The quality of mental health literacy measurement tools evaluating the stigma of mental illness: a systematic review

Aims.Stigma of mental illness is a significant barrier to receiving mental health care. However, measurement tools evaluating stigma of mental illness have not been systematically assessed for their quality. We conducted a systematic review to critically appraise the methodological quality of studies assessing psychometrics of stigma measurement tools and determined the level of evidence of overall quality of psychometric properties of included tools.Methods.We searched PubMed, PsycINFO, EMBASE, CINAHL, the Cochrane Library and ERIC databases for eligible studies. We conducted risk-of-bias analysis with the Consensus-based Standards for the Selection of Health Measurement Instruments checklist, rating studies as excellent, good, fair or poor. We further rated the level of evidence of the overall quality of psychometric properties, combining the study quality and quality of each psychometric property, as: strong, moderate, limited, conflicting or unknown.Results.We identified 117 studies evaluating psychometric properties of 101 tools. The quality of specific studies varied, with ratings of: excellent (n = 5); good (mostly on internal consistency (n = 67)); fair (mostly on structural validity, n = 89 and construct validity, n = 85); and poor (mostly on internal consistency, n = 36). The overall quality of psychometric properties also varied from: strong (mostly content validity, n = 3), moderate (mostly internal consistency, n = 55), limited (mostly structural validity, n = 55 and construct validity, n = 46), conflicting (mostly test–retest reliability, n = 9) and unknown (mostly internal consistency, n = 36).Conclusions.We identified 12 tools demonstrating limited evidence or above for (+, ++, +++) all their properties, 69 tools reaching these levels of evidence for some of their properties, and 20 tools that did not meet the minimum level of evidence for all of their properties. We note that further research on stigma tool development is needed to ensure appropriate application.

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A systematic review of tools designed for teacher proxy-report of children’s physical literacy or constituting elements

International Journal of Behavioral Nutrition and Physical Activity ◽

10.1186/s12966-021-01162-3 ◽

2021 ◽

Vol 18 (1) ◽

Author(s):

Inimfon A. Essiet ◽

Natalie J. Lander ◽

Jo Salmon ◽

Michael J. Duncan ◽

Emma L. J. Eyre ◽

...

Keyword(s):

Systematic Review ◽

Construct Validity ◽

Psychometric Properties ◽

Internal Consistency ◽

Systematic Reviews ◽

Single Domain ◽

Physical Literacy ◽

Structural Validity ◽

Proxy Report

Abstract Background Physical literacy (PL) in childhood is essential for a healthy active lifestyle, with teachers playing a critical role in guiding its development. Teachers can assist children to acquire the skills, confidence, and creativity required to perform diverse movements and physical activities. However, to detect and directly intervene on the aspects of children’s PL that are suboptimal, teachers require valid and reliable measures. This systematic review critically evaluates the psychometric properties of teacher proxy-report instruments for assessing one or more of the 30 elements within the four domains (physical, psychological, cognitive, social) of the Australian Physical Literacy Framework (APLF), in children aged 5–12 years. Secondary aims were to: examine alignment of each measure (and relevant items) with the APLF and provide recommendations for teachers in assessing PL. Methods Seven electronic databases (Academic Search Complete, CINAHL Complete, Education Source, Global Health, MEDLINE Complete, PsycINFO, and SPORTDiscus) were systematically searched originally in October 2019, with an updated search in April 2021. Eligible studies were peer-reviewed English language publications that sampled a population of children with mean age between 5 and 12 years and focused on developing and evaluating at least one psychometric property of a teacher proxy-report instrument for assessing one or more of the 30 APLF elements. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidance was followed for the conduct and reporting of this review. The methodological quality of included studies and quality of psychometric properties of identified tools were evaluated using the COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN) guidance. Alignment of each measure (and relevant items) with the APLF domains and 30 elements was appraised. Results Database searches generated 61,412 citations; reduced to 41 studies that evaluated the psychometric properties of 24 teacher proxy-report tools. Six tools were classified as single domain measures (i.e. assessing a single domain of the APLF), eleven as dual-domain measures, and seven as tri-domain measures. No single tool captured all four domains and 30 elements of the APLF. Tools contained items that aligned with all physical, psychological, and social elements; however, four cognitive elements were not addressed by any measure. No tool was assessed for all nine psychometric properties outlined by COSMIN. Included studies reported a median of 3 out of nine psychometric properties. Most reported psychometric properties were construct validity (n = 32; 78% of studies), structural validity (n = 26; 63% of studies), and internal consistency (n = 25; 61% of studies). There was underreporting of content validity, cross-cultural validity, measurement error, and responsiveness. Psychometric data across tools were mostly indeterminate for construct validity, structural validity, and internal consistency. Conclusions There is limited evidence to fully support the use of a specific teacher proxy-report tool in practice. Further psychometric testing and detailed reporting of methodological aspects in future validity and reliability studies is needed. Tools have been designed to assess some elements of the framework. However, no comprehensive teacher proxy-report tool exists to assess all 30 elements of the APLF, demonstrating the need for a new tool. It is our recommendation that such tools be developed and psychometrically tested. Trial registration This systematic review was registered in the PROSPERO international prospective register of systematic reviews, with registration number CRD42019130936.

