a self-administered version of the Health of the Nation Outcome Scales for Older Adults (HoNOS65+) in Spanish – the HoNOS65+A – and to study its reliability and validity.

Methods

There are two phases in the study: construction of the HoNOS65+A and the study of its psychometric properties. In the second phase, 179 users of 10 services for older people of Madrid were interviewed. They completed the HoNOS65+A, the Spanish version of the HoNOS65+, and other instruments that evaluate similar constructs. Reliability (internal consistency with the other-administered HoNOS65+, intraclass) and validity (concurrent, discriminant, and criterion validity) were analyzed.

Results

High reliability indexes (intraclass correlation coefficients) were found for all the scales (HoNOS65+ and HoNOS65+A), except for items 4 and 6. Moreover, the HoNOS65+A has satisfactory concurrent (except 4, 6, and 9) and discriminant validity (except for items 4 and 10). Considering all these data and some theoretical points the items 4 and 6 have eliminated from the scale. Upon eliminating items 4 and 6, the analysis of the reliability (Cronbach's Alpha) and criterion validity (discriminant function among autonomous and assisted people) presents positive values.

Conclusion

The results indicate that the HoNOS65+A is a useful measure that does not assess a homogeneous area but instead different aspects of health and psychosocial functioning.

Type
Original article
Copyright
Copyright © Elsevier Masson SAS 2009

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Alonso, J, Prieto, L, Antó, JMLa versión española del SF-36 Health Survey (cuestionario de salud SF-36): Un instrumento para la medida de los resultados clínicos. Med Clin (Barc) 1995;104:771776.Google Scholar
American Psychiatric Association. DSM-IV-TR. Manual diagnóstico y estadístico de los trastornos mentales. Texto revisado. Barcelona: Masson; 2002.Google Scholar
Ausín, B, Muñoz, M, Quiroga, MAAdaptación española de las escalas de resultados para personas mayores HoNOS65+ (Health of the Nation Outcome Scales for Older Adults). Revista española de geriatría y gerontología 2007;42:8895.CrossRefGoogle Scholar
Baztán, JJ, Pérez del Molino, J, Alarcón, T, San Cristóbal, E, Izquierdo, G, Manzabeitia, IÍndice de Barthel: Instrumento válido para la valoración funcional de pacientes con enfermedad cerebrovascular. Revista Española de Geriatría y Gerontología 1993;28:3240.Google Scholar
Burns, A, Beevor, A, Lelliott, P, Wing, J, Blakey, A, Orrell, Met al.Health of the Nation Outcome Scales for Elderly People (HoNOS65+). Br J Psychiatry 1999;174:424427.CrossRefGoogle Scholar
Del Rincón, D, Latorre, A, Arnal, J, Sans, ATécnicas de investigación en ciencias sociales. [Research techniques in social sciences]. Madrid: Dykinson; 1995.Google Scholar
Endicott, J, Spitzer, RL, Fleiss, JLThe Global Assessment Scale. Arch Gen Psychiatry 1976;33:766771.CrossRefGoogle ScholarPubMed
Folstein, MF, Folstein, SE, McHugh, PRMini-mental state: A practical method for grading the cognitive state of patients for the clinician. J Psychiatric Res 1975;12:189198.CrossRefGoogle ScholarPubMed
Gambrill, ED, Richey, CAAn assertion inventory for use in assessment and research. Behav Ther 1975;6:550561.CrossRefGoogle Scholar
Gowers, SG, Levine, W, Bailey-Rogers, S, Shore, A, Burhouse, EUse of a routine, self-report outcome measure (HoNOSCA-SR) in two adolescent mental health services. Br J Psychiatry 2002;180:266269.CrossRefGoogle ScholarPubMed
Hayfield, D, McLeod, G, Hall, PThe CAGE questionnaire: Validation of a new alcoholism screening instrument. Am J Psychiatry 1974;131:11211123.Google Scholar
