scholarly journals A modified version of the mental health literacy scale (MHLS) in Iranian people

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Mahbobeh Nejatian ◽  
Hadi Tehrani ◽  
Vahideh Momeniyan ◽  
Alireza Jafari

Abstract Background The risk rate for the lifetime prevalence of any mental disorder is calculated as 50%, and the prevalence of mental disorders has an increasing trend. So, this study aimed to evaluate the Mental Health Literacy Scale (MHLS) among Iranian people. Methods This cross-sectional study was conducted with a multi-stage sampling method with 1273 people in the general population. After searching and reviewing various sources, the research team decided to use the questionnaire of MHLS with 35 items and six attributes that were measured and developed by O’Connor et al. The face, content, and construct validity (Confirmatory factor analysis) were used for validation of MHLS. McDonald’s omega coefficient and Cronbach’s alpha coefficient were used to calculate the reliability of MHLS. Confirmatory factor analysis was performed using AMOS software Version 24. Results In the CFA test, the six items were deleted. The final modified version of the MHLS included a total of 29 items with six attributes consisted of (a) knowledge of where to seek information (4 items), (b) ability to recognize disorders (8 items), (c) knowledge of self-treatment (2 items), (d) knowledge of risk factors and causes (2 items), (e) attitudes that promote recognition or appropriate help-seeking behavior (10 items), and (f) knowledge of professional help available (3 items). Based on the results of reliability, McDonald’s omega coefficient and Cronbach’s alpha coefficient for all attributes of MHLS were 0.797 and 0.789, respectively. Conclusion Due to the lack of appropriate instruments for measuring mental health literacy in the Iranian population, the modified version of MHLS with 29 items and six attributes can be considered as a valid and reliable instrument for this purpose.

2020 ◽  
Author(s):  
Mahboobeh Nejatian ◽  
Hadi Tehrani ◽  
Vahideh Momenian ◽  
Alireza Jafari

Abstract Background: The risk rate for the lifetime prevalence of any mental disorder is 50%, and the prevalence of mental disorders is increasing. This study aimed to evaluate the Mental Health Literacy Scale (MHLS) in Iranian people.Methods: This cross-sectional study was conducted with a multi-stage sampling method with the participation of 1273 people in the general population. After searching and reviewing various sources, the research team decided to use the questionnaire of MHLS with 35 items and 6 attributes that measured and developed by O'Connor et al. The face, content, and construct validity (Confirmatory factor analysis) were used for validation of MHLS. McDonald’s omega coefficient and Cronbach’s alpha coefficient were used to calculate the reliability of MHLS. Confirmatory factor analysis was performed using AMOS software Version 24.Results: In the CFA test, the six items were deleted and the final modified version of the MHLS included a total of 29 items with six attributes consisted of (a) knowledge of where to seek information (4 items), (b) ability to recognize disorders (8 items), (c) knowledge of self-treatment (2 items), (d) knowledge of risk factors and causes (2 items), (e) attitudes that promote recognition or appropriate help-seeking behavior (10 items), and (f) knowledge of professional help available (3 items). Based on the results of reliability, McDonald’s omega and Cronbach's alpha for all attributes of MHLS were 0.797 and 0.789 respectively.Conclusion: Due to the lack of appropriate instruments for measuring mental health literacy in the Iranian population, the modified version of MHLS with 29 items and 6 attributes is a valid and reliable instrument for measuring mental health literacy in the public population.


2021 ◽  
pp. 144-169
Author(s):  
Anatoly N. Krichevets ◽  
Alexey A. Korneev ◽  
K.V. Sugonyaev

Relevance. Nowadays the researchers commonly use a limited set of standard procedures and statistical coefficients when develop psychometric instruments and investigate their structure. The routine using of such procedures without taking into account the specific features of the psychometric scales can lead to incomplete or even inadequate results. In this context detailed consideration of the structure of psychometric instruments seems to be important and it may demand various non-standard ways of statistical analysis. Objectives. To conduct detailed analysis of the results of two intelligent subtests at the item level and to assess the sufficiency and adequacy of using standard methods for estimation of reliability and structural validity for these subtests. Methods. We analyze the data collected in intelligence testing of a large sample of respondents (11335 young adults). The respondents passed the KR-3 battery. In this study we examine in detail the structure of the subtests “Syllogisms” and “Analogies”. Specifically, we estimated the reliability of the scales by the Cronbach’s alpha coefficient, and the structure at the item level using the confirmatory factor analysis. Results and conclusions. Estimation of the reliability of the scales by Cronbach’s alpha coefficient showed importance of taking into account the time limitation, which is commonly used in intelligence tests. On the other hand, a detailed analysis of each subtest items made it possible to find out an additional factor which was not originally proposed in the factor structure. This is factor of higher-order abilities of abstract analysis, whilst the subtest originally aimed at estimation of the special abilities. Confirmatory factor analysis showed improvement of fit when this factor was added. The results allow to conclude that the researcher may miss the important properties of scales if not making a detailed analysis of testing procedures and the structure of subtest at the item level, and so may draw incomplete or inadequate conclusions about their psychometric properties


