Reliability of the Brazilian version of the Camberwell Assessment of Needs (CAN) in first-episode psychosis cases in São Paulo, Brazil.
OBJECTIVE
To translate and adapt the Brazilian version of the Camberwell Assessment of Needs schedule for research, and to assess its inter-rater reliability in a sample of first-episode psychosis cases in São Paulo, Brazil.


METHODS
A sub-sample of participants included in a study of first-episode psychosis in São Paulo was assessed utilizing the 22 domains of the Brazilian version of the Camberwell Assessment of Needs. The Camberwell Assessment of Needs was applied, tape-recorded and rated by research assistants. An independent rater gave scores to the same participants, based on the recorded interviews. The kappa coefficient and the intraclass correlation coefficient were used to assess inter-rater reliability.


RESULTS
Fifty-two subjects were included. For seven domains the inter-rater reliability was almost perfect to total (range: 0.81 to 1.0). The domains with the lowest agreement were transport and benefits. The inter-rater reliability for the total number of needs was excellent (ICC = 0.95).


CONCLUSIONS
The inter-rater reliability of the Camberwell Assessment of Needs was similar to what has been found in previous studies. The Camberwell Assessment of Needs showed to be easy to use and reliable with first-episode psychosis individuals. The use of standardized instruments to assess needs of care in Brazil will contribute to the assessment of the effectiveness of treatment and to the planning of individualized care for individuals with mental illnesses.
Schlithler
Ana Cristina Belizia
AC
Department of Psychiatry, Medical School, Universidade de São Paulo (USP), São Paulo (SP), Brazil.
Scazufca
Marcia
M
Busatto
Geraldo
G
Coutinho
Letícia Maria Silva
LM
Menezes
Paulo Rossi
PR
D000293:Adolescent; D000328:Adult; D003466:Cultural Characteristics; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D020380:Needs Assessment; D015588:Observer Variation; D011569:Psychiatric Status Rating Scales; D011618:Psychotic Disorders / Q000175:diagnosis*; D015203:Reproducibility of Results; D011795:Surveys and Questionnaires; D014175:Translating