The development and psychometric properties of a new scale to measure mental illness related stigma by health care providers: The opening minds scale for Health Care Providers (OMS-HC)

Background: Stigma related to mental illness is a reality among health care providers. This study is an attempt to understand the attitudes of doctors from different specialties toward mental illness and the stigma related to it. Methods: We used a concurrent nested mixed-methods approach to understand and identify the various factors of mental-illness-related stigma in medical practitioners. Between November 2018 and March 2019, 100 medical practitioners from South India were administered a self-reporting OMS-HC (Opening Minds Scale for Health Care Providers), followed by in-depth interviews among 25 of the 100 participants selected using purposive sampling. Quantitative surveys were analyzed using SPSSv23. In-depth interviews were transcribed as extended notes, translated, and initially explored using focused coding and the constant comparative method. Results: Though findings from quantitative analysis show low to moderate stigma (Mean = 53.52, SD = 7.61), the qualitative study revealed unintended and covert negative attitude toward mental illness. Conclusion: As stigma occurs at various levels—structural, institutional, interpersonal, and personal—anti-stigma measures also need to be systematically designed. Qualitative studies give more insight regarding the nature of stigma in medical practitioners toward mental illness

Download Full-text

Validation of an HIV-related stigma scale among health care providers in a resource-poor Ethiopian setting

Journal of Multidisciplinary Healthcare ◽

10.2147/jmdh.s29789 ◽

2012 ◽

pp. 97 ◽

Cited By ~ 14

Author(s):

Garumma Feyissa ◽

Abebe ◽

Girma ◽

Mirkuzie Woldie

Keyword(s):

Health Care ◽

Health Care Providers ◽

Care Providers ◽

Stigma Scale ◽

Resource Poor ◽

Related Stigma

Download Full-text

Health care providers and HIV

10.32920/ryerson.14652357 ◽

2021 ◽

Author(s):

Anne C. Wagner

Keyword(s):

Health Care ◽

Factor Analysis ◽

Qualitative Study ◽

Health Care Providers ◽

Hiv Stigma ◽

People Living With Hiv ◽

Care Providers ◽

Related Stigma ◽

Convergent And Divergent Validity ◽

Living With Hiv

The current investigation seeks to examine the attitudes and beliefs of health care providers in Canada about people living with HIV. The line of research consists of three studies. Study 1 was a qualitative study conducted with a critical lens. The critical lens was used in a series of four focus groups when qualitatively soliciting opinions about the range of attitudes, behaviours and cognitions health care providers may have towards people living with HIV. Study 2 used the information gathered from Study 1 to develop a scale to assess HIV stigma in health care providers. Items were created from examples and themes found in the qualitative study, and were tested via exploratory factor analysis, confirmatory factor analysis, test-retest reliability analysis, and assessed for convergent and divergent validity. Study 3 examined the newly developed scale’s relationship to proposed overlapping stigmas and attitudes, and tested the adapted intersectional model of HIV-related stigma with health care trainees using the newly developed HIV stigma scale as an outcome measure. The line of research found that HIV stigma continues to be a significant problem in the health care system. The scale developed in Study 2 demonstrates that HIV stigma can be conceptualized and assessed as a tripartite model of discrimination, stereotyping and prejudice, and that this conceptualization of HIV stigma supports an intersectional model of overlapping stigmas with homophobia, racism, stigma against injection drug use and stigma against sex work.

Download Full-text

HIV/AIDS-related stigma and discrimination among health-care providers in a tertiary health facility

Journal of Medical Sciences ◽

10.4103/jmedsci.jmedsci_99_16 ◽

2017 ◽

Vol 37 (2) ◽

pp. 44 ◽

Cited By ~ 4

Author(s):

Pauline JustinS Doka ◽

Mela Danjin ◽

IliyaSarki Dongs

Keyword(s):

Health Care ◽

Health Facility ◽

Health Care Providers ◽

Care Providers ◽

Stigma And Discrimination ◽

Related Stigma ◽

Hiv Aids

Download Full-text

Assessing the Psychometric Properties of the Turkish Version of Attitudes and Practice of Health Care Providers Regarding Intimate Partner Violence Survey Scale

