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Does the HoNOS 65+ meet the criteria for a clinical outcome indicator for mental health services for older people?
Author(s) -
Spear Jon,
Chawla Sudarshan,
O'Reilly Maria,
Rock Daniel
Publication year - 2002
Publication title -
international journal of geriatric psychiatry
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.28
H-Index - 129
eISSN - 1099-1166
pISSN - 0885-6230
DOI - 10.1002/gps.592
Subject(s) - inter rater reliability , mental health , rating scale , cohort , psychiatry , psychology , depression (economics) , prospective cohort study , concurrent validity , medicine , physical therapy , psychometrics , gerontology , clinical psychology , internal consistency , developmental psychology , economics , macroeconomics
Background A clinical indicator should demonstrate clinically meaningful change, be relevant, allow comparisons between services, be acceptable to clinicians, and have acceptable validity, reliability and sensitivity to change. The HoNOS 65+ has been suggested as a clinical outcome indicator. The sensitivity to change of the HoNOS 65+ is not known. Methods This is a prospective study using routine clinical data. A pilot cohort ( n = 42) was used to measure the concurrent validity of the HoNOS 65+ with the Mini‐Mental State Examination (MMSE), Geriatric Depression Scale (GDS‐15) and Brief Agitation Rating Scale (BARS). The main cohort of 245 consecutive referrals to a community mental health service for older adults was used to assess sensitivity to change against the CIBIC+. Results The HoNOS 65+ was acceptable to case managers, most HoNOS 65+ items had excellent interrater reliability and the HoNOS 65+ had good concurrent validity. Changes in the HoNOS 65+ scores between assessment and discharge had a moderate, but significant correlation with CIBIC+ scores. Conclusion The HoNOS 65+ meets the criteria for a clinical outcome indicator for community mental health services for older people. The HoNOS 65+ is sensitive to change. Copyright © 2002 John Wiley & Sons, Ltd.