Validation de la version française du Health of the Nation Outcome Scales (HoNOS-F)

Lauzon, Sylvie; Corbière, Marc; Bonin, Jean‐Pierre; Bonsack, Charles; Lesage, Alain; Ricard, Nicole

doi:10.1177/070674370104600908

Cited by 35 publications

(40 citation statements)

References 9 publications

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“…Designed for routine clinical use, the Health of the Nation Outcome Scales (HoNOS) are comprehensive of clinical and social functioning, acceptable to clinicians, sensitive to change, valid and generally reliable (Wing et al, 1998;Amin et al, 1999;Burns et al, 1999a;Orrell et al, 1999;Lauzon et al, 2001;Pirkis et al, 2005b). They cover all ages and are used in Australia, New Zealand and the UK (Wing et al, 1996;Trauer et al, 1999;Pirkis et al, 2005aPirkis et al, , 2005b.…”

Section: Discussionmentioning

confidence: 99%

Routine measurement of mental health service outcomes: Health of the Nation Outcome Scales in Nova Scotia

Kisely¹,

Campbell²,

Robertson

et al. 2008

Psychiatr. bull.

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Aims and MethodAlthough the Health of the Nation Outcome Scales (HoNOS) were designed for routine clinical use, completion rates in clinical settings rarely exceed 60%. We evaluated two initiatives to increase completion rates: timely feedback to clinicians, useful at individual, team and service levels, and improved supporting materials (tabulated glossaries for all versions covering the life-span).ResultsClinicians in South Shore Health district provided ratings on all outpatient referrals over 12 months as part of routine care. Data were captured using the Nova Scotia routine administrative data system. Completion rates rose from 61% to 86% (n=1190). Clinicians' ratings of the instrument's ease of use were significantly improved.Clinical ImplicationsUse of a tabulated glossary and enhanced feedback of clinically useful information improved clinician support for the routine measurement of health outcomes with HoNOS.

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Section: Discussionmentioning

confidence: 99%

Routine measurement of mental health service outcomes: Health of the Nation Outcome Scales in Nova Scotia

Kisely¹,

Campbell²,

Robertson

et al. 2008

Psychiatr. bull.

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“…It was suggested that the scale could be subdivided into 4 subscales (‘behavioral problems’, ‘impairment’, ‘symptomatic problems’ and ‘social problems’). However, there is not really much evidence that subscale scores are reliable [14,16,25,26]. Therefore, we only used the HoNOS-D main score and single items for further calculations.…”

Section: Methodsmentioning

confidence: 99%

The Concurrent Validity and Sensitivity of Change of the German Version of the Health of the Nation Outcome Scales in a Psychiatric Inpatient Setting

et al. 2011

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Background: The Health of the Nation Outcome Scales (HoNOS) were developed to assess the severity of a mental illness. They are used as outcome measures in different countries, and are meanwhile translated from the original English version into many languages, among others into German (HoNOS-D). We conducted a study in order to estimate the concurrent validity and sensitivity to change using clinical parameters as ICD-10 diagnoses, as well as the Clinical Global Impression Scale (CGI), and the Association for Methodology and Documentation in Psychiatry (AMDP) psychopathology scale, a frequently used psychopathological rating system, in a representative clinical sample. Sampling and Methods: Data on the three instruments (CGI, AMDP, HoNOS-D) were collected at admission and discharge of 100 psychiatric inpatients using a representative clinical sample. Experienced clinicians completed the CGI, AMDP and HoNOS-D. Descriptive and comparative data analyses were performed. We estimated the concurrent validity by calculating correlations between the HoNOS and other scales. Secondly, we examined the differences between HoNOS scores related to diagnoses and demographic parameters. Thirdly we calculated change criteria and outcome effect size for the HoNOS. Results: Even in a small clinical sample (n = 100), the HoNOS-D items are highly correlated with the corresponding AMDP syndromes (p < 0.003). The HoNOS-D score is associated with the CGI score (p < 0.01). Correlations of HoNOS symptoms, behavior and impairment items with AMDP syndromes as well as differences in diagnoses were appropriate and comprehensible as regards clinical content, and change on the HoNOS total score is statistically significant (t = 6.57, d.f. = 89, p < 0.0001). Conclusion: This study is the first to investigate the concurrent validity of HoNOS-D concerning psychopathology using the AMDP rating system in a clinical sample of patients with mental disorders in an inpatient setting. HoNOS-D can be recommended for routinely screening outcomes in inpatient psychiatric settings. Our analysis showed that HoNOS-D covers psychopathology corresponding to the AMDP rating system. A limitation of the study is that the study sample comprised only an inpatient population; there may well be differences compared to an outpatient sample.

