1 Institute for Mental Health Policy Research, Centre for Addiction and Mental Health, Toronto, Ontario.
2 Community Health and Epidemiology, Queen's University, Kingston, Ontario.
Can J Psychiatry. 2018 Jan;63(1):30-36. doi: 10.1177/0706743717719079. Epub 2017 Jun 30.
Stigma has been identified as a complex and problematic issue. It acts as a major barrier to accessing care and can exacerbate the experience of a health condition, particularly for clients with mental illness and substance use issues. Scales designed to assess stigmatising attitudes towards those with mental illness and substance use problems among health care providers are necessary to evaluate programs designed to reduce that stigma. The goal of this study was to evaluate the internal reliability and external validity of the Opening Minds Survey for Health Care Providers (OMS-HC).
The current study examined the use of the OMS-HC in assessing stigma held by Community Health Centre (CHC) staff towards clients with mental and/or substance use problems. Participants represented staff from 6 CHCs in the Greater Toronto Area ( n = 190).
The OMS-HC was found to have acceptable internal reliability for the 15-item version of the scale (α = 0.766) and mixed reliability for its subscales (α = 0.792-0.673). Confirmatory factor analysis showed good absolute (root mean square error of approximation = 0.013) and relative fit (Tucker-Lewis index = 0.996) for the current data. The OMS-HC was also shown to correlate with a series of scales commonly used in stigma research.
After testing for internal validity and comparing the OMS-HC to other commonly used scales for assessing stigma and attitudes concerning recovery, the scale was found to be appropriate for the CHC setting and may be advantageous over the use of multiple scales.
污名已被确定为一个复杂且有问题的问题。它是获得护理的主要障碍,并可能加剧健康状况的体验,特别是对于患有精神疾病和药物使用问题的患者。需要设计评估卫生保健提供者对精神疾病和药物使用问题患者的污名化态度的量表,以评估旨在减少这种污名的计划。本研究的目的是评估医疗保健提供者开放思想调查(OMS-HC)的内部可靠性和外部有效性。
本研究考察了使用 OMS-HC 评估社区卫生中心(CHC)工作人员对患有精神和/或药物使用问题的患者的偏见。参与者代表大多伦多地区 6 个 CHC 的工作人员(n=190)。
发现 OMS-HC 对于量表的 15 项版本具有可接受的内部可靠性(α=0.766),并且其分量表的可靠性混合(α=0.792-0.673)。验证性因素分析显示,当前数据的绝对(均方根误差逼近 = 0.013)和相对拟合(塔克-刘易斯指数 = 0.996)良好。OMS-HC 还与通常用于污名研究的一系列量表相关。
在测试内部有效性并将 OMS-HC 与其他用于评估污名和关于康复的态度的常用量表进行比较后,发现该量表适合 CHC 环境,并且可能优于使用多个量表。