Cross-Cultural Validation of the Modified Practice Attitudes Scale: Initial Factor Analysis and a New Factor Model

Assessment ◽  
2016 ◽  
Vol 25 (1) ◽  
pp. 126-138 ◽  
Author(s):  
Heehoon Park ◽  
Chad K. Ebesutani ◽  
Kyong-Mee Chung ◽  
Cameo Stanick
Keyword(s):  
Mental Health ◽  
Factor Analysis ◽  
Health System ◽  
Factor Structure ◽  
Mental Health System ◽  
Service Providers ◽  
Factor Model ◽  
Reliability And Validity ◽  
Significant Group ◽  
The One

Objective: The objective of this study was to create the Korean version of the Modified Practice Attitudes Scale (K-MPAS) to measure clinicians’ attitudes toward evidence-based treatments (EBTs) in the Korean mental health system. Method: Using 189 U.S. therapists and 283 members from the Korean mental health system, we examined the reliability and validity of the MPAS scores. We also conducted the first exploratory and confirmatory factor analysis on the MPAS and compared EBT attitudes across U.S. and Korean therapists. Results: Results revealed that the inclusion of both “reversed-worded” and “non–reversed-worded” items introduced significant method effects that compromised the integrity of the one-factor MPAS model. Problems with the one-factor structure were resolved by eliminating the “non–reversed-worded” items. Reliability and validity were adequate among both Korean and U.S. therapists. Korean therapists also reported significantly more negative attitudes toward EBTs on the MPAS than U.S. therapists. Conclusions: The K-MPAS is the first questionnaire designed to measure Korean service providers’ attitudes toward EBTs to help advance the dissemination of EBTs in Korea. The current study also demonstrated the negative impacts that can be introduced by incorporating oppositely worded items into a scale, particularly with respect to factor structure and detecting significant group differences.

scholarly journals Sexual violence and the mental health system: A critical discourse analysis

2021 ◽  
Author(s):  
Julia Getchell
Keyword(s):  
Mental Health ◽  
Discourse Analysis ◽  
Health System ◽  
Sexual Violence ◽  
Critical Discourse Analysis ◽  
Mental Health System ◽  
Service Providers ◽  
Critical Discourse ◽  
Health Service Providers ◽  
Broad Term

Sexual violence is a relevant topic in the Canadian mental health system. However, the dominant bio-medical understanding of mental health can be harmful to survivors. This study is focused on analyzing how sexual violence is discussed within the bio-medical mental health system. The bio-medical understanding of mental health is one that conceptualizes “mental illness” is brain disease and emphasizes pharmacological treatment. Sexual violence is a broad term that describes any violence, physical or psychological, carried out through sexual means or by targeting sexuality. Critical Discourse Analysis is used in this study to find and analyze discourses in the bio-medical mental health system found in three interviews with mental health service providers. The discourses that emerged were as follows: 1. people were “boiled down” to their diagnoses or experiences of sexual violence; 2. professionalism; 3. being funneled into “streams of care”; 4. what makes someone credible; and 5. who “gets it”. The MRP concludes with a discussion of implications of these findings for social work.

scholarly journals Driving locus of control: The Czech adaptation

2021 ◽  
Vol 65 (1) ◽  
pp. 86-100
Author(s):  
Vít Gabrhel ◽  
◽  
Stanislav Ježek ◽  
Petr Zámečník
Keyword(s):  
Factor Analysis ◽  
Confirmatory Factor Analysis ◽  
Factor Structure ◽  
Structural Equation Modelling ◽  
Structural Equation ◽  
Factor Model ◽  
One Dimensional ◽  
Equation Modelling ◽  
Confirmatory Factor ◽  
The One

Objectives. This study attempts to introduce the Driving Locus of Control (DLoC), a method focused on the internal or external source of attribution of the driving behaviour, to the Czech context. This study also relates DLoC to attitudes towards autonomous vehicles (AVs). Participants and setting. Out of the general population, 59 inquirers personally interviewed (CAPI) 1 065 respondents (49% women) in the age range between 15 and 92 years (M = 50, SD = 17). The respondents were sampled via multistage random sampling procedure, based on the list of addresses in the Czech Republic. Hypotheses. The authors hypothesised to replicate the original two-factor structure of the DLoC Scale and that the higher levels of internal DLoC result in not considering the improvement in traffic safety as the AVs replace human drivers. Statistical analysis. Confirmatory factor analysis was used to analyse the factor structure of DLoC Scale. Hypotheses related to the empirical validity of the method were assessed via structural equation modelling. The reliability of DLoC Scale was calculated in terms of internal consistency (McDonald coefficient). Results. Confirmatory factor analysis revealed reasonably good support for structural validity of the one-dimensional DLoC-CZ15 factor model (χ2 = 426.967, df = 90, CFI = 0.964, TLI = 0.958, SRMR = 0.066, RMSEA = 0.065). In addition, the one-dimensional DLoC-CZ15 factor model showed acceptable internal consistency - ω = 0.9 (95% CI [0.89, 0.91]). The structural equation modelling found a relationship between DLoC and some of the items capturing attitudes towards AVs, too. Study limitations. The analysed data were obtained via interviews between respondents and inquirers. As a result, the study does not contain indicators of empirical validity measured by a methodologically different approach, such as an observation of driving behaviour.