Author(s):  
Jyoshma Preema Dsouza ◽  
Stephan Van den Broucke ◽  
Sanjay Pattanshetty

Health literacy is a key topic in public health. Several measurement tools exist that operationalize health literacy, but only a few standard tools measure health literacy at a population level, and none of those are currently available for the Indian context. This study aimed to develop and validate an Indian version of the short form of the European Health literacy Questionnaire (HLS-EU Q16). Following the translation of the English version of the questionnaire in Hindi and Kannada by language experts and confirmation of the item content by health literacy experts, the questionnaire was administered to 158 Hindi speaking and 182 Kannada speaking individuals, selected via purposive sampling. Pearson’s correlation was used to confirm test–retest reliability, and confirmatory factor analysis was used to assess the construct validity of the scales in both languages. Cronbach’s alpha was calculated for the scales and their sub-domains, and item-total correlations were used to calculate item discriminant indices. Discriminant validity was examined by comparing scores of participant groups based on educational status and training in health care. Cronbach’s alpha for the Hindi version of the tool (HLS-IND-HIN-Q16) was 0.98, and for Kannada version (HLS-IND-KAN-Q16) 0.97. Confirmatory factor analysis produced fit indices within acceptable limits. The results allowed us to conclude that the two Indian language questionnaires allow valid and reliable measurements of health literacy among the Hindi and Kannada speaking population of India.


2021 ◽  
Vol 31 (3) ◽  
pp. 376-386
Author(s):  
Marcella Moreira Aguiar ◽  
Monalisa Nascimento dos Santos Barros ◽  
Antonio Macedo ◽  
Maria Inês Rosselli Puccia ◽  
Ana Telma Pereira

Introduction: fear is one of the main factors associated with psychopathological disor-ders evidenced in the context of the COVID-19 pandemic. Objective: translate and validate Fear of COVID–19 Scale (FCV-19S) into Portuguese Brazilian version, named Covid-19 Fear Scale (EMC-19). Methods: cross-sectional study with 364 individuals recruited through social networks, considering as inclusion criteria: being over 18 years old and fluent in Portuguese. After participant consentment an electronic form was completed, which included the prelimi-nary Portuguese version and EMC-19, in addition to sociodemographic variables. Data processing was performed using the SPSS 26 version. For parametric measures, Pear-son’s coefficient and Student’s T were used, and for non-parametric measures the U of Mann Whitney. The magnitude of the correlation coefficients was classified according to Cohen’s criteria and the confirmatory factor analysis using AMOS 26.0. For internal con-sistency, Cronbach’s alpha. Results: mean age of 33.11 years (±10,047), most of them female (n=332; 91,2%), with higher education (n=286; 78,6%), married (n=225, 61,8 %) and with children (n=300, 82,4%). Exploratory factorial analysis/EFA and confirmatory factor analysis/CFA made. Only one component emerged from the CFA, with an explained variance of 55,49%, re-sulting in a one-dimensional model with satisfactory adjustment indexes (X2/gl=2,135; RMSEA=0,061; CFI, TLI, GFI<0,095). Cronbach’s alpha coefficient is 876. Conclusions: the construct validity of the one-dimensional structure of the EMC-19 was demonstrated, as well as its good internal consistency.


Author(s):  
Ganime Can Gür ◽  
Derya Tanriverdi ◽  
Mahsun Ariti ◽  
Fatma Özgün Öztürk

