Parul Parul, Joseph Bindu, Datta Sunil, Rahman Muhammad Aziz
Institute of Health and Wellbeing, Federation University Australia, 100 Clyde Rd, Berwick Campus, VIC, 3806, Australia.
School of Nursing, Institute of Health and Management, Level 2/187 Boundary Rd, North Melbourne, VIC, 3051, Australia.
Psychiatr Q. 2025 Mar;96(1):213-226. doi: 10.1007/s11126-025-10116-y. Epub 2025 Jan 30.
The attitude of psychiatrists plays a crucial role in screening and supporting smoking cessation, especially with people with serious mental illness (SMI). The development of an attitude scale can improve the success of quitting among people with SMI. This study aimed to develop and test the psychometric properties of psychiatrists' attitudes toward smoking cessation support (PATSS). Based on the literature review, the attitude scale, which comprised 15 items, was developed and tested with 289 psychiatrists. The tool's psychometric properties were tested by examining item performance, content and construct validity (by exploratory factor analysis (EFA), confirmatory factor analysis (CFA), and reliability. The content validity was demonstrated by content validity ratio (CVR) (0.80) and item content validity index (ICVI) (0.88). Both EFA and CFA identified four factors: Priority and Time Commitment, Recovery Impact and Training, Social Support and Patient Factors, and Coping Mechanisms and Rights. A Cronbach alpha of (0.81) demonstrated high internal consistency. PATSS was found to be a valid and reliable tool to assess the attitude of psychiatrists towards smoking cessation support provided to people with SMI.
精神科医生的态度在筛查和支持戒烟方面起着关键作用,尤其是对于患有严重精神疾病(SMI)的人。开发一种态度量表可以提高SMI患者的戒烟成功率。本研究旨在开发并测试精神科医生对戒烟支持的态度量表(PATSS)的心理测量特性。基于文献综述,开发了包含15个条目的态度量表,并对289名精神科医生进行了测试。通过检查项目表现、内容和结构效度(通过探索性因素分析(EFA)、验证性因素分析(CFA))以及信度来测试该工具的心理测量特性。内容效度通过内容效度比(CVR)(0.80)和项目内容效度指数(ICVI)(0.88)得以证明。EFA和CFA均确定了四个因素:优先级和时间投入、康复影响和培训、社会支持和患者因素以及应对机制和权利。克朗巴哈α系数为(0.81),表明内部一致性较高。研究发现,PATSS是评估精神科医生对向SMI患者提供戒烟支持的态度的有效且可靠的工具。