Violence and Victims ◽

10.1891/0886-6708.vv-d-12-00112 ◽

2014 ◽

Vol 29 (4) ◽

pp. 688-700 ◽

Cited By ~ 1

Author(s):

Gezgin Burçin Biçici ◽

Aynur Uysal Toraman

Keyword(s):

Health Care ◽

Intimate Partner Violence ◽

Psychometric Properties ◽

Health Care Providers ◽

Partner Violence ◽

Intimate Partner ◽

Care Providers ◽

Turkish Version ◽

Cronbach’S Alpha ◽

Cronbach's Alpha

This study was planned to assess the psychometric properties of the Turkish version of the “attitudes and practices of health care providers regarding intimate partner violence” (APHCPs-IPV) survey scale. The sample consisted of 355 primary health care providers. A Likert-type scale composed of eight subfactors, and 43 items were used. Means and standard deviations were calculated for interval-level data. A p value of less than .05 was considered statistically significant. The Turkish version consisted of eight factor groups. The Cronbach’s alpha of the general scale was .66, and the Cronbach’s alpha of the factor groups ranged from .29 to .81. It was determined that the APHCPs-IPV scale was a valid and reliable scale to be used in Turkish society, on the condition that item number 33 be removed.

Download Full-text

Factor structure of The Opening Minds Stigma Scale for Health Care Providers and psychometric properties of its Hungarian version

BMC Psychiatry ◽

10.1186/s12888-020-02902-8 ◽

2020 ◽

Vol 20 (1) ◽

Author(s):

Dorottya Őri ◽

Sándor Rózsa ◽

Péter Szocsics ◽

Lajos Simon ◽

György Purebl ◽

...

Keyword(s):

Health Care ◽

Psychometric Properties ◽

Factor Structure ◽

Health Care Providers ◽

Concurrent Validity ◽

General Factor ◽

Care Providers ◽

Specific Factors ◽

Test Retest Reliability ◽

Hungarian Version

Abstract Background The Opening Minds Stigma Scale for Health Care Providers (OMS-HC) is a widely used questionnaire to measure the stigmatising attitudes of healthcare providers towards patients with mental health problems. The psychometric properties of the scale; however, have never been investigated in Hungary. We aimed to thoroughly explore the factor structure of the OMS-HC and examine the key psychometric properties of the Hungarian version. Methods The OMS-HC is a self-report questionnaire that measures the overall stigmatising attitude by a total score, and three subscales can be calculated: Attitude, Disclosure and Help-seeking, and Social Distance. Our study population included specialists and trainees in adult and child psychiatry (n = 211). Exploratory and confirmatory factor analyses were performed, and higher-order factors were tested. We calculated the test-retest reliability on a subgroup of our sample (n = 31) with a follow-up period of 1 month. The concurrent validity of the scale was measured with the Mental Illness: Clinician’s Attitudes-4 scale (MICA-4). Results Three factors were extracted based on a parallel-analysis. A bifactor solution (a general factor and three specific factors) showed an excellent model-fit (root mean square error of approximation = 0.025, comparative fit index = 0.961, and Tucker-Lewis index = 0.944). The model-based reliability was low; however, the general factor showed acceptable reliability (coefficient omega hierarchical = 0.56). The scale demonstrated a good concurrent validity with the MICA-4 [intraclass correlation coefficient (ICC) = 0.77]. The test-retest reliability was excellent for the general factor (ICC = 0.95) and good for the specific factors (ICC = 0.90, 0.88, and 0.84, respectively). Conclusions The three dimensions of the OMS-HC was confirmed, and the scale was found to be an adequate measure of the stigmatising attitude in Hungary. The bifactor model is more favourable as compared to the three correlated factor model; however, despite the excellent internal structure, its model-based reliability was low.

