Measuring Mental Health Provider-Based Stigma: Development and Initial Psychometric Testing of a Self-Assessment Instrument

Charles, Jennifer; Bentley, Kia J.

doi:10.1007/s10597-017-0137-4

Cited by 20 publications

(26 citation statements)

References 40 publications

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“…Mental Health Provider Self‐Asssessment of Stigma Scale is an instrument intended to measure levels of provider‐based stigma to address social desirability bias based on the lived‐experience of mental health service clients and their family members (Charles & Bentley, ). It is based on the five‐themed experience‐based model developed by Charles () from an ethnographic content analysis of client and family authored personal account literature.…”

Section: Resultsmentioning

confidence: 99%

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

Sastre-Rus

García-Lorenzo

Lluch‐Canut

et al. 2019

Journal of Advanced Nursing

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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. 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.

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Section: Resultsmentioning

confidence: 99%

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

Sastre-Rus

García-Lorenzo

Lluch‐Canut

et al. 2019

Journal of Advanced Nursing

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“…There are a number of measures assessing attitudes and social distance toward mental illness [42,43]. With regard to investigating attitudes toward mental illness, one popular measure is the Opinions about Mental Illness (OMI) [34].…”

Section: Methodsmentioning

confidence: 99%

Changes in Attitudes toward Mental Illness in Healthcare Professionals and Students

Lien

Lin

Tsai

et al. 2019

IJERPH

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Mental-illness-related stigma not only exists in the public but also in healthcare systems. Healthcare providers (HCPs) who have stigmatizing attitudes or behaviors might be thought of as a key barrier to mental health service use, and influence the quality of healthcare. Although cumulative projects have been conducted to reduce stigma related to mental illness among HCPs around the world, little is known about whether the attitudes of HCPs toward mental illness have changed over time. Research on this topic is mixed with respect to whether attitudes of HCPs toward mental illness have become more or less positive. The aim of the current study was to help clarify this issue using a cross-temporal meta-analysis of scores on the Social Distance Scale (SDS), Opinions about Mental Illness (OMI), and Community Attitudes towards Mental Illness (CAMI) measures among health care professionals and students (N = 15,653) from 1966 to 2016. Our results indicated that both social distance (β = −0.32, p < 0.001) and attitudes (β = 0.43, p = 0.007) of HCPs toward mental illness have become increasingly positive over time. These findings provide empirical evidence to support that the anti-stigma programs and courses have positive effects on HCPs and can inform future anti-stigma programs focusing on improving the attitudes of HCPs toward mental illness, thereby improving the quality of healthcare provided.

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“…We believe that Peplau's model of psychodynamic nursing was the most suitable for the objectives of our study, as it considers several aspects that may play a key role in generating stigma around mental illness in the nursing context, which, based on this conceptual model and recent studies on this topic (Charles & Bentley, 2017; Chiles, Stefanovics, & Rosenheck, 2017; Destrebecq et al, 2017; Yanos et al., 2017), includes the patients’ capacity to recover, ability to take responsibility for their actions and social isolation.…”

Section: Discussionmentioning

confidence: 99%

“…The relatively small number of items implies a low response burden, which means that the scale could be used in conjunction with other measures (Streiner & Norman, 2014). Indeed, several authors have considered one or more of these factors in their research on the stigma of mental illness (Charles & Bentley, 2017; Chiles et al., 2017; Destrebecq et al., 2017; Gabbidon et al., 2012; Yanos et al., 2017).…”

Section: Discussionmentioning

confidence: 99%

Development and psychometric testing of a scale for assessing the associative stigma of mental illness in nursing

Sastre-Rus

Tomás–Sábado

Juliá‐Sanchis

et al. 2020

Journal of Clinical Nursing

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Aims and objectives: To develop a new scale for assessing the associative stigma of mental illness in nursing based on Peplau's model of psychodynamic nursing and to examine its psychometric properties. Background: The stigma of mental illness continues to cause problems today for patients, families and mental health professionals. For individuals with a mental disorder, stigma can result in restricted opportunities, social exclusion and the denial of rights. Associative stigma in mental health professionals is becoming a major problem and is related to increased depersonalisation, higher levels of emotional exhaustion and diminished job satisfaction among mental health professionals. Nursing may play a key role in reducing the stigma associated with mental illness, but there are no specific scales for the measurement of associative stigma in nursing. Design: Development of an instrument. A STROBE checklist was completed. Methods: This study involved two stages: (a) item generation and content validation; (b) examining the reliability and convergent/discriminant validity of the scale. A developmental and methodological design was used. Data were collected between November 2016-December 2017 from a sample of 737 nursing undergraduates. Results: The results indicated good internal consistency for the final 20-item scale for assessing the associative stigma of mental illness in nursing, which is considered in terms of three dimensions: Violence/Dangerousness, Disability, and Irresponsibility/ Lack of Competence. Exploratory and confirmatory factor analyses supported a three-factor structure consistent with the theoretical model. Conclusions: The 20-item EVEPEM (from its Spanish acronym) derived from Peplau's theory was shown to be a valid and reliable tool for assessing the stigma of mental illness in the nursing setting. Relevance to clinical practice: Reliable instruments are needed to measure the effectiveness of anti-stigma interventions for mental health professionals. The results indicate that the tool developed is a valid and reliable instrument for use in the nursing setting. K E Y W O R D S mental health, mental health nursing, nursing, nursing models, psychometrics | 4301 SASTRE-RUS ET Al.

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Measuring Mental Health Provider-Based Stigma: Development and Initial Psychometric Testing of a Self-Assessment Instrument

Cited by 20 publications

References 40 publications

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

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

Changes in Attitudes toward Mental Illness in Healthcare Professionals and Students

Development and psychometric testing of a scale for assessing the associative stigma of mental illness in nursing

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