{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,12]],"date-time":"2026-03-12T10:30:47Z","timestamp":1773311447704,"version":"3.50.1"},"reference-count":39,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2023,8,2]],"date-time":"2023-08-02T00:00:00Z","timestamp":1690934400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J intellect Disabil Res"],"published-print":{"date-parts":[[2023,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The Health of the Nation Outcome Scales for People with Learning Disabilities (HoNOS\u2010LD) is one of the most used outcome measures in learning disability services in the United Kingdom. There is relatively little known of the psychometric properties of the scales.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>A data set of HoNOS\u2010LD scales from 571 people with learning disabilities was randomly split into two halves. Exploratory Mokken analysis was applied to the first dataset, and confirmatory scale factor analysis was applied to the second dataset to test the fit of scale structures.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Two\u2010factor and three\u2010factor solutions were explored in the Mokken analysis, with the three\u2010factor option having somewhat better characteristics. One\u2010factor, three\u2010factor and seven\u2010factor solutions were explored using confirmatory factor analysis; a three\u2010factor solution with items 8, 16, 17 and 18 used separately offers the best characteristics.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The HoNOS\u2010LD is best conceptualised as consisting of three scales, accounting for 14 items that can be labelled as \u2018Cognitive and Physical Functioning\u2019, \u2018Behaviour and Mood Disturbances\u2019 and \u2018Functional Difficulties\u2019.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jir.13070","type":"journal-article","created":{"date-parts":[[2023,8,2]],"date-time":"2023-08-02T11:22:30Z","timestamp":1690975350000},"page":"1113-1123","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["An investigation into the factor structure of the Health of the Nation Outcome Scales for People with Learning Disabilities"],"prefix":"10.1111","volume":"67","author":[{"given":"R.","family":"Hunt","sequence":"first","affiliation":[{"name":"Department of Clinical Psychology Tees, Esk &amp; Wear Valley NHS Foundation Trust  Darlington UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"D.","family":"Dagnan","sequence":"additional","affiliation":[{"name":"Community Learning Disability Services Cumbria, Northumberland Tyne &amp; Wear NHS Foundation Trust and University of Cumbria  Workington UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S.","family":"Muncer","sequence":"additional","affiliation":[{"name":"Department of Psychology Durham University  Durham UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"L.","family":"Copping","sequence":"additional","affiliation":[{"name":"Department of Psychology Teesside University  Middlesbrough UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2023,8,2]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.22237\/jmasm\/1272687000"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1037\/0033-2909.107.2.238"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.174.5.424"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.22237\/jmasm\/1430453580"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1108\/AMHID-10-2019-0030"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF02310555"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1192\/apt.bp.110.008029"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1080\/14789940701492279"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00038-012-0416-3"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.rpsm.2016.11.002"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1080\/096020199389338"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.174.5.428"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2017-021177"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1177\/014662169501900404"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1192\/pb.bp.108.024323"},{"key":"e_1_2_10_17_1","first-page":"53","article-title":"Model fit","volume":"6","author":"Hooper D.","year":"2008","journal-title":"Electronic Journal of Business Research Methods"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.3758\/s13428-015-0619-7"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.1037\/h0055827"},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.1515\/9783110813203"},{"key":"e_1_2_10_21_1","doi-asserted-by":"publisher","DOI":"10.1177\/1039856216647254"},{"key":"e_1_2_10_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.paid.2016.01.051"},{"key":"e_1_2_10_23_1","unstructured":"NHS England(2017).Transforming care model service specifications: supporting implementation of the service models. 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