I really liked the look of that "mock up" page.
In the light of feedback so far, Michael and I have suggested a few
changes which should be incorporated in the OHP for the BAC meeting
tomorrow (Janice?!).
We have sorted out the hi/low and pos/neg balancing. All the
symptom and the risk items are now negative in direction (seems
reasonable) and the SWB and the Social/Life items both spilt 50:50
into pos and neg. That makes splitting into the two short forms
easier.
All the SWB items go into both short forms. Half each from the
symptom and social/life items go into each and only the high risk
items go into the short forms so everyone gets:
"plans..."
"have hurt myself..."
and one of:
"physically violent..."
or
"threatened and ..."
That gives 19 items in each short form. Added to that will be an
item tapping direction of change:
"Compared to last week, I have felt"
Scored on a Visual Analogue Scale (Janice, is this something FORMIC
handles, if not, we'll have to work out another system).
To give a nice round 20 in each short form. The last one makes it
easy to do some checking of how the individual items behave against
that overview.
Rating will be on a 5 point scale:
"Not at all",
"Occasionally"
"Sometimes"
"Often"
"All the time"
(I think we still need to think carefully about how well that sits
with each item, I still prefer the anchoring by numbers of days!)
This'll have to do for the BAC meeting overheads for Michael
(Janice!), final version early next week so feedback to the list
please for Monday.
Here's this penultimate list of items:
I have felt overwhelmed by problems
I have felt like crying
I have felt optimistic about my future
I have felt O.K. about myself
I have felt panic or terror
Tension and anxiety have prevented me doing important things
I have felt despairing or hopeless
I haven't had the energy or enthusiasm to do anything
I have been disturbed by unwanted thoughts and feelings
Unwanted images or memories have been distressing me
I have felt tense or anxious (nervous)
I have been unable to put my problems to one side
I have felt unhappy
I have felt I am to blame for my problems and difficulties
I have been troubled by aches, pains or other physical problems
I have difficulty getting to sleep or staying asleep
I have felt terribly alone and isolated
I have felt that I have no friends
I have felt supported by someone close to me
I have felt warmth and affection for someone close to me
I have felt humiliated or shamed by other people
I have felt unable to talk to other people
I have achieved most things I needed to
I have felt able to cope when things go wrong
I have felt irritable when with other people
I have felt criticised by other people
I've been able to do most of what I needed to
I've had some satisfaction from things I've done
I have been physically violent to others
I have threatened or intimidated others
I have hurt myself physically or taken dangerous risks with my health
I have made plans to end my life I have felt like hurting myself I
have thought that things would be better if I were dead
I'll attach the XLS file to another message, thought text might be
safer!
Chris
P.S. to Frank/Graeme -- yes, we got suggested positive items. _MANY_
thanks for all suggested alternatives/positives etc. Sorry if
personal favourites aren't in there at the moment. Still time for a
last bid!
Chris Evans, Senior Lecturer in Psychotherapy,
Locum Consultant to the
Prudence Skynner Family Therapy Clinic,
St. George's Hospital Medical School, London University
C.Evans@sghms.ac.uk http://psyctc.sghms.ac.uk/
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