Mental health in primary care: an evaluation using the Item Response Theory

Authors

  • Hugo André da Rocha Universidade Federal de Minas Gerais. Faculdade de Medicina. Programa de Pós-Graduação em Saúde Pública
  • Alaneir de Fátima dos Santos Universidade Federal de Minas Gerais. Faculdade de Medicina. Departamento de Medicina Preventiva e Social.
  • Ilka Afonso Reis Universidade Federal de Minas Gerais. Instituto de Ciências Exatas. Departamento de Estatística
  • Marcos Antônio da Cunha Santos Universidade Federal de Minas Gerais. Instituto de Ciências Exatas. Departamento de Estatística
  • Mariângela Leal Cherchiglia Universidade Federal de Minas Gerais. Faculdade de Medicina. Departamento de Medicina Preventiva e Social

DOI:

https://doi.org/10.11606/S1518-8787.2018052000051

Keywords:

Mental Health Services, organization & administration. Primary Health Care. Patients, classification. Health Services Research.

Abstract

OBJECTIVE: To determine the items of the Brazilian National Program for Improving Access and Quality of Primary Care that better evaluate the capacity to provide mental health care. METHODS: This is a cross-sectional study carried out using the Graded Response Model of the Item Response Theory using secondary data from the second cycle of the National Program for Improving Access and Quality of Primary Care, which evaluates 30,523 primary care teams in the period from 2013 to 2014 in Brazil. The internal consistency, correlation between items, and correlation between items and the total score were tested using the Cronbach’s alpha, Spearman’s correlation, and point biserial coefficients, respectively. The assumptions of unidimensionality and local independence of the items were tested. Word clouds were used as one way to present the results. RESULTS: The items with the greatest ability to discriminate were scheduling of the agenda according to risk stratification, keeping of records of the most serious cases of users in psychological distress, and provision of group care. The items that required a higher level of mental health care in the parameter of location were the provision of any type of group care and the provision of educational and mental health promotion activities. Total Cronbach’s alpha coefficient was 0.87. The items that obtained the highest correlation with total score were the recording of the most serious cases of users in psychological distress and scheduling of the agenda according to risk stratification. The final scores obtained oscillated between -2.07 (minimum) and 1.95 (maximum). CONCLUSIONS: There are important aspects in the discrimination of the capacity to provide mental health care by primary health care teams: risk stratification for care management, follow-up of the most serious cases, group care, and preventive and health promotion actions.

Published

2018-02-26

How to Cite

Rocha, H. A. da, Santos, A. de F. dos, Reis, I. A., Santos, M. A. da C., & Cherchiglia, M. L. (2018). Mental health in primary care: an evaluation using the Item Response Theory. Revista De Saúde Pública, 52, 17. https://doi.org/10.11606/S1518-8787.2018052000051

Issue

Section

Original Articles