Mental health in primary care: an evaluation using the item response theory
Autor(a) principal: | |
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Data de Publicação: | 2018 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UFMG |
Texto Completo: | http://hdl.handle.net/1843/60721 |
Resumo: | 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. |
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2023-11-09T19:30:20Z2023-11-09T19:30:20Z2018521711110.11606/S1518-8787.201805200005115188787http://hdl.handle.net/1843/60721OBJECTIVE: 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.engUniversidade Federal de Minas GeraisUFMGBrasilICX - DEPARTAMENTO DE ESTATÍSTICARevista de Saúde PúblicaMental Health ServicesPrimary Health CareHealth Services ResearchMental Health Services Mental Health Services, organization & administrationPrimary Health CarePatients, classificationHealth Services ResearchMental health in primary care: an evaluation using the item response theoryinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlehttps://doi.org/10.11606/S1518-8787.2018052000051Hugo André da RochaAlaneir de Fátima Dos SantosIlka Afonso ReisMarcos Antônio da Cunha SantosMariângela Leal Cherchigliaapplication/pdfinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UFMGinstname:Universidade Federal de Minas Gerais (UFMG)instacron:UFMGLICENSELicense.txtLicense.txttext/plain; charset=utf-82042https://repositorio.ufmg.br/bitstream/1843/60721/1/License.txtfa505098d172de0bc8864fc1287ffe22MD51ORIGINALMental health in primary care pdfa.pdfMental health in primary care pdfa.pdfapplication/pdf233757https://repositorio.ufmg.br/bitstream/1843/60721/2/Mental%20health%20in%20primary%20care%20pdfa.pdf32abf864bd4cfd7815defc521919fa2aMD521843/607212023-11-09 18:21:19.725oai:repositorio.ufmg.br:1843/60721Repositório de PublicaçõesPUBhttps://repositorio.ufmg.br/oaiopendoar:2023-11-09T21:21:19Repositório Institucional da UFMG - Universidade Federal de Minas Gerais (UFMG)false |
dc.title.pt_BR.fl_str_mv |
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 |
spellingShingle |
Mental health in primary care: an evaluation using the item response theory Hugo André da Rocha Mental Health Services Mental Health Services, organization & administration Primary Health Care Patients, classification Health Services Research Mental Health Services Primary Health Care Health Services Research |
title_short |
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_sort |
Mental health in primary care: an evaluation using the item response theory |
author |
Hugo André da Rocha |
author_facet |
Hugo André da Rocha Alaneir de Fátima Dos Santos Ilka Afonso Reis Marcos Antônio da Cunha Santos Mariângela Leal Cherchiglia |
author_role |
author |
author2 |
Alaneir de Fátima Dos Santos Ilka Afonso Reis Marcos Antônio da Cunha Santos Mariângela Leal Cherchiglia |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Hugo André da Rocha Alaneir de Fátima Dos Santos Ilka Afonso Reis Marcos Antônio da Cunha Santos Mariângela Leal Cherchiglia |
dc.subject.por.fl_str_mv |
Mental Health Services Mental Health Services, organization & administration Primary Health Care Patients, classification Health Services Research |
topic |
Mental Health Services Mental Health Services, organization & administration Primary Health Care Patients, classification Health Services Research Mental Health Services Primary Health Care Health Services Research |
dc.subject.other.pt_BR.fl_str_mv |
Mental Health Services Primary Health Care Health Services Research |
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. |
publishDate |
2018 |
dc.date.issued.fl_str_mv |
2018 |
dc.date.accessioned.fl_str_mv |
2023-11-09T19:30:20Z |
dc.date.available.fl_str_mv |
2023-11-09T19:30:20Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
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info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://hdl.handle.net/1843/60721 |
dc.identifier.doi.pt_BR.fl_str_mv |
10.11606/S1518-8787.2018052000051 |
dc.identifier.issn.pt_BR.fl_str_mv |
15188787 |
identifier_str_mv |
10.11606/S1518-8787.2018052000051 15188787 |
url |
http://hdl.handle.net/1843/60721 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.ispartof.none.fl_str_mv |
Revista de Saúde Pública |
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info:eu-repo/semantics/openAccess |
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openAccess |
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application/pdf |
dc.publisher.none.fl_str_mv |
Universidade Federal de Minas Gerais |
dc.publisher.initials.fl_str_mv |
UFMG |
dc.publisher.country.fl_str_mv |
Brasil |
dc.publisher.department.fl_str_mv |
ICX - DEPARTAMENTO DE ESTATÍSTICA |
publisher.none.fl_str_mv |
Universidade Federal de Minas Gerais |
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