与LGBTQ+客户相关的治疗师实践新测量方法的初步心理测量评估
Preliminary Psychometric Evaluation of Novel Measures of Therapist Practice Related to LGBTQ+ Clients.
作者信息
Turpin Rodman, Fish Jessica N, King-Marshall Evelyn, Boekeloo Bradley
机构信息
Department of Global and Community Health, College of Public Health, George Mason University, Fairfax, VA 22030, USA.
University of Maryland Prevention Research Center, College Park, MD 20742, USA.
出版信息
Healthcare (Basel). 2024 Jan 3;12(1):110. doi: 10.3390/healthcare12010110.
BACKGROUND
Culturally competent and equitable mental healthcare for LGBTQ+ people is critical for addressing mental health inequities for this population. Tools to assess therapists' practice with LGBTQ+ clients are needed for research and clinical efforts related to mental healthcare equity goals.
METHODS
We conducted a preliminary assessment of the reliability and validity of a novel 28-item self-report measure assessing therapist practice with LGBTQ+ clients. We examined the construct validity using factor analyses, the convergent and criterion validity using intercorrelations with LGBTQ-affirming knowledge, self-efficacy, and attitudes, and the internal consistency using Cronbach alpha.
RESULTS
Our overall total LGBTQ+ practice measure demonstrated excellent internal consistency (Cronbach's alpha = 0.91) and was strongly associated with LGBTQ+ knowledge (rho = 0.377), self-efficacy (rho = 0.633), and LGBTQ+ attitudes (rho = 0.305). We also identified two subscales: "Commitment to Continued Learning" and "Affirmative Practices", which demonstrated similarly strong internal consistency and tests of validity.
CONCLUSIONS
Our novel measure of overall LGBTQ+ practice, including two subscales, demonstrated strong reliability and validity. These findings have important implications for practice and research in mental healthcare for LGBTQ+ clients. Future research exploring these measures in relationship to mental healthcare outcomes is recommended.
背景
为 LGBTQ+ 群体提供具有文化胜任力且公平的心理保健对于解决该群体的心理健康不平等问题至关重要。与心理保健公平目标相关的研究和临床工作需要评估治疗师与 LGBTQ+ 客户互动实践的工具。
方法
我们对一项新颖的 28 项自评量表进行了可靠性和有效性的初步评估，该量表用于评估治疗师与 LGBTQ+ 客户的互动实践。我们使用因子分析检验结构效度，使用与 LGBTQ+ 肯定知识、自我效能感和态度的相互关系检验收敛效度和标准效度，并使用克朗巴赫α系数检验内部一致性。
结果
我们的整体 LGBTQ+ 实践量表显示出极佳的内部一致性（克朗巴赫α系数 = 0.91），并且与 LGBTQ+ 知识（rho = 0.377）、自我效能感（rho = 0.633）和 LGBTQ+ 态度（rho = 0.305）密切相关。我们还确定了两个子量表：“持续学习的承诺”和“肯定性实践”，它们也显示出同样强的内部一致性和效度检验结果。
结论
我们新的整体 LGBTQ+ 实践量表，包括两个子量表，显示出很强的可靠性和有效性。这些发现对为 LGBTQ+ 客户提供心理保健的实践和研究具有重要意义。建议未来开展研究，探讨这些量表与心理保健结果之间的关系。
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