Development and initial testing of a Health Confidence Score (HCS)

Benson, Tim; Potts, Henry W W; Bark, P; Bowman, Clive

doi:10.1136/bmjoq-2018-000411

Cited by 40 publications

(44 citation statements)

References 51 publications

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“…In the absence of such weightings, we ascribe unweighted integer values to these options to calculate mean scores for item and summary scores of populations. In ideal situations (eg, people in good health), the distributions of these measures are skewed to the top, but summary scores for people with long-term conditions show a distribution which is close to normal 17 23 24. In practice, we find that parametric and non-parametric statistical tests produce very similar results.…”

Section: Discussionmentioning

confidence: 67%

“…Four of these measures (health status, health confidence, personal well-being and experience) have been validated psychometrically at the time of writing 17 20 24 24. Five have been described in the literature (digital confidence, user satisfaction, innovation readiness, innovation process and behaviour change),25 three have been described in the specific context of residential care homes (work well-being, job confidence and service provided)42 and the process is underway for others.…”

Section: Discussionmentioning

confidence: 99%

“…This eventually used 17 different surveys with more than 2800 respondents. Explicit objectives included improved personal well-being and health confidence, which led to the development of the Personal Well-being Score (PWS) based on ONS4,23 and the Health Confidence Score (HCS) 24…”

Section: Introductionmentioning

confidence: 99%

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Measure what we want: a taxonomy of short generic person-reported outcome and experience measures (PROMs and PREMs)

Benson¹

2020

BMJ Open Qual

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IntroductionHealth and care systems are complex and multifaceted, but most person-reported outcome and experience measures (PROMs and PREMs) address just one aspect. Multiple aspects need measuring to understand how what we do impacts patients, staff and services, and how these are affected by external factors. This needs survey tools that measure what people want, are valid, sensitive, quick and easy to use, and suitable for people with multiple conditions.MethodsWe have developed a coherent family of short generic PROMs and PREMs that can be used in combination in a pick-and-mix way. Each measure has evolved iteratively over several years, based on literature review, user inputs and field testing. Each has has a common format with four items with four response options and is designed for digital data collection with standardised analytics and data visualisation tools. We focused on brevity and low reading age.ResultsThe results are presented in tabular format and as a taxonomy. The taxonomy is categorised by respondent type (patient or staff) and measure type. PROMs have subdomains: quality of life, individual care and community; PREMs have subdomains: service provided, provider culture and innovation. We show 22 patient-reported measures and 17 staff-reported measures. Previously published measures have been validated. Others are described for the first time.Discussion and conclusionsThis family of measures is broad in scope but is not claimed to be comprehensive. Measures share a common look and feel, which enables common methods of data collection, reporting and data visualisation. They are used in service evaluation, quality improvement and as key performance indicators. The taxonomy helps to organise the whole, explain what each measure does and identify gaps and overlaps.

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Section: Discussionmentioning

confidence: 67%

Section: Discussionmentioning

confidence: 99%

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Measure what we want: a taxonomy of short generic person-reported outcome and experience measures (PROMs and PREMs)

Benson¹

2020

BMJ Open Qual

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“…Job Confidence is based on the Health Confidence Score 7. This covers job knowledge, capability and self-efficacy, help and support, and collaborative decision-making.…”

Section: Methodsmentioning

confidence: 99%

Monitoring work well-being, job confidence and care provided by care home staff using a self-report survey

Benson¹,

Sladen²,

Done³

et al. 2019

BMJ Open Qual

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Background and methodIn care homes, staff well-being, job confidence and opinion of the care provided to residents are central to morale and care quality. In this study, care home staff in the East Midlands region of England completed self-reported outcome and experience surveys in two rounds. Mean scores for each home are shown using a scale from 0 (all chose lowest option) to 100 (all chose highest option). High scores are good.ResultsIn round 1, 332 staff in 15 homes submitted responses; in round 2, 207 staff in 9 homes. Mean scores in round 1 and round 2 were similar, although those of some homes scores differed significantly, cancelling each other out. Overall, Work Wellbeing mean score was 83 (care home range 48–97), with worthwhileness (92) the highest ranked item and anxiety at work (78) the lowest. Job Confidence mean score was 84 (range 59–94), with able to manage the work (86) highest and involvement in decisions that affect staff (79) lowest. Care Provided mean score was 86 (range 59–97), with treat people kindly (91) highest and well organised (80) lowest. Homes rated as outstanding by the Care Quality Commission had higher scores on average than those rated good, which were higher than those rated as needing improvement.ConclusionsThis study has demonstrated the practicality of measuring staff views of their Work Wellbeing, Job Confidence and Care Provided in care homes. Rather than wait for adverse quality outcomes to be detected, this approach offers a way to track staff morale and declared capability over time.

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“…In addition, researchers pay more and more attention to the mental health needs of patients [22], [24]- [26] and psychodynamic in treatment has a great influence on the rehabilitation of the patient. In the study [27], a common tool for health information is established to measure patients' attitudes to self-care and treatment, thereinto, quantity of health knowledge, dosage of pills taken, and educational background are made as evaluation indicators. Božidara et al [28] proposed a real-time management system for physical activity and mental stress through wristbands and smartphones.…”

Section: A Health Assistant Solution For Mental Healthmentioning

confidence: 99%

MEMO Box: Health Assistant for Depression With Medicine Carrier and Exercise Adjustment Driven by Edge Computing

et al. 2020

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According to the report by the World Health Organization, depression, as the leading disabling disease in the world, has aroused widespread social concern. However, the shortage of medical and nursing staff in psychiatry conflicts with the rising nursing needs of depressed patients. First, depression is a chronic mental illness, its cure course is relatively long, and stable drug treatment and healthy living habits are keys to the curing process. Second, the disease feature where depression patients have stronger emotional needs and more sensitive mental states is ignored in existing health monitoring systems. In consideration of the above two aspects, a health management assistant is proposed in this paper, called MEMO box system, that focuses on emotion and with smart medicine box as carrier. Specifically, the MEMO box system is composed of electronic medicine box and smart applications on mobile device, and electronic medicine box can collect the multi-mode data of patients, including their medication behaviors, daily activities, physical exercise data, and so on, which provide data basis for the health assistant. Emotion recognition and exercise recommend algorithms are deployed in the edge cloud, which can quickly respond to health service requests from patients. With the cooperation of hardware and software in this system, patients are urged to take medicines on time to effectively control their conditions, and emotion cognition and exercise adjustment recommendation can be realized for depression patients, thus providing patients with empathic sports recommendations.

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Development and initial testing of a Health Confidence Score (HCS)

Cited by 40 publications

References 51 publications

Measure what we want: a taxonomy of short generic person-reported outcome and experience measures (PROMs and PREMs)

Measure what we want: a taxonomy of short generic person-reported outcome and experience measures (PROMs and PREMs)

Monitoring work well-being, job confidence and care provided by care home staff using a self-report survey

MEMO Box: Health Assistant for Depression With Medicine Carrier and Exercise Adjustment Driven by Edge Computing

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