Need assessment in long-term psychiatric patients: Inter-rater reliability and test-retest reliability of the Danish version of the Camberwell Assessment of Need

1999 ◽  
Vol 53 (5) ◽  
pp. 371-376 ◽  
Author(s):  
L. Falgaard Nielsen
1993 ◽  
Vol 162 (S19) ◽  
pp. 25-29 ◽  
Author(s):  
Graham Thornicroft ◽  
Christopher Gooch ◽  
Catherine O'Driscoll ◽  
Sawsan Reda

The development of the hospital and community versions of the Patient Attitude Questionnaire is described. The instrument rates the attitudes of psychiatric patients towards their treatment settings and staff, and is framed specifically to assess attitudinal change during the transfer of patients from hospital. For the items rated using the kappa coefficient of agreement, the mean test-retest reliability value was 0.51, and the average inter-rater value was 0.82. This study shows that long-term psychiatric patients are able to give clear and consistent views about their living arrangements - views that should be sought and respected by staff.


1995 ◽  
Vol 167 (5) ◽  
pp. 589-595 ◽  
Author(s):  
Michael Phelan ◽  
Mike Slade ◽  
Graham Thornicroft ◽  
Graham Dunn ◽  
Frank Holloway ◽  
...  

BackgroundPeople with severe mental illness often have a complex mixture of clinical and social needs. The Camberwell Assessment of Need (CAN) is a new instrument which has been designed to provide a comprehensive assessment of these needs. There are two versions of the instrument: the clinical version has been designed to be used by staff to plan patients' care; whereas the research version is primarily a mental health service evaluation tool. The CAN has been designed to assist local authorities to fulfil their statutory obligations under the National Health Service and Community Care Act 1990 to assess needs for community services.MethodA draft version of the instrument was designed by the authors. Modifications were made following comments from mental health experts and a patient survey. Patients (n = 49) and staff (n = 60) were then interviewed, using the amended version, to assess the inter-rater and test-retest reliability of the instrument.ResultsThe mean number of needs identified per patient ranged from 7.55 to 8.64. Correlations of the inter-rater and test-retest reliability of the total number of needs identified by staff were 0.99 and 0.78 respectively. The percentage of complete agreement on individual items ranged from 100–81.6% (inter-rater) and 100–58.1% (test-retest).ConclusionsThe study suggests that the CAN is a valid and reliable instrument for assessing the needs of people with severe mental illness. It is easily learnt by staff from a range of professional backgrounds, and a complete assessment took, on average, around 25 minutes.