Nonpsychiatry: An Alternative to Contemporary Mental Health Work

2005 ◽  
Vol 7 (2) ◽  
pp. 149-158
Author(s):  
Gert Hellerich
Keyword(s):  
Mental Health ◽  
Health System ◽  
Mental Health System ◽  
The Other ◽  
Central Theme ◽  
Health Work ◽  
Self Help ◽  
The One ◽  
Mental Health Work ◽  
Self Help Group

The central theme of this article is nonpsychiatry. The implication of this term is illustrated in the mental health system and its significance is shown as an alternative to the established psychiatry. The article differentiates between genetic and social psychiatry on the one hand and antipsychiatry on the other when dealing with nonpsychiatry. An example of a psychosocial self-help group in Germany illustrates the nonpsychiatric services and strategies.

“Hopefully you’ve landed the waka on the shore”: Negotiated spaces in New Zealand’s bicultural mental health system

2021 ◽  
pp. 136346152110143
Author(s):  
Lorien S. Jordan ◽  
Desiree M. Seponski ◽  
Jori N. Hall ◽  
J. Maria Bermúdez
Keyword(s):  
Mental Health ◽  
Health System ◽  
Mental Health System ◽  
Culturally Responsive ◽  
Service Providers ◽  
Systems Of Care ◽  
Situational Analysis ◽  
Cultural Discourses ◽  
Aotearoa New Zealand ◽  
One Year

The multifaceted context of Aotearoa / New Zealand offers insight into the negotiation of cultural discourses in mental health. There, bicultural practice has emerged as a theoretically rights-based delivery of culturally responsive and aligned therapies. Bicultural practices invite clinicians into spaces between Indigenous and Westernized knowing to negotiate and innovate methods of healing. In this article, we present findings from a qualitative study based on one year of ethnographic fieldwork. Drawing on negotiated spaces theory and critical interactionism, we report results of a situational analysis of interviews conducted with 30 service providers working within the bicultural mental health system. Through iterative map-making, we chart the discursive positions taken in the negotiated spaces between Indigenous and Western lifeworlds. In total, we identified five major positions of negotiated practices within the institutionalized discourses that constitute bicultural mental health. Findings indicate that negotiations from Westernized systems of care have been, at best, superficial and that monoculturalism continues to dominate within the bicultural framework. Implications are made for genuine engagement in the negotiated spaces, so treatment has resonance for clients living in multi-cultural, yet Western-dominant societies.

scholarly journals Sexual violence and the mental health system: A critical discourse analysis

2021 ◽  
Author(s):  
Julia Getchell
Keyword(s):  
Mental Health ◽  
Discourse Analysis ◽  
Health System ◽  
Sexual Violence ◽  
Critical Discourse Analysis ◽  
Mental Health System ◽  
Service Providers ◽  
Critical Discourse ◽  
Health Service Providers ◽  
Broad Term

Sexual violence is a relevant topic in the Canadian mental health system. However, the dominant bio-medical understanding of mental health can be harmful to survivors. This study is focused on analyzing how sexual violence is discussed within the bio-medical mental health system. The bio-medical understanding of mental health is one that conceptualizes “mental illness” is brain disease and emphasizes pharmacological treatment. Sexual violence is a broad term that describes any violence, physical or psychological, carried out through sexual means or by targeting sexuality. Critical Discourse Analysis is used in this study to find and analyze discourses in the bio-medical mental health system found in three interviews with mental health service providers. The discourses that emerged were as follows: 1. people were “boiled down” to their diagnoses or experiences of sexual violence; 2. professionalism; 3. being funneled into “streams of care”; 4. what makes someone credible; and 5. who “gets it”. The MRP concludes with a discussion of implications of these findings for social work.

scholarly journals Reliability and validity of a Mental Health System Responsiveness Questionnaire in Iran

2014 ◽  
Vol 7 (1) ◽  
pp. 24748 ◽  
Author(s):  
Ameneh S. Forouzan ◽  
Hassan Rafiey ◽  
Mojgan Padyab ◽  
Mehdi Ghazinour ◽  
Masoumeh Dejman ◽  
...  
Keyword(s):  
Mental Health ◽  
Health System ◽  
Mental Health System ◽  
Reliability And Validity ◽  
System Responsiveness ◽  
Health System Responsiveness

HoNOS – their utility for payment by results in mental health

2015 ◽  
Vol 28 (2) ◽  
pp. 115-128 ◽  
Author(s):  
Barry L Speak ◽  
Paula Hay ◽  
Steven J Muncer
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Factor Structure ◽  
Service Providers ◽  
Factor Model ◽  
Health Utility ◽  
National Sample ◽  
Content Type ◽  
Fit Statistics

