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interRAI Quality of Life for Mental Health and Addictions: Psychometric Properties and Differences Across Age,
Alice Hirdes1, Wagner de Lara Machado2, Priscila Carvalho Fogaça3
1Federal University of Rio Grande (FURG), Rio Grande, Brazil.
Objective:
Estimate the psychometric properties of the interRAI Quality of Life for Mental Health and Addictions (interRAI QOL) instrument with users of Psychosocial Care Centers and participants of therapeutic groups in Primary Health Care, exploring age, gender, and service settings differences in quality of life.
Method:
This quantitative study was conducted with 617 users from Psychosocial Care Centers and Primary Care services in two Brazilian states, Rio Grande do Sul and Rondônia. Data collection was carried out using the interRAI QOL. Confirmatory factor analysis and reliability assessment were performed using McDonald's Omega index. Non-parametric tests, including Mann-Whitney and Kruskal-Wallis, were conducted to compare the Quality-of-Life dimensions among participants based on age, gender, and care unit.
Results:
The confirmatory factor analysis indicated a good fit for the hypothesized model (CFI = 0.97, RMSEA = 0.08). Reliability was adequate for all subscales according to McDonald's Omega, ranging from 0.71 to 0.88. Gender differences were observed in the well-being and health dimensions, while all dimensions except support showed significant differences based on age group. The care unit location also revealed significant differences across all dimensions. Participants from Psychosocial Care Center Alcohol and Drugs and from Primary Health Care show better QOL profiles than in other settings and regions.
Conclusion:
The interRAI QOL demonstrated adequate psychometric properties and proved to be a valuable new instrument for assessing quality of life among individuals receiving care in the psychosocial care network.
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