Evaluation der deutschsprachigen Version des "INTERMED-Self-Assessment"- Fragebogens (IM-SA) zur Erfassung von Patienten mit komplexem Versorgungsbedarf [Evaluation of the German Version of the "INTERMED-Self-Assessment"-Questionnaire (IM-SA) to Assess Case Complexity]

Details

Serval ID
serval:BIB_D3217A55DEBE
Type
Article: article from journal or magazin.
Collection
Publications
Title
Evaluation der deutschsprachigen Version des "INTERMED-Self-Assessment"- Fragebogens (IM-SA) zur Erfassung von Patienten mit komplexem Versorgungsbedarf [Evaluation of the German Version of the "INTERMED-Self-Assessment"-Questionnaire (IM-SA) to Assess Case Complexity]
Journal
Psychotherapie, Psychosomatik, medizinische Psychologie
Author(s)
Boehlen F.H., Joos A., Bergmann F., Stiefel F., Eichenlaub J., Ferrari S., Boenink A., van Reedt Dortland A., Stein B., Söllner W., Wild B.
ISSN
0937-2032 (Print)
ISSN-L
0937-2032
Publication state
Published
Issued date
05/2016
Peer-reviewed
Oui
Volume
66
Number
5
Pages
180-186
Language
german
Notes
Publication types: Comparative Study ; Evaluation Studies ; Journal Article
Publication Status: ppublish
Abstract
The INTERMED- interview (IM-CAG=INTERMED complexity assessment grid) is a well validated instrument for the identification of complex patients in need of integrated health care (score ≥21). The IM-SA (INTERMED self-assessment)-questionnaire, derived from the INTERMED- interview, was developed in cooperation with the international INTERMED group in order to facilitate its use in various clinical settings and to foster the patients' perspective on health-care needs.
The German version of the IM-SA was evaluated in a clinical sample (n=136) of psychosomatic outpatients and compared to the IM-CAG. Construct validity was examined by analyzing the correlations of the IM-SA with quality-of-life (SF-36) and anxiety/depression (HADS). Sensitivity and specificity for the identification of complex patients were examined by using ROC (Receiver Operating Characteristic) analysis.
The correlations between the total score and the subscales of the IM-SA, compared to the INTERMED, were high (total score r=0.79 (95%-KI: [0.70; 0.85]). Cronbach's α was 0.77, and construct validity was high (SF-36 mental component score: r=-0.57; HADS Depression: r=0.59). The IM-SA total score was significantly lower compared to IM-CAG, mainly because of low IM-SA scores in the somatic domain. According to ROC analysis, the IM-SA-cut-off for identifying complex patients has to be lowered (score ≥17).
The IM-SA can be used as an instrument to identify complex patients in need of integrated bio-psycho-social care.
The IM-SA is a reliable instrument to be used in various clinical settings to identify complex patients and to provide integrated, bio-psycho-social care.

Keywords
Adult, Anxiety Disorders/diagnosis, Anxiety Disorders/psychology, Cross-Cultural Comparison, Depressive Disorder/diagnosis, Depressive Disorder/psychology, Female, Health Services Needs and Demand, Humans, Male, Middle Aged, Psychometrics/statistics & numerical data, Psychophysiologic Disorders/diagnosis, Psychophysiologic Disorders/psychology, Quality of Life/psychology, Self-Assessment, Surveys and Questionnaires
Pubmed
Web of science
Create date
17/05/2016 18:03
Last modification date
20/08/2019 15:53
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