Psychometric evaluation of the Spanish version of CONNECT: A measure of continuity of care in mental health services

Ligia M. Chavez, G. Canino, P. E. Shrout, C. Barrio, N. C. Ware

Research output: Contribution to journalArticlepeer-review


This article provides the results of the psychometric testing of the Spanish version of CONNECT(-S), a measure of continuity of care in mental health services. CONNECT-S is a multidimensional measure designed for use with seriously mentally ill respondents. Consisting of 12 scales and one single-item indicator, it addresses qualities of interaction in current relationships between mental health service providers and consumers in five conceptual domains: (1) practitioner knowledge of their clients, (2) creating flexibility, (3) practitioner availability, (4) practitioner co-ordination, and (5) smoothing transitions. One-hundred-and-fifty participants took part in the study. Participants were recruited from mental health outpatient clinics in both the Puerto Rican (n = 109) and the San Antonio (n = 41) samples. Internal consistency for scales in a combined site estimate ranged from 0.68 to 0.96. Test-retest reliability ranged from fair to substantial in all but one scale. Concurrent validity hypotheses based on a priori predictions were mostly supported. The Spanish translation and adaptation of CONNECT-S provided sound psychometric results across both sites. CONNECT-S addresses the gap in measurement of continuity of care for the two largest US Latino subgroups, Mexican Americans and Puerto Ricans; and provides an encouraging starting point for a measure that is both relevant and culturally sensitive.

Original languageEnglish (US)
Pages (from-to)23-33
Number of pages11
JournalInternational Journal of Methods in Psychiatric Research
Issue number1
StatePublished - 2007


  • Continuity of care
  • Culturally sensitive
  • Mental health services
  • Outcome assessment

ASJC Scopus subject areas

  • Psychiatry and Mental health


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