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Dimensions and reliability of a questionnaire for the evaluation of subjective experiences of health among patients in mental health services
Department of Health Sciences, Lund University, Lund, Sweden.ORCID iD: 0000-0001-9753-0988
Department of Health Sciences, Lund University, Lund, Sweden.
Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
Department of Health Sciences, Lund University, Lund, Sweden.
2008 (English)In: Issues in Mental Health Nursing, ISSN 0161-2840, E-ISSN 1096-4673, Vol. 29, no 1, p. 51-62Article in journal (Refereed) Published
Abstract [en]

Even though the concept of health and its importance has been widely discussed in health care during recent decades, mental health services have been criticised for adopting a biomedical perspective, which does not sufficiently consider the concept of health. The aim of the present study was to investigate the psychometric properties of the Health Questionnaire, a newly developed questionnaire to measure patients' subjective experience of health in mental health services. A cross sectional study was performed using a sample of 139 outpatients in mental health services. A principal component analysis with varimax rotation was used to test the factor structure of the questionnaire. Cronbach's alpha was employed to test internal consistency and Cohen's Kappa assessed test-retest reliability. The final scale, which contained 22 items, derived from three factors (autonomy, social involvement, and comprehensibility) and showed a good reliability in terms of internal consistency. Test-retest reliability was moderate or better for 17 out of 22 items. The Health Questionnaire may enable further empirical studies on subjectively experienced health in mental health services and serve as a measure of outcome and to monitor quality of care.

Place, publisher, year, edition, pages
London: Taylor & Francis, 2008. Vol. 29, no 1, p. 51-62
Keywords [en]
Health questionnaire, Experiences, Patients, Mental health services
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:hh:diva-1479DOI: 10.1080/01612840701748789PubMedID: 18214778Scopus ID: 2-s2.0-38649111314Local ID: 2082/1859OAI: oai:DiVA.org:hh-1479DiVA, id: diva2:238697
Available from: 2008-06-03 Created: 2008-06-03 Last updated: 2018-03-23Bibliographically approved
In thesis
1. Dimensions of Health among Patients in Mental Health Services
Open this publication in new window or tab >>Dimensions of Health among Patients in Mental Health Services
2007 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

Empirical studies focusing on the subjective experience of health among patients in contact with the mental health services are rare and most questionnaires are based on a medical model that emphasizes objectively observed disease-oriented health indicators. In studies I and II perceptions of the concept of health among patients and nurses in mental health services were explored and described using a phenomenographic approach. The perceptions and description categories that emerged from these studies were transformed into a number of items forming a questionnaire intended to measure subjectively experienced health among patients in mental health services. In study III, a randomly selected sample was used to test the psychometric properties of the new Health Questionnaire. A factor analysis revealed three factors labelled Autonomy, Social Involvement and Comprehensibility. The purpose of study IV was to examine the construct validity of the Health Questionnaire. The hypothesis was that subjectively experienced health would be positively associated to self-esteem, empowerment and quality of life, and negatively associated to psychiatric symptoms, perceived stigmatization experiences and perceived attitudes of devaluation and discrimination. This hypothesis was mainly confirmed insofar that overall health was positively correlated to self-esteem, empowerment and quality of life and negatively correlated to symptoms, attitudes of devaluation and discrimination and rejection experiences. The results of this thesis show that health is more than just an absence of disease and support a focus on health promotion interventions in mental health care.

Place, publisher, year, edition, pages
Lund: Department of Health Sciences, Faculty of Medicine, Lund University, 2007. p. 121
Series
Lund University, Faculty of Medicine doctoral dissertation series, ISSN 1652-8220 ; 2007:79
Keywords
Health, Mental health services, Nurse, Patient, Perceptions, Phenomenography, Questionnaire, Reliability, Subjective experience, Validity
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:hh:diva-16873 (URN)ISBN: 978-91-85559-57-2 (ISBN)
Public defence
2007-05-25, Hörsal 01, Vårdvetenskapens hus, Baravägen 3, Lund, 13:00 (Swedish)
Opponent
Supervisors
Note

Medicine doktorsexamen

Available from: 2012-01-10 Created: 2012-01-08 Last updated: 2016-02-26Bibliographically approved

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Jormfeldt, HenrikaArvidsson, Barbro

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