scholarly journals Assessing risk of self-harm in acute paediatric settings: a multicentre exploratory evaluation of the CYP-MH SAPhE instrument

BMJ Open ◽  
2021 ◽  
Vol 11 (5) ◽  
pp. e043762
Author(s):  
Joseph C Manning ◽  
Tim Carter ◽  
Gemma Walker ◽  
Jane Coad ◽  
Aimee Aubeeluck
Keyword(s):  
Mental Health ◽  
Psychometric Properties ◽  
Internal Consistency ◽  
Rating Scale ◽  
Assessment Instrument ◽  
Face Validity ◽  
Secondary Outcome ◽  
Delphi Consensus ◽  
Healthcare Environments ◽  
Self Harm

ObjectiveTo psychometrically assess the Children and Young People-Mental Health Self-harm Assessment in Paediatric healthcare Environments (CYP-MH SAPhE) instrument for the identification of immediate risk of self-harm in CYP, aged 10–19 years, in acute paediatric wards or emergency departments.DesignThe CYP-MH SAPhE Instrument was developed through a robust scoping review and Delphi consensus with 30 clinicians/topic experts. To evaluate the psychometric properties, a multicentre exploratory study was conducted.SettingThree acute hospitals in the UK.Participants163 CYP presenting at acute hospital settings with primary mental health (cases) or physical health (non-cases) conditions.Primary and secondary outcome measuresPsychometric properties of the CYP-MH SAPhE instrument were evaluated through Principle Axis Factoring (PAF) with Oblimin (Kaiser normalisation) alongside measures of internal consistency (Cronbach’s α), convergent, discriminant and face validity.ResultsPAF of the dichotomous items (n=9) loaded onto three factors (1) behaviours and intentions; (2) suicidality and (3) self-harm. Factors 1 (Cronbach’s α=0.960) and 3 (Cronbach’s α=1) had high internal consistency. There was: good level of agreement between raters (kappa=0.65); a moderately positive correlation between the CYP-MH SAPhE instrument and the Columbia-Suicide Severity Rating Scale; and discrimination between cases and non-cases across the three factors (factor 1: m=88 vs 70; factor 2: m=102 vs 70; factor 3: m=104 vs 68). Assessment of face validity resulted in six items being removed, culminating in an eight question, rapid assessment instrument.ConclusionsThe results support the CYP-MH SAPhE Tool as a potentially reliable and valid instrument to identify immediate risk of self-harm in CYP presenting to acute paediatric healthcare environments, which is a burgeoning and significant global health issue.

Psychometric Properties of the German Version of the Scale to Assess the Therapeutic Relationship in Community Mental Health Care (D-STAR)

2012 ◽  
Vol 28 (4) ◽  
pp. 255-261 ◽  
Author(s):  
Sabine Loos ◽  
Reinhold Kilian ◽  
Thomas Becker ◽  
Birgit Janssen ◽  
Harald Freyberger ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Community Mental Health ◽  
Mental Health Care ◽  
Psychometric Properties ◽  
Therapeutic Relationship ◽  
Internal Consistency ◽  
Convergent Validity ◽  
Community Mental Health Care ◽  
German Version

Objective: There are presently no instruments available in German language to assess the therapeutic relationship in psychiatric care. This study validates the German version of the Scale to Assess the Therapeutic Relationship in Community Mental Health Care (D-STAR). Method: 460 persons with severe mental illness and 154 clinicians who had participated in a multicenter RCT testing a discharge planning intervention completed the D-STAR. Psychometric properties were established via item analysis, analyses of missing values, internal consistency, and confirmatory factor analysis. Furthermore, convergent validity was scrutinized via calculating correlations of the D-STAR scales with two measures of treatment satisfaction. Results: As in the original English version, fit indices of a 3-factor model of the therapeutic relationship were only moderate. However, the feasibility and internal consistency of the D-STAR was good, and correlations with other measures suggested reasonable convergent validity. Conclusions: The psychometric properties of the D-STAR are acceptable. Its use can be recommended in German-speaking countries to assess the therapeutic relationship in both routine care and research.

scholarly journals Development of a co-produced tool for monitoring and supporting the mental health of young people

BJPsych Open ◽  
2021 ◽  
Vol 7 (S1) ◽  
pp. S267-S267
Author(s):  
Joy MacKeith ◽  
Anna Good ◽  
Sara Burns
Keyword(s):  
Mental Health ◽  
Young People ◽  
Psychometric Properties ◽  
Internal Consistency ◽  
Healthy Lifestyle ◽  
Care Plan ◽  
Medium Effect ◽  
Service Users ◽  
Extensive Experience ◽  
Active Involvement

