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Tools for Outcome-informed management of mental illness: Psychometric properties of instruments of the Swedish clinical multicenter Quality Star cohort
Karlstad University, Faculty of Economic Sciences, Communication and IT.
2011 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

The purpose of this thesis was to investigate the psychometric properties of three global user subjective measures of the ”The Quality Star” clinical review model: Consumer Satisfaction Scale, Global Quality of Life scale, and Perceived Global Distress scale. The mental health implementation context of this review model emphasizes the client as an agent of change, taking part in shared decision making in an empowered role as collaborative partner to the professional clinicians. In Paper I study the patient self-rating Consumer Satisfaction Scale gave results comparable to those obtained by independent interviewer assessors. Out of cost-effective perspective professional time is saved and logistics simplified. In Paper II the visual analogue self-rating Global Quality of Life scale was shown to have satisfactory test-retest reliability, and concurrent validity with the “Life as a whole” item of Manchester Short Assessment of Quality of Life (MANSA). The patients’ conceptualizations of the scale based on associative findings with a number of validating instruments were consistent with expected areas of concern for Serious Mentally Ill persons. Similarly, in Paper III the visual analogue scale the Perceived Global Distress scale, showed acceptable clinical test-retest reliability, and concurrent validity with the MANSA item, “How satisfied are you with your mental health”. In associative analyses it was found that depressive, anxiety, interpersonal and existential elements contributed to the patient´s conceptualization of the construct. In Paper IV, a previous finding suggesting that women were more satisfied with the health care and had better social functioning compared to men was further elaborated investigating the discriminative properties of the subjective instruments. In the multi-centre cohort of 2552 patients it was possible to detect differences between genders and functional levels professionally assessed with the split version of Global Assessment of Functioning rating scale. The General discussion underlines that although subjective measures tend to have strong interrelations, supporting earlier findings, one has to use multiple measures for an optimal management of mental illness as the subjective outcome ratings have to be individually interpreted in a feed-back dialogue with the patient and be compared to observational assessments.

Place, publisher, year, edition, pages
Karlstad: Karlstad University , 2011. , 85 p.
Series
Karlstad University Studies, ISSN 1403-8099 ; 2011:34
Keyword [en]
Consumer satisfaction, Quality of Life, Perceived distress, Severe mental illness, Schizophrenia, Social function, Global Assessment of Functioning, MANSA, Gender
Keyword [sv]
Brukartillfredsställelse, Livskvalitet, Upplevda besvär, Allvaligt psykisk störning, Schizofreni, Social funktion, Global skattning av psykosocial funktion, MANSA, Gender
National Category
Psychology
Research subject
Psychology with an emphasis on medical psychology
Identifiers
URN: urn:nbn:se:kau:diva-7737ISBN: 978-91-7063-368-3 (print)OAI: oai:DiVA.org:kau-7737DiVA: diva2:425685
Public defence
2011-10-14, Andersalen, Karlstads universitet, Karlstad, 10:00 (Swedish)
Opponent
Supervisors
Available from: 2011-09-22 Created: 2011-06-21 Last updated: 2011-09-22Bibliographically approved
List of papers
1. Self-reported consumer satisfaction in mental health services: Validation of a self-rating version of the UKU-Consumer Satisfaction Rating Scale
Open this publication in new window or tab >>Self-reported consumer satisfaction in mental health services: Validation of a self-rating version of the UKU-Consumer Satisfaction Rating Scale
2007 (English)In: Nordic Journal of Psychiatry, ISSN 0803-9488, E-ISSN 1502-4725, Vol. 61, no 3, 194-200 p.Article in journal (Refereed) Published
National Category
Psychiatry Psychology
Research subject
Psychology with an emphasis on medical psychology
Identifiers
urn:nbn:se:kau:diva-8378 (URN)10.1080/08039480701352488 (DOI)
Available from: 2011-09-22 Created: 2011-09-22 Last updated: 2017-12-08Bibliographically approved
2. The self-assessment Global Quality of Life scale: Reliability and construct validity
Open this publication in new window or tab >>The self-assessment Global Quality of Life scale: Reliability and construct validity
2010 (English)In: International journal of psychiatry in clinical practice (Print), ISSN 1365-1501, E-ISSN 1471-1788, Vol. 14, 287-297 p.Article in journal (Refereed) Published
National Category
Psychology
Research subject
Psychology with an emphasis on medical psychology
Identifiers
urn:nbn:se:kau:diva-8379 (URN)10.3109/13651501.2010.487217 (DOI)000282811500011 ()24917441 (PubMedID)
Available from: 2011-09-22 Created: 2011-09-22 Last updated: 2017-12-08Bibliographically approved
3. The Self-Assessment Percieved Global Distress scale: Reliability and Construct Validity
Open this publication in new window or tab >>The Self-Assessment Percieved Global Distress scale: Reliability and Construct Validity
2011 (English)In: Psychology, ISSN 2152-7180, E-ISSN 2152-7199, Vol. 2, no 4, 283-290 p.Article in journal (Refereed) Published
National Category
Psychology
Research subject
Psychology with an emphasis on medical psychology
Identifiers
urn:nbn:se:kau:diva-8380 (URN)10.4236/psych.2011.24045 (DOI)
Available from: 2011-09-22 Created: 2011-09-22 Last updated: 2017-12-08Bibliographically approved
4. Consumer satisfaction, quality of life and distress with regard to social function and gender in severe mental illness
Open this publication in new window or tab >>Consumer satisfaction, quality of life and distress with regard to social function and gender in severe mental illness
2011 (English)In: Open Journal of Psychiatry, ISSN 2161-7325, no 1, 88-97 p.Article in journal (Refereed) Published
Abstract [en]

OBJECTIVE: The relationships between subjectivesatisfaction, distress and quality of life for severelymental ill patients with different functional levels andgender was investigated in a multi-center cohort,using a balanced mix of subjective and clinician ratingsin an outcome-informed model for a clinicalmanagement based on shared decision making, "TheQuality Star". METHODS: Naturalistic data for 2552persons, mainly with schizophrenia diagnoses, in longtermtreatment and rehabilitation, were analyzed in across-sectional study. RESULTS: With increasingSocial Function, rated with the split-GAF Disability/Functioning scale, the better were patients' Satisfaction,subjective Quality of life and Perceived GlobalDistress. Women were more satisfied with thecare but also more distressed. CONCLUSION: Mainfindings were in line with other studies. However, thegender differences are in line with some, but not withother, studies. This poses questions how patient factors,instrument constructs, and treatment, especiallyshared decision making, influence subjective reports.

National Category
Psychology
Research subject
Psychology with an emphasis on medical psychology
Identifiers
urn:nbn:se:kau:diva-8381 (URN)10.4236/ojpsych.2011.13013 (DOI)
Available from: 2011-09-22 Created: 2011-09-22 Last updated: 2017-06-30Bibliographically approved

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