Validation of the Srithanya stress scale in adolescents

Objective  To  study the validity of Srithanya stress scale and analyze the appropriate cut off scores in adolescents.Material and methods  Purposive samples in judge correction youths were recruited to complete the questionnaire consisted of personal data, ST-5, Hospital-Anxiety-Depression scale (HAD).  Data were collected from May to June 2009.Results  Adequate questionnaires for analysis were 566 copies. An average age was 16.4 yrs (SD = 1.3). Most were boys (74.3%), had academic level at primary school (45.8%).   The concurrent validity of ST-5 was moderately to well correlated to HAD. The cut off scores of ST-5 were 0-4, 5-7 and ≥ 8 for both depressed and stress related cases while  the scores of HAD subscales were different between gender. Conclusion  The ST-5 scores of 4-8 were appropriated to screen stress and depressed related in adolescents and the scores of  HAD were different between gender. Key words  :  adolescent, Srithanya stress scale, validity

Quality culture survey in mental hospital

Objective: To survey the quality culture of Srithanya Hospital prior to the hospital re-accreditation on 29th may 2009. Materials and methods: Subjects were divided into 2 groups. The first group was personnel from all units. They were specific selected by role as a head or a sub-head or an ordinary staff. The second group was members of the leading team. Personnel completed 2 questionnaires, i.e., a safety climate and a quality culture of the organization. The leading team completed only the quality culture of the organization questionnaire. The survey was done during 9-16 April 2009. Descriptive statistics was analysis. The frequency of quality culture of the organization perception between 2 groups was analyzed. The mean scores of safety climate and quality culture of the organization of personnel’s perception according to their role were compared by ANOVA. Results: The highest score of the safety climate of personnel’s perception was on the item of ‘patient’s safety is constantly reinforced as the priority in the unit” (89%). The agreement of quality culture of the organization of both groups were on items of leadership (\> 80%) and on items of sustainable process of quality culture of people and all level of leaders (about 40%). The enthusiasm and system integration items were different between groups ranged from 60-80%. Conclusion: The strength of organization culture of Srithanya Hospital was on the leadership and the opportunity for improvement focused on the system integration, effective ways of communication between teams and all level of leaders should be trained to initiate or create quality by themselves. Personnel were highly aware of the policy of patient’s safety. The guidelines should be revised and consistent monitoring in order to improve the safety culture.

Thailand normative data for the SF-36 health survey: Bangkok metropolitan

Background: The Medical Outcomes Study 36-item Short Form (SF-36) is a widely used measure of health-related quality of life. Normative data are the key to determine whether a group or an individual score above or below the average for their country, age or sex. Published norms for the SF-36 exist for other countries but have not been previously published for Thailand. Methods: The multi-site studies of Thai Quality of Health were the cross- sectional study involving 1,148 randomly selected Thai men and women aged 15 years or more living in Bangkok metropolitan. The information collected included the SF-36, a measure of healthrelated quality of life. These provided a unique opportunity to develop age- and sex-adjusted normative data for the Thai population. Results: Thai women scored substantially higher than men on role physical, bodily pain, role emotional and physical component summary, whereas men scored higher than women on social functioning. Conclusion: The scores of Bangkok people are lower than their US counterparts on all SF-36 domains, although many of the differences were not large. The differences in the SF-36 scores between age groups, sexes and countries confirm that these Thai norms are necessary for comparative purposes. The data will be useful for assessing the health status of the general population and patient populations, and the effect of interventions on health-related quality of life.