An Investigtion into the factor structure of the HoNOS-LD
Research type
Research Study
Full title
Investigation into the structure of the Health of the Nations Outcome Scale for Learning Disabilities (HoNOS-LD)
IRAS ID
250948
Contact name
Lee Copping
Contact email
Sponsor organisation
Teesside University School of Social Sciences
Duration of Study in the UK
0 years, 9 months, 1 days
Research summary
In light of both the drive for brief and cost-effective interventions in mental health services, and the increased evidence-base showing the benefits of routine outcome monitoring on service user satisfaction and therapeutic alliance, mental health and learning disability services have shown more interest in routinely using both clinician- and patient-rated outcome measures as a means of providing a more objective measure of wellbeing, as well as a means by which to mathematically demonstrate changes following therapeutic input. Whilst a wide variety of measures have been developed and adopted by different services, one of the most popular measures used in NHS Trusts across the country is the Health of the Nations Outcome Scale (HoNOS). Whilst this measure has a significant amount of research investigating its psychometric properties, literature has highlighted inconsistencies in the factor structure of the HoNOS across different samples. Whilst the measure has been adapted for use within different clinical populations, the research base for the psychometric properties of these adaptations varies greatly.
The purpose of this study is to investigate the underlying factor structure of the adaptation of the measure for individuals with learning disabilities (HoNOS-LD), considering both the adapted measure's relationship with the original HoNOS, but also considering its sensitivity to change in clinical populations.
It will also aim to test whether the psychometric properties observed in previous research are consistent within a larger clinical sample. This research aims to inform the use of the measure going forward, and to provide more meaningful clinical data to clinicians, and subsequently improve the care of individuals with learning disabilities in NHS services.
REC name
East of England - Cambridge South Research Ethics Committee
REC reference
19/EE/0148
Date of REC Opinion
9 Apr 2019
REC opinion
Favourable Opinion