Jane McCusker1, Jeannie Haggerty2, Manon De Raad3, Eric Belzile4, Fatima Bouharaoui5, Christine Beaulieu6, Mark Yaffe7, Antonio Ciampi8. 1. Department of Epidemiology, Biostatistics and Occupational Health, McGill University, Purvis Hall, 1020 Pine Ave. West, Montreal, Quebec, H3A 1A2, Canada; St. Mary's Research Centre, 3830 Lacombe Ave., Montreal, Quebec, H3T 1M5, Canada. Electronic address: jane.mccusker@mcgill.ca. 2. St. Mary's Research Centre, 3830 Lacombe Ave., Montreal, Quebec, H3T 1M5, Canada; Department of Family Medicine, McGill University, 5858, chemin de la Côte-des-Neiges, 3rd floor, Montreal, Quebec, H3S 1Z1, Canada. Electronic address: jeannie.haggerty@mcgill.ca. 3. St. Mary's Research Centre, 3830 Lacombe Ave., Montreal, Quebec, H3T 1M5, Canada. Electronic address: manon.deraad@ssss.gouv.qc.ca. 4. St. Mary's Research Centre, 3830 Lacombe Ave., Montreal, Quebec, H3T 1M5, Canada. Electronic address: eric.belzile@ssss.gouv.qc.ca. 5. St. Mary's Research Centre, 3830 Lacombe Ave., Montreal, Quebec, H3T 1M5, Canada. Electronic address: fatima.bouharaoui.chsm@ssss.gouv.qc.ca. 6. St. Mary's Research Centre, 3830 Lacombe Ave., Montreal, Quebec, H3T 1M5, Canada. Electronic address: christine.beaulieu@ssss.gouv.qc.ca. 7. St. Mary's Research Centre, 3830 Lacombe Ave., Montreal, Quebec, H3T 1M5, Canada; Department of Family Medicine, McGill University, 5858, chemin de la Côte-des-Neiges, 3rd floor, Montreal, Quebec, H3S 1Z1, Canada; Family Medicine Centre, St. Mary's Hospital Center, 3830 Lacombe Ave., Montreal, Quebec, H3T 1M5, Canada. Electronic address: mark.yaffe@mcgill.ca. 8. Department of Epidemiology, Biostatistics and Occupational Health, McGill University, Purvis Hall, 1020 Pine Ave. West, Montreal, Quebec, H3A 1A2, Canada; St. Mary's Research Centre, 3830 Lacombe Ave., Montreal, Quebec, H3T 1M5, Canada. Electronic address: antonio.ciampi@mcgill.ca.
Abstract
OBJECTIVES: To validate 2 new patient-reported measures of self-management support from health professionals for mood and emotional problems. METHODS: The sample comprised primary care patients with chronic physical conditions and co-morbid depressive symptoms enrolled in a randomized trial oftelephone coaching of a depression self-care intervention (n=120). At 6-month follow-up, patients completed 2 subscales with respect to support for self-management of their chronic physical condition(s): 1) Self-Management Information (SMInfo-Phys); and 2) Care Plan (CP-Phys) and equivalent subscales adapted to assess self-management support for mood and emotional problems: SMInfo-Mood and CP-Mood. Subscale scoring was assessed with Item Response Theory (IRT) analysis. Convergent validity of the mood subscales was assessed. The sensitivity of the mood and physical condition subscales to mental health interventions was assessed with generalized estimating equations (GEE). RESULTS: The mood subscales were associated with relevant measures of perceived unmet mental health needs. Both SMInfo-Mood and CP-Mood were sensitive to the coaching intervention; CP-Mood was also sensitive to receipt of depression treatment outside the trial. CONCLUSION: This study provides preliminary evidence for the validity of the 2 new subscales. PRACTICE IMPLICATIONS: The subscales may be used to assess perceived health professional support for self-management of mood and emotional problems.
RCT Entities:
OBJECTIVES: To validate 2 new patient-reported measures of self-management support from health professionals for mood and emotional problems. METHODS: The sample comprised primary care patients with chronic physical conditions and co-morbid depressive symptoms enrolled in a randomized trial of telephone coaching of a depression self-care intervention (n=120). At 6-month follow-up, patients completed 2 subscales with respect to support for self-management of their chronic physical condition(s): 1) Self-Management Information (SMInfo-Phys); and 2) Care Plan (CP-Phys) and equivalent subscales adapted to assess self-management support for mood and emotional problems: SMInfo-Mood and CP-Mood. Subscale scoring was assessed with Item Response Theory (IRT) analysis. Convergent validity of the mood subscales was assessed. The sensitivity of the mood and physical condition subscales to mental health interventions was assessed with generalized estimating equations (GEE). RESULTS: The mood subscales were associated with relevant measures of perceived unmet mental health needs. Both SMInfo-Mood and CP-Mood were sensitive to the coaching intervention; CP-Mood was also sensitive to receipt of depression treatment outside the trial. CONCLUSION: This study provides preliminary evidence for the validity of the 2 new subscales. PRACTICE IMPLICATIONS: The subscales may be used to assess perceived health professional support for self-management of mood and emotional problems.