2014 ◽  
Author(s):  
Πενταγιώτισσα Στεφανάτου

Σκοπός της μελέτης η οποία διενεργήθηκε ήταν να ελέγξει τις ψυχομετρικές ιδιότητες της ελληνικής μετάφρασης του Camberwell Assessment of Need (CAN), ενός εργαλείου το οποίο κατασκευάστηκε προκειμένου να εκτιμά σε ατομικό επίπεδο τις σύνθετες κλινικές, κοινωνικές και βασικές ανθρώπινες ανάγκες ατόμων με σοβαρή ψυχική διαταραχή. Για τη διεξαγωγή της μελέτης χρησιμοποιήθηκε η ελληνική μετάφραση της ερευνητικής έκδοσης του εργαλείου: CAN–R 3.0. Επιμέρους στόχοι της μελέτης ήταν: 1) να ελεγχθεί η αξιοπιστία μεταξύ βαθμολογητών (interrater reliability) και η αξιοπιστία ελέγχου-επανελέγχου (test-retest reliability) του εργαλείου, 2) να ελεγχθεί η συγχρονική εγκυρότητα (concurrent validity) του εργαλείου με την χρήση ως εξωτερικών κριτηρίων εργαλείων υποκειμενικής εκτίμησης της ποιότητας ζωής και της αναπηρίας - συγκεκριμένα με την χρήση των κλιμάκων WHOQOL-BREF και WHODAS 2.0, 3) να διερευνηθούν οι σχέσεις μεταξύ των αναγκών, της ποιότητας ζωής, της αναπηρίας/λειτουργικότητας & της ψυχοπαθολογίας, 4) να εντοπιστούν οι πιθανές διαφορές του προφίλ των αναγκών έτσι όπως εκτιμάται αφενός από τους ίδιους τους ασθενείς και αφετέρου από τους επαγγελματίες υγείας. Χορηγήσαμε το CAN-R σε δυο διαφορετικά χρονικά διαστήματα, με απόσταση 15 ημερών, σε 53 πάσχοντες από σχιζοφρένεια όπως και στους επαγγελματίες υγείας/ πρόσωπα αναφοράς, των ασθενών αυτών. Επιπλέον, στους 53 ασθενείς του δείγματός μας χορηγήσαμε τις κλίμακες WHOQOL-BREF, WHODAS 2.0 και PANSS. Σύμφωνα με τα ευρήματα της μελέτης μας: 1) προέκυψε ότι η ελληνική μετάφραση του CAN διαθέτει εξαιρετική αξιοπιστία μεταξύ βαθμολογητών και αξιοπιστία ελέγχου-επανελέγχου, 2) τεκμηριώθηκε ισχυρότερα η συγχρονική εγκυρότητα του CAN-R γενικότερα, δηλαδή η εδραίωση της δεν περιορίζεται αποκλειστικά στην ελληνική μετάφραση του εργαλείου, 3) βρέθηκε ότι όσο αυξάνει ο αριθμός των αναγκών που δεν καλύπτονται τόσο υποβαθμίζεται η ποιότητα ζωής των ασθενών, 4) οι στατιστικά σημαντικές αρνητικές συσχετίσεις που προέκυψαν μεταξύ αναγκών και αναπηρίας όπως και μεταξύ αναγκών και ψυχοπαθολογίας παραπέμπουν σε μια πιθανή αιτιολογική σχέση μεταξύ των ανωτέρω δεικτών θεραπευτικού αποτελέσματος 5) βρέθηκε υψηλή συμφωνία μεταξύ προσωπικού και ασθενών ως προς την εκτίμηση των αναγκών των τελευταίων σε αντίθεση με τα ευρήματα των περισσοτέρων προηγούμενων μελετών, πιθανά εξαιτίας της σταθερότητας της θεραπευτικής σχέσης και της συχνής παρακολούθησης για το 65% των υποκειμένων του δείγματός μας.O έλεγχος των ψυχομετρικών ιδιοτήτων του CAN-R απέδειξε ότι η ελληνική μετάφραση του εργαλείου διαθέτει εξαιρετική αξιοπιστία και εγκυρότητα. Η χορήγηση του CAN θα επιτρέψει την διεξαγωγή αξιόπιστων και έγκυρων εκτιμήσεων των αναγκών στον ελληνικό χώρο σε ερευνητικό επίπεδο και σε κλινικό επίπεδο. Η παρούσα μελέτη αλλά και όσες ακολουθήσουν με τη χρήση του CAN-R αναμένεται να συμβάλλουν στην ενίσχυση του κινήματος για την ισότιμη συμμετοχή των χρηστών των υπηρεσιών στη λήψη αποφάσεων, από τον θεραπευτικό σχεδιασμό σε ατομικό επίπεδο ως την χάραξη της κοινωνικής πολιτικής στο χώρο της ψυχικής υγείας, με απώτερο στόχο την διασφάλιση της ποιότητας ζωής τους. .


2000 ◽  
Vol 177 (S39) ◽  
pp. s34-s40 ◽  
Author(s):  
Paul McCrone ◽  
Morven Leese ◽  
Graham Thornicroft ◽  
Aart H. Schene ◽  
Helle Charlotte Knudsen ◽  
...  

BackgroundThe five-country European Psychiatric Services: Inputs Linked to Outcome Domains and Needs (EPSILON) Study aimed to develop standardised and reliable outcome instruments for people with schizophrenia. This paper reports reliability findings for the Camberwell Assessment of Need – European Version (CAN-EU).MethodThe CAN – EU was administered in each country, at two points in time to assess test – retest reliability, and was rated by two interviewers at the first administration. Cronbach's α, test–retest reliability and interrater reliability were compared between the five sites. Reliability coefficients and standard errors of measurement for summary scores were estimated.ResultsSites varied in levels and spread of needs. Alphas were 0.48, 0.58 and 0.64 for total, met and unmet needs respectively. Test–retest reliability estimates, pooled over sites, were 0.85 for the total needs, 0.69 for met needs and 0.78 for unmet needs. Pooled estimates for interrater reliability were higher, at 0.94, 0.85 and 0.79 for total, met and unmet needs respectively. There were statistically significant differences in interrater reliability between sites.ConclusionThe results confirm the feasibility of using CAN–EU across sites in Europe and its psychometric adequacy.


2021 ◽  
Vol 12 ◽  
Author(s):  
Wei Xia ◽  
William Ho Cheung Li ◽  
Tingna Liang ◽  
Yuanhui Luo ◽  
Laurie Long Kwan Ho ◽  
...  