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459 - Psychometric properties of the Geriatric Anxiety Inventory : A systematic review

International Psychogeriatrics ◽

10.1017/s1041610220003117 ◽

2020 ◽

Vol 32 (S1) ◽

pp. 180-180

Author(s):

Philippe Landreville ◽

Alexandra Champagne ◽

Patrick Gosselin

Keyword(s):

Systematic Review ◽

Psychometric Properties ◽

Internal Consistency ◽

Methodological Quality ◽

The Body ◽

Self Report ◽

Test Reliability ◽

Cosmin Checklist ◽

Validity Indices

Background.The Geriatric Anxiety Inventory (GAI) is a widely used self-report measure of anxiety symptoms in older adults. Much research has been conducted on the psychometric properties of the GAI in various populations and using different language versions. Previous reviews of this literature have examined only a small proportion of studies in light of the body of research currently available and have not evaluated the methodological quality of this research. We conducted a systematic review of the psychometric properties of the GAI.Method.Relevant studies (N = 30) were retrieved through a search of electronic databases (Pubmed, PsycINFO, CINAHL, EMBASE and Google Scholar) and a hand search. The methodological quality of the included studies was assessed by two independent reviewers using the ‘‘COnsensusbased Standards for the selection of health status Measurement INstruments’’ (COSMIN) checklist.Results.Based on the COSMIN checklist, internal consistency and test reliability were mostly rated as poorly assessed (62.1% and 70% of studies, respectively) and quality of studies examining structural validity was mostly fair (60% of studies). The GAI showed adequate internal consistency and test-retest reliability. Convergent validity indices were highest with measures of generalized anxiety and lowest with instruments that include somatic symptoms. A substantial overlap with measures of depression was reported. While there was no consensus on the factorial structure of the GAI, several studies found it to be unidimensional.Conclusions.The GAI presents satisfactory psychometric properties. However, future efforts should aim to achieve a higher degree of methodological quality.

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Psychometric properties of measures of upper limb activity performance in adults with and without spasticity undergoing neurorehabilitation–A systematic review

PLoS ONE ◽

10.1371/journal.pone.0246288 ◽

2021 ◽

Vol 16 (2) ◽

pp. e0246288

Author(s):

Shannon Pike ◽

Anne Cusick ◽

Kylie Wales ◽

Lisa Cameron ◽

Lynne Turner-Stokes ◽

...

Keyword(s):

