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HoNOS-Rome: an expanded, customized, and longitudinally oriented version of the HoNOS

Published online by Cambridge University Press:  11 October 2011

Pierluigi Morosini ,
Antonella Gigantesco ,
Angelica Mazzarda  and
Loredana Gibaldi
Pierluigi Morosini*
Affiliation:
Istituto Superiore di Sanità, Laboratorio di Epidemiologia e Biostatistica, Roma
Antonella Gigantesco
Affiliation:
Istituto Superiore di Sanità, Laboratorio di Epidemiologia e Biostatistica, Roma
Angelica Mazzarda
Affiliation:
Dipartimento di Salute Mentale Azienda USL Roma E, Roma
Loredana Gibaldi
Affiliation:
Dipartimento di Salute Mentale Azienda USL Roma E, Roma
*
Address for correspondence: Dr. P. Morosini, Istituto Superiore di Sanità, Viale Regina Elena 299, 00161 Roma. Fax: +39-06-4938 7069 E-mail: morosini@iss.it
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Summary

Aims – To clarify the acceptability, reliability and factorial validity of a new Italian version of the HoNOS called HoNOS-Rome. Its main innovations are both in design and in contents. Methods – Face validity was assessed by surveying 3 focus groups. Reliability was assessed in 8 different pairs of raters on a sample of 24 patients; construct validity was analysed by factor analysis using a sample of 187 patients at 6 day centres. Acceptability was investigated by means an anonymous questionnaire filled by professionals that were using the instrument. Results – Time of completion was low (range 4–12 minutes), the tool proved very acceptable and the reliability was good (weighted kappa ≥ 0.71 for all items). Factor analysis was consistent with the division of HoNOS–Rome into four sensible factors accounting for 52% of the total variance. Conclusions – The findings indicate that HoNOS–Rome has a satisfactory degree of acceptability, construct validity and reliability, and may promote the routine evaluation of outcomes in mental health services.

Declaration of Interest: the authors declare that the study was supported by grant no. 96/Q/T41 of the Italian National Mental Health Project – Istituto Superiore di Sanità – Sub-project: Development and validation of tools for outcome evaluation of mental health services, Italy (Professor P. Morosini).

Keywords

Health of the Nation Outcome Scales (HoNOS)HoNOS-Romevalidationroutine outcomes evaluation
Type
Original papers
Information
Epidemiology and Psychiatric Sciences , Volume 12 , Issue 1 , March 2003 , pp. 53 - 62
Copyright
Copyright © Cambridge University Press 2003

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