测量临床医生对精神疾病患者态度的量表的编制及反应度（医学生版）。
Development and responsiveness of a scale to measure clinicians' attitudes to people with mental illness (medical student version).
机构信息
Health Service and Population Research Department, Institute of Psychiatry, King's College London, UK.
出版信息
Acta Psychiatr Scand. 2010 Aug;122(2):153-61. doi: 10.1111/j.1600-0447.2010.01562.x. Epub 2010 Apr 26.
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.
目的
我们报告了精神疾病：临床医生态度量表（MICA 量表）的基本原理、可靠性、有效性和反应性研究，该量表由 16 个项目组成，旨在衡量医疗保健专业人员对精神疾病患者的态度。
方法
通过与服务使用者、照顾者、医学生和受训精神科医生的焦点小组产生项目。在多个学生样本中完成了心理测量学测试。在对医学生进行了 1.5 小时的精神疾病耻辱感相关干预后，对该量表的反应性进行了测试。
结果
MICA 量表显示出良好的内部一致性，α=0.79。测试-重测信度（一致性）为 0.80（95%CI：0.68-0.91）。在进行精神疾病相关耻辱感干预后，该量表的标准化反应均值为 0.4（95%CI 0.02-0.8）。
结论
MICA 量表是一种反应灵敏、可靠且有效的工具，可用于医学教育和精神卫生促进环境和研究中。
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