Review and update of the Health of the Nation Outcome Scales for Elderly People (HoNOS65+)

James, Mick; Buckingham, B. R.; Cheung, Gary; McKay, Roderick; Painter, Jon; Stewart, Malcom W.

doi:10.1192/bjb.2018.68

Cited by 4 publications

(7 citation statements)

References 6 publications

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“…This publication follows the review of the original (working age) HoNOS (James, Painter, et al, 2018) and HoNOS65+ (James, Buckingham, et al, 2018). These reviews were informed by each other prior to each version of the tool being finalized.…”

Section: Discussionmentioning

confidence: 99%

“…To ensure consistency with the previous reviews of HoNOS (James, Painter, et al, 2018) and HoNOS65+ (James, Buckingham, et al, 2018), the same criteria were used to judge the survey responses. These were that, for a change to be supported, it needed to result in a tangible improvement (e.g.…”

Section: Methodsmentioning

confidence: 96%

“…As with the review of HoNOS (James, Painter, et al, 2018) and HoNOS65+ (James, Buckingham, et al, 2018), several potentially useful improvements were identified but ultimately rejected for falling outside the project’s scope. This was because they were deemed to constitute substantial changes, that would have resulted in a completely new instrument.…”

Section: Limitationsmentioning

confidence: 99%

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Review and update of the Health of the Nation Outcome Scales for People with Learning Disabilities (HoNOS-LD)

Painter

Adams

Ingham

et al. 2023

Int J Soc Psychiatry

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Background: The Health of the Nation Outcomes Scales for people with Learning Disabilities (HoNOS-LD) is an 18-item measure which provides a structured and standardized approach to rating various clinical and psychosocial outcomes and has been in use nationally since 2002. Aims: To revise and improve the HoNOS-LD’s utility in contemporary intellectual disability (ID) services whilst retaining its original objectives and five-point severity ratings. Method: ID clinicians were invited to complete an online survey, rating each item on the existing measure for being fit for purpose, identifying issues and suggesting improvements based on their experience of using the HoNOS-LD in practice. Scales were then assessed and revised sequentially; survey responses were used to inform discussion and revisions to the HoNOS-LD by the Advisory Board. Results: A total of 75 individuals replied. Respondents had used HoNOS-LD for an average of 8.0 years ( S.D. 5.28 years) and 88% found the scale to be useful in their practice. On average, respondents used HoNOS-LD ratings to inform care 42.4% of the time ( S.D. 33.5%). For each scale there was a significant negative correlation between the percentage of positive/very positive respondent ratings and the number of changes proposed. Common changes included simplifying terms, reducing ambiguity and replacing anachronistic language. Conclusion: The changes outlined in this paper are based on the advisory group’s expert consensus. These changes are intended to improve reliability and validity but now need empirical testing as well as review by service users.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 96%

Section: Limitationsmentioning

confidence: 99%

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Review and update of the Health of the Nation Outcome Scales for People with Learning Disabilities (HoNOS-LD)

Painter

Adams

Ingham

et al. 2023

Int J Soc Psychiatry

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“…Proposed amendments were judged against criteria developed by the board, one of which was to retain as far as possible the structure and core rules of the original measure. 7 Both the HoNOS and HoNOS65+ were revised with the intent of reducing ambiguity and inconsistency in the glossaries and improving reliability, validity and utility. For scales where it was considered that presenting needs were the same regardless of age, the wording of the two glossaries was made more consistent.…”

mentioning

confidence: 99%

“…For scales where it was considered that presenting needs were the same regardless of age, the wording of the two glossaries was made more consistent. The revised HoNOS65+ was named the HoNOS Older Adults (HoNOS OA), 7 reflecting a shift towards later onset of functional impairment 8 and because age cut-offs for older adult services can vary between services and over time.…”

mentioning

confidence: 99%

Assessing the content validity of the revised Health of the Nation Outcome Scales 65+: the HoNOS Older Adults

et al. 2022

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Aims and method Recently, the Health of the Nation Outcome Scales 65+ (HoNOS65+) were revised. Twenty-five experts from Australia and New Zealand completed an anonymous web-based survey about the content validity of the revised measure, the HoNOS Older Adults (HoNOS OA). Results All 12 HoNOS OA scales were rated by most (≥75%) experts as ‘important’ or ‘very important’ for determining overall clinical severity among older adults. Ratings of sensitivity to change, comprehensibility and comprehensiveness were more variable, but mostly positive. Experts’ comments provided possible explanations. For example, some experts suggested modifying or expanding the glossary examples for some scales (e.g. those measuring problems with relationships and problems with activities of daily living) to be more older adult-specific. Clinical implications Experts agreed that the HoNOS OA measures important constructs. Training may need to orient experienced raters to the rationale for some revisions. Further psychometric testing of the HoNOS OA is recommended.

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Barriers to Progress Feedback Adoption in Outpatient Geriatric Mental Healthcare: Exploring Age-Related Factors - A Qualitative Study

Frissen,

Janse,

Roskam

et al. 2024

Adm Policy Ment Health

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Monitoring treatment progress through progress feedback is recognized for its efficacy and demonstrated value. However, its integration and utilization within treatments still need to be improved. Insufficient understanding exists regarding the factors within geriatric mental healthcare influencing the adoption of progress feedback. This study aimed to explore the determinants impacting the utilization of progress feedback within outpatient geriatric mental healthcare, specifically focusing on age-related perspectives and patient group characteristics. This qualitative investigation employed semi-structured interviews involving clinicians (N = 14) selected from four outpatient geriatric teams. The findings revealed both inhibiting and facilitating perspectives concerning progress feedback. Clinicians preferred user-friendly, specific, and tailored measures. Challenges included organizational support, integration in work processes, training, and the digital progress feedback system. Age-related perspectives such as older adults’ diverse issues, limited digital skills, and cognitive problems hindered implementation, particularly in the oldest generation of older patients. In outpatient geriatric mental healthcare, many factors and attitudes influencing progress feedback align with those observed in adult psychiatry literature. Moreover, this study highlights specific age-related factors that impede the adoption and implementation of progress feedback, shedding light on the specific barriers within this context.

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Review and update of the Health of the Nation Outcome Scales for Elderly People (HoNOS65+)

Cited by 4 publications

References 6 publications

Review and update of the Health of the Nation Outcome Scales for People with Learning Disabilities (HoNOS-LD)

Review and update of the Health of the Nation Outcome Scales for People with Learning Disabilities (HoNOS-LD)

Assessing the content validity of the revised Health of the Nation Outcome Scales 65+: the HoNOS Older Adults

Barriers to Progress Feedback Adoption in Outpatient Geriatric Mental Healthcare: Exploring Age-Related Factors - A Qualitative Study

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