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Self-reported consumer satisfaction in mental health services: Validation of a self-rating version of the UKU-Consumer Satisfaction Rating Scale
Psychiatric services in West Gotaland, Psykiatriska kliniken, SÄS-Borås lasarett.
Department of Clinical Neuropsychiatry, Sahlgrenska Academy, University of Gothenburg.
2007 (English)In: Nordic Journal of Psychiatry, ISSN 0803-9488, E-ISSN 1502-4725, Vol. 61, no 3, 194-200 p.Article in journal (Refereed) Published
Place, publisher, year, edition, pages
2007. Vol. 61, no 3, 194-200 p.
National Category
Psychiatry Psychology
Research subject
Psychology with an emphasis on medical psychology
Identifiers
URN: urn:nbn:se:kau:diva-8378DOI: 10.1080/08039480701352488OAI: oai:DiVA.org:kau-8378DiVA: diva2:442665
Available from: 2011-09-22 Created: 2011-09-22 Last updated: 2011-09-22Bibliographically approved
In thesis
1. Tools for Outcome-informed management of mental illness: Psychometric properties of instruments of the Swedish clinical multicenter Quality Star cohort
Open this publication in new window or tab >>Tools for Outcome-informed management of mental illness: Psychometric properties of instruments of the Swedish clinical multicenter Quality Star cohort
2011 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

The purpose of this thesis was to investigate the psychometric properties of three global user subjective measures of the ”The Quality Star” clinical review model: Consumer Satisfaction Scale, Global Quality of Life scale, and Perceived Global Distress scale. The mental health implementation context of this review model emphasizes the client as an agent of change, taking part in shared decision making in an empowered role as collaborative partner to the professional clinicians. In Paper I study the patient self-rating Consumer Satisfaction Scale gave results comparable to those obtained by independent interviewer assessors. Out of cost-effective perspective professional time is saved and logistics simplified. In Paper II the visual analogue self-rating Global Quality of Life scale was shown to have satisfactory test-retest reliability, and concurrent validity with the “Life as a whole” item of Manchester Short Assessment of Quality of Life (MANSA). The patients’ conceptualizations of the scale based on associative findings with a number of validating instruments were consistent with expected areas of concern for Serious Mentally Ill persons. Similarly, in Paper III the visual analogue scale the Perceived Global Distress scale, showed acceptable clinical test-retest reliability, and concurrent validity with the MANSA item, “How satisfied are you with your mental health”. In associative analyses it was found that depressive, anxiety, interpersonal and existential elements contributed to the patient´s conceptualization of the construct. In Paper IV, a previous finding suggesting that women were more satisfied with the health care and had better social functioning compared to men was further elaborated investigating the discriminative properties of the subjective instruments. In the multi-centre cohort of 2552 patients it was possible to detect differences between genders and functional levels professionally assessed with the split version of Global Assessment of Functioning rating scale. The General discussion underlines that although subjective measures tend to have strong interrelations, supporting earlier findings, one has to use multiple measures for an optimal management of mental illness as the subjective outcome ratings have to be individually interpreted in a feed-back dialogue with the patient and be compared to observational assessments.

Place, publisher, year, edition, pages
Karlstad: Karlstad University, 2011. 85 p.
Series
Karlstad University Studies, ISSN 1403-8099 ; 2011:34
Keyword
Consumer satisfaction, Quality of Life, Perceived distress, Severe mental illness, Schizophrenia, Social function, Global Assessment of Functioning, MANSA, Gender, Brukartillfredsställelse, Livskvalitet, Upplevda besvär, Allvaligt psykisk störning, Schizofreni, Social funktion, Global skattning av psykosocial funktion, MANSA, Gender
National Category
Psychology
Research subject
Psychology with an emphasis on medical psychology
Identifiers
urn:nbn:se:kau:diva-7737 (URN)978-91-7063-368-3 (ISBN)
Public defence
2011-10-14, Andersalen, Karlstads universitet, Karlstad, 10:00 (Swedish)
Opponent
Supervisors
Available from: 2011-09-22 Created: 2011-06-21 Last updated: 2011-09-22Bibliographically approved

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CiteExportLink to record
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Citation style
  • apa
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  • vancouver
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Language
  • de-DE
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  • en-US
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Output format
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