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Development and psychometric properties of the client's assessment of treatment scale for supported accommodation (CAT-SA)

Sandhu, S; Killaspy, H; Krotofil, J; McPherson, P; Harrison, I; Dowling, S; Arbuthnott, M; ... Priebe, S; + view all (2016) Development and psychometric properties of the client's assessment of treatment scale for supported accommodation (CAT-SA). BMC Psychiatry , 16 , Article 43. 10.1186/s12888-016-0755-3. Green open access

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Abstract

BACKGROUND: Patient-Reported Outcome Measures (PROMs) are important for evaluating mental health services. Yet, no specific PROM exists for the large and diverse mental health supported accommodation sector. We aimed to produce and validate a PROM specifically for supported accommodation services, by adapting the Client's Assessment of Treatment Scale (CAT) and assessing its psychometric properties in a large sample. METHODS: Focus groups with service users in the three main types of mental health supported accommodation services in the United Kingdom (residential care, supported housing and floating outreach) were conducted to adapt the contents of the original CAT items and assess the acceptability of the modified scale (CAT-SA). The CAT-SA was then administered in a survey to service users across England. Internal consistency was assessed using Cronbach's alpha. Convergent validity was tested through correlations with subjective quality of life and satisfaction with accommodation, as measured by the Manchester Short Assessment of Quality of Life (MANSA). RESULTS: All seven original items of the CAT were regarded as relevant to appraisals of mental health supported accommodation services, with only slight modifications to the wording required. In the survey, data were obtained from 618 clients. The internal consistency of the CAT-SA items was 0.89. Mean CAT-SA scores were correlated with the specific accommodation item on the MANSA (r s  = 0.37, p˂.001). CONCLUSIONS: The content of the CAT-SA has relevance to service users living in mental health supported accommodation. The findings from our large survey show that the CAT-SA is acceptable across different types of supported accommodation and suggest good psychometric properties. The CAT-SA appears a valid and easy to use PROM for service users in mental health supported accommodation services.

Type: Article
Title: Development and psychometric properties of the client's assessment of treatment scale for supported accommodation (CAT-SA)
Location: England
Open access status: An open access version is available from UCL Discovery
DOI: 10.1186/s12888-016-0755-3
Publisher version: http://dx.doi.org/10.1186/s12888-016-0755-3
Language: English
Additional information: Copyright © 2016 Sandhu et al. This article is distributed under the terms of the Creative Commons Attribution 4.0 International License http://creativecommons.org/licenses/by/4.0/
Keywords: Patient Reported Outcome, Supported Accommodation, Treatment Satisfaction, Mental Health
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Division of Psychiatry
URI: https://discovery.ucl.ac.uk/id/eprint/1477199
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