Background: Substance users are among the most highly stigmatized individuals by both the public and health care providers. However, no multidimensional scale for measuring substance use stigma for substance use disorders (SUDs) currently exists in Turkey. Aims: The aim of this study was to determine the validity and reliability of the Turkish version of the Substance Use Stigma Mechanism Scale (SU-SMS). Method: The study was conducted at the AMATEM (Alcohol and Substance Addiction Treatment Center Clinic). The sample group of this methodological study consisted of 156 participants with SUDs who met the inclusion criteria. “Social-demographics Questionnaire,” “The Substance Use Stigma Mechanism Scale,” and “Internalized Stigma of Mental Illness Scale” were used for data collection. In the validity–reliability analysis of the scale, language and content validity, explanatory and confirmatory factor analysis, criterion-concurrent validity, Cronbach’s alpha coefficient, item–total score correlation, split-half reliability analysis, and test–retest reliability methods were used. Results: Using exploratory factor analysis, it was found that the SU-SMS has five factors. Its five-factor structure was confirmed using confirmatory factor analysis. Its Cronbach’s alpha coefficient was .828, and factor loading was between .402 and .971. Analyses indicated that each of the factors of the Turkish version of the scale had high internal consistency. The test–retest correlation value was .752, p = .000. Conclusions: It was concluded that the Turkish version of the SU-SMS is a reliable and valid instrument for assessing substance use-related stigma in individuals with SUDs.


2021 ◽  
Author(s):  
Amer Almarabheh ◽  
Manal Al Ghamdi ◽  
Abdulla Elbarbary ◽  
Ahmed Alqashar ◽  
Faisal alserdieh ◽  
...  

Abstract Background Limited attention is devoted to the improvement of the quality of life of patients suffering from the negative consequences of Sickle cell disease (SCD). Our study focuses on the evaluation of the performance of the WHOQOL-BREF as a tool to measure the quality of life of SCD Patients in Bahrain. Methods We conducted a cross-sectional study that enrolled 273 SCD patients selected using a simple random sampling technique from primary health-care centers in Bahrain in 2019. A designed questionnaire including the WHOQOL-BREF was filled by the patients during face-to-face interviews in the health centers. The reliability of the WHOQOL-BREF was assessed by standardized Cronbach’s alpha coefficient, and the validity was measured by convergent validity, principal component analysis and confirmatory factor analysis. Results The WHOQOL-BREF had good internal consistency as Cronbach’s alpha coefficient for the overall scale was 0.91. The convergent validity results indicated that the correlation coefficients values for all scale domains are significantly correlated at α < 0.01. Confirmatory factor analysis found that the four-domain structure produced a robust fit to the data. Conclusions The WHOQOL-BREF tool has high internal consistency and validity in assessing the quality of life of Sickle Disease patients in Bahrain.


2017 ◽  
Vol 14 (3) ◽  
pp. 2748 ◽  
Author(s):  
Hatice Karabuğa Yakar ◽  
Şula Ecevit Alpar

