Structure of the Health of the Nation Outcome Scales for Children and Adolescents: An ordinal factor analysis of clinician ratings of a sample of young people referred to community mental health services

Tiffin, Paul A.; Rolling, Keeley

doi:10.1016/j.psychres.2012.02.007

Cited by 15 publications

(8 citation statements)

References 15 publications

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“…The omega subscale coefficients (ω s ) obtained from the bifactor model can be considered useful indicators of a factor's unique strength, independent from the general factor, and can also help determine the plausibility of subscales. In the current study, the ω s values obtained in both the original sample and replication sample were relatively low to typical in range (Gignac and Kretzschmar, 2017 ), but do overlap with coefficients yielded by other psychological measures with strong validity (see Hull et al, 2010 ; Tiffin and Rolling, 2012 ; Dombrowski et al, 2015 ). Despite the dominance of a general factor and low to typical ω s values, we argue that from a theoretical and conceptual point of view, the modality subscales in the MUSEQ still serve a unique function, as indicated by theoretically meaningful group differences yielded on the subscales.…”

Section: Discussionsupporting

confidence: 43%

The Structure and Measurement of Unusual Sensory Experiences in Different Modalities: The Multi-Modality Unusual Sensory Experiences Questionnaire (MUSEQ)

et al. 2017

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Hallucinations and other unusual sensory experiences (USE) can occur in all modalities in the general population. Yet, the existing literature is dominated by investigations into auditory hallucinations (“voices”), while other modalities remain under-researched. Furthermore, there is a paucity of measures which can systematically assess different modalities, which limits our ability to detect individual and group differences across modalities. The current study explored such differences using a new scale, the Multi-Modality Unusual Sensory Experiences Questionnaire (MUSEQ). The MUSEQ is a 43-item self-report measure which assesses USE in six modalities: auditory, visual, olfactory, gustatory, bodily sensations, and sensed presence. Scale development and validation involved a total of 1,300 participants, which included: 513 students and community members for initial development, 32 individuals with schizophrenia spectrum disorder or bipolar disorder for validation, 659 students for factor replication, and 96 students for test-retest reliability. Confirmatory factor analyses showed that a correlated-factors model and bifactor model yielded acceptable model fit, while a unidimensional model fitted poorly. These findings were confirmed in the replication sample. Results showed contributions from a general common factor, as well as modality-specific factors. The latter accounted for less variance than the general factor, but could still detect theoretically meaningful group differences. The MUSEQ showed good reliability, construct validity, and could discriminate non-clinical and clinical groups. The MUSEQ offers a reliable means of measuring hallucinations and other USE in six different modalities.

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Section: Discussionsupporting

confidence: 43%

The Structure and Measurement of Unusual Sensory Experiences in Different Modalities: The Multi-Modality Unusual Sensory Experiences Questionnaire (MUSEQ)

et al. 2017

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“…General psychological wellbeing was assessed using Section A of the Health of the Nation Outcome Scales for Children and Adolescents (HoNOSCA) [14], a 13-item self-report scale which addresses disruptive/aggressive behaviours, over-activity/ concentration problems, self-injury, substance misuse, academic skills, physical illness, hallucinations/delusions, nonorganic somatic symptoms, emotional symptoms, peer relationships, self-care, family relationships, and school attendance, with higher scores indicating poorer psychological wellbeing. Cronbach's alpha is reported at 0.56 [15] and in the current study was 0.89. The outcome variable used was the global score and this general wellbeing measure was included to explore the specificity of any potential findings regarding pastoral care and ED symptoms.…”

Section: Methodssupporting

confidence: 45%

Impact of the Quality of Pastoral Care on the Incidence of Eating Disorder Symptoms in Schools

Harrison¹

2017

JPCPY

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Peak age for eating disorder (ED) onset is 10-19 years; therefore schools are wellpositioned to promote prevention and support at-risk individuals. However, to date, little is known about the possible role that school-based pastoral support might provide in this context. This study aimed to investigate whether students' ED pathology differed depending on the quality of school-based pastoral care. Four hundred and twenty-five participants from five UK schools (52% female; n =221) aged 16-19 (M=17.14, SD=0.76) completed the Eating Disorder Examination Questionnaire and the Health of the Nations Outcomes Scale for Children and Adolescents. A rating system was applied to rate each school's pastoral care quality, operationalised as available student support, staff training/knowledge regarding EDs and ED-related school policies. Pastoral care quality had a significant, medium-sized impact on ED symptom prevalence (ηp²=.06), with higher quality care resulting in lower ED symptomatology. Additionally, overall wellbeing was also higher in schools with better quality pastoral care (ηp² =0.05). High quality pastoral care may be a useful tool in fighting disordered eating in adolescents.

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“…The HoNOSCA is a brief, clinician‐completed measure (Department of Health and Ageing, ) that has been found to be sensitive to change as a result of treatment interventions (Brann & Coleman, ; Garralda, Yates, & Higginson, ; Gowers et al., ; Tiffin & Rolling, ). The HoNOSCA measure was used in this study as it is routinely employed to gather child and adolescent mental health client clinical outcomes within LRH CAMHS.…”

Section: Methodsmentioning

confidence: 99%

Clinical change after the implementation of the Choice and Partnership Approach within an Australian Child and Adolescent Mental Health Service

Naughton

Carroll

Basu

et al. 2017

Child Adoles Ment Health

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Background: The Choice and Partnership Approach (CAPA) model has been implemented widely into Child and Adolescent Mental Health Services (CAMHS) in the United Kingdom and similar health systems in Australia and New Zealand. This study investigated whether the implementation of the CAPA model was related to changes in client clinical outcomes and response times within a regional Australian CAMHS. Method: Multiple measures of time, clinical diagnosis, contact and outcomes were collected at intake and discharge for 33 clients prior to and 77 following the implementation of CAPA. Results: A two-tailed t-test showed that the significantly reduced waiting time was associated with the timing of CAPA implementation. The Health of the Nation Outcome Scales for Children and Adolescents information subscale showed a significant post-CAPA implementation improvement. A chi-square test for independence showed that the CAPA model group had significantly more initial clinical appointments. Conclusions: After the implementation of CAPA, the flow of young people through the service improved, with children and adolescents being seen in a more timely manner. The findings highlighted that the greater client throughput did not negatively impact upon clinical outcomes. Further prospective research with the completion of multi-informant outcome measures is recommended. Key Practitioner Message• Utilising the CAPA model, CAMHS may improve access to and flow through the service without increasing clinical demands.• The CAPA model may lead to young people being seen significantly faster than previously.• One of the six HoNOSCA measures (Information) demonstrated a larger pre-post change for the CAPA cohort than for the comparison group.

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Structure of the Health of the Nation Outcome Scales for Children and Adolescents: An ordinal factor analysis of clinician ratings of a sample of young people referred to community mental health services

Cited by 15 publications

References 15 publications

The Structure and Measurement of Unusual Sensory Experiences in Different Modalities: The Multi-Modality Unusual Sensory Experiences Questionnaire (MUSEQ)

The Structure and Measurement of Unusual Sensory Experiences in Different Modalities: The Multi-Modality Unusual Sensory Experiences Questionnaire (MUSEQ)

Impact of the Quality of Pastoral Care on the Incidence of Eating Disorder Symptoms in Schools

Clinical change after the implementation of the Choice and Partnership Approach within an Australian Child and Adolescent Mental Health Service

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