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The relationship of patient-administered outcome assessments to quality of life and physician ratings: Validity of the BASIS-32

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Abstract

The reliability and validity of a patient-administered version of the Behavior and Symptom Identification Scale (BASIS-32) was compared to the original interviewer-administered version. The construct validity of BASIS-32 subscales was assessed by examining their relationship with functional and satisfaction quality of life and physician ratings of functional and clinical status. A total of 361 acute psychiatric inpatients were given a self-administered BASIS-32, nurse-administered Lehman's Quality of Life Interview (QOLI), and Psychiatrist Assessment Form at admission and discharge. The original factor structure, internal consistency reliability, discriminant validity, and sensitivity to change were replicated. The patient-administered BASIS-32 is equally as reliable and valid as the interview. Construct validity analyses revealed that functional and satisfaction QOLI indices were moderately related to the BASIS-32 in the hypothesized directions. All satisfaction scales were associated with significantly less severity. Physician ratings were only mildly related to the subscales. The BASIS-32 used in outcome assessments with inpatients provides important and unique perspectives on functional and clinical status that are not tapped by clinician-rated assessments.

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Authors and Affiliations

  1. Department of Psychiatry and Behavioral Sciences, Harborview Medical Center, 325 Ninth Ave., Box 359896, 98104, Seattle, WA

    Joan Russo Ph.D. (Research Assistant Professor), Peter Roy-Byrne M.D. (professor and the chief of psychiatry), Craig Jaffe (research assistant), Richard Ries M.D. (associate professor), Christos Dagadakis M.D., M.P.H. (a senior lecturer), Ed. Dwyer-O’Connor R.N. (assistant nurse manager) & Darcy Reeder R.N., M.N. (nurse manager)

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  1. Joan Russo Ph.D.
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  2. Peter Roy-Byrne M.D.
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  3. Craig Jaffe
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  4. Richard Ries M.D.
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  5. Christos Dagadakis M.D., M.P.H.
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  6. Ed. Dwyer-O’Connor R.N.
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  7. Darcy Reeder R.N., M.N.
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Russo, J., Roy-Byrne, P., Jaffe, C. et al. The relationship of patient-administered outcome assessments to quality of life and physician ratings: Validity of the BASIS-32. The Journal of Mental Health Administration 24, 200–214 (1997). https://doi.org/10.1007/BF02898514

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