Systematic Review ◽

Psychometric Properties ◽

Upper Limb ◽

Methodological Quality ◽

Neurological Impairment ◽

Measurement Quality ◽

Measurement Tools ◽

Limb Spasticity ◽

Psychometric Studies

Introduction This systematic review appraises the measurement quality of tools which assess activity and/or participation in adults with upper limb spasticity arising from neurological impairment, including methodological quality of the psychometric studies. Differences in the measurement quality of the tools for adults with a neurological impairment, but without upper limb spasticity, is also presented. Methods 29 measurement tools identified in a published review were appraised in this systematic review. For each identified tool, we searched 3 databases (Medline, Embase, CINAHL) to identify psychometric studies completed with neurorehabilitation samples. Methodological quality of instrument evaluations was assessed with use of the Consensus-based Standards for the Selection of Health Status Measurement Instruments (COSMIN) checklist. Synthesis of ratings allowed an overall rating of the psychometric evidence for each measurement tool to be calculated. Results 149 articles describing the development or evaluation of psychometric properties of 22 activity and/or participation measurement tools were included. Evidence specific to tool use for adults with spasticity was identified within only 15 of the 149 articles and provided evidence for 9 measurement tools only. Overall, COSMIN appraisal highlighted a lack of evidence of measurement quality. Synthesis of ratings demonstrated all measures had psychometric weaknesses or gaps in evidence (particularly for use of tools with adults with spasticity). Conclusions The systematic search, appraisal and synthesis revealed that currently there is insufficient measurement quality evidence to recommend one tool over another. Notwithstanding this conclusion, newer tools specifically designed for use with people with neurological conditions who have upper limb spasticity, have emergent measurement properties that warrant further research. Systematic review registration PROSPERO CRD42014013190.

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Measuring implementation outcomes: An updated systematic review of measures’ psychometric properties

Implementation Research and Practice ◽

10.1177/2633489520936644 ◽

2020 ◽

Vol 1 ◽

pp. 263348952093664 ◽

Cited By ~ 1

Author(s):

Kayne Mettert ◽

Cara Lewis ◽

Caitlin Dorsey ◽

Heather Halko ◽

Bryan Weiner

Keyword(s):

Systematic Review ◽

Health Care ◽

Psychometric Properties ◽

Behavioral Health ◽

Internal Consistency ◽

Behavioral Health Care ◽

Research And Practice ◽

Implementation Outcomes ◽

New Treatment

Background: Systematic reviews of measures can facilitate advances in implementation research and practice by locating reliable and valid measures and highlighting measurement gaps. Our team completed a systematic review of implementation outcome measures published in 2015 that indicated a severe measurement gap in the field. Now, we offer an update with this enhanced systematic review to identify and evaluate the psychometric properties of measures of eight implementation outcomes used in behavioral health care. Methods: The systematic review methodology is described in detail in a previously published protocol paper and summarized here. The review proceeded in three phases. Phase I, data collection, involved search string generation, title and abstract screening, full text review, construct assignment, and measure forward searches. Phase II, data extraction, involved coding psychometric information. Phase III, data analysis, involved two trained specialists independently rating each measure using PAPERS (Psychometric And Pragmatic Evidence Rating Scales). Results: Searches identified 150 outcomes measures of which 48 were deemed unsuitable for rating and thus excluded, leaving 102 measures for review. We identified measures of acceptability ( N = 32), adoption ( N = 26), appropriateness ( N = 6), cost ( N = 31), feasibility ( N = 18), fidelity ( N = 18), penetration ( N = 23), and sustainability ( N = 14). Information about internal consistency and norms were available for most measures (59%). Information about other psychometric properties was often not available. Ratings for internal consistency and norms ranged from “adequate” to “excellent.” Ratings for other psychometric properties ranged mostly from “poor” to “good.” Conclusion: While measures of implementation outcomes used in behavioral health care (including mental health, substance use, and other addictive behaviors) are unevenly distributed and exhibit mostly unknown psychometric quality, the data reported in this article show an overall improvement in availability of psychometric information. This review identified a few promising measures, but targeted efforts are needed to systematically develop and test measures that are useful for both research and practice. Plain language abstract: When implementing an evidence-based treatment into practice, it is important to assess several outcomes to gauge how effectively it is being implemented. Outcomes such as acceptability, feasibility, and appropriateness may offer insight into why providers do not adopt a new treatment. Similarly, outcomes such as fidelity and penetration may provide important context for why a new treatment did not achieve desired effects. It is important that methods to measure these outcomes are accurate and consistent. Without accurate and consistent measurement, high-quality evaluations cannot be conducted. This systematic review of published studies sought to identify questionnaires (referred to as measures) that ask staff at various levels (e.g., providers, supervisors) questions related to implementation outcomes, and to evaluate the quality of these measures. We identified 150 measures and rated the quality of their evidence with the goal of recommending the best measures for future use. Our findings suggest that a great deal of work is needed to generate evidence for existing measures or build new measures to achieve confidence in our implementation evaluations.