Objective: Planned for the purpose of determining the validity and reliability of Intercultural Awareness and Intercultural Effectiveness scales, which were developed abroad for measuring the intercultural communication competence of nurses taking care of patients from different cultures. The study is planned as methodological and descriptive.Material and Method: The data were filled by 204 nurses via Nurse Identification Form, Intercultural Awareness Scale and Intercultural Effectiveness Scale. Within the scope of the study, introductory characteristics of nurses were presented with percentiles, mean or median. During the examination of the reliability of Intercultural Awareness and Intercultural Effectiveness scales; internal consistency coefficient was calculated by using the cronbach’s alpha coefficient via test-retest correlation pearson product- moment correlation technique. During the validity examination; confirmatory factor analysis (CFA) was performed for evaluating the construct validity after performing language equivalence and content validity.Findings: In order to provide the language equivalence, the scale was primarily translated into Turkish and then back-translated. After receiving the expert opinion, Content Validity Index (CVI) values of scale items were calculated. Content Validity Index scores were calculated as 3,5 for the Intercultural Awareness Scale and 2,8 for the Intercultural Effectiveness Scale.  Examining reliabilities of the scales; it was determined that the Cronbach’s alpha coefficient was 0.73 for the Intercultural Awareness Scale and 0.85 for the Intercultural Effectiveness Scale, and the test-retest correlation coefficient was 0.89 for the Intercultural Awareness Scale and 0.71 for the Intercultural Effectiveness Scale. In the confirmatory factor analysis of the Intercultural Awareness Scale, the scale is collected under one lower dimension unlike the original scale and consists of totally 9 items like the original scale. Examining the general adhesion coefficients; /sd value 1.64; CFI: 1.00, RMSEA: .019 and SRMR index 0.053. Factor loads vary between .25 and .83. In the confirmatory factor analysis of the Intercultural Effectiveness Scale, the scale has the same number of lower dimensions as the original scale and consists of totally 24 items. Examining the general adhesion coefficients for the Intercultural Effectiveness Scale; /sd value 1.66; CFI: 0.98, RMSEA: .059 and SRMR index 0.077. Factor loads vary between .41 and .85. Items of both scales sufficiently represent their own factor dimensions.Conclusion: Intercultural Awareness Scale and Intercultural Effectiveness Scale are valid and reliable scales. Extended English abstract is in the end of PDF (TURKISH) file. ÖzetAmaç: Farklı kültürlerden gelen hastalara bakım veren hemşirelerin kültürlerarası iletişim yeterliliğini ölçmek amacıyla yurt dışında geliştirilen Kültürlerarası Farkındalık ve Kültürlerarası Etkililik ölçeklerinin güvenirlik ve geçerliğinin belirlenmesi amacıyla metodolojik ve tanımlayıcı olarak planlanmıştır.Gereç ve Yöntem: Veriler Hemşire Tanılama Formu, Kültürlerarası Farkındalık Ölçeği, Kültürlerarası Etkililik Ölçeği ile 204 hemşire tarafından dolduruldu. Araştırma kapsamında hemşirelerin tanıtıcı özellikleri yüzdelik dilimler, ortalama veya ortanca ile sunuldu. Kültürlerarası Farkındalık ve Kültürlerarası Etkililik ölçeklerinin güvenirlik incelemesinde iç tutarlılık katsayısı cronbach’s alpha katsayısı kullanılarak, test-retest korelasyonu pearson momentler çarpımı korelasyon tekniği ile hesaplandı. Geçerlik incelemesinde; dil eşdeğerliği ve kapsam geçerliği yapıldıktan sonra; yapı geçerliliğini değerlendirmek amacıyla doğrulayıcı faktör analizi (DFA) yapıldı.Bulgular: Ölçeğin ilk olarak dil eşdeğerliliğinin sağlanması için Türkçeye çevirisi ve geri çevirisi yapılmıştır. Uzman görüşü sonrasında ölçekteki maddelerin Kapsam Geçerlik İndeks (KGİ) değeri hesaplanmıştır. Kapsam geçerlik indeks puanları Kültürlerarası Farkındalık Ölçeği için 3,5; Kültürlerarası Etkililik Ölçeği için ise 2,8 dir.Ölçeklerin güvenirlik inceleme sonuçlarında; Cronbach’s alpha katsayısı Kültürlerarası Farkındalık Ölçeği için 0.73, Kültürlerarası Etkililik Ölçeği için 0.85 olup; test-retest korelasyon katsayıları ise Kültürlerarası Farkındalık Ölçeği için 0.89, Kültürlerarası Etkililik Ölçeği için 0.71’dir . Kültürlerarası Farkındalık ölçeğinin doğrulayıcı faktör analizinde ölçek orjinalinden farklı olarak tek alt boyutta toplanmaktadır ve  orijinal ölçekle aynı olarak toplamda 9 maddeden oluşmaktadır. Genel uyum katsayılarına bakıldığında; /sd değerinin 1.64; CFI: 1.00, RMSEA: .019 ve SRMR indeksi 0.053’dür. Faktör yükleri .25 ile .83 arasında değişmektedir. Kültürlerarası Etkililik Ölçeği’nin doğrulayıcı faktör analizinde ölçek orijinaliyle aynı altı alt boyutta ve toplamda 24 maddeden oluşmaktadır. Kültürlerarası etkililik ölçeği için genel uyum katsayıları incelendiğinde; ; /sd değerinin 1.66;CFI: 0.98, RMSEA: .059 ve SRMR indeksi 0.077’dir. Faktör yükleri .41 ile .85 arasında değişmektedir. Her iki ölçek maddeleri ait oldukları faktör boyutunu yeterli derecede temsil etmektedir.Sonuç: Kültürlerarası Farkındalık ve Kültürlerarası Etkililik ölçekleri güvenilir ve geçerli bir ölçektir.


Author(s):  
Anita Obrycka ◽  
Jose-Luis Padilla ◽  
Artur Lorens ◽  
Piotr Henryk Skarzynski ◽  
Henryk Skarzynski