AimsThe aims were to develop and validate a tool for monitoring and supporting the mental health of young people. Based on extensive experience of developing similar tools, the hypothesis was that a user-friendly tool could be produced with sound psychometric properties.BackgroundThe Outcomes Star is a suite of collaboratively completed, strengths-based tools with the dual roles of both supporting and monitoring change. Service users are empowered through their active involvement in identifying their strengths and creating their care plan. Triangle, the creators of the Outcomes Star was approached by a number of organisations to develop a version of the Star for young people with mental health issues in early intervention services and also to support young people in managing a diagnosed mental illness.MethodUsing a series of focus groups and an iterative process of refinement we gathered data from practitioners and service users on the domains in which they wish to create change, and the steps of the change process. A draft version of the new tool was piloted in two organisations by 67 workers and 177 young people over six months. The pilot data were analysed to assess the psychometric properties of My Mind Star (acceptability, skew, factor structure, internal consistency, item redundancy and responsiveness).ResultThe resulting tool, My Mind Star consisted of seven domains: Feelings and emotions, Healthy lifestyle, Where you live, Friends and relationships, School, training and work, How you use your time and Self-esteem. Almost all young people and practitioners (94%) agreed that their completed Star was ‘a good summary of my life right now’ and that it gave a better idea of service users’ support needs. Psychometric analyses indicated a unidimensional structure with good internal consistency (α = .76) and no item redundancy. My Mind Star was responsive to change between the first and second readings, with medium and small-medium effect sizes.ConclusionInitial findings suggest that My Mind Star has good psychometric properties and is perceived as acceptable and useful by young people and practitioners, Further research is planned to conduct a full validation of the psychometric properties of this Star including inter-rater reliability and predictive validity.Financial sponsorship of the study: Action for Children

scholarly journals Unhappy While Depressed: Examining the Dimensionality, Reliability and Validity of the Subjective Happiness Scale in a Spanish Sample of Patients with Depressive Disorders

2021 ◽  
Vol 18 (20) ◽  
pp. 10964
Author(s):  
Albert Feliu-Soler ◽  
Javier de de Diego-Adeliño ◽  
Juan V. Luciano ◽  
Ioseba Iraurgi ◽  
Carlo Alemany ◽  
...  
Keyword(s):  
Depressive Disorder ◽  
Construct Validity ◽  
Psychometric Properties ◽  
Internal Consistency ◽  
Depressive Disorders ◽  
Rating Scale ◽  
Self Report ◽  
Clinical Samples ◽  
Subjective Happiness ◽  
Subjective Happiness Scale

Despite the considerable amount of research evidence on the significant role of subjective happiness on mental health, there is no psychometric study of the Subjective Happiness Scale (SHS) in psychiatric samples. This study was aimed at exploring the psychometric properties of the SHS in a Spanish sample of patients with depressive disorders. Participants were 174 patients with a depressive disorder (70% diagnosed as major depressive disorder) who completed the SHS, the Quick Inventory of Depressive Symptomatology-Self Report (QIDS-SR16), and the EQ-5D Visual Analogue Scale (EQ-5D VAS). Depressive symptoms were also assessed by means of the 17-item Hamilton Depression Rating Scale (HDRS17) and the Clinical Global Impression-Severity (CGI-S) Scale. Dimensionality, internal consistency reliability, construct validity, and responsiveness to change of the SHS were examined. Confirmatory factor analysis replicated the original one-factor structure of the scale. The SHS exhibited good-to-excellent results for internal consistency (α = 0.83) and for convergent [EQ-5D VAS (r = 0.71)] and divergent [QIDS-SR16 (r = −0.72), HDRS17 (r = −0.60) and CGI-S (r = −0.61)] construct validity. The ability of the SHS to differentiate between depression severity levels as well as its responsiveness to clinical change were both highly satisfactory (p < 0.001 in both cases). The SHS retained the soundness of psychometric properties showed in non-clinical samples in a sample of patients with depressive disorders, which supports its use as a reliable and valid outcome measure in the treatment of such disorders.

scholarly journals Hospital Anxiety and Depression (HAD) scale: Factor structure, item analyses and internal consistency in a large population