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A Systematic Review of the Psychometric Properties of the Geriatric Anxiety Inventory

Innovation in Aging ◽

10.1093/geroni/igaa057.1185 ◽

2020 ◽

Vol 4 (Supplement_1) ◽

pp. 368-368

Author(s):

Philippe Landreville ◽

Alexandra Champagne ◽

Patrick Gosselin

Keyword(s):

Systematic Review ◽

Psychometric Properties ◽

Internal Consistency ◽

Methodological Quality ◽

Short Form ◽

Self Report ◽

Test Reliability ◽

Cosmin Checklist ◽

Validity Indices

Abstract The Geriatric Anxiety Inventory (GAI) is a widely used self-report measure of anxiety symptoms in older adults. Although much research has been conducted on the psychometric properties of the GAI, previous reviews have examined only a small proportion of studies and have not evaluated the methodological quality of this work. In view of this, we conducted a systematic review of the psychometric properties of the GAI and it’s short form (GAI-SF). Relevant studies (N = 31) were retrieved through a search of electronic databases (Pubmed, PsycINFO, CINAHL, EMBASE and Google Scholar) and a hand search. The methodological quality of the included studies was assessed by two independent reviewers using the ‘‘COnsensus-based Standards for the selection of health status Measurement INstruments’’ (COSMIN) checklist. Based on the COSMIN checklist, internal consistency and test reliability were mostly rated as poorly assessed (63% and 72.7% of studies, respectively) and quality of studies examining structural validity was mostly fair (60% of studies). Both the GAI and GAI-SF showed adequate internal consistency and test-retest reliability. Convergent validity indices were highest with measures of generalized anxiety and lowest with instruments that include somatic symptoms. Substantial overlap with measures of depression was reported. While there is no consensus on the factorial structure of the GAI, the short version was found to be unidimensional. Our review therefore suggests that the GAI and GAI-SF have satisfactory psychometric properties while indicating that future efforts should aim to achieve a higher degree of methodological quality.

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Organization of Community Mental Health Services for Persons with a Severe Mental Illness and Comorbid Somatic Conditions: A Systematic Review on Somatic Outcomes and Health Related Quality of Life

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18020462 ◽

2021 ◽

Vol 18 (2) ◽

pp. 462

Author(s):

Nicolaas Martens ◽

Marianne Destoop ◽

Geert Dom

Keyword(s):

Quality Of Life ◽

Mental Health ◽

Systematic Review ◽

Mental Illness ◽

Community Mental Health ◽

Severe Mental Illness ◽

Health Related Quality ◽

Related Quality ◽

Health Related

It is well established that persons with a severe mental illness (SMI) have a greater risk of physical comorbid conditions and premature mortality. Most studies in the field of community mental health care (CMHC) have only focused on improving cardiovascular health in people with a SMI using lifestyle approaches. Studies using organizational modifications are rather scarce. This systematic review aimed to synthesize and describe possible organizational strategies to improve physical health for persons with a SMI in CMHC. The primary outcome was Health-related Quality of Life (HR-QOL). Results suggested modest effects on quality of life and were inconsistent throughout all the included studies. Despite these findings, it appears that a more integrated approach had a positive effect on health outcomes, patient satisfaction and HR-QOL. The complexity of the processes involved in community care delivery makes it difficult to compare different models and organizational approaches. Mental health nurses were identified as possible key professionals in care organization, but no clear description of their role was found. This review could provide new insights into contributing factors for integrated care. Future research targeting the identification of the nurses’ role and facilitating factors in integrated care, in order to improve treatment and follow-up of somatic comorbidities, is recommended.

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Psychometric Properties of The Mental Health Continuum-Short Form (MHC- SF) In Iranian Adolescents

10.21203/rs.3.rs-1236021/v1 ◽

2022 ◽

Author(s):

Majid Yousefi Afrashteh

Keyword(s):

