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评估健康专业人员和健康科学专业学生心理健康相关污名的工具:系统心理测量学综述。

Instruments to assess mental health-related stigma among health professionals and students in health sciences: A systematic psychometric review.

机构信息

School of Nursing, Gimbernat i Tomàs Cerdà, Universitat Autònoma de Barcelona, Sant Cugat del Vallès, Spain.

Consorci Corporació Sanitària Parc Taulí, Sabadell, Spain.

出版信息

J Adv Nurs. 2019 Sep;75(9):1838-1853. doi: 10.1111/jan.13960. Epub 2019 Mar 3.

DOI:10.1111/jan.13960
PMID:30697780
Abstract

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.

摘要

目的

评估评估卫生专业人员和卫生科学学生心理健康相关污名的工具的心理计量学特性。

背景

越来越多的证据表明卫生专业人员对心理健康疾病患者的污名化。需要有效的和可靠的工具来评估心理健康相关的污名和反污名干预措施的效果。

设计

系统的心理计量学综述。

资料来源

MEDLINE(通过 PubMed)、CINAHL(通过 EBSCO)、PsycINFO、Scopus 和 Open Grey 从其成立到 2017 年 8 月。没有设置任何限制。

综述方法

我们纳入了关于测量工具的开发或评估其一个或多个测量特性的研究。使用共识基础的健康状态测量工具选择标准(COSMIN)清单评估纳入研究的方法学质量和确定的测量工具质量。

结果

我们纳入了 25 项研究,涉及 15 个测量工具。“归因问卷”(五项研究)和“开放心态卫生保健提供者量表(OMS-HC)”(四项研究)是研究最多的工具。内部一致性、内容有效性、结构有效性和假设检验是最常评估的测量特性。仅在两项研究中评估了测量误差和反应性。对 OMS-HC 的八项心理计量学特性进行了评估,其中三项具有阳性的强证据水平。

结论

已经开发了大量的工具来评估卫生专业人员的心理健康相关污名。某些测量特性缺乏评估。OMS-HC 是具有最强证据的工具。

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