2001 ◽  
Vol 179 (6) ◽  
pp. 540-544 ◽  
Author(s):  
Arnstein Mykletun ◽  
Eystein Stordal ◽  
Alv A. Dahl
Keyword(s):  
Psychometric Properties ◽  
Factor Structure ◽  
Internal Consistency ◽  
Rating Scale ◽  
Large Population ◽  
Principal Component ◽  
Health Study ◽  
Anxiety And Depression ◽  
Hospital Anxiety ◽  
Had Scale

BackgroundThe Hospital Anxiety and Depression (HAD) rating scale is a commonly used questionnaire. Former studies have given inconsistent results as to the psychometric properties of the HAD scale.AimsTo examine the psychometric properties of the HAD scale in a large population.MethodAll inhabitants aged 20–89 years (n=92 100) were invited to take part in The Nord-Tr⊘ndelag Health Study, Norway. A total of 65 648 subjects participated, and only completed HAD scale forms (n=51 930) formed the basis for the psychometric examinations.ResultsPrincipal component analysis extracted two factors in the HAD scale that accounted for 57% of the variance. The anxiety and depression sub-scales shared 30% of the variance. Both sub-scales were found to be internally consistent, with values of Cronbach's coefficient (a) being 0.80 and 0.76, respectively.ConclusionsBased on data from a large population, the basic psychometric properties of the HAD scale as a self-rating instrument should be considered as quite good in terms of factor structure, intercorrelation, homogeneity and internal consistency.

scholarly journals Construct Validity and Psychometric Properties of the Tamil (India) Version of Montreal Cognitive Assessment (T-MoCA) in Elderly

2021 ◽  
Author(s):  
M Abdulkarim ◽  
J Venkatachalam
Keyword(s):  
Construct Validity ◽  
Psychometric Properties ◽  
Internal Consistency ◽  
Cognitive Assessment ◽  
Rating Scale ◽  
Area Under The Curve ◽  
Montreal Cognitive Assessment ◽  
Clinical Dementia Rating ◽  
Sensitivity Specificity ◽  
Test Retest Reliability

Background: The Montreal Cognitive Assessment (MoCA) is a neuropsychological cognitive tool developed and adapted widely in various languages for screening mild cognitive impairment (MCI). Objectives: The present study aimed to evaluate the psychometric properties of the Tamil (India) Version of MoCA (T-MoCA) and further examine the construct validity of the tool.Method: The authors conducted internal consistency, test-retest, sensitivity-specificity, and construct validity using 233 Tamil-speaking elderly participants. The inclusion criteria of the study participants were 0.5 or less than 0.5 scores in the Clinical Dementia Rating scale (CDR). Further, T-MoCA was used to screen MCI. Results: The result showed that the T-MoCA had high internal consistency (0.83) and high test-retest reliability (0.92). Receiver operating characteristic (ROC) analyses showed an area under the curve (AUC) of 0.91 (95% CI 0.87-0.94) for detecting MCI. Furthermore, the optimal cut-off score to detect MCI was 24, accommodated a sensitivity and specificity of 88.4% and 77.9%, respectively. Conclusions: The Tamil (India) version of the MoCA maintained its core diagnostic properties, furnishing it a valid and reliable tool for the screening of MCI. Also, its latent dimensions help to understand the elders’ cognitive function in a better way.

Evaluation of the Psychometric Properties of the Immunobiological Agent Conservation Assessment Scale

2020 ◽  
pp. JNM-D-20-00032
Author(s):  
Gabriela Gonçalves Amaral ◽  
Valéria Conceição de Oliveira ◽  
Eliete Albano de Azevedo Guimarães ◽  
Ilka Afonso Reis ◽  
Selma Maria da Fonseca Viegas ◽  
...  
Keyword(s):  
Pilot Study ◽  
Psychometric Properties ◽  
Internal Consistency ◽  
Assessment Instrument ◽  
Assessment Scale ◽  
Cold Chain ◽  
Methodological Study ◽  
Conservation Assessment ◽  
Three Stages ◽  
Strategic Position

Introduction and ObjectiveThe cold chain of immunobiological agent conservation occupies a strategic position in the immunization system and, therefore, needs to be evaluated. This study psychometrically evaluated the Immunobiological Agent Conservation Assessment Scale (Escala de Avaliação da Conservação de Imunobiológicos—EACI).MethodsMethodological study carried out in Minas Gerais, Brazil, including 275 immunization rooms, divided into three stages: (a) pilot study; (b) internal consistency and temporal reproducibility; (c) criterion validity and structural validity.ResultsThe EACI items were analyzed for comprehension and clarity; presenting internally consistency (Cronbach’s alpha: 0.72 [95% CI: 0.666–0.763]) and temporal reproducibility (ICC: 0.948 [95% CI: 0.911–0.981]), in addition to explaining 72% of the variance and discriminating the groups criteria (p = .0025).ConclusionThe EACI is psychometrically reliable and valid and is the first assessment instrument available for this construct.