Abstract Purpose The purpose of the study was to validate the AQoL-8D questionnaire in the adult population of patients referred to an otolaryngology clinic. Methods AQoL-8D was translated into Polish. 463 patients (age18–80 years) with otolaryngological conditions were assessed with the AQoL-8D, SF-6D, and SWLS questionnaires. We investigated the item content-relevance, factor structure by means of Confirmatory Factor Analysis, corrected item-total correlations, Cronbach’s alpha, Pearson correlation of the AQoL-8D scores with results from SF-6D and from the SWLS questionnaires. Finally, ANOVA was used to test the AQoL-8D ability to group the HRQoL of patients in terms of their otolaryngological management type. Results The median score of item content-relevance was 5.0 for all AQoL-8D items. Confirmatory Factor Analysis revealed the following fit indices: Comparative Fit Index = 0.81; Tucker–Lewis Index = 0.80; and Root Mean Square Error of Approximation = 0.07. Cronbach's alpha for AQoL-8D dimensions ranged from 0.48 to 0.79. Mean item-total correlations over all dimensions, super dimensions, and the instrument overall were higher than 0.3. There was a significant Pearson correlation between the results obtained with AQoL-8D and SF-6D (r = 0.68), and with AQoL-8D and SWLS (r = 0.43). A one-way ANOVA showed a significant effect of management type on HRQoL as measured by AQoL-8D [F(4,458) = 6.12, p < 0.001] Conclusion AQoL-8D provides valid and reliable measures of HRQoL in patients undergoing otolaryngological treatment. Because it is a generic questionnaire, it is possible to make general comparisons of otolaryngology outcomes with those from other subspecialties.


Author(s):  
Gabriela Alejandra Grover-Baltazar ◽  
Gabriela Macedo-Ojeda ◽  
Ana Sandoval-Rodríguez ◽  
Marianne Martínez-Vizmanos ◽  
Lucrecia Carrera-Quintanar ◽  
...  

Positive attitudes towards breastfeeding in health professionals/students have been associated with increasing their confidence to provide support and accompaniment to mothers. In Mexico, there is no valid/reliable tool to assess attitudes towards breastfeeding in this population. The Australian Breastfeeding Attitudes (and Knowledge) Questionnaire (ABAQ) measures attitudes in the Australian population. We aimed to adapt and validate the ABAQ in Mexican health students. We included 264 health students (nursing, nutrition, and medicine) from the University of Guadalajara. Bilingual translators carried out the Spanish adaptation with a reverse translation into English. Experts evaluated the content validity. Reliability was evaluated through an internal consistency analysis (Cronbach’s alpha) and construct validity through convergent–divergent validation, item–total correlation, exploratory factor analysis (by principal components), and confirmatory factor analysis. According to the exploratory factor analysis, only one component was identified. Seven items were removed (low correlation between items ≤0.2 and low factor load ≤0.3). The Cronbach’s alpha was 0.78. According to the confirmatory factor analysis, the one-factor solution of the ABAQ-13Mx showed a good model fit (X2 = 98.41, G = 62, p = 0.02, CFI = 0.940, and RMSEA = 0.048). The ABAQ-13Mx is a reliable and valid instrument for evaluating attitudes towards breastfeeding in Mexican health degree students.


2020 ◽  
Vol 4 (1) ◽  
Author(s):  
Lamidi Lamidi ◽  
Marjam Desma Rahadhini

Penelitian ini bertujuan menganalisis pengaruh inovasi konsumen dengan beberapa faktor yang menjadi penentu niat berperilaku konsumen. Penelitian ini berupaya mengetahui pentingnya inovasi konsumen, dengan mempertimbangkan rasa terima kasih konsumen, citra restoran dalam berinovasi, dan kewajaran harga sebagai variabel mediasi. Penelitian ini merupakan survei. Pengumpulan data menggunakan kuesioner. Populasi penelitian adalah konsumen di wilayah Surakarta. Sampel ditentukan sebanyak 130 responden dengan metode convenience sampling, yaitu konsumen yang melakukan pembelian di SFA Steak & Resto Surakarta. Pengujian validitas menggunakan Confirmatory Factor Analysis (CFA), dan Cronbach’s Alpha untuk uji reliabilitas. Analisis data menggunakan Structural Equation Model (SEM) dengan program Amos. Temuan penelitian menunjukkan bahwa inovasi konsumen berpengaruh terhadap ucapan terima kasih dan citra restoran, tetapi tidak berpengaruh terhadap kewajaran harga; ucapan terima kasih berpengaruh terhadap kewajaran harga dan niat berperilaku; citra restoran berpengaruh terhadap kewajaran harga dan niat berperilaku; kewajaran harga tidak berpengaruh terhadap niat berperilaku. Implikasi penelitian hendaknya SFA Steak & Resto Surakarta perlu mempertimbangkan pembuatan menu-menu baru supaya semakin variatif pilihan konsumen, selain itu karyawan perlu mengucapkan terima kasih setelah memberikan pelayanan kepada konsumen.Kata kunci: inovasi konsumen, rasa terima kasih, kewajaran harga, citra restoran, dan niat berperilaku


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