Health> Vol.5 No.3A, March 2013

Psychometric properties of the interRAI subjective quality of life Instrument for mental health

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ABSTRACT

A new Subjective Quality of Life (SQoL) Instrument for inpatient and community mental health settings was developed by the interRAI research collaborative to support evaluation of quality in mental health settings from the person’s perspective. Ratings of SQoL provide important information about the quality of service and patient experience with the care they receive. This information can help staff to improve approaches to each person’s plan of care in a manner that is meaningful to the individual. This study examined the reliability of the SQoL-MH. 83 inpatients from several clinical departments in a mental health center in South Western Ontario, Canada were randomly assigned to either be interviewed or complete the assessment on his or her own. Reliability was tested using Cronbach’s Alpha. A preliminary factor analysis points to four SQoL-MH subscales with very good internal consistency, ranging from 0.83 to 0.90. Once finalized, the Subjective Quality of Life instrument will be integral to the interRAI suite of instruments used to assess persons with mental health needs. A reliable and valid SQoL-MH instrument will allow mental health service providers to shape or modify care environments in order to enhance quality of life. In addition, the SQoL-MH instrument could also benefit advocacy groups who use reports on quality of life to influence social policy development and funding decisions.

Cite this paper

Naus, T. and Hirdes, J. (2013) Psychometric properties of the interRAI subjective quality of life Instrument for mental health. Health, 5, 637-642. doi: 10.4236/health.2013.53A084.

References

[1] Evans, S., Banerjee, S., Leese, M. and Huxley, P. (2007) The impact of mental illness on quality of life: A comparison of severe mental illness, common mental disorder and healthy population samples. Quality of Life Research, 16,17-29. doi:10.1007/s11136-006-9002-6
[2] Lehman, A.F. (1996) Measures of quality of life among persons with severe and persistent mental disorders. Social Psychiatry and Psychiatric Epidemiology, 31, 78-88. doi:10.1007/BF00801903
[3] Holloway, F. and Carson, J. (2002) Quality of life in severe mental illness. International Review of Psychiatry, 14,176-184. doi:10.1080/09540260220145000
[4] Patrick, D.L. and Erickson, P. (1993) Health status and health policy: Quality of life in health care evaluation and resource allocation. Oxford University Press, New York.
[5] Baker, F. and Intagliata, J. (1982) Quality of life in the evaluation of community support systems. Evaluation and Programme Planning, 5, 69-79. doi:10.1016/0149-7189(82)90059-3
[6] Martin, L. and Hirdes, J.P. (2009) Mental health needs and service use in Ontario. Healthcare Management Forum, 22, 40-46. doi:10.1016/S0840-4704(10)60291-8
[7] Hirdes, J.P., Ljunggren, G., Morris, J.N., Frijters, D.H., Finne Soveri, H., Gray L. and Gilgen, R. (2008) Reliability of the interRAI suite of assessment instruments: A 12-country study of an integrated health information system. BMC Health Services Research, 8, 277-288. doi:10.1186/1472-6963-8-277
[8] Hirdes, J.P. (2006) Addressing the health needs of frail elderly people: Ontario’s experience with an integrated health information system. Age and Ageing, 35, 329-331. doi:10.1093/ageing/afl036
[9] Kehyayan, V. (2011) Relationships between quality of life and selected resident and facility characteristics in long term care facilities in Canada. Ph.D. Thesis, University of Waterloo, Waterloo.
[10] Ruggeri, M., Gater, R., Bisoffi, G., Barbui, C. and Tansella, M. (2002) Determinants of subjective quality of life in patients attending community-based mental health services. The South-Verona Outcome Project 5. Acta Psychiatrica Scandivica, 105, 131-140. doi:10.1034/j.1600-0447.2002.01293.x
[11] Bigelow, B.A., McFarland, B.H. and Olson, M.M. (1991) Quality of life of community mental health program clients: Validating a measure. Community Mental Health Journal, 27, 43-55. doi:10.1007/BF00752714
[12] Lehman, A.F. (1983) The well-being of chronic mental patients: assessing their quality of life. Archives of General Psychiatry, 40, 369-373. doi:10.1001/archpsyc.1983.01790040023003
[13] Oliver, J.P.J., Huxley, P.J. and Priebe, S. (1997) Measuring the quality of life of severely mentally ill people using the Lancashire quality of life profile. Social Psychiatry and Psychiatric Epidemiology, 32, 76-83. doi:10.1007/BF00788924
[14] Power, M., Kuyken, W., Orley, J., Herrman, H., Schofield, H., Murphy, B. and Sartorius, N. (1998) The World Health Organization Quality of Life assessment (WHOQOL): Development and general psychometric properties. Social Science & Medicine, 46, 1569-1585. doi:10.1016/S0277-9536(98)00009-4
[15] Corrigan, P.W., Salzer, M., Ralph, R.O., Sangster, Y. and Keck, L. (2004) Examining the factor structure of the recovery assessment scale. Schizophrenia Bulletin, 30, 1035-1041. doi:10.1093/oxfordjournals.schbul.a007118
[16] Andresen, R., Oades, L. and Caputi, P. (2003) The experience of recovery from schizophrenia: Towards an empirically validated stage model. Australian and New Zealand Journal of Psychiatry, 37, 586-594. doi:10.1046/j.1440-1614.2003.01234.x
[17] Lieberman, J.A., Drake, R.E., Sederer, L.I., Belger, A., Keefe, R., Perkins, D. and Stroup, S. (2006) Science and recovery in schizophrenia. Psychiatric Services, 59, 487-496. doi:10.1176/appi.ps.59.5.487
[18] Corrigan, P.W., Giffort, D., Rashid, F., Leary, M. and Okeke, I. (1999) Recovery as a psychological construct. Community Mental Health Journal, 35, 231-239. doi:10.1023/A:1018741302682
[19] Chiu, Y.L., Ho, W.N., Lo, T.L. and Yiu, G.C. (2010) Operationalization of the SAMHSA model of recovery: A quality of life perspective. Quality of Life Research, 19, 1-13. doi:10.1007/s11136-009-9555-2
[20] Hirdes, J.P., Marhaba, M., Smith, T.F., Clyburn, L., Mitchell, L., Lemick, R.A. and Yamauchi, K. (2001) Development of the Resident Assessment Instrument-Mental Health (RAI-MH). Hospital Quarterly, 4, 44-51.
[21] Streiner, D.L. and Norman, G.R. (2003) Health measurement scales: A practical guide to their development and use. Oxford University Press, Oxford,.
[22] Kaiser, W. and Priebe, S. (1999) The impact of the interviewer-interviewee relationship on subjective quality of life ratings in schizophrenia patients. International Journal of Social Psychiatry, 45, 292-301. doi:10.1177/002076409904500408
[23] Hansson, L. (2006) Determinants of quality of life in people with severe mental illness. Acta Psychiatrica Scandinavica, 113, 46-50. doi:10.1111/j.1600-0447.2005.00717.x
[24] Eklund, M., Bockstrim, M. and Hansson, L. (2003) Personality and selfvariables: Important determinants of subjective quality of life in schizophrenia outpatients. Acta Psychiatrica Scandinavica, 108, 134-143. doi:10.1034/j.1600-0447.2003.00103.x
[25] Zissi, A., Barry, M.M. and Cochrane, R. (1998) A meditational model of quality of life for individuals with severe mental health problems. Psychological Medicine, 28, 1221-1230. doi:10.1017/S0033291798007338

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