Development and responsiveness of a scale to measure clinicians' attitudes to people with mental illness (medical student version)

被引:137
作者
Kassam, A. [1 ]
Glozier, N. [1 ,2 ]
Leese, M. [1 ]
Henderson, C. [1 ]
Thornicroft, G. [1 ]
机构
[1] Kings Coll London, Sect Community Mental Hlth, Hlth Serv & Populat Res Dept, Inst Psychiat, London SE5 8AF, England
[2] Univ Sydney, Disciplines Psychiat & Sleep Med, Sydney Med Sch, Sydney, NSW 2006, Australia
关键词
psychometrics; stigma; health service; REDUCING PSYCHIATRIC STIGMA; HEALTH PROFESSIONALS; DISCRIMINATION; SCHIZOPHRENIA; DISORDERS;
D O I
10.1111/j.1600-0447.2010.01562.x
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Objective: We report the rationale, reliability, validity and responsiveness studies of the Mental Illness: Clinicians' Attitudes (MICA) Scale, a 16-item scale designed to measure attitudes of health care professionals towards people with mental illness. Method: Items were generated through focus groups with service users, carers, medical students and trainee psychiatrists. Psychometric testing was completed in a number of student samples. The responsiveness of the scale was tested after a 1.5 h mental illness stigma related intervention with medical students. Results: The MICA scale showed good internal consistency, alpha = 0.79. The test-retest reliability (concordance) was 0.80 (95% CI: 0.68-0.91). The standardised response mean for the scale was 0.4 (95% CI 0.02-0.8) after a mental illness related stigma intervention. Conclusion: The MICA scale is a responsive, reliable and valid tool, which can be used in medical education and mental health promotion settings and studies.
引用
收藏
页码:153 / 161
页数:9
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