Aim: To evaluate the psychometric properties of the instruments to assess the mental health-related stigma among health professionals and students in health sciences.
Background: Evidence on the stigmatization by health professionals of people with mental health illness is increasingly compelling. Valid and reliable instruments are needed for the assessment of mental health-related stigma and effectiveness of anti-stigma interventions.
Design: Systematic psychometric review.
Data sources: MEDLINE (via PubMed), CINAHL (via EBSCO), PsycINFO, Scopus, and Open Grey from their inception to August 2017. No limits were applied.
Review methods: We included studies on the development of a measurement instrument or on the evaluation of one or more of its measurement properties. The methodological quality of the included studies and quality of the measurement instruments identified were assessed using the COnsensus-based Standards for the selection of health status Measurement INstruments (COSMIN) checklist.
Results: We included 25 studies involving 15 measurement instruments. The "Atributtion Questionnaire" (five studies) and the "Opening Minds Scale for Health Care providers (OMS-HC)" (four studies) were the most investigated instruments. Internal consistency, content validity, structural validity, and hypothesis testing were the measurement properties most commonly evaluated. Measurement error and responsiveness were investigated in only two studies. Eight psychometric properties of OMS-HC were evaluated, three of which have a positive strong level of evidence.
Conclusions: A substantial number of instruments have been developed to assess mental health-related stigma among health professionals. There is a lack of any assessment of certain measurement properties. The OMS-HC is the instrument that had the strongest evidence.
目的: 评估健康专业人士和健康科学专业学生心理健康相关耻辱感的心理测量学特性。 背景: 健康专业人士对心理健康疾病患者的耻辱感的研究愈发令人信服。而评估与心理健康有关的耻辱感和抗耻辱感干预措施的有效性需要有效且可靠的工具。 设计: 系统的心理测量学评估。 数据来源: MEDLINE(通过PubMed进行检索)、CINAHL(通过EBSCO进行检索)、PsycINFO、Scopus和Open Grey(从建立之初到2017年8月)。无任何限制。 评估方法: 涵盖有关测量工具开发或对其一个或多个测量特性的评估的研究。采用基于共识选择健康测量工具的标准(COSMIN)清单来评估所纳入研究的方法学质量和所确定测量工具的质量。 结果: 我们涵盖了涉及15种测量工具的25项研究。其中“Atributtion问卷”(五项研究)和“医疗服务人员开放心态量表(OMS-HC)”(四项研究)为调查使用最多的工具。内部一致性、内容有效性、结构有效性和假设检验是最常用的测量特性。仅在两项研究中调查了测量误差和反应度。此外,我们还评估了OMS-HC的八大心理测量学特性,其中三种拥有积极有力的证据。 结论: 现已开发大量工具用来评估健康专业人士的与心理健康相关的耻辱感。然而,针对某些测量特性,有关其的各类评估明显缺乏。OMS-HC为最强有力的证明工具。.
Keywords: attitude of health personnel; literature review; mental health; nursing; psychometrics; stigma; systematic review.
© 2019 John Wiley & Sons Ltd.