Lobo, A, Escobar, V, Ezquerra, J, Seva-Díaz, AEl Mini-Examen Cognoscitivo: un test sencillo, práctico, para detectar alteraciones intelectuales en pacientes psiquiátricos [The mini-mental state: A simple, practical test to detect intellectual alterations in psychiatric patients]. Revista de Psiquiatría y Psicología Médica 1980;14:3957.Google Scholar
Macdonald, AJDThe usefulness of aggregate routine clinical outcomes data: The example of HoNOS65+. J Ment Health 2002;11:645656.CrossRefGoogle Scholar
Mahoney, FI, Barthel, DWFunctional evaluation: The Barthel Index. Md State Med J 1965;14:6165.Google ScholarPubMed
Martínez, J, Onís, MC, Dueñas, R, Albert, C, Aguado, C, Luque, RVersión española del cuestionario de Yesavage abreviado (GDS) para el despistaje de la depresión en mayores de 65 años: adaptación y validación. Medifam 2002;12:620630.Google Scholar
Overall, JE, Gorham, DRThe Brief Psychiatric Rating Scale. Psychol Rep 1962;10:799812. [Vázquez C. Translation into Spanish of the Brief Psychiatric Rating Scale (BPRS). Spain: Complutense University of Madrid; 1987.]CrossRefGoogle Scholar
Rathus, SAThirty-item schedule for assessing assertive behavior. Behav Ther 1973;4:398406.CrossRefGoogle Scholar
Rodríguez-Martos, A, Navarro, R, Vecino, C, Pérez, RValidación de los cuestionarios KFA (CBA) y CAGE para diagnóstico del alcoholismo. Drogalcohol 1986;11:132139.Google Scholar
Saranson, IG, Levine, HM, Bashman, RBAssessing social support: The Social Support Questionnaire. J Pers Soc Psychol 1983;44:127189.CrossRefGoogle Scholar
Schwarz, N, Park, D, Knauper, B, Sudman, SCognition. Aging and self-reports. Philadelphia: Psychology Press; 1999.Google Scholar
Spear, J, Chawla, S, O’Reilly, M, Rock, DDoes the HoNOS65+ meet the criteria for a clinical outcome indicator for mental health services for older people?. Int J Geriatr Psychiatry 2002;17:226230.CrossRefGoogle Scholar
Speer, DCMental health outcome evaluation. San Diego, California: Academic Press; 1998.Google Scholar
Trauer, T (2004). Factorial Structure of the Health of the Nation Outcome Scales for Older Adults (HoNOS65+). Department of Psychological Medicine. Victoria: Monash University.Google Scholar
Vázquez-Barquero, JL, Vázquez, E, Herrera, S, Sáiz, J, Uriarte, M, Gaite, Let al.Ülstün, T. B. Versión en lengua española de un nuevo cuestionario de evaluación de discapacidades de la OMS (WHO-DAS-II): fase inicial de desarrollo y estudio piloto. Actas Esp Psiquiatr 2000;28:7787.Google Scholar
Ware, JE, Kosinski, M, Keller, SDA 12-item short-form health survey: constructions of scales and preliminary tests of reliability and validity. Med Care 1996;34:220233.CrossRefGoogle Scholar
Wilkin, D, Thompson, CCrichton royal behavioural rating scale. Wilkin, D, Thompson, C, User's guide to dependency measures in elderly people. Social Services Monographs. Sheffield, UK: University of Sheffield; 1989.Google Scholar
Wing, JK, Curtis, RH, Beevor, ASHoNOS: health of the nation outcome scales. Report on research and development. July 1993–December 1995. London: Royal College of Psychiatrists; 1996.Google Scholar
World Health Organization. Psychiatric Disability Assessment Schedule (WHO/DAS). Geneva: Author; 1988.Google Scholar
Yesavage, JA, Brink, TL, Rose, TL, Lum, O, Huang, V, Adey, Met al.Development and validation of a geriatric depression screening scale: A preliminary report. J Psychiatric Res 1983;17:3749.CrossRefGoogle Scholar
Submit a response

Comments

No Comments have been published for this article.