Assessing knowledge and attitudes about mental illness in Ningxia, China

2017 ◽  
Vol 55 (1) ◽  
pp. 94-119 ◽  
Author(s):  
Hanhui Chen ◽  
Zhizhong Wang ◽  
Michael Robert Phillips
Keyword(s):  
Mental Health ◽  
Factor Analysis ◽  
Factor Structure ◽  
Internal Consistency ◽  
Health Knowledge ◽  
Causal Attribution ◽  
Intraclass Correlation ◽  
Pilot Studies ◽  
Chi Squared ◽  
Test Retest Reliability

To assess the effectiveness of China's recent moves to increase community mental health literacy and decrease stigma, we developed the Mental Health Knowledge Questionnaire (MHKQ) and the Mental Health Attitude Questionnaire (MHAQ). Preliminary versions were assessed in pilot studies and revised versions were included in an interviewer-administered community survey of a representative sample of 2425 adult residents of Ningxia Province and a re-test survey in 188 individuals. Internal consistency, factor structure and test-retest reliability were assessed for three measures: (a) the 25-item MHKQ (alpha = .71, 6 factors accounting for 51% of variance identified in exploratory factor analysis of one-half of the sample, and intraclass correlation coefficient [ICC] for total score of .40); (b) the 14-item attitudinal subscale of MHAQ (alpha = .69, 3 factors accounting for 42% of variance, ICC = .47); and (c) the 7-item causal attribution subscale of MHAQ (alpha = .60, 3 factors accounting for 60% of variance, ICC = .26). Confirmatory factor analysis assessed fitness of modified models of the measures using chi-squared, comparative fit index (CFI), Tucker-Lewis index (TLI), and root mean square error of approximation (RMSEA): (a) for the MHKQ, RMSEA = .037 (90% CFI = .033, .040), CFI = .86, TLI = .84, χ2 = 682.86 (df = 260); (b) for the attitudinal subscale of MHAQ, RMSEA = .045 (CI = .039, .052), CFI = .94, TLI = .92, χ2 = 226.67 ( df = 66); and (c) for the causal attribution subscale of MHAQ, RMSEA = .054 (.039, .069), CFI = .97, TLI = .94, χ2 = 49.13 ( df = 11). We conclude that the internal consistency and factor structure of the new measures are satisfactory, but further work is needed to improve the scales' stability and to assess the construct validity and responsiveness of the scales.

scholarly journals Patient Continuity of Care Questionnaire in a cardiac sample: A Confirmatory Factor Analysis

BMJ Open ◽  
2020 ◽  
Vol 10 (7) ◽  
pp. e037129
Author(s):  
Emma Säfström ◽  
Lena Nasstrom ◽  
Maria Liljeroos ◽  
Lena Nordgren ◽  
Kristofer Årestedt ◽  
...  
Keyword(s):  
Psychometric Properties ◽  
Factor Structure ◽  
Continuity Of Care ◽  
Internal Consistency ◽  
Intraclass Correlation ◽  
Evaluation Study ◽  
Sampling Procedure ◽  
Retest Reliability ◽  
Confirmatory Factor ◽  
Test Retest Reliability

ObjectiveEven though continuity is essential after discharge, there is a lack of reliable questionnaires to measure and assess patients’ perceptions of continuity of care. The Patient Continuity of Care Questionnaire (PCCQ) addresses the period before and after discharge from hospital. However, previous studies show that the factor structure needs to be confirmed and validated in larger samples, and the aim of this study was to evaluate the psychometric properties of the PCCQ with focus on factor structure, internal consistency and stability.DesignA psychometric evaluation study. The questionnaire was translated into Swedish using a forward–backward technique and culturally adapted through cognitive interviews (n=12) and reviewed by researchers (n=8).SettingData were collected in four healthcare settings in two Swedish counties.ParticipantsA consecutive sampling procedure included 725 patients discharged after hospitalisation due to angina, acute myocardial infarction, heart failure or atrial fibrillation.MeasurementTo evaluate the factor structure, confirmatory factor analyses based on polychoric correlations were performed (n=721). Internal consistency was evaluated by ordinal alpha. Test–retest reliability (n=289) was assessed with intraclass correlation coefficient (ICC).ResultsThe original six-factor structure was overall confirmed, but minor refinements were required to reach satisfactory model fit. The standardised factor loadings ranged between 0.68 and 0.94, and ordinal alpha ranged between 0.82 and 0.95. All subscales demonstrated satisfactory test–retest reliability (ICC=0.76–0.94).ConclusionThe revised version of the PCCQ showed sound psychometric properties and is ready to be used to measure perceptions of continuity of care. High ordinal alpha in some subscales indicates that a shorter version of the questionnaire can be developed.

