Revista de la Asociación Española de Neuropsiquiatría
Print version ISSN 0211-5735
LASCORZ FIERRO, David et al. Validation of Scale for the Assessment of Residential Attention Levels, for people with Severe Mental Disorder (ENAR-CPB). Rev. Asoc. Esp. Neuropsiq. [online]. 2012, vol.32, n.115, pp.481-498. ISSN 0211-5735. http://dx.doi.org/10.4321/S0211-57352012000300004.
Introduction: Since the year 2000 residences for people with mental disorders have been created in Catalonia as a service of public Administration. After operating for almost a decade evidence has finally become available about the usefulness of these residences in improving the rehabilitation of people with SMD (Severe Mental Disorder). The work consists to present a specific scale to assess the levels of attention/dependency of those who live in these residences that have TMS, and to monitor their progress. Method: After systematically searching for different validated scales and testing some of them, it was decided that a new, more specific scale was needed to evaluate the levels of attention amongst those who live in the residences. A total of 24 items were defined, four for each of the six dimensions, with values between 0 and 4 (0 being lower and 4 being higher need of attention). Taking into consideration six dimensions (1.physical dimension, 2.clinical dimension, 3.AVD, 4.autonomy and self-governance, 5. interpersonal relations and 6. personal well-being and integration in the environment), through structured retrospective observation, by the professionals of the centre. Once the Scale is completely defined, it is filled out by 44 active residents, during the months of May and June 2007. It is filled out once again 9 months later, in January and February 2008. The obtained data was analysed with the statistics pack SPSS and the following analyses were made: internal validity study (factor structure) through an analysis of main components, estimation of internal consistency through the Cronbach de un análisis de componentes principales, estimación de la consistencia interna a través del coeficiente a de Cronbach,a coefficient, evaluator reliability with the interclass correlation coefficient, sensitivity to change comparing base scores with those of Scales filled out 9 months later. Results: The ENAR-CPB scale presents very good internal consistency (Cronbach alpha of 0,916). With a correlation time test-retest (base and 3 years later) of 0,810, and a Interraiter between evaluators of 0,938. Factorial analysis identified four factors that explain a total variance of 62,89 %. Conclusions: The ENAR-CPB Scale performs well, both in terms of internal consistency as well as in the correlation between variables, evaluators and test-retest, 3 years later; it is acceptable as a measuring element for defining the level of attention needed by those who live in residences that have TMS, as well as being useful for monitoring their progress.
Keywords : Scale; Psychosocial function; Severe mental illness; Residential program.