Mental Health ◽

Construct Validity ◽

Psychometric Properties ◽

Measurement Invariance ◽

Factor Structure ◽

Internal Consistency ◽

Short Form ◽

Well Being ◽

Psychological Research ◽

Convenience Sample

Abstract Background: Psychological tests are necessary to assess and assess the mental state of individuals. Mental health is one of the important psychological indicators and is increasingly considered as having various aspects of well-being. The Mental Health Continuum-Short Form (MHC-SF) is a 14-item instrument that assesses mental health, focusing on emotional, psychological, and social well-being. The present study examined the psychometric properties of the Persian version of the MHC-SF among adolescents, focusing on its factor structure, internal consistency, construct validity, and gender measurement invariance.Methods: The population of this study was Iranian adolescents between 11 and 18 years old who were enrolled in the seventh to twelfth grades. A convenience sample of 822 Adolescents from four large cities in the Iran (Tehran, Zanjan, Hamedan and Ghazvin) participated in the present study. Questionnaires were completed online. Statistical analyses to evaluate the factor structure, internal consistency, construct validity, gender and age factorial invariance were performed in SPSS and LISREL.Results: The results of confirmatory factor analysis supported the 3-factor structure of MHC-SF (emotional, psychological, and social well-being). Reliability was confirmed by Cronbach's alpha method and composite reliability (>.7). Measurement invariance were confirmed among girls and boys. Convergent and divergent validity were also evaluated and confirmed by correlating the test score with similar and different tests.Conclusion: This study examined and confirmed the psychometric properties of GHQ in the Iranian adolescent community. This instrument can be used in psychological research and diagnostic evaluations.

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Quality of life of children and adolescents with visual impairment

British Journal of Visual Impairment ◽

10.1177/0264619617737123 ◽

2018 ◽

Vol 36 (1) ◽

pp. 42-56 ◽

Cited By ~ 1

Author(s):

Olivete Oliveira ◽

Célia Ribeiro ◽

Cristina Simões ◽

Paulo Pereira

Keyword(s):

Quality Of Life ◽

Construct Validity ◽

Visual Impairment ◽

Conceptual Framework ◽

Psychometric Properties ◽

Children And Adolescents ◽

Internal Consistency ◽

Low Vision ◽

The Mean

The conceptual framework of quality of life (QOL) have received considerable attention within students with visual impairment. The main purpose of this study was to analyse the QOL of children and adolescents with low vision and blindness. Data were collected from 18 children and adolescents, and respective parents ( n = 18). QOL was assessed by the KIDSCREEN 52 questionnaire. Cronbach’s alpha and correlations were calculated to examine the psychometric properties of the scale in the visual impairment field. The scale showed suitable internal consistency and construct validity. The findings highlighted that the mean scores were higher in participants with low vision, in male group, and in children. Furthermore, children and adolescents reported higher scores regarding their QOL than their parents. The results emphasized the importance of collecting information from the person about his or her own life to know the personal outcomes, as well as the perception of their parents.

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The Impact of Leishmaniasis on Mental Health and Psychosocial Well-being: A Systematic Review

10.1101/637132 ◽

2019 ◽

Author(s):

Malini Pires ◽

Barry Wright ◽

Paul M. Kaye ◽

Virgínia Conceição ◽

Rachel C. Churchill

Keyword(s):