scholarly journals A measure of perceived stigma in people with intellectual disability

2008 ◽  
Vol 193 (5) ◽  
pp. 410-415 ◽  
Author(s):  
Afia Ali ◽  
Andre Strydom ◽  
Angela Hassiotis ◽  
Rachael Williams ◽  
Michael King
Keyword(s):  
Factor Analysis ◽  
Intellectual Disability ◽  
Factor Structure ◽  
Internal Consistency ◽  
Literature Search ◽  
Perceived Stigma ◽  
Moderate Intellectual Disability ◽  
Two Factors ◽  
Test Retest Reliability ◽  
The Impact

BackgroundThere is a lack of validated instruments measuring perceived stigma in people with intellectual disability.AimsTo develop a valid and reliable self-rated instrument to measure perceived stigma that can be completed by people with mild to moderate intellectual disability.MethodA literature search was used to generate a list of statements. Professionals, individuals with intellectual disability and carers were consulted about the suitability of statements. An instrument was developed containing statements about stigma with accompanying photographs. Test–retest reliability, internal consistency and the factor structure of the instrument were evaluated.ResultsThe instrument was completed by 109 people once and 88 people twice. Items with limited variability in responses and kappa coefficients lower than 0.4 were dropped. Exploratory factor analysis revealed two factors: ‘perceived discrimination’ (seven items) and ‘reaction to discrimination’ (four items). One item loaded onto both factors. Cronbach's alpha for the ten-item instrument was 0.84.ConclusionsThis instrument will further our understanding of the impact of stigma in people with intellectual disability in clinical and research settings.

scholarly journals Psychometric of the Curiosity and Exploration Inventory-II in Indonesia

2020 ◽  
Vol 9 (3) ◽  
Author(s):  
Anggi Setyowati ◽  
Min-Huey Chung ◽  
Ah. Yusuf ◽  
Setya Haksama
Keyword(s):  
Factor Analysis ◽  
Construct Validity ◽  
Internal Consistency ◽  
Structural Model ◽  
Intraclass Correlation ◽  
Cronbach’S Alpha ◽  
Retest Reliability ◽  
Cronbach's Alpha ◽  
Test Retest Reliability ◽  
Exploration Inventory

Background: Curiosity is a personality characteristic, which fits with wellbeing and positive functioning. The objective of this study was to assess the construct validity of the Curiosity and Exploration Inventory II (CEI-II) in Indonesia.Design and Methods: The study included 256 undergraduate students who lived in Indonesia, mean age 19.8 years old. The CEI-II measures stretching and embracing using 11 items. The English version of CEI-II was translated into Bahasa. The Cronbach’s alpha coefficient and intraclass correlation coefficient (ICC) were addressed to examine internal consistency reliability and the test-retest reliability. To evaluate construct validity, exploratory factor analysis (EFA) was used to assess factor structure and confirmatory factor analysis (CFA) was used to evaluate the structural model fit of the CEI-II Indonesia version.Results: The study showed Cronbach’s alpha for the internal consistency of the overall CEI-II Indonesia version was 0.77. The ICC for the test-retest reliability ranged between 0.753-0.829. EFA showed adequate with the Kaiser-Meyer-Olkin value of 0.86 and the Bartlett’s test of sphericity was statistically significant. CFA tested the second-order model with two-order factors and showed a model fit.Conclusions: The CEI-II Indonesia version indicated acceptable construct validity to evaluate curiosity in Indonesia.

scholarly journals A new measure of feeling safe: Developing psychometric properties of the neuroception of psychological safety scale (NPSS)

2021 ◽  
Author(s):  
Liza Morton ◽  
Nicola Cogan ◽  
Jacek Kolacz ◽  
Marek Nikolic ◽  
Calum Calderwood ◽  
...  
Keyword(s):  
Mental Health ◽  
Factor Analysis ◽  
Factor Structure ◽  
Internal Consistency ◽  
Social Engagement ◽  
Psychological Safety ◽  
Polyvagal Theory ◽  
Item Reduction ◽  
Health And Social Care ◽  
Two Samples

