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Mental health in primary care: an evaluation using the Item Response Theory
OBJECTIVE: To determine the items of the Brazilian National Program for Improving Access and Quality of Primary Care that better evaluate the capacity to provide mental health care. METHODS: This is a cross-sectional study carried out using the Graded Response Model of the Item Response Theory using...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Faculdade de Saúde Pública da Universidade de São Paulo
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5825122/ https://www.ncbi.nlm.nih.gov/pubmed/29489992 http://dx.doi.org/10.11606/S1518-8787.2018052000051 |
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author | da Rocha, Hugo André dos Santos, Alaneir de Fátima Reis, Ilka Afonso Santos, Marcos Antônio da Cunha Cherchiglia, Mariângela Leal |
author_facet | da Rocha, Hugo André dos Santos, Alaneir de Fátima Reis, Ilka Afonso Santos, Marcos Antônio da Cunha Cherchiglia, Mariângela Leal |
author_sort | da Rocha, Hugo André |
collection | PubMed |
description | OBJECTIVE: To determine the items of the Brazilian National Program for Improving Access and Quality of Primary Care that better evaluate the capacity to provide mental health care. METHODS: This is a cross-sectional study carried out using the Graded Response Model of the Item Response Theory using secondary data from the second cycle of the National Program for Improving Access and Quality of Primary Care, which evaluates 30,523 primary care teams in the period from 2013 to 2014 in Brazil. The internal consistency, correlation between items, and correlation between items and the total score were tested using the Cronbach’s alpha, Spearman’s correlation, and point biserial coefficients, respectively. The assumptions of unidimensionality and local independence of the items were tested. Word clouds were used as one way to present the results. RESULTS: The items with the greatest ability to discriminate were scheduling of the agenda according to risk stratification, keeping of records of the most serious cases of users in psychological distress, and provision of group care. The items that required a higher level of mental health care in the parameter of location were the provision of any type of group care and the provision of educational and mental health promotion activities. Total Cronbach’s alpha coefficient was 0.87. The items that obtained the highest correlation with total score were the recording of the most serious cases of users in psychological distress and scheduling of the agenda according to risk stratification. The final scores obtained oscillated between -2.07 (minimum) and 1.95 (maximum). CONCLUSIONS: There are important aspects in the discrimination of the capacity to provide mental health care by primary health care teams: risk stratification for care management, follow-up of the most serious cases, group care, and preventive and health promotion actions. |
format | Online Article Text |
id | pubmed-5825122 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Faculdade de Saúde Pública da Universidade de São Paulo |
record_format | MEDLINE/PubMed |
spelling | pubmed-58251222018-02-26 Mental health in primary care: an evaluation using the Item Response Theory da Rocha, Hugo André dos Santos, Alaneir de Fátima Reis, Ilka Afonso Santos, Marcos Antônio da Cunha Cherchiglia, Mariângela Leal Rev Saude Publica Original Article OBJECTIVE: To determine the items of the Brazilian National Program for Improving Access and Quality of Primary Care that better evaluate the capacity to provide mental health care. METHODS: This is a cross-sectional study carried out using the Graded Response Model of the Item Response Theory using secondary data from the second cycle of the National Program for Improving Access and Quality of Primary Care, which evaluates 30,523 primary care teams in the period from 2013 to 2014 in Brazil. The internal consistency, correlation between items, and correlation between items and the total score were tested using the Cronbach’s alpha, Spearman’s correlation, and point biserial coefficients, respectively. The assumptions of unidimensionality and local independence of the items were tested. Word clouds were used as one way to present the results. RESULTS: The items with the greatest ability to discriminate were scheduling of the agenda according to risk stratification, keeping of records of the most serious cases of users in psychological distress, and provision of group care. The items that required a higher level of mental health care in the parameter of location were the provision of any type of group care and the provision of educational and mental health promotion activities. Total Cronbach’s alpha coefficient was 0.87. The items that obtained the highest correlation with total score were the recording of the most serious cases of users in psychological distress and scheduling of the agenda according to risk stratification. The final scores obtained oscillated between -2.07 (minimum) and 1.95 (maximum). CONCLUSIONS: There are important aspects in the discrimination of the capacity to provide mental health care by primary health care teams: risk stratification for care management, follow-up of the most serious cases, group care, and preventive and health promotion actions. Faculdade de Saúde Pública da Universidade de São Paulo 2018-02-07 /pmc/articles/PMC5825122/ /pubmed/29489992 http://dx.doi.org/10.11606/S1518-8787.2018052000051 Text en https://creativecommons.org/licenses/by/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Article da Rocha, Hugo André dos Santos, Alaneir de Fátima Reis, Ilka Afonso Santos, Marcos Antônio da Cunha Cherchiglia, Mariângela Leal Mental health in primary care: an evaluation using the Item Response Theory |
title | Mental health in primary care: an evaluation using the Item Response Theory |
title_full | Mental health in primary care: an evaluation using the Item Response Theory |
title_fullStr | Mental health in primary care: an evaluation using the Item Response Theory |
title_full_unstemmed | Mental health in primary care: an evaluation using the Item Response Theory |
title_short | Mental health in primary care: an evaluation using the Item Response Theory |
title_sort | mental health in primary care: an evaluation using the item response theory |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5825122/ https://www.ncbi.nlm.nih.gov/pubmed/29489992 http://dx.doi.org/10.11606/S1518-8787.2018052000051 |
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