Many thanks to all who sacrificed their braincells Re: the above question...Some of the responses are shown below.
Hope this helps those of you with a similar interest too...
Cheers,
Karl
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I dont what the best is but certainly in the area that i work (care of the
elderly) in the Nottingham Health Profile, and GHQ are adequate instruments
for measuring stress etc. If you are measuring outcomes relating to
caregivers there are specific instruments for them as well such as the Zarit
Scale. and many many others..........
D McDaid.
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Maybe you can find some helpful information in the following book which
describes different outcomes scales used in mental health:
Quality of Life in Mental Disorders, edited by Heinz Katsching, Hugh
Freeman and Norman Sartorius
John Wiley & Sons Ltd
Tel +44 1243 779777
Andrea Spannheimer
***************************************
I wonder if you could send some references about this please. I am
developing outcome measurements in differing areas and am interested in
what literature is available. Thanks.
Douglas Jackson McCready, Ph.D. Professor, Economics, Wilfrid Laurier
519-884-1970, ext 2563 Waterloo, Ontario, CAN N2L 3C5
Would be very interested in any replies you get to this question.
Regards
Shaun Larkin
Sydney, Australia
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Karl,
I am a first year PhD student in economics, I have concluded a MSc in
health economics at York University last year and I am planning to come
back to York by the end of the year in order to start working on my PhD
thesis. My research will be focused on the use of QoL measures in
mental health and I'll probably undertake some sort of empirical
analysis.
I am writing to you in order to know whether I might receive more
information about your research activity on mental health outcome
studies. At the moment I am working on the literature search (bids,
medline, econlit) but it doesn't seem to be lot of published work on
that topic. Of course I am at the beginning of this step and I might
be wrong. I do not know many researchers on mental health and it would
very useful for me to keep in touch with you.
I would be grateful if you could let me know, if it is possible, any
suggestion you might receive by the "group".
Regards
Andrea M.
*********************************
Andrea Manca
PhD student
University of Roma Tor Vergata
Faculty of Economics
Via di Tor Vergata snc
00133 ROMA
ITALY
Email: [log in to unmask]
======================================================
> -----Original Message-----
> From: Malanos, Grace uMEDI Dee Whyy
> Sent: Friday, January 29, 1999 10:12 AM
> To: Just, Andrew uMEDI Dee Whyy
> Subject: RE: Outcome Scales
>
> There are a number of measures that have been used to assess QOL in
> patients with mental illness:
> * Satisfaction with Life Domains Scale
> * Lehman Quality of Life Interview
> * Lancaster Quality of Life Profile
> * Oregon Quality of Life Questionnaire
> * QWB (Quality of Well-Being Scale)
> * SF-36
> * Basis-32
>
> The SF-36 is a generic measure which may not be sensitive enough to
> detect differences and changes in all of the parameters relevant to a
> specific disease. Basis-32 is a disease-specific instrument which may
> be more sensitive to change than a generic measure. It is common for
> both types of measures (disease-specific and generic) to be included
> in a study.
>
> It should be noted that a measure without a mental health component
> may not necessarily neglect mental health. The impact of mental
> health may be represented in questions about role functioning (as in
> the SF-36). The SF-36 has been successfully used in the assessment of
> QOL of patients with major depression.
>
> Karl's question can not easily be answered without knowing the
> research question, the patient population, the method of
> administration, and the length of time available for administration of
> an instrument. My suggestion to Karl is to undertake a literature
> search to determine which instruments have been used successfully in
* previous studies for the indication and the population of interest.
> Another alternative is to undertake an OLGA (On-Line Guide to Quality
> of Life Assessment) search for a list of instruments that have been
> used in the target group of patients.
>
> For more information on Basis-32 and the SF-36, Karl could contact the
> Medical Outcomes Trust - http://www.outcomes-trust.org/
>
> Hope this helps.
>
> Grace
++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++
Dear KarlThe answer to your question depends on what type of economic analysis youwish to undertake. If it is a cost-effectiveness analysis, then it would probably be better to go for something like the Lancashire quality of life profile as it is a more in-depth instrument than the EuroQol. If it is a cost-utility analysis (i.e. you want to compare QALYs for differenttreatments or conditions), then the EuroQol is the leading contender,although the SF-36 is also now capable of generating such an index score.The EuroQol was developed primarily with respect to somatic disorders sothere are concerns about its applicability/ sensitivity to change in mentalhealth care. I refer you to two articles in the journal Social Psychiatry andPsychiatric Epidemiology which may be of help: Lehman AF (1996). Measures of quality of life for people with severe andpersistent mental disorders. SPPE, 31, 78-88.Chisholm D, Healey A, Knapp MRJ (1997). QALYs and mental health care. SPPE,32, 68-75.Rega!
rd!
s, Daniel ChisholmSenior LecturerCentre for the Economics of Mental Health (CEMH)Institute of Psychiatry7 Windsor WalkLondon SE5 8BBTel: + 44 (0)171 919 3503Fax: + 44 (0)171 701 7600email: IoP address: [log in to unmask] </cgi-bin/cframes/compose?disk=209.185.130.44_d128&login=karl_kantor&f=33793&curmbox=ACTIVE&_lang=&mailto=1&[log in to unmask]&msg=MSG917629789.2&start=28465&len=2260&src=&type=x> Also: [log in to unmask] </cgi-bin/cframes/compose?disk=209.185.130.44_d128&login=karl_kantor&f=33793&curmbox=ACTIVE&_lang=&mailto=1&[log in to unmask]&msg=MSG917629789.2&start=28465&len=2260&src=&type=x>
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