Development and psychometric properties of the client’s assessment of treatment scale for supported accommodation (CAT-SA)

BMC Psychiatry

Research Article

Gerard Leavey¹  Geoff Shepherd²  Sarah Curtis³  Isobel Harrison⁴  Michael King⁴  Sarah Dowling⁴  Helen Killaspy⁴  Joanna Krotofil⁴  Peter McPherson⁴  Maurice Arbuthnott⁵  Stefan Priebe⁶  Sima Sandhu⁶ 

[1] Bamford Centre for Mental Health and Wellbeing, School of Psychology, Ulster University, Londonderry, UK;Centre for Mental Health, London, UK;Department of Geography, Durham University, Durham, UK;Division of Psychiatry, University College London, London, UK;North London Service User Research Forum, Division of Psychiatry, University College London, London, UK;Unit for Social and Community Psychiatry, WHO Collaborating Centre for Mental Health Services Development, Queen Mary University of London, Newham Centre for Mental Health, E13 8SP, London, UK;

关键词: Patient Reported Outcome;    Supported Accommodation;    Treatment Satisfaction;    Mental Health;   

DOI  :  10.1186/s12888-016-0755-3

 received in 2015-10-13, accepted in 2016-02-17,  发布年份 2016

来源: Springer

【 摘 要 】

BackgroundPatient-Reported Outcome Measures (PROMs) are important for evaluating mental health services. Yet, no specific PROM exists for the large and diverse mental health supported accommodation sector. We aimed to produce and validate a PROM specifically for supported accommodation services, by adapting the Client’s Assessment of Treatment Scale (CAT) and assessing its psychometric properties in a large sample.MethodsFocus groups with service users in the three main types of mental health supported accommodation services in the United Kingdom (residential care, supported housing and floating outreach) were conducted to adapt the contents of the original CAT items and assess the acceptability of the modified scale (CAT-SA). The CAT-SA was then administered in a survey to service users across England. Internal consistency was assessed using Cronbach’s alpha. Convergent validity was tested through correlations with subjective quality of life and satisfaction with accommodation, as measured by the Manchester Short Assessment of Quality of Life (MANSA).ResultsAll seven original items of the CAT were regarded as relevant to appraisals of mental health supported accommodation services, with only slight modifications to the wording required. In the survey, data were obtained from 618 clients. The internal consistency of the CAT-SA items was 0.89. Mean CAT-SA scores were correlated with the specific accommodation item on the MANSA (rs = 0.37, p˂.001).ConclusionsThe content of the CAT-SA has relevance to service users living in mental health supported accommodation. The findings from our large survey show that the CAT-SA is acceptable across different types of supported accommodation and suggest good psychometric properties. The CAT-SA appears a valid and easy to use PROM for service users in mental health supported accommodation services.

【 授权许可】

CC BY   
© Sandhu et al. 2016