Objective: Psychological safety is increasingly recognised as central to mental health, wellbeing and post-traumatic growth. To date, there is no psychometrically supported measure of psychological safety combining psychological, physiological and social components. The current research aimed to develop and establish the neuroception of psychological safety scale (NPSS), informed by Polyvagal Theory. Method: The study comprised of three stages: (1) item generation, (2) item reduction, and (3) assessment of factor structure and internal consistency. Exploratory and confirmatory factor analysis was conducted from two samples who completed a survey online (exploratory n = 342, confirmatory n = 455). Results: Initially, 107 items were generated. Item reduction and exploratory factor analysis resulted in a 29-item NPSS with subscales of compassion, social engagement and body sensations. The NPSS was found to have a consistent factor structure and internal consistency. Conclusion: The NPSS is a novel measure of psychological safety which can be used across a range of health and social care settings. This research provides a platform for further work to support and enhance understandings of the science of safety through the measurement of psychological, relational and physiological components of safety. The NPSS will help shape new approaches to evaluating trauma treatments, relational issues and mental health concerns. Research to establish the convergent, discriminant and concurrent validity of the NPSS and to explore its use with diverse community and clinical populations is underway.

scholarly journals Arabic Translation of the Weight Self-Stigma Questionnaire: Instrument Validation Study of Factor Structure and Reliability (Preprint)

2020 ◽  
Author(s):  
Nasser F BinDhim ◽  
Nora A Althumiri ◽  
Mada H Basyouni ◽  
Omar T Sims ◽  
Noara Alhusseini ◽  
...  
Keyword(s):  
Factor Structure ◽  
Internal Consistency ◽  
Intraclass Correlation ◽  
Reliability And Validity ◽  
Arabic Version ◽  
Cross Sectional ◽  
Retest Reliability ◽  
Two Factors ◽  
Enacted Stigma ◽  
Test Retest Reliability

BACKGROUND While it is most often associated with its effects on physical health, obesity is also associated with serious self-stigmatization. The lack of a suitable, validated tool to measure weight-related self-stigma in Arabic countries may be partly responsible for the scarcity of literature about this problem. OBJECTIVE This study investigated the reliability and validity of an Arabic version of the Weight Self-Stigma Questionnaire (WSSQ). METHODS Data on the Arabic-translated version of the 12-item WSSQ were collected using two cross-sectional electronic questionnaires distributed among Saudi nationals through the Sharik Association for Health Research’s database in June 2020. Internal consistency, test-retest reliability, and exploratory factor analysis of the Arabic WSSQ were assessed and compared with the original English version and other translations. RESULTS For reliability analysis, 43 participants completed the Arabic WSSQ during two time periods. Internal consistency was α=.898 for the overall survey, α=.819 for the fear of enacted stigma subscale (factor 1), and α=.847 for the self-devaluation subscale (factor 2). The test-retest reliability of the intraclass correlation coefficient was α=.982. In the factor structure analysis, 295 participants completed the questionnaire. The Arabic WSSQ loading of the items was consistent with the original WSSQ, except for the loading of item 9, which was stronger in factor 2 than in factor 1. The two factors accounted for the observed variances of 47.7% and 10.6%. CONCLUSIONS The Arabic version of the WSSQ has good internal consistency and reliability, and the factorial structure is similar to that of the original WSSQ. The Arabic WSSQ is adaptable for clinicians seeking to assess weight-related self-stigma in Arabic-speaking people.

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.

scholarly journals Confirmatory Factor Analysis of Center for Epidemiological Studies Depression 10-item Scale on Chinese International Students in Korea

2021 ◽  
Vol 14 (1) ◽  
pp. 185-192
Author(s):  
Yang Eun Kim ◽  
Boram Lee
Keyword(s):  
Factor Analysis ◽  
International Students ◽  
Confirmatory Factor Analysis ◽  
Psychometric Properties ◽  
Factor Structure ◽  
Internal Consistency ◽  
Epidemiological Studies ◽  
Chinese International Students ◽  
Confirmatory Factor ◽  
Test Retest Reliability

