Health of the Nation Outcome Scales for Children and Adolescents (HoNOSCA): Psychometric properties of the Italian version
The Health of the Nation Outcome Scales for Children and Adolescents (HoNOSCA) assesses mental health and social functioning of people
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| Veröffentlicht in: | Children and youth services review 2018-11, Vol.94, p.340-346 |
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| container_title | Children and youth services review |
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| creator | D'Avanzo, Barbara Lovaglio, Piergiorgio Parabiaghi, Alberto Conti, Patrizia Frigerio, Alessandra Molteni, Massimo Monzani, Emiliano Rossi, Piero Ernesto Barbato, Angelo |
| description | The Health of the Nation Outcome Scales for Children and Adolescents (HoNOSCA) assesses mental health and social functioning of people |
| doi_str_mv | 10.1016/j.childyouth.2018.10.005 |
| format | Article |
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Exploratory Factor Analysis identified two correlated subscales and Confirmatory Factor Analysis showed good fit to data. Cronbach's alpha was 0.65. HoNOSCA subscale scores increased with Clinical Global Impression severity and correlated positively with Strengths and Difficulties Questionnaire. Predictive power to discriminate between two Clinical Global Impression groups was good. The minimal difference in total score corresponding to a marked clinical change was 9, the clinically reliable change was 10. This should be considered when using the HoNOSCA as outcome measure. Intraclass correlation coefficient was 0.71 for the total score. The need for a comprehensive assessment for child mental health and behaviour in Italian services can be met by the HoNOSCA if used as cumulative bivariate subscales.
•The Italian version of the HoNOSCA is a reliable instrument for the comprehensive assessment of children in the mental health services if used as a cumulative bivariate scale.•Intraclass correlation coefficient was 0.71 for the total score.•Exploratory Factor Analysis identified two subscales, Externalising Problems and Emotional Symptoms.•The minimal difference in total score for a marked clinical change was 9, the clinically reliable change was 10. This should be considered when using the HoNOSCA as outcome measure.</description><identifier>ISSN: 0190-7409</identifier><identifier>EISSN: 1873-7765</identifier><identifier>DOI: 10.1016/j.childyouth.2018.10.005</identifier><language>eng</language><publisher>Oxford: Elsevier Ltd</publisher><subject>Adolescents ; Child & adolescent mental health ; Children ; Childrens health ; Confirmatory factor analysis ; Cronbach's alpha ; Exploratory factor analysis ; Factor analysis ; Factor structure ; Health behavior ; HoNOSCA ; Italian language ; Measures ; Mental health ; Mental health care ; Mental health services ; Power ; Predictions ; Quantitative psychology ; Questionnaires ; Reliability ; Routine assessment ; Sensitivity to change ; Severity ; Social functioning ; Validity ; Vignettes</subject><ispartof>Children and youth services review, 2018-11, Vol.94, p.340-346</ispartof><rights>2018 Elsevier Ltd</rights><rights>Copyright Elsevier Science Ltd. Nov 2018</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c346t-c72ef100a17fb620a585ab7a0604a8c62c15dfa0212d0222e9b79811d202b38e3</citedby><cites>FETCH-LOGICAL-c346t-c72ef100a17fb620a585ab7a0604a8c62c15dfa0212d0222e9b79811d202b38e3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.childyouth.2018.10.005$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,778,782,3539,27907,27908,30982,33757,45978</link.rule.ids></links><search><creatorcontrib>D'Avanzo, Barbara</creatorcontrib><creatorcontrib>Lovaglio, Piergiorgio</creatorcontrib><creatorcontrib>Parabiaghi, Alberto</creatorcontrib><creatorcontrib>Conti, Patrizia</creatorcontrib><creatorcontrib>Frigerio, Alessandra</creatorcontrib><creatorcontrib>Molteni, Massimo</creatorcontrib><creatorcontrib>Monzani, Emiliano</creatorcontrib><creatorcontrib>Rossi, Piero Ernesto</creatorcontrib><creatorcontrib>Barbato, Angelo</creatorcontrib><creatorcontrib>for the Investigators Group</creatorcontrib><title>Health of the Nation Outcome Scales for Children and Adolescents (HoNOSCA): Psychometric properties of the Italian version</title><title>Children and youth services review</title><description>The Health of the Nation Outcome Scales for Children and Adolescents (HoNOSCA) assesses mental health and social functioning of people <18 years. We explored the psychometric properties of the HoNOSCA Italian version. Dimensionality was assessed by Exploratory Factor Analysis and validated using Confirmatory Factor Analysis. Internal consistency and reliability of the factorial structure were evaluated. One hundred thirty-four subjects were assessed by HoNOSCA, Clinical Global Impression and Strengths and Difficulties Questionnaire for concurrent validity. Intraclass correlation was computed to evaluate inter-rater reliability using eight vignettes assessed by 35 professionals.
