SEQUenCE: a service user-centred quality of care instrument for mental health services

L. Hester, L.J. O'Doherty, R. Schnittger, N. Skelly, M. O'Donnell, L. Butterly, R. Browne, C. Frorath, D. McLoughlin, P. Fearon

    Research output: Contribution to journalArticle

    3 Citations (Scopus)
    20 Downloads (Pure)

    Abstract

    Objective To develop a quality of care instrument that is grounded in the service user perspective and validate it in a mental health service. Design The instrument (SEQUenCE (SErvice user QUality of CarE)) was developed through analysis of focus group data and clinical practice guidelines, and refined through field-testing and psychometric analyses. Setting All participants were attending an independent mental health service in Ireland. Participants Participants had a diagnosis of bipolar affective disorder (BPAD) or a psychotic disorder. Intervention(s) Twenty-nine service users participated in six focus group interviews. Seventy-one service users participated in field-testing: 10 judged the face validity of an initial 61-item instrument; 28 completed a revised 52-item instrument from which 12 items were removed following test–retest and convergent validity analyses; 33 completed the resulting 40-item instrument. Main outcome measures Test–retest reliability, internal consistency and convergent validity of the instrument. Results The final instrument showed acceptable test–retest reliability at 5–7 days (r = 0.65; P <0.001), good convergent validity with the Verona Service Satisfaction Scale (r = 0.84, P <0.001) and good internal consistency (Cronbach's alpha = 0.87). Conclusions SEQUenCE is a valid, reliable scale that is grounded in the service user perspective and suitable for routine use. It may serve as a useful tool in individual care planning, service evaluation and research. The instrument was developed and validated with service users with a diagnosis of either BPAD or a psychotic disorder; it does not yet have established external validity for other diagnostic groups.
    Original languageEnglish
    Pages (from-to)284-290
    JournalInternational Journal for Quality in Health Care
    Volume27
    Issue number4
    DOIs
    Publication statusPublished - Jun 2015

    Fingerprint

    Quality of Health Care
    Mental Health Services
    Focus Groups
    Mood Disorders
    Bipolar Disorder
    Psychotic Disorders
    Ireland
    Practice Guidelines
    Psychometrics
    Reproducibility of Results
    Outcome Assessment (Health Care)
    Interviews

    Bibliographical note

    This is a pre-copyedited, author-produced PDF of an article accepted for publication in the International Journal for Quality in Health Care following peer review. The version of record Hester, L. , O'Doherty, L. , Schnittger, R. , Skelly, N. , O'Donnell, M. , Butterly, L. , Browne, R. , Frorath, C. , McLoughlin, D. and Fearon, P. (2015) SEQUenCE: a service user-centred quality of care instrument for mental health services. International Journal for Quality in Health Care, volume 27 (4): 284-290 is available online at: http://dx.doi.org/10.1093/intqhc/mzv043

    Keywords

    • patient-centred care
    • patient satisfaction
    • healthcare
    • quality improvemen
    • tmental healthhealth services
    • research

    Cite this

    SEQUenCE: a service user-centred quality of care instrument for mental health services. / Hester, L.; O'Doherty, L.J.; Schnittger, R.; Skelly, N.; O'Donnell, M.; Butterly, L.; Browne, R.; Frorath, C.; McLoughlin, D.; Fearon, P.

    In: International Journal for Quality in Health Care, Vol. 27, No. 4, 06.2015, p. 284-290.

    Research output: Contribution to journalArticle

    Hester, L, O'Doherty, LJ, Schnittger, R, Skelly, N, O'Donnell, M, Butterly, L, Browne, R, Frorath, C, McLoughlin, D & Fearon, P 2015, 'SEQUenCE: a service user-centred quality of care instrument for mental health services' International Journal for Quality in Health Care, vol. 27, no. 4, pp. 284-290. https://doi.org/10.1093/intqhc/mzv043
    Hester, L. ; O'Doherty, L.J. ; Schnittger, R. ; Skelly, N. ; O'Donnell, M. ; Butterly, L. ; Browne, R. ; Frorath, C. ; McLoughlin, D. ; Fearon, P. / SEQUenCE: a service user-centred quality of care instrument for mental health services. In: International Journal for Quality in Health Care. 2015 ; Vol. 27, No. 4. pp. 284-290.
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    AU - Hester, L.

    AU - O'Doherty, L.J.

    AU - Schnittger, R.

    AU - Skelly, N.

    AU - O'Donnell, M.

    AU - Butterly, L.

    AU - Browne, R.

    AU - Frorath, C.

    AU - McLoughlin, D.

    AU - Fearon, P.

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    N2 - Objective To develop a quality of care instrument that is grounded in the service user perspective and validate it in a mental health service. Design The instrument (SEQUenCE (SErvice user QUality of CarE)) was developed through analysis of focus group data and clinical practice guidelines, and refined through field-testing and psychometric analyses. Setting All participants were attending an independent mental health service in Ireland. Participants Participants had a diagnosis of bipolar affective disorder (BPAD) or a psychotic disorder. Intervention(s) Twenty-nine service users participated in six focus group interviews. Seventy-one service users participated in field-testing: 10 judged the face validity of an initial 61-item instrument; 28 completed a revised 52-item instrument from which 12 items were removed following test–retest and convergent validity analyses; 33 completed the resulting 40-item instrument. Main outcome measures Test–retest reliability, internal consistency and convergent validity of the instrument. Results The final instrument showed acceptable test–retest reliability at 5–7 days (r = 0.65; P <0.001), good convergent validity with the Verona Service Satisfaction Scale (r = 0.84, P <0.001) and good internal consistency (Cronbach's alpha = 0.87). Conclusions SEQUenCE is a valid, reliable scale that is grounded in the service user perspective and suitable for routine use. It may serve as a useful tool in individual care planning, service evaluation and research. The instrument was developed and validated with service users with a diagnosis of either BPAD or a psychotic disorder; it does not yet have established external validity for other diagnostic groups.

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    KW - quality improvemen

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