scholarly journals A modified version of the Mental Health Literacy Scale (MHLS) in Iranian people

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 ◽  
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.


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):  
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.


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


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


2019 ◽  
Author(s):  
Pere Castellvi ◽  
Rocio Casanas ◽  
Victoria-Mailen Arfuch ◽  
Juan-José Gil Moreno ◽  
María Torres Torres ◽  
...  

Abstract Background There is evidence of the effectiveness of implementing Mental Health Literacy (MHL) programs in improving mental health knowledge and reducing the stigma. However, there are substantial limitations in the instruments of measurement of mental health literacy. This study aimed to develop and validate the EspaiJove.net MHL test (EMHL) for Spanish adolescents assessing its psychometric properties.Methods The development of the EMHL as a maximum performance test was conducted using item pool generation and pilot study. Content generation was assessed according item relevance by mental health professionals’ and comprehensive and non-offensiveness by adolescents’ focus groups. A convenience sample of high school students aged 13-15y (n=355) participated in the validity study. Reliability was assessed with internal consistency and test-retest. Convergent validity was evaluated comparing effect size among known groups with different levels of mental health knowledge, correlation with mental health-related instruments, and item discrimination index.Results A final version of 35-item EMHL test was obtained with two parts: (i) 1st part consist of binary choice format (yes/no) for the identification of mental disorders; (ii) The part 2 has multiple choice questions with four possible answer options based on the thematic contents of the EspaiJove.net program. Internal consistency was acceptable in the 1st part (Cronbach’s alpha=0.744; Guttman’s lambda 2=0.773) and almost acceptable in the 2nd part (Cronbach’s alpha=0.615; Guttman’s lambda 2=0.643). The test-retest evaluation supported the stability of the test (1st part, ICC= 0.578; 2nd part, ICC= 0.422), no ceiling and floor effects were found. The EMHL test scores discriminated known groups with different levels of mental health knowledge, it is associated with a reduction of related-stigma, emotional symptoms, conduct problems and bullying behaviours and anxiety/depression and self-care quality of life (p<0.05), and it shows a strong discrimination index in almost all items (D≥0.40).Conclusions The EMHL test is a relevant measure for mental health prevention and promotion adapted to Spanish context taking into account the opinion of adolescents, using a non-offensive and adolescent-adapted vocabulary with acceptable validity and stability for assessing MHL levels in adolescents.


2021 ◽  
pp. 263501062110586
Author(s):  
Moonsun Kim ◽  
Chun-Ja Kim ◽  
Dae Jung Kim ◽  
Elizabeth A. Schlenk

Purpose: The purpose of this study is to translate the Perceived Therapeutic Efficacy Scale (PTES) into Korean and investigate its validity and reliability. Methods: The authors conducted a cross-sectional survey using baseline data from a randomized controlled study to psychometrically validate the PTES-Korean (PTES-K) among 108 adults with type 2 diabetes from an outpatient clinic at a university-affiliated hospital in Korea. The original PTES was forward-translated and back-translated to ensure translation equivalence of the PTES-K. Structured questionnaires were used for psychometric evaluation; exploratory and confirmatory factor analysis assessed validity, and Cronbach’s alpha coefficient and intraclass correlation coefficient (ICC) were used for reliability. Results: The interitem correlation analyses revealed that 5 items were redundant; thus, the scale was reduced to 5 items. A 1-factor model explained 76.85% of the variance; confirmatory factor analysis showed that this model adequately fit the data. The ICC for test-retest reliability was .78; Cronbach’s alpha was .92. The PTES-K showed significant associations with the scores of diabetes self-care activities for physical activity, quality of life, and depressive symptoms. Participants with good glycemic control and regular physical activity tended to have a higher score on the PTES-K than their counterparts, demonstrating known-groups validity. Conclusions: The cross-cultural applicability, reliability, and validity of the PTES-K were confirmed. The PTES-K may be used in clinical settings to examine the potential role of perceived therapeutic efficacy for physical activity in enhanced glycemic control among patients with diabetes.


Author(s):  
Achim Siegel ◽  
Anna T. Ehmann ◽  
Ingo Meyer ◽  
Oliver Gröne ◽  
Wilhelm Niebling ◽  
...  

Background: The purpose of our study was to develop and psychometrically test a German-language survey instrument that measures patient enablement generically and in greater detail than previous instruments. Methods: A multidisciplinary team developed 13 items to capture individual aspects of patient enablement (PEN-13). A pre-test with 26 subjects was followed by a random sample survey of N = 1168 subjects. An exploratory factor analysis was conducted in a random split-half sample of the data to explore PEN-13’s factor structure; a confirmatory factor analysis was conducted in the validation sample. The internal consistency of the factors was evaluated using Cronbach’s alpha, PEN-13’s construct validity was checked by means of additional hypothesis testing. Results: The two factors self-management and patient-practitioner interaction, detected in the exploratory analysis, were confirmed with a few modifications in the confirmatory factor analysis, with the comparative fit index (CFI) amounting to 0.903. The Cronbach’s alpha values of those two factors amounted to α = 0.90 and α = 0.82, respectively. The correlations of the PEN-13 score with the ’general self-efficacy’ and ’health literacy’ (HLS-EU-Q16) scores further confirmed its construct validity; the respective correlation coefficients amounted to 0.57 and 0.60. Conclusion: The German version of the survey instrument Patient Enablement Scale—13 items (PEN-13) shows acceptable psychometric properties. Practical implications: PEN-13 seems particularly suitable for health services research purposes. We recommend checking the results in another sample as well as evaluating its responsiveness to enablement-enhancing interventions.


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