Abstract
Aims and methodWe examine the feasibility of the routine use of three patient-reported and one clinician-rated outcome measures (patient-identified problem, EuroQol-5D questionnaire, EuroQol Visual Analogue Scale and Health of the Nation Outcome Scales (HoNOS)) in an out-patient community psychiatric service, and discuss the associations between these variables.ResultsThe routine collection of outcome measures was feasible in the out-patient setting. There was a general improvement in the health status from the initial assessment to the first follow-up. Subsequent scores remained stable.Clinical implicationsThe study encourages the practical use of scales in routine community psychiatric practice. As there was correlation between HoNOS and EQ-5D index, both need not be used in routine practice.
Highlights
As there was correlation between Health of the Nation Outcome Scales (HoNOS) and EuroQol Quality of Life - 5 dimension (EQ-5D) index, both need not be used in routine practice
The Health of the Nation Outcome Scales (HoNOS) instrument was developed for use in routine clinical practice.[3]
This study sought to determine the feasibility of introducing patient-reported outcome measures into routine psychiatric community practice and to determine how HoNOS scores compared with three patient-reported measures:
Summary
145 patients were eligible for the project (30 patients declined or were not asked to enter the study). Twelve PIP scores had to be discounted, as the patients identified and rated different problems at further appointments. EuroQol VAS n, number of patients attending each appointment; EuroQol-5D, Quality of Life-5 dimension questionnaire; EuroQol VAS, EuroQol Visual Analogue Scale; HoNOS, Health of the Nation Outcome Scales. EQ-5D, EuroQol Quality of Life-5 dimension questionnaire; EQ VAS, EuroQol Visual Analogue Scale; HoNOS, Health of the Nation Outcome Scales; PIP, patientidentified problem
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