Introduction: Depression has become increasingly prevalent in Chinese international students in South Korea. For this population, therefore, accurate assessment of mood disorders, particularly depression, is critically important. The 10-item Center for Epidemiological Studies Depression Scale (CES-D 10) is commonly used to measure depression in both clinical and non-clinical populations. Thus, this study examined the CES-D 10’s factor structure and psychometric properties in Chinese international students. Methods: Study participants were 250 Chinese international students aged 18–23, attending a four-year university in Korea; they completed the Chinese version of the CES-D 10. Based on relevant theories and empirical research, confirmatory factor analysis was employed to examine the adequacy of three competing models’ factor structure. Internal consistency reliability was assessed using Cronbach’s alpha, and test-retest reliability using the Pearson correlation coefficient. Results: Confirmatory factor analysis suggested that the two-factor model comprised of depressive affect/somatic retardation and positive affect had the best fit. The CES-D 10 showed satisfactory internal consistency and test-retest reliability in Chinese international students. Conclusion: The CES-D 10 demonstrated strong psychometric properties in this Chinese international student sample, and results suggest that the CES-D scale is a useful screening tool for depressive symptoms. Therefore, the CES-D 10 could be used as a depression screen for international students at the population level and in health clinics.

scholarly journals Reliability and Validity of the Japanese Version of the Barriers to Access to Care Evaluation Scale Version 3 for People With Mental Disorders: an Online Survey Study

2021 ◽  
Vol 12 ◽  
Author(s):  
Minako Hongo ◽  
Fumiyo Oshima ◽  
Hirofumi Nishinaka ◽  
Mikuko Seto ◽  
Toshiyuki Ohtani ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Disorders ◽  
Factor Structure ◽  
Internal Consistency ◽  
Online Survey ◽  
Intraclass Correlation ◽  
Reliability And Validity ◽  
Japanese Version ◽  
Mean Square

It is a serious problem when people with mental disorders avoid, delay, discontinue, or do not use treatment and support, despite the existence of evidence-based treatment and support methods. In this study, we aimed to clarify the factor structure of BACE v3, a scale to measure barriers to accessing mental health care, and to examine its reliability and validity among Japanese people with mental disorders. An online survey with 268 participants, 20 years old and over, who had received care from mental health services in the past 12 months was conducted. Exploratory and confirmatory factor analysis (EFA and CFA) were used to examine the structure of the BACE v3. Internal consistency and test-retest reliability of all subscales were examined. Convergent validity [correlation of one of the subscales of the BACE v3, the treatment stigma subscale with the Stigma Scale for Receiving Psychological Help (SSRPH) and with the Internalized Stigma of Mental Illness Scale (ISMI)] was assessed. EFA identified two factors (treatment stigma and non-stigma), and the results suggested that the factor structure of the Japanese version of BACE v3 was similar to the original 2-factor structure. Regarding the CFA result, the goodness-of-fit indices showed marginal fit (root mean square error of approximation = 0.087; Tucker–Lewis index = 0.842; standardized root mean square residual = 0.078; comparative fit index = 0.86). The internal consistency of the treatment stigma subscale was α = 0.90, and the intraclass correlation coefficient was 0.76 (confidence interval: 0.70–0.81). The internal consistency of the non-stigma subscale was α = 0.83, and the intraclass correlation coefficient was 0.64 (confidence interval: 0.56–0.71). The score of the treatment stigma subscale was significantly and positively correlated with the SSRPH and ISMI. Thus, the BACE v3 has acceptable consistency, reliability and validity for the assessment of barriers to accessing mental health care including treatment stigma among people with mental disorders in Japan.

scholarly journals Psychometric properties of Integrated Palliative Outcome Scale: Czech standardization and validation

2020 ◽  
Author(s):  
Karolina Vlckova ◽  
Eva Hoschlova ◽  
Eva Chroustova ◽  
Martin Loucka
Keyword(s):  
Palliative Care ◽  
Factor Analysis ◽  
Exploratory Factor Analysis ◽  
Internal Consistency ◽  
Convergent Validity ◽  
Intraclass Correlation ◽  
Small Sample ◽  
Assessment System ◽  
Retest Reliability ◽  
Test Retest Reliability