Download Full-text

Association between attitudes of stigma toward mental illness and attitudes toward adoption of evidence-based practice within health care providers in Bahrain

PLoS ONE ◽

10.1371/journal.pone.0225738 ◽

2019 ◽

Vol 14 (12) ◽

pp. e0225738

Author(s):

Feras Al Saif ◽

Hussain Al Shakhoori ◽

Suad Nooh ◽

Haitham Jahrami

Keyword(s):

Health Care ◽

Mental Illness ◽

Health Care Providers ◽

Evidence Based Practice ◽

Evidence Based ◽

Care Providers

Download Full-text

“Hear me out”: Experiences of mothers suffering from severe mental illness with health care providers – A qualitative perspective

European Psychiatry ◽

10.1016/j.eurpsy.2017.01.1835 ◽

2017 ◽

Vol 41 (S1) ◽

pp. s899-s899 ◽

Cited By ~ 1

Author(s):

D. Banerjee ◽

G. Desai ◽

P.S. Chandra

Keyword(s):

Mental Health ◽

Health Care ◽

Mental Illness ◽

Severe Mental Illness ◽

Health Care Providers ◽

Service Providers ◽

Care Providers ◽

Structured Interviews ◽

Seeking Help ◽

Competing Interest

BackgroundContrary to popular myth, majority of mentally ill women are mothers with increasing number of them seeking help. Little is known about their own experiences in this regard and the extent to which their needs are met.ObjectivesTo assess the barriers and facilitators in seeking help from mental health care providers in matters of pregnancy and parenting.MethodsThe study used qualitative design with social constructivist paradigm. A purposive sample of 30 mothers with severe mental illness was obtained. Data was collected through one-to-one in-depth semi-structured interviews. After verbatim transcription, inductive thematic analysis was used to explore transcripts.ResultsMost women considered motherhood “central” to their lives and almost all of them experienced the burden of the “dual role”. Main barriers in seeking help were stigma, treatment side effects, wrong information and time constraints. Whereas self-advocacy, early engagement, education of women and involvement of the family with service providers were the facilitating factors. The prime expectations of the mothers as identified were early and direct communication, patient audience and basic guidance in regards to child health and parenting issues.ConclusionWomen who are mothers and also users of mental health services face special challenges in managing the contradictory aspects of their dual identity. Hearing their voices are essential for service provision and ensuring adequate mental health needs. Early and direct intervention along with understanding and addressing critical areas are necessary for proper care of both the mother and child.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Download Full-text

Examining the Application of the Opening Minds Survey in the Community Health Centre Setting

The Canadian Journal of Psychiatry ◽

10.1177/0706743717719079 ◽

2017 ◽

Vol 63 (1) ◽

pp. 30-36 ◽

Cited By ~ 10

Author(s):

Mark van der Maas ◽

Heather Stuart ◽

Scott B. Patten ◽

Emily K. Lentinello ◽

Sireesha J. Bobbili ◽

...

Keyword(s):

Health Care ◽

Mental Illness ◽

Substance Use ◽

Community Health ◽

Health Care Providers ◽

Health Centre ◽

Community Health Centre ◽

Care Providers ◽

Internal Reliability ◽

Substance Use Problems

Objective: Stigma has been identified as a complex and problematic issue. It acts as a major barrier to accessing care and can exacerbate the experience of a health condition, particularly for clients with mental illness and substance use issues. Scales designed to assess stigmatising attitudes towards those with mental illness and substance use problems among health care providers are necessary to evaluate programs designed to reduce that stigma. The goal of this study was to evaluate the internal reliability and external validity of the Opening Minds Survey for Health Care Providers (OMS-HC). Methods: The current study examined the use of the OMS-HC in assessing stigma held by Community Health Centre (CHC) staff towards clients with mental and/or substance use problems. Participants represented staff from 6 CHCs in the Greater Toronto Area ( n = 190). Results: The OMS-HC was found to have acceptable internal reliability for the 15-item version of the scale (α = 0.766) and mixed reliability for its subscales (α = 0.792-0.673). Confirmatory factor analysis showed good absolute (root mean square error of approximation = 0.013) and relative fit (Tucker-Lewis index = 0.996) for the current data. The OMS-HC was also shown to correlate with a series of scales commonly used in stigma research. Conclusions: After testing for internal validity and comparing the OMS-HC to other commonly used scales for assessing stigma and attitudes concerning recovery, the scale was found to be appropriate for the CHC setting and may be advantageous over the use of multiple scales.

Download Full-text