Construct validity and internal consistency of the revised Mental Health Literacy Scale in South African and Zambian contexts

Korhonen, Joonas; Axelin, Anna; Katajisto, Jouko; Lahti, Mari

doi:10.1002/nop2.1132

Cited by 3 publications

(9 citation statements)

References 49 publications

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“…In our findings, the scores among PHC workers ranged from 76 to 150, with the mean scores being less than a group of professionals Furthermore, the results indicated strong internal consistency for the entire revised MHLS, which is also in line with our previous findings (Korhonen et al, 2022).…”

Section: Discussionsupporting

confidence: 91%

“…In this study, we explored the levels and determinants of MHL among PHC workers in SA and Zambia. Based on the authors' knowledge, this is the first study that explored the level of MHL among PHC workers in SA and Zambia using the MHLS that was revised and validated (Korhonen et al, 2019(Korhonen et al, , 2022.…”

Section: Discussionmentioning

confidence: 99%

“…O'Connor and Casey (2015) psychometrically tested the original MHLS, which demonstrated excellent psychometric validity (Wei et al, 2016). We conducted this study using a revised MHLS (Korhonen et al, 2019(Korhonen et al, , 2022O'Connor & Casey, 2015) that was validated and psychometrically tested, especially for low-and middle-income countries (LMICs).…”

Section: Revised Mhlsmentioning

confidence: 99%

“…The revised MHLS is psychometrically sound with good construct validity and internal consistency (Korhonen et al, 2022;O'Connor & Casey, 2015;Wei et al, 2016). The revised MHLS elaborates on new information about the factors that may affect PHC workers' provision of quality mental health care in the sub-Saharan region.…”

Section: Revised Mhlsmentioning

confidence: 99%

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Mental health literacy among primary healthcare workers in South Africa and Zambia

Korhonen,

Axelin,

Stein

et al. 2022

Brain and Behavior

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Background:In developing countries, mental health literacy (MHL) still needs to be improved due to the high prevalence of mental disorders. It is widely recognized that MHL can improve health outcomes for both individuals and populations. Healthcare professionals' development in MHL is crucial to the prevention of mental disorders.The aim of this study was to assess MHL of primary healthcare (PHC) workers in South Africa (SA) and Zambia and determinants thereof. Limited evidence is available on the levels of MHL among PHC workers in the sub-Saharan Africa region, which faces a large burden of mental disorders. Methods:The study population for this cross-sectional survey comprised PHC workers (n = 250) in five provinces of SA and Zambia. MHL was measured with the Mental Health Literacy Scale (MHLS). We conducted a multivariate analysis to explore determinants of MHL.Results: Results showed moderate MHL among PHC professionals, but with a wide range from low to high MHL. Knowledge-related items had a greater dispersion than other attributes of MHL. PHC workers with more education showed a greater ability to recognize mental health-related disorders. Those who had experience in the useThis is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionmentioning

confidence: 99%

Section: Revised Mhlsmentioning

confidence: 99%

Section: Revised Mhlsmentioning

confidence: 99%

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Mental health literacy among primary healthcare workers in South Africa and Zambia

Korhonen,

Axelin,

Stein

et al. 2022

Brain and Behavior

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“…Pakistani [339]; South African and Zambian [340]; Arabic [341]; Chinese [342]; Portuguese [343]; Iranian [344][345][346][347][348] Health Literacy for School-Aged Children (HLSAC) Turkish [358]; Polish [359]; Danish [360]; Finnish/ Polish/Slovak/Belgian [361] -Electronic health literacy instruments…”

Section: Content Specific Health Literacy Instrumentsmentioning

confidence: 99%

Measuring health literacy: A systematic review and bibliometric analysis of instruments from 1993 to 2021

et al. 2022

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Background It has been about 30 years since the first health literacy instrument was developed. This study aimed to review all existing instruments to summarize the current knowledge on the development of existing measurement instruments and their possible translation and validation in other languages different from the original languages. Methods The review was conducted using PubMed, Web of Science, Scopus, and Google Scholar on all published papers on health literacy instrument development and psychometric properties in English biomedical journals from 1993 to the end of 2021. Results The findings were summarized and synthesized on several headings, including general instruments, condition specific health literacy instruments (disease & content), population- specific instruments, and electronic health. Overall, 4848 citations were retrieved. After removing duplicates (n = 2336) and non-related papers (n = 2175), 361 studies (162 papers introducing an instrument and 199 papers reporting translation and psychometric properties of an original instrument) were selected for the final review. The original instruments included 39 general health literacy instruments, 90 condition specific (disease or content) health literacy instruments, 22 population- specific instruments, and 11 electronic health literacy instruments. Almost all papers reported reliability and validity, and the findings indicated that most existing health literacy instruments benefit from some relatively good psychometric properties. Conclusion This review highlighted that there were more than enough instruments for measuring health literacy. In addition, we found that a number of instruments did not report psychometric properties sufficiently. However, evidence suggest that well developed instruments and those reported adequate measures of validation could be helpful if appropriately selected based on objectives of a given study. Perhaps an authorized institution such as World Health Organization should take responsibility and provide a clear guideline for measuring health literacy as appropriate.

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