Abstract Background Outcome measurement is an essential part of the evaluation of palliative care and the measurements need to be reliable, valid and adapted to the culture in which they are used. The Integrated Palliative Outcome Scale (IPOS) is a widely used tool for assessing outcomes in palliative care. The aim of this study was to provide Czech version of IPOS and asses its psychometric properties.Methods Patients receiving palliative care in hospice or hospitals completed IPOS and part of the sample also completed Edmonton Symptom Assessment System (ESAS) and Palliative Performance Scale (PPS). The reliability of Czech IPOS was tested with Cronbach alpha (internal consistency) and Intraclass correlation coefficient and Weighted Kappa (test-retest reliability). Construct validity was assessed with factor analysis (Exploratory Factor Analysis) and convergent validity was tested with correlation analysis (Spearman correlation).Results Sample consisted of 140 patients (mean age 72; 90 women; 81% oncologic disease). IPOS internal consistency was 0.789; ICC= 0.88. To study convergent validity, we assessed the correlations of IPOS with ESAS (R= 0.4) and PPS (R= -0.2), however, these results have to be considered preliminary due to the small sample size. Exploratory factor analysis revealed a 2-factor solution on our data. The first factor covers emotional and information needs and the second factor covers physical symptoms.Conclusion Czech IPOS has very good reliability regarding both internal consistency and test-retest reliability. Together with an item analysis results, we can conclude that the Czech adaptation of the tool was successful. The convergent validity needs to be assessed on the larger sample and the proposed 2-factor internal structure of the questionnaire has to be confirmed by using CFA.

scholarly journals Measuring Staff Attitudes to Coercion in Poland

2021 ◽  
Vol 12 ◽  
Author(s):  
Jakub Lickiewicz ◽  
Tonje Lossius Husum ◽  
Torleif Ruud ◽  
Johan Siqveland ◽  
Zofia Musiał ◽  
...  
Keyword(s):  
Factor Analysis ◽  
Factor Structure ◽  
Internal Consistency ◽  
Self Efficacy ◽  
Face Validity ◽  
Psychiatric Nurses ◽  
Staff Attitudes ◽  
Coercive Measures ◽  
Test Retest Reliability ◽  
General Self Efficacy

Introduction: Coercion can be defined as the use of force to limit a person's choices. In Poland, coercive measures may tend to be overused. However, there is limited information regarding the attitudes of nurses toward coercion in psychiatric settings and the factors influencing any decisions to use coercion.Aims: To validate the Staff Attitudes to Coercion Scale (SACS) for a group of psychiatric nurses and psychiatrists, to compare the said with the original Norwegian SACS version, and to compare nurses' attitudes with those displayed by psychiatrists. A second aim was to understand the relationship between self-efficacy and attitudes to coercion.Method: We surveyed 351 psychiatric nurses and psychiatrists rating SACS and GSES (General Self Efficacy Scale). We validated the SACS factor structure using confirmatory principal component factor analysis, calculated the internal consistency of subscales, and analyzed the test-retest reliability and face validity of the subscales themselves. Further, we analyzed the differences in attitudes toward coercion between nurses and psychiatrists, as well as whether there was an association between GSES and the SACS subscales. We compared the means on the SACS items between three countries—Germany, Norway, and Poland.Results: The confirmatory factor analysis of the Polish version of SACS found the same factor structure with three factors as was displayed in the original Norwegian SACS, except that one item was loaded on another factor. Internal consistency was acceptable for the factors on coercion as security and the coercion as offending, and unacceptable for the factor on coercion as treatment. Test-retest reliability was excellent for all the three subscales. Face validity was high for the factor coercion as security, partly present for coercion as offending, and not present for coercion as treatment. The subscale Coercion as Treatment was rated significantly higher by nurses than by psychiatrists, but there was no difference for the two other subscales. There was no significant association between the General Self-Efficacy Scale and any of the SACS subscales. The biggest differences in attitudes toward forms of coercion was noted between Poland and Germany.Discussion: The three-factor structure of SACS was the best solution for the Polish nurses and psychiatrists. The attitudes toward coercion differed between the two groups, but a low correlation was computed for the SACS subscales and self-efficacy. There is a cultural diversity visible amongst the three countries examined. Reduction in the use of coercion is a priority worldwide. More knowledge about the process involved in using coercive measures may contribute to this. The use of coercive interventions may harm patients and threaten patients' rights. Thus, education is needed for pre-service and in-service nurses alike.

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