Rasch Validation and Cross-validation of the Health of Nation Outcome Scales (HoNOS) for Monitoring of Psychiatric Disability in Traumatized Refugees in Western Psychiatric Care
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Rasch Validation and Cross-validation of the Health of Nation Outcome Scales (HoNOS) for Monitoring of Psychiatric Disability in Traumatized Refugees in Western Psychiatric Care. / Palic, Sabina; Kappel, Michelle Lind; Makransky, Guido.
In: Assessment, Vol. 23, No. 6, 2016, p. 734–43.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - Rasch Validation and Cross-validation of the Health of Nation Outcome Scales (HoNOS) for Monitoring of Psychiatric Disability in Traumatized Refugees in Western Psychiatric Care
AU - Palic, Sabina
AU - Kappel, Michelle Lind
AU - Makransky, Guido
N1 - Published online before print July 24, 2015
PY - 2016
Y1 - 2016
N2 - There are no validated measures of psychiatric disability for traumatized refugees in Western psychiatric care. This is a serious shortcoming as it precludes monitoring of global treatment outcomes in this group, as well as appropriate matching of treatment needs to the disability levels. Using Rasch analysis we evaluated the psychometrics of the Health of Nation Outcome Scales (HoNOS) in pre-treatment data of consecutive refugee patients (N = 448) from a Danish psychiatric clinic. Then, we carried out a cross-validation of the pre-treatment HoNOS model on post-treatment data from the same group. A revised 10-item HoNOS fit the Rasch model at pre-treatment, and also showed excellent fit within the cross-validation data. Culture, gender, and need for translation did not exert serious bias on the measure’s performance. The results establish good monitoring properties of the 10-item HoNOS as the first validated measure of psychiatric disability for traumatized refugees in Western psychiatric care.
AB - There are no validated measures of psychiatric disability for traumatized refugees in Western psychiatric care. This is a serious shortcoming as it precludes monitoring of global treatment outcomes in this group, as well as appropriate matching of treatment needs to the disability levels. Using Rasch analysis we evaluated the psychometrics of the Health of Nation Outcome Scales (HoNOS) in pre-treatment data of consecutive refugee patients (N = 448) from a Danish psychiatric clinic. Then, we carried out a cross-validation of the pre-treatment HoNOS model on post-treatment data from the same group. A revised 10-item HoNOS fit the Rasch model at pre-treatment, and also showed excellent fit within the cross-validation data. Culture, gender, and need for translation did not exert serious bias on the measure’s performance. The results establish good monitoring properties of the 10-item HoNOS as the first validated measure of psychiatric disability for traumatized refugees in Western psychiatric care.
U2 - 10.1177/1073191115594690
DO - 10.1177/1073191115594690
M3 - Journal article
C2 - 26209512
VL - 23
SP - 734
EP - 743
JO - Assessment
JF - Assessment
SN - 1073-1911
IS - 6
ER -
ID: 188160821