Exploratory Factor Analysis identified two correlated subscales and Confirmatory Factor Analysis showed good fit to data. Cronbach's alpha was 0.65. HoNOSCA subscale scores increased with Clinical Global Impression severity and correlated positively with Strengths and Difficulties Questionnaire. Predictive power to discriminate between two Clinical Global Impression groups was good. The minimal difference in total score corresponding to a marked clinical change was 9, the clinically reliable change was 10. This should be considered when using the HoNOSCA as outcome measure. Intraclass correlation coefficient was 0.71 for the total score. The need for a comprehensive assessment for child mental health and behaviour in Italian services can be met by the HoNOSCA if used as cumulative bivariate subscales.
•The Italian version of the HoNOSCA is a reliable instrument for the comprehensive assessment of children in the mental health services if used as a cumulative bivariate scale.•Intraclass correlation coefficient was 0.71 for the total score.•Exploratory Factor Analysis identified two subscales, Externalising Problems and Emotional Symptoms.•The minimal difference in total score for a marked clinical change was 9, the clinically reliable change was 10. This should be considered when using the HoNOSCA as outcome measure.</description><subject>Adolescents</subject><subject>Child & adolescent mental health</subject><subject>Children</subject><subject>Childrens health</subject><subject>Confirmatory factor analysis</subject><subject>Cronbach's alpha</subject><subject>Exploratory factor analysis</subject><subject>Factor analysis</subject><subject>Factor structure</subject><subject>Health behavior</subject><subject>HoNOSCA</subject><subject>Italian language</subject><subject>Measures</subject><subject>Mental health</subject><subject>Mental health care</subject><subject>Mental health services</subject><subject>Power</subject><subject>Predictions</subject><subject>Quantitative psychology</subject><subject>Questionnaires</subject><subject>Reliability</subject><subject>Routine assessment</subject><subject>Sensitivity to change</subject><subject>Severity</subject><subject>Social functioning</subject><subject>Validity</subject><subject>Vignettes</subject><issn>0190-7409</issn><issn>1873-7765</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>7QJ</sourceid><sourceid>BHHNA</sourceid><recordid>eNqFUE1PAjEQbYwmIvofmnjRw67Twm53vSFRISFggp6b0p3NlixbbAsJ_npLIPHoaZI372PmEUIZpAxY_rROdWPa6mB3oUk5sCLCKUB2QXqsEINEiDy7JD1gJSRiCOU1ufF-DZGRZ7xHfiao2tBQW9PQIJ2rYGxHF7ug7QbpUqsWPa2to-NjisOOqq6io8pGXGMXPH2Y2PliOR49PtMPf9BN1AVnNN06u0UXTNSfzadBtUZ1dI_Ox5RbclWr1uPdefbJ19vr53iSzBbv0_FolujBMA-JFhxrBqCYqFc5B5UVmVoJBTkMVaFzrllW1Qo44xVwzrFcibJgrOLAV4MCB31yf_KNF33v0Ae5tjvXxUjJWS4KKEsGkVWcWNpZ7x3WcuvMRrmDZCCPTcu1_GtaHps-bmKPUfpykmL8Ym_QSa8Ndhor41AHWVnzv8kv8ROMiw</recordid><startdate>201811</startdate><enddate>201811</enddate><creator>D'Avanzo, Barbara</creator><creator>Lovaglio, Piergiorgio</creator><creator>Parabiaghi, Alberto</creator><creator>Conti, Patrizia</creator><creator>Frigerio, Alessandra</creator><creator>Molteni, Massimo</creator><creator>Monzani, Emiliano</creator><creator>Rossi, Piero Ernesto</creator><creator>Barbato, Angelo</creator><general>Elsevier Ltd</general><general>Elsevier Science Ltd</general><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>7U3</scope><scope>BHHNA</scope></search><sort><creationdate>201811</creationdate><title>Health of the Nation Outcome Scales for Children and Adolescents (HoNOSCA): Psychometric properties of the Italian version</title><author>D'Avanzo, Barbara ; Lovaglio, Piergiorgio ; Parabiaghi, Alberto ; Conti, Patrizia ; Frigerio, Alessandra ; Molteni, Massimo ; Monzani, Emiliano ; Rossi, Piero Ernesto ; Barbato, Angelo</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c346t-c72ef100a17fb620a585ab7a0604a8c62c15dfa0212d0222e9b79811d202b38e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Adolescents</topic><topic>Child & adolescent mental health</topic><topic>Children</topic><topic>Childrens health</topic><topic>Confirmatory factor analysis</topic><topic>Cronbach's alpha</topic><topic>Exploratory factor analysis</topic><topic>Factor analysis</topic><topic>Factor structure</topic><topic>Health behavior</topic><topic>HoNOSCA</topic><topic>Italian language</topic><topic>Measures</topic><topic>Mental health</topic><topic>Mental health care</topic><topic>Mental health services</topic><topic>Power</topic><topic>Predictions</topic><topic>Quantitative psychology</topic><topic>Questionnaires</topic><topic>Reliability</topic><topic>Routine