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Initial concurrent and convergent validity of the Perceived Access Inventory (PAI) for mental health services.
Psychological Services ( IF 3.097 ) Pub Date : 2020-10-08 , DOI: 10.1037/ser0000504
Jeffrey M Pyne 1 , P Adam Kelly 2 , Ellen P Fischer 1 , Christopher J Miller 3 , Samantha L Connolly 3 , Patricia Wright 4 , Kara Zamora 5 , Christopher J Koenig 6 , Karen H Seal 5 , John C Fortney 7
Affiliation  

Access to high-quality health care, including mental health care, remains a high priority for the Department of Veterans Affairs and civilian health care systems. Increased access to mental health care is associated with improved outcomes, including decreased suicidal behavior. Multiple policy changes and interventions are being developed and implemented to improve access to mental health care. The Perceived Access Inventory (PAI) is a patient-centered questionnaire developed to understand the veteran perspective about access to mental health services. The PAI is a self-report measure that includes 43 items across 5 domains: Logistics (6 items), Culture (4 items), Digital (9 items), Systems of Care (13 items), and Experiences of Care (11 items). This article is a preliminary examination of the concurrent and convergent validity of the PAI with respect to the Hoge Perceived Barriers to Seeking Mental Health Services scale (concurrent) and the Client Satisfaction Questionnaire (CSQ; convergent). Telephone interviews were conducted with veterans from 3 geographic regions. Eligibility criteria included screening positive for posttraumatic stress disorder, alcohol use disorder, or depression in the past 12 months. Data from 92 veterans were analyzed using correlation matrices. PAI scores were significantly correlated with the Hoge total score (concurrent validity) and CSQ scores (convergent validity). The PAI items with the strongest correlation with CSQ were in the Systems of Care domain and the weakest were in the Logistics domain. Future efforts will evaluate validity using larger data sets and utilize the PAI to develop and test interventions to improve access to care. (PsycInfo Database Record (c) 2020 APA, all rights reserved).

中文翻译:

心理健康服务感知访问量表 (PAI) 的初始并发和收敛有效性。

获得高质量的医疗保健,包括精神保健,仍然是退伍军人事务部和平民医疗保健系统的重中之重。增加获得精神卫生保健的机会与改善结果有关,包括减少自杀行为。正在制定和实施多项政策变化和干预措施,以改善获得精神卫生保健的机会。感知访问量表 (PAI) 是以患者为中心的问卷调查,旨在了解退伍军人对获得心理健康服务的看法。PAI 是一项自我报告测量,包括 5 个领域的 43 项:物流(6 项)、文化(4 项)、数字(9 项)、护理系统(13 项)和护理体验(11 项) . 本文是 PAI 在寻求心理健康服务量表(并发)和客户满意度问卷(CSQ;收敛)方面的并行和收敛有效性的初步检查。电话采访了来自 3 个地理区域的退伍军人。资格标准包括在过去 12 个月内筛查出创伤后应激障碍、酒精使用障碍或抑郁症呈阳性。使用相关矩阵分析了来自 92 名退伍军人的数据。PAI 分数与 Hoge 总分(同时效度)和 CSQ 分数(收敛效度)显着相关。与 CSQ 相关性最强的 PAI 项目在护理系统领域,最弱的在后勤领域。未来的工作将使用更大的数据集评估有效性,并利用 PAI 开发和测试干预措施以改善获得护理的机会。(PsycInfo 数据库记录 (c) 2020 APA,保留所有权利)。
更新日期:2020-10-08
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