Purpose – The purpose of this paper is to present findings from two studies exploring the Health of the Nation Outcome Scale’s (HoNOS) utility within a new payment by results (PbR) system for mental health services in England. Design/methodology/approach – In the first study principal axis factoring extraction was used to explore a sample of 23,641 HoNOS ratings. In a second study confirmatory factor analysis was used to evaluate four subscale structures on a new sample of 34,716 HoNOS ratings. Findings – No HoNOS factor structure evaluated in this study demonstrated adequate fit statistics across several clinical presentations. A new four-factor model was the only structure to achieve fit statistics across all clinical populations, but can only be championed on a “best fit” basis as opposed to “good fit” at the present time. Research limitations/implications – Data used in the current studies relate to six NHS mental health service providers. Replication using a national sample is recommended. Exploration of different HoNOS factor structures for different mental health clusters within the PbR system in England is also recommended. However, it is also possible that removing redundant or adding new items may result in a more stable HoNOS generic factor structure. Originality/value – This is the first HoNOS evaluation as a generic outcome measure for use within a PbR system and provides important insights into its mental health utility and limitations. The findings have significant implications for those developing the national PbR quality and outcomes framework for England’s mental health services. However, there are also implications for all nations in which HoNOS is used to report mental health outcomes.

scholarly journals Psychometric Properties of the Dental Activities Test: An Exploratory Factor Analysis in Older Adults with Cognitive Impairment

2018 ◽  
Vol 2018 ◽  
pp. 1-6 ◽  
Author(s):  
Xi Chen ◽  
Wen Liu
Keyword(s):  
Older Adults ◽  
Factor Analysis ◽  
Cognitive Impairment ◽  
Psychometric Properties ◽  
Exploratory Factor Analysis ◽  
Factor Structure ◽  
Assisted Living ◽  
Factor Model ◽  
Model Fit ◽  
The One

Objective. The Dental Activities Test (DAT) was developed to be used by dental, nursing, and other health professionals to assess the ability of persons with dementia to perform oral health-related activities and aid care planning. The instrument was designed as a unitary scale and has excellent internal consistency, test-retest reliability, interrater reliability, and construct validity. This study examines the underlying factor structure of the DAT among older adults in assisted living settings. Methods. In a secondary analysis of the data from the original study, the results of testing of 90 older adults with normal to severely impaired cognition from three assisted living communities in North Carolina from March 2013 to February 2014 were studied. An exploratory factor analysis was used to assess the dimensionality of the presumed unitary assessment scale. Results. Two-factor structures were explored. A one-factor model demonstrated acceptably mixed model fit, and a two-factor model had good model fit with moderate correlation between the two factors (r=0.667, p<0.05). All the items in the one-factor model demonstrated significant factor loadings (loadings ≥ 0.39, all p<0.05), while the loadings of some items in the two-factor model (nonsignificant or cross-loadings, loadings < 0.40) did not meet the criteria of factor selection. The one-factor structure was preferred based on the criteria of Scree Plot, eigenvalue, and factor interpretability in relation to clinical relevance. Conclusions. The study provided preliminary evidence that the Dental Activities Test has a unidimensional construct among older adults with cognitive impairment. It suggested that this instrument can be used as a unitary scale to assess dental-related function in persons with dementia. Future testing, including using a confirmatory factor analysis, in a new sample is needed to further assess the usefulness and psychometric properties of this instrument.

scholarly journals Development of the external and internal shame scale: Japanese version

2021 ◽  
Vol 14 (1) ◽  
Author(s):  
Yoichi Hiramatsu ◽  
Kenichi Asano ◽  
Yasuhiro Kotera ◽  
Ayumu Endo ◽  
Eiji Shimizu ◽  
...  
Keyword(s):  
Factor Analysis ◽  
Factor Structure ◽  
Internal Consistency ◽  
Online Survey ◽  
Factor Model ◽  
Reliability And Validity ◽  
Japanese Version ◽  
Survey Study ◽  
Retest Reliability ◽  
Test Retest Reliability

Abstract Objective Shame contains external and internal aspects. However, a Japanese language scale for simultaneously assessing both aspects of shame has not been developed to date. This study aimed to standardize the Japanese version of the External and Internal Shame Scale (EISS-J). An online survey was conducted among university students (N = 203) at six universities in Japan (Study 1). A retest questionnaire was sent to the participants by email three weeks after the first survey (Study 2). Study 1 examined the internal consistency, factor structure, and criterion-related validity of the EISS-J, while Study 2 examined its test-retest reliability. Moreover, an additional study was conducted to examine the criterion-related validity of the scale. Results Study 1 demonstrated the high internal consistency of the EISS-J. Moreover, confirmatory factor analysis indicated a two-factor model: external and internal shame. However, exploratory factor analysis indicated a three-factor structure. Study 2 confirmed the test-retest reliability of the scale. Furthermore, both studies indicated correlations between the EISS-J and fear of compassion, anger, humiliation, depression, anxiety, and stress. In addition, the study established the criterion-related validity of the scale. These results confirmed adequate reliability and validity of the EISS-J.

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