Assessment of Biopsychosocial Complexity and Health Care Needs: Measurement Properties of the INTERMED Self-Assessment Version.

Détails

ID Serval
serval:BIB_921BA91175C7
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Assessment of Biopsychosocial Complexity and Health Care Needs: Measurement Properties of the INTERMED Self-Assessment Version.
Périodique
Psychosomatic medicine
Auteur(s)
van Reedt Dortland AKB, Peters L.L., Boenink A.D., Smit J.H., Slaets JPJ, Hoogendoorn A.W., Joos A., Latour CHM, Stiefel F., Burrus C., Guitteny-Collas M., Ferrari S.
ISSN
1534-7796 (Electronic)
ISSN-L
0033-3174
Statut éditorial
Publié
Date de publication
05/2017
Peer-reviewed
Oui
Volume
79
Numéro
4
Pages
485-492
Langue
anglais
Notes
Publication types: Journal Article ; Multicenter Study
Publication Status: ppublish
Résumé
The INTERMED Self-Assessment questionnaire (IMSA) was developed as an alternative to the observer-rated INTERMED (IM) to assess biopsychosocial complexity and health care needs. We studied feasibility, reliability, and validity of the IMSA within a large and heterogeneous international sample of adult hospital inpatients and outpatients as well as its predictive value for health care use (HCU) and quality of life (QoL).
A total of 850 participants aged 17 to 90 years from five countries completed the IMSA and were evaluated with the IM. The following measurement properties were determined: feasibility by percentages of missing values; reliability by Cronbach α; interrater agreement by intraclass correlation coefficients; convergent validity of IMSA scores with mental health (Short Form 36 emotional well-being subscale and Hospital Anxiety and Depression Scale), medical health (Cumulative Illness Rating Scale) and QoL (Euroqol-5D) by Spearman rank correlations; and predictive validity of IMSA scores with HCU and QoL by (generalized) linear mixed models.
Feasibility, face validity, and reliability (Cronbach α = 0.80) were satisfactory. Intraclass correlation coefficient between IMSA and IM total scores was .78 (95% CI = .75-.81). Correlations of the IMSA with the Short Form 36, Hospital Anxiety and Depression Scale, Cumulative Illness Rating Scale, and Euroqol-5D (convergent validity) were -.65, .15, .28, and -.59, respectively. The IMSA significantly predicted QoL and also HCU (emergency department visits, hospitalization, outpatient visits, and diagnostic examinations) after 3- and 6-month follow-up. Results were comparable between hospital sites, inpatients and outpatients, as well as age groups.
The IMSA is a generic and time-efficient method to assess biopsychosocial complexity and to provide guidance for multidisciplinary care trajectories in adult patients, with good reliability and validity across different cultures.

Mots-clé
Adolescent, Adult, Aged, Aged, 80 and over, Female, Health Services Needs and Demand/statistics & numerical data, Health Status, Humans, Interviews as Topic, Longitudinal Studies, Male, Middle Aged, Needs Assessment, Psychology, Quality of Life, Reproducibility of Results, Risk Factors, Self-Assessment, Surveys and Questionnaires, Young Adult
Pubmed
Web of science
Création de la notice
05/01/2017 16:10
Dernière modification de la notice
20/08/2019 14:55
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