Quality Of Life ◽

Mental Health ◽

Systematic Review ◽

Mental Illness ◽

Cutaneous Leishmaniasis ◽

Parasitic Disease ◽

Quality Appraisal ◽

Kala Azar ◽

The Impact

ABSTRACTBackgroundLeishmaniasis is a neglected tropical parasitic disease endemic in South Asia, East Africa, South America and the Middle East. It is associated with low socioeconomic status (SES) and responsible for considerable mortality and morbidity. Reports suggest that patients with leishmaniasis may have a higher risk of mental illness (MI), psychosocial morbidity (PM) and reduced quality of life (QoL), but this is not well characterised. The aim of this study was to conduct a systematic review to assess the reported impact of leishmaniasis on mental health and psychosocial wellbeing.MethodsA systematic review of the literature was carried out. Pre-specified criteria were applied to identify publications including observational quantitative studies or systematic reviews. Two reviewers screened all of the titles, abstracts and full-studies and a third reviewer was consulted for disagreements. Data was extracted from papers meeting the criteria and quality appraisal of the methods was performed using the Newcastle-Ottowa Scale or the Risk of Bias in Systematic Review tool.ResultsA total of 14 studies were identified from 12,517 records. Nine cross-sectional, three case-control, one cohort study and one systematic review were included. Eleven assessed MI outcomes and were measured with tools specifically designed for this; nine measured PM and 12 measured QoL using validated measurement tools. Quality appraisal of the studies showed that six were of good quality. Cutaneous leishmaniasis and post kala-azar dermal leishmaniasis showed evidence of associated MI and PM including depression, anxiety and stigma, while all forms of disease showed decreased QoL. The findings were used to inform a proposed model and conceptual framework to show the possible links between leishmaniasis and mental health outcomes.ConclusionThere is evidence that leishmaniasis has an impact on MI, PM or QoL of patients and their families and this occurs in all the main subtypes of the disease. There are however large gaps in the evidence. Further research is required to understand the full extent of this problem and its mechanistic basis.AUTHOR SUMMARYLeishmaniasis is a parasitic disease prevalent in many low-and middle-income countries worldwide. In this study the authors looked for evidence as to whether leishmaniasis affected the mental health and quality of life of patients. To conduct the review, a wide search of the literature was conducted, where a total of 14 full articles were included and analysed. It was found that different forms of leishmaniasis (visceral leishmaniasis, cutaneous leishmaniasis and post kala-azar dermal leishmaniasis) do cause a significant impact on patients’ mental health and quality of life through societal factors such as stigma, lack of knowledge, culture and low self-esteem among others. However, no evidence of biological mechanisms was found linking leishmaniasis to mental illness or decreased quality of life. Despite being a very incapacitating disease physically, leishmaniasis also leads to mental illness and decreased quality of life, and should therefore be a priority on the global health agenda for both researchers and policy makers.

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P487 Development and validation of a new patient-reported outcome measure for Crohn’s perianal fistula: Crohn’s anal fistula quality-of-life (CAF-QoL) scale

Journal of Crohn s and Colitis ◽

10.1093/ecco-jcc/jjz203.616 ◽

2020 ◽

Vol 14 (Supplement_1) ◽

pp. S428-S428

Author(s):

S Adegbola ◽

L Dibley ◽

K Sahnan ◽

P Tozer ◽

T Wade ◽

...

Keyword(s):

Quality Of Life ◽

Systematic Review ◽

Construct Validity ◽

Anal Fistula ◽

Internal Consistency ◽

Perianal Fistula ◽

Specific Patient ◽

Perianal Fistulas ◽

Patient Reported

Abstract Background Crohn’s perianal fistulas are challenging for patients and clinicians. Many do not respond to available treatments, and despite recommendations by a recent global consensus, there are currently no specific patient-derived quality of life (QoL) tools to measure outcomes including response to treatment, in patients with Crohn’s perianal fistulas. Exploratory qualitative work has demonstrated that Crohn’s perianal fistulas reduce QoL far beyond restricting daily and sexual activities, and a patient-centred, patient-derived tool is needed. We present a patient-reported outcomes measure (PROM) for this complicated disease phenotype. Methods A 35 item draft questionnaire was generated using information from: (a) unstructured qualitative patient interviews, exploring the experience of living with Crohn’s perianal fistulas; (b) a consensus exercise analysing outcomes from a systematic review of studies assessing medical, surgical and combined (medical/surgical) treatment of Crohn’s perianal fistula; and (c) a patient and public involvement meeting. Psychometric properties were assessed including construct validity (by comparison with the Hospital Anxiety and Depression Scale, HADS and the United Kingdom version of the Inflammatory Bowel Disease Questionnaire, UK-IBDQ), and reliability and responsiveness assessed by test-retest analysis. Results Data from 211 patients contributed to the development of the CAF-QoL scale, following the collation of items including patient experience interviews, a systematic review and a consensus exercise involving 187 stakeholders (patients, gastroenterologists, surgeons, IBD specialist nurses, radiologists). Internal consistency was good with Cronbach’s α of 0.88. Analysis aided reduction of the questionnaire to 26 items that demonstrated good internal consistency, good stability (intra-class correlation 0.98) and good construct validity and responsiveness with positive correlation with the UK IBDQ and HADS. Conclusion A disease-specific PROM to assess clinical outcome (i.e. QoL) as baseline and following interventions in patients with Crohn’s anal fistula—the CAF-QoL—is ready for use. Translation and cross-cultural validation will aid wider international dissemination.

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