PMID- 24331898
OWN - NLM
STAT- MEDLINE
DCOM- 20140418
LR  - 20220129
IS  - 1873-5347 (Electronic)
IS  - 0277-9536 (Linking)
VI  - 98
DP  - 2013 Dec
TI  - Operationalising the capability approach for outcome measurement in mental health 
      research.
PG  - 187-96
LID - S0277-9536(13)00525-X [pii]
LID - 10.1016/j.socscimed.2013.09.019 [doi]
AB  - Amartya Sen's multidimensional capability approach focuses on the importance of 
      freedoms to be or do things people have reason to value. It is an alternative to 
      standard utilitarian welfarism, the theoretical approach to quality-adjusted life 
      years (QALYs) and cost-utility analyses. Despite the limitations of the utility 
      approach in capturing non-health benefits and broader welfare inequalities, there 
      have been very limited applications of the capability approach in the mental 
      health context where these issues are imperative. We report the development and 
      application of a multidimensional instrument, the OxCAP-MH, which aims to 
      operationalise the capability approach for outcome measurement in mental health 
      research. The study was carried out as part of an ongoing programme on community 
      coercion experienced by service users with severe and enduring mental illness 
      being treated using Community Treatment Orders. Capabilities data were collected 
      at baseline in the OCTET RCT for 333 'revolving door' mental health service users 
      who were in involuntary hospital treatment at the time of recruitment in England 
      (2008-2011). The research focused on the identification of capabilities domains 
      most affected by mental illness and their association with socio-demographic and 
      clinical factors and other measures of well-being such as the EQ-5D and Global 
      Assessment of Functioning (GAF) scales. The OxCAP-MH item response rate was 
      90%-68%. There were significant correlations between service users' overall 
      capability scores and the GAF, EQ-5D VAS and EQ-5D-3L utilities (corr = 0.249, 
      0.514, 0.415, respectively). The most affected capability domains were: 'Daily 
      activities', 'Influencing local decisions', 'Enjoying recreation', 'Planning 
      one's life' and 'Discrimination'. Age had a mixed effect, while female service 
      users and those with a primary diagnosis of schizophrenia or longer illness 
      duration reported significantly lower capability scores. The results support the 
      feasibility and validity of directly measuring human capabilities for the 
      mentally ill and the potential for applying the approach to outcome measurement.
CI  - Copyright (c) 2013 Elsevier Ltd. All rights reserved.
FAU - Simon, Judit
AU  - Simon J
AD  - HERC, Nuffield Department of Population Health, University of Oxford, UK; 
      Department of Health Economics, Centre for Public Health, Medical University of 
      Vienna, Austria. Electronic address: judit.simon@dph.ox.ac.uk.
FAU - Anand, Paul
AU  - Anand P
AD  - Economics Department, The Open University, UK.
FAU - Gray, Alastair
AU  - Gray A
AD  - HERC, Nuffield Department of Population Health, University of Oxford, UK.
FAU - Rugkasa, Jorun
AU  - Rugkasa J
AD  - Department of Psychiatry, University of Oxford, UK; Health Services Research 
      Unit, Akershus University Hospital, Norway.
FAU - Yeeles, Ksenija
AU  - Yeeles K
AD  - Department of Psychiatry, University of Oxford, UK.
FAU - Burns, Tom
AU  - Burns T
AD  - Department of Psychiatry, University of Oxford, UK.
LA  - eng
GR  - RP-PG-0606-1006/DH_/Department of Health/United Kingdom
PT  - Journal Article
PT  - Randomized Controlled Trial
PT  - Research Support, Non-U.S. Gov't
DEP - 20131002
PL  - England
TA  - Soc Sci Med
JT  - Social science & medicine (1982)
JID - 8303205
SB  - IM
MH  - Activities of Daily Living
MH  - Adult
MH  - Aged
MH  - England
MH  - Feasibility Studies
MH  - Female
MH  - *Health Services Research
MH  - Humans
MH  - Male
MH  - Mental Disorders/psychology/*therapy
MH  - *Mental Health Services
MH  - Middle Aged
MH  - Outcome Assessment, Health Care/*methods
MH  - Reproducibility of Results
MH  - *Surveys and Questionnaires
MH  - Young Adult
OTO - NOTNLM
OT  - Capabilities
OT  - Economic evaluation
OT  - England
OT  - Mental health
OT  - Outcome research
OT  - PROM
OT  - Quality-of-Life
OT  - Social functioning
EDAT- 2013/12/18 06:00
MHDA- 2014/04/20 06:00
CRDT- 2013/12/17 06:00
PHST- 2013/01/28 00:00 [received]
PHST- 2013/09/13 00:00 [revised]
PHST- 2013/09/23 00:00 [accepted]
PHST- 2013/12/17 06:00 [entrez]
PHST- 2013/12/18 06:00 [pubmed]
PHST- 2014/04/20 06:00 [medline]
AID - S0277-9536(13)00525-X [pii]
AID - 10.1016/j.socscimed.2013.09.019 [doi]
PST - ppublish
SO  - Soc Sci Med. 2013 Dec;98:187-96. doi: 10.1016/j.socscimed.2013.09.019. Epub 2013 
      Oct 2.