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Improvement of the EHIS Mental Health Module

Suggested Instruments. Improvement of the EHIS Mental Health Module. Mental Health Experts: Ulfert Hapke, Markus Busch, (RKI, Germany) Carlos Garcia Forero ( Institut Municipal d'Investigació Mèdica, IMIM-IMAS, Spain )

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Improvement of the EHIS Mental Health Module

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  1. Suggested Instruments Improvement of the EHIS Mental Health Module Mental Health Experts: Ulfert Hapke, Markus Busch, (RKI, Germany) Carlos Garcia Forero (Institut Municipal d'Investigació Mèdica, IMIM-IMAS, Spain) Maris Taube (Centre of Health Economics, Public Health Agency of Latvia) Study co-worker: Jonas Finger and Claudia Santos-Hövener PI: Cornelia Lange

  2. Requirements of Modules under Revision • Applicable to the framework of the General Health Interview Survey • Time limitation to approximately 5 minutes • Validated for use in epidemiological studies • Feasible for lay interviewers • Producing comparable indicators across the EU countries • Applicable to different modes of data collection

  3. Suggestions by RKI Generic measures: • Psychological distress, Mental Health Inventory (MHI-5) from SF-36 • Psychological wellbeing, Energy and Vitality Index (EVI) from SF-36 Specific measures: • Brief Patient Health Questionnaire, Depression Module (PHQ-9) • Brief Patient Health Questionnaire, Anxiety 5-item Panic Module • Memory Impairment Screen Associated measures: • Social support (Oslo) 3-item scale

  4. Mental Health Inventory and Energy and Vitality Index

  5. Mental Health Inventory (MHI-5) and Energy and Vitality Index (EVI) (2)

  6. Role-emotional Functioning

  7. Brief Patient Health Questionnaire Depression Module (PHQ-9)

  8. Brief Patient Health Questionnaire Anxiety 5-item panic module

  9. Growth in numbers of people with dementia Source: World Alzheimer Report 2010

  10. Memory Impairment Screening (MIS)

  11. Social Support (Oslo) Scale

  12. Duration, feasibility, commitment, and response Duration: 3.8 min - 4.1 min Understandable: 100 % Easy to grasp: 83 % Response: 89 % Panic Module 95 % Social Support Scale 97 % MHI-5 98 % PHQ-9 100 % Role-Emotional Functioning 100 % EVI Additional Time for MIS: 1,5 min. (telephone-survey)

  13. Requirements of Modules under Revision Applicable to the framework of the General Health Interview Survey Time limitation to approximately 5 minutes Validated for use in epidemiological studies Feasible for lay interviewers Producing comparable indicators across the EU countries Applicable to different modes of data collection

  14. MHI-5 and EVI How much of the time, during the past 4 weeks…

  15. PHQ-9 Over the last 2 weeks, how often have you been bothered by any of the following problems….

  16. PHQ anxiety 5-item (panic module)

  17. Social Support (Oslo) Scale – the Instrument 1) How many people are so close to you that you can count on them if you have serious personal problems (choose one option)? • None 1 or 2 3-5 More than 5 2) How much concern do people show in what you are doing (choose one option)? • A lot of concern and interest • Some concern and interest • Uncertain • Little concern and interest • No concern and interest 3) How easy is it to get practical help from neighbours if you should need it (choose one option)? • Very easy • Easy • Possible • Difficult • Very difficult

  18. Role-emotional Functioning (REF) During the past 4 weeks, how much of the time have you had any of the following problems with your work or regular daily activities as a result of any emotional problems (such as feeling depressed or anxious)? a) Cut down on the amount of time you spent on work or other activities (RE01) b) Accomplished less than you would like (RE02) c) Did work or other activities less carefully than usual (RE03) Response categories: All of the time, most of the time, some of the time, a little of the time, none of the time

  19. Memory impairment screen Step 1 - Learning: • „I will now give you four words, please repeat these words for me.“ • „I will now give you four categories, please tell me, which of the words I gave you earlier matches the categories.“ • Furniture – Chair • City – London • Animal – Cat • Fruit – Apple Step 2 – Delayed Recall: • Free - „Please tell me the words that you remember….“ • Cued - „There was a furniture/city/animal/fruit…“ Score = (free recall x 2) + (cued recall)

  20. Pre-test of the Mental Health Instrument Proposal

  21. Pre-test of the Mental Health Instrument Proposal (cont.)

  22. Feasibility testing of analysing guidelines for selected instrumentsNon-representative German study sample (N = 1170)

  23. Feasibility testing of analysing guidelines for selected instrumentsNon-representative German study sample (N = 1170)

  24. Feasibility testing of analysing guidelines for selected instrumentsNon-representative German study sample (N = 1170)

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