assessment</topic><topic>Sensitivity to change</topic><topic>Severity</topic><topic>Social functioning</topic><topic>Validity</topic><topic>Vignettes</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>D'Avanzo, Barbara</creatorcontrib><creatorcontrib>Lovaglio, Piergiorgio</creatorcontrib><creatorcontrib>Parabiaghi, Alberto</creatorcontrib><creatorcontrib>Conti, Patrizia</creatorcontrib><creatorcontrib>Frigerio, Alessandra</creatorcontrib><creatorcontrib>Molteni, Massimo</creatorcontrib><creatorcontrib>Monzani, Emiliano</creatorcontrib><creatorcontrib>Rossi, Piero Ernesto</creatorcontrib><creatorcontrib>Barbato, Angelo</creatorcontrib><creatorcontrib>for the Investigators Group</creatorcontrib><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>Social Services Abstracts</collection><collection>Sociological Abstracts</collection><jtitle>Children and youth services review</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>D'Avanzo, Barbara</au><au>Lovaglio, Piergiorgio</au><au>Parabiaghi, Alberto</au><au>Conti, Patrizia</au><au>Frigerio, Alessandra</au><au>Molteni, Massimo</au><au>Monzani, Emiliano</au><au>Rossi, Piero Ernesto</au><au>Barbato, Angelo</au><aucorp>for the Investigators Group</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Health of the Nation Outcome Scales for Children and Adolescents (HoNOSCA): Psychometric properties of the Italian version</atitle><jtitle>Children and youth services review</jtitle><date>2018-11</date><risdate>2018</risdate><volume>94</volume><spage>340</spage><epage>346</epage><pages>340-346</pages><issn>0190-7409</issn><eissn>1873-7765</eissn><abstract>The Health of the Nation Outcome Scales for Children and Adolescents (HoNOSCA) assesses mental health and social functioning of people <18 years. We explored the psychometric properties of the HoNOSCA Italian version. Dimensionality was assessed by Exploratory Factor Analysis and validated using Confirmatory Factor Analysis. Internal consistency and reliability of the factorial structure were evaluated. One hundred thirty-four subjects were assessed by HoNOSCA, Clinical Global Impression and Strengths and Difficulties Questionnaire for concurrent validity. Intraclass correlation was computed to evaluate inter-rater reliability using eight vignettes assessed by 35 professionals.
Exploratory Factor Analysis identified two correlated subscales and Confirmatory Factor Analysis showed good fit to data. Cronbach's alpha was 0.65. HoNOSCA subscale scores increased with Clinical Global Impression severity and correlated positively with Strengths and Difficulties Questionnaire. Predictive power to discriminate between two Clinical Global Impression groups was good. The minimal difference in total score corresponding to a marked clinical change was 9, the clinically reliable change was 10. This should be considered when using the HoNOSCA as outcome measure. Intraclass correlation coefficient was 0.71 for the total score. The need for a comprehensive assessment for child mental health and behaviour in Italian services can be met by the HoNOSCA if used as cumulative bivariate subscales.
•The Italian version of the HoNOSCA is a reliable instrument for the comprehensive assessment of children in the mental health services if used as a cumulative bivariate scale.•Intraclass correlation coefficient was 0.71 for the total score.•Exploratory Factor Analysis identified two subscales, Externalising Problems and Emotional Symptoms.•The minimal difference in total score for a marked clinical change was 9, the clinically reliable change was 10. This should be considered when using the HoNOSCA as outcome measure.</abstract><cop>Oxford</cop><pub>Elsevier Ltd</pub><doi>10.1016/j.childyouth.2018.10.005</doi><tpages>7</tpages></addata></record> |
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| source | Elsevier ScienceDirect Journals Complete - AutoHoldings; Sociological Abstracts; Applied Social Sciences Index & Abstracts (ASSIA) |
| subjects | Adolescents Child & adolescent mental health Children Childrens health Confirmatory factor analysis Cronbach's alpha Exploratory factor analysis Factor analysis Factor structure Health behavior HoNOSCA Italian language Measures Mental health Mental health care Mental health services Power Predictions Quantitative psychology Questionnaires Reliability Routine assessment Sensitivity to change Severity Social functioning Validity Vignettes |
| title | Health of the Nation Outcome Scales for Children and Adolescents (HoNOSCA): Psychometric properties of the Italian version |
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