Objectives: This study conducted a linguistic and psychometric evaluation of the Chinese Counseling Competencies Scale-Revised (CCS-R).Methods: The Chinese CCS-R was created from the original English version using a standard forward-backward translation process. The psychometric properties of the Chinese CCS-R were examined in a cohort of 208 counselors-in-training by two independent raters. Fifty-three counselors-in-training were asked to undergo another counseling performance evaluation for the test-retest. The confirmatory factor analysis (CFA) was conducted for the Chinese CCS-R, followed by internal consistency, test-retest reliability, inter-rater reliability, convergent validity, and concurrent validity.Results: The results of the CFA supported the factorial validity of the Chinese CCS-R, with adequate construct replicability. The scale had a McDonald's omega of 0.876, and intraclass correlation coefficients of 0.63 and 0.90 for test-retest reliability and inter-rater reliability, respectively. Significantly positive correlations were observed between the Chinese CCS-R score and scores of performance checklist (Pearson's γ = 0.781), indicating a large convergent validity, and knowledge on drug abuse (Pearson's γ = 0.833), indicating a moderate concurrent validity.Conclusion: The results support that the Chinese CCS-R is a valid and reliable measure of the counseling competencies.Practice implication: The CCS-R provides trainers with a reliable tool to evaluate counseling students' competencies and to facilitate discussions with trainees about their areas for growth.


2020 ◽  
Vol 34 (8) ◽  
pp. 1112-1121
Author(s):  
Jing Wang ◽  
Haibo Di ◽  
Wen Hua ◽  
Liwen Cheng ◽  
Zhigang Xia ◽  
...  

Objective: The aim of the study was to check on the reliability and validity of the translated version of Nociception Coma Scale–Revised. Design: Prospective psychometric study. Setting: Rehabilitation and neurology unit in hospital. Subjects: Patients with prolonged disorders of consciousness. Interventions: None. Main measures: The original English version of the Nociception Coma Scale–Revised was translated into Chinese. The reliability and validity were undertaken by trained raters. Intraclass correlation coefficients were used to assess inter-rater reliability and test–retest reliability. Cronbach’s alpha test was used to investigate internal consistency. Spearman’s correlation was used to calculate concurrent validity. The Coma Recovery Scale–revised was used to assess the consciousness of patients. Results: Eighty-four patients were enrolled in the study. Inter-rater reliability of the Chinese version of Nociception Coma Scale–Revised was high for total scores and motor and verbal subscores and good for facial subscores. Test–retest reliability was high for total score and for all subscores. Analysis revealed a moderate internal consistency for subscores. For the concurrent validity, a strong correlation was found between the Nociception Coma Scale–Revised and the Face, Legs, Activity, Cry, and Consolability behavioral scale for all patients. A moderate correlation was found between the Nociception Coma Scale–Revised and the Coma Recovery Scale–revised scores for all patients. Conclusion: The Chinese version of Nociception Coma Scale–Revised has good reliability and validity data for assessing responses to pain in patients with prolonged disorders of consciousness.


2015 ◽  
Vol 35 (7) ◽  
pp. 1199-1205 ◽  
Author(s):  
Kati Alakurtti ◽  
Jarkko J Johansson ◽  
Juho Joutsa ◽  
Matti Laine ◽  
Lars Bäckman ◽  
...  

We measured the long-term test–retest reliability of [11C]raclopride binding in striatal subregions, the thalamus and the cortex using the bolus-plus-infusion method and a high-resolution positron emission scanner. Seven healthy male volunteers underwent two positron emission tomography (PET) [11C]raclopride assessments, with a 5-week retest interval. D2/3 receptor availability was quantified as binding potential using the simplified reference tissue model. Absolute variability (VAR) and intraclass correlation coefficient (ICC) values indicated very good reproducibility for the striatum and were 4.5%/0.82, 3.9%/0.83, and 3.9%/0.82, for the caudate nucleus, putamen, and ventral striatum, respectively. Thalamic reliability was also very good, with VAR of 3.7% and ICC of 0.92. Test-retest data for cortical areas showed good to moderate reproducibility (6.1% to 13.1%). Our results are in line with previous test–retest studies of [11C]raclopride binding in the striatum. A novel finding is the relatively low variability of [11C]raclopride binding, providing suggestive evidence that extrastriatal D2/3 binding can be studied in vivo with [11C]raclopride PET to be verified in future studies.


Sign in / Sign up

Export Citation Format

Share Document