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“…Additionally, the factor structure identifi ed by Trauer (1999) and Lauzon et al (2001) was also assessed. The goodness-of-fi t of the data was assessed using the fi t indices recommended by Hu andBentler (1999) (standardized-root-mean-square-residual, SRMR, Bentler, 1995) and the root-mean-square-error-ofapproximation (RMSEA, Steiger, 1990) as well as the 'Comparative Fit Index' (CFI, Bentler, 1990).…”

Section: Statistical Analysesmentioning

confidence: 99%

“…Lauzon et al (2001) examined a one-dimensional model of the HoNOS-D using confi rmatory factor analysis. In line with the methodological procedure by Lauzon et al (2001) two one-factor-models were examined using Study 1. The fi rst one-dimensional model included items 1 to 10, the second one-dimensional model included items 1 to 12.…”

Section: Factorial Validitymentioning

confidence: 99%

“…So far, studies investigating the original factor structure have revealed no satisfactory results; therefore, alternative models have been suggested (Lauzon et al, 2001;Trauer, 1999). The study by Trauer (1999) identifi ed a fi vescale solution using an exploratory factor analysis in a sample of 2137 patients from fi ve different psychiatric services in Australia, with over 50% schizophrenia as a main diagnosis.…”

Section: Introductionmentioning

confidence: 99%

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The validity of the German version of the Health of the Nation Outcome Scales (HoNOS‐D): a clinician‐rating for the differential assessment of the severity of mental disorders

Andreas

Harfst

Rabung

et al. 2010

Int J Methods Psych Res

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The Health of the Nation Outcome Scales (HoNOS) is an internationally-established clinician-rating instrument for the differential assessment of the severity of patients with mental disorders. The aim of this study was to examine the validity of the German version of the HoNOS (HoNOS-D). Evaluation of validity, including factor validity, convergent and discriminant validity and sensitivity to change, was conducted on a large, virtually representative, clinical sample of patients with mental disorders in inpatient psychotherapy (Study 1, N = 3169). Additional assessment of criterion-based validity was completed using another clinical sample of patients with mental disorders (Study 2, N = 55). Although factor validity of the HoNOS-D and its total score could not be confirmed as expected, the majority of single items of the HoNOS-D proved to be valid in terms of convergent validity, criterion-based validity and sensitivity to change. Hence, single items, rather than the total score of the HoNOS-D, can be recommended for obtaining a picture of the impairment of patients with mental disorders in the clinical setting.

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Validation de la version française du Health of the Nation Outcome Scales (HoNOS-F)

Cited by 35 publications

References 9 publications

Routine measurement of mental health service outcomes: Health of the Nation Outcome Scales in Nova Scotia

Routine measurement of mental health service outcomes: Health of the Nation Outcome Scales in Nova Scotia

The Concurrent Validity and Sensitivity of Change of the German Version of the Health of the Nation Outcome Scales in a Psychiatric Inpatient Setting

The validity of the German version of the Health of the Nation Outcome Scales (HoNOS‐D): a clinician‐rating for the differential assessment of the severity of mental disorders

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