scholarly journals Carers' and Users' Expectations of Services – User version (CUES–U): A new instrument to measure the experience of users of mental health services

2001 ◽  
Vol 179 (1) ◽  
pp. 67-72 ◽  
Author(s):  
Paul Lelliott ◽  
Anne Beevor ◽  
Gary Hogman ◽  
Jon Hyslop ◽  
Judith Lathlean ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Psychometric Properties ◽  
Assessment Instrument ◽  
Service Users ◽  
Self Assessment ◽  
New Instrument ◽  
Test Retest Reliability ◽  
Reasonable Test

BackgroundNo existing instrument measures all or even most of the issues considered important by users of mental health services.AimsTo develop and test a self-assessment instrument to enable users of mental health services to rate their experience across the range of domains that they consider to be important.MethodRelevant domains were identified and a new instrument was drafted and field tested to examine its psychometric properties.ResultsThe 17-item, self-rated Carers' and Users' Expectations of Services – User version (CUES–U) appears acceptable to most service users. Its items have reasonable test–retest reliability and a ‘total CUES–U score’ correlates significantly with a total score of the Health of the Nations Outcome Scales (Spearman's ρ=0.42; P<0.01).ConclusionsThe development and testing of CUES–U suggest that it might be feasible to apply a self-rated measure of the expectations and experience of users of mental health services.

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

2017 ◽  
Vol 27 (5) ◽  
pp. 433-462 ◽  
Author(s):  
Y. Wei ◽  
P. McGrath ◽  
J. Hayden ◽  
S. Kutcher
Keyword(s):  
Mental Health ◽  
Systematic Review ◽  
Mental Illness ◽  
Construct Validity ◽  
Psychometric Properties ◽  
Internal Consistency ◽  
Level Of Evidence ◽  
Measurement Tools ◽  
Stigma Of Mental Illness

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.

scholarly journals Psychometric Properties of the Persian version of Penn Parkinson's Daily Activities Questionnaire-15

2021 ◽  
Author(s):  
Negar Nikbakht ◽  
◽  
Mehdi Rezaee ◽  
Seyed Mehdi Tabatabaee ◽  
Gholam-Ali Shahidi ◽  
...  
Keyword(s):  
Factor Analysis ◽  
Psychometric Properties ◽  
Internal Consistency ◽  
Rating Scale ◽  
Intraclass Correlation ◽  
Daily Activities ◽  
Discriminative Validity ◽  
Retest Reliability ◽  
Persian Version ◽  
Test Retest Reliability

Introduction: There is a need to have appropriate information about the ability of Parkinson's disease (PD) patients to perform cognitive instrumental activities of daily living (IADL). The purpose of the present study was to assess the psychometric properties of the Persian version of the Penn Parkinson's Daily Activities Questionnaire-15 (PDAQ-15). Methods: A total of 165 knowledgeable informants of PD patients completed the PDAQ-15. The Clinical Dementia Rating Scale, Hoehn and Yahr staging, Hospital Anxiety and Depression Scale (HADS) and Lawton IADL scale were included in the study. Internal consistency and test-retest reliability were evaluated by Cronbach's alpha coefficient and intraclass correlation coefficient (ICC), respectively. To examine the dimensionality of the questionnaire, exploratory factor analysis was used. The construct validity was assessed using Spearman rank correlation test. To assess the discriminative validity, PDAQ-15 scores were compared across cognitive stages. Results: The PDAQ-15 showed strong internal consistency (Cronbach's α = 0.99) and test-retest reliability (ICC= 0.99). Only one dimension identified for the PDAQ-15 in the factor analysis. There was strong correlation between PDAQ-15 with depression domain of HADS scale and Lawton IADL scale. (rs = |0.71–0.95|). The correlation of PDAQ-15 with anxiety domain of HADS scale was moderate (rs = 0.66). Discriminative validity analysis showed that the PDAQ-15 has significant power to discriminate between PD patients across cognitive stages. Conclusion: These results suggest that the PDAQ-15 is a valid and reliable PD-specific instrument that can be useful in clinical and research settings.

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