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Published in: BMC Psychiatry 1/2016

Open Access 01-12-2016 | Research article

Measurement properties of tools measuring mental health knowledge: a systematic review

Authors: Yifeng Wei, Patrick J. McGrath, Jill Hayden, Stan Kutcher

Published in: BMC Psychiatry | Issue 1/2016

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Abstract

Background

Mental health literacy has received great attention recently to improve mental health knowledge, decrease stigma and enhance help-seeking behaviors. We conducted a systematic review to critically appraise the qualities of studies evaluating the measurement properties of mental health knowledge tools and the quality of included measurement properties.

Methods

We searched PubMed, PsycINFO, EMBASE, CINAHL, the Cochrane Library, and ERIC for studies addressing psychometrics of mental health knowledge tools and published in English. We applied the COSMIN checklist to assess the methodological quality of each study as “excellent”, “good”, “fair”, or “indeterminate”. We ranked the level of evidence of the overall quality of each measurement property across studies as “strong”, “moderate”, “limited”, “conflicting”, or “unknown”.

Results

We identified 16 mental health knowledge tools in 17 studies, addressing reliability, validity, responsiveness or measurement errors. The methodological quality of included studies ranged from “poor” to “excellent” including 6 studies addressing the content validity, internal consistency or structural validity demonstrating “excellent” quality. We found strong evidence of the content validity or internal consistency of 6 tools; moderate evidence of the internal consistency, the content validity or the reliability of 8 tools; and limited evidence of the reliability, the structural validity, the criterion validity, or the construct validity of 12 tools.

Conclusions

Both the methodological qualities of included studies and the overall evidence of measurement properties are mixed. Based on the current evidence, we recommend that researchers consider using tools with measurement properties of strong or moderate evidence that also reached the threshold for positive ratings according to COSMIN checklist.
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Literature
1.
go back to reference Costello EJ, Mustillo S, Keeler G, Angold A. Prevalence of psychiatric disorders in childhood and adolescence. In: Levin BL, Petrila J, Hennessy K, editors. Mental health services: a public health perspective. 2nd ed. New York: Oxford University Press; 2004. p. 111–28. Costello EJ, Mustillo S, Keeler G, Angold A. Prevalence of psychiatric disorders in childhood and adolescence. In: Levin BL, Petrila J, Hennessy K, editors. Mental health services: a public health perspective. 2nd ed. New York: Oxford University Press; 2004. p. 111–28.
2.
go back to reference Kessler RC, Angermeyer M, Anthony JC, et al. Lifetime prevalence and age-of-onset distributions of mental disorders in the World Health Organization’s World Mental Health Survey Initiative. World Psychiatry. 2007;6(3):168–76.PubMedPubMedCentral Kessler RC, Angermeyer M, Anthony JC, et al. Lifetime prevalence and age-of-onset distributions of mental disorders in the World Health Organization’s World Mental Health Survey Initiative. World Psychiatry. 2007;6(3):168–76.PubMedPubMedCentral
3.
go back to reference Whiteford HA, Degenhardt L, Rehm J, Baxter AJ, Ferrari AJ, Erskine HE, Charlson FJ, Norman RE, Flaxman AD, Johns N, Burstein R, Murray CJ, Vos T. Global burden of disease attributable to mental and substance use disorders: findings from the Global Burden of Disease Study 2010. Lancet. 2013;382(9904):1575–86.CrossRefPubMed Whiteford HA, Degenhardt L, Rehm J, Baxter AJ, Ferrari AJ, Erskine HE, Charlson FJ, Norman RE, Flaxman AD, Johns N, Burstein R, Murray CJ, Vos T. Global burden of disease attributable to mental and substance use disorders: findings from the Global Burden of Disease Study 2010. Lancet. 2013;382(9904):1575–86.CrossRefPubMed
4.
go back to reference Kessler RC, Foster CL, Saunders WB, et al. Social consequences of psychiatric disorders, I: educational attainment. Am J Psychiatry. 1995;152(7):1026–32.CrossRefPubMed Kessler RC, Foster CL, Saunders WB, et al. Social consequences of psychiatric disorders, I: educational attainment. Am J Psychiatry. 1995;152(7):1026–32.CrossRefPubMed
5.
go back to reference Scott KM, Lim C, Al-Hamzawi A, Alonso J, Bruffaerts R, Caldas-de-Almeida JM, Florescu S, de Girolamo G, Hu C, de Jonge P, Kawakami N, Medina-Mora ME, Moskalewicz J, Navarro-Mateu F, O’Neill S, Piazza M, Posada-Villa J, Torres Y, Kessler RC. Association of mental disorders with subsequent chronic physical conditions: world mental health surveys from 17 countries. JAMA Psychiatry. 2016;73(2):150–8. doi:10.1001/jamapsychiatry.2015.2688.CrossRefPubMed Scott KM, Lim C, Al-Hamzawi A, Alonso J, Bruffaerts R, Caldas-de-Almeida JM, Florescu S, de Girolamo G, Hu C, de Jonge P, Kawakami N, Medina-Mora ME, Moskalewicz J, Navarro-Mateu F, O’Neill S, Piazza M, Posada-Villa J, Torres Y, Kessler RC. Association of mental disorders with subsequent chronic physical conditions: world mental health surveys from 17 countries. JAMA Psychiatry. 2016;73(2):150–8. doi:10.​1001/​jamapsychiatry.​2015.​2688.CrossRefPubMed
6.
go back to reference Kieling C, Baker-Henningham H, Belfer M, Conti G, Ertem I, Omigbodun O, et al. Child and adolescent mental health worldwide evidence for action. Lancet. 2011;378:1515–25.CrossRefPubMed Kieling C, Baker-Henningham H, Belfer M, Conti G, Ertem I, Omigbodun O, et al. Child and adolescent mental health worldwide evidence for action. Lancet. 2011;378:1515–25.CrossRefPubMed
7.
go back to reference Waddell C, Offord DR, Sheperd CA, Hua JM, McEwan K. Child psychiatric epidemiology and Canadian public policy-making: the state of the science and the art of the possible. Can J Psychiatry. 2002;47(9):852–32. Waddell C, Offord DR, Sheperd CA, Hua JM, McEwan K. Child psychiatric epidemiology and Canadian public policy-making: the state of the science and the art of the possible. Can J Psychiatry. 2002;47(9):852–32.
9.
go back to reference Kelly CM, Jorm AF, Wright A. Improving mental health literacy as a strategy to facilitate early intervention for mental disorders. Med J Austria. 2007;187 Suppl 7:26–30. Kelly CM, Jorm AF, Wright A. Improving mental health literacy as a strategy to facilitate early intervention for mental disorders. Med J Austria. 2007;187 Suppl 7:26–30.
10.
go back to reference Jorm AF. Mental health literacy: empowering the community to take action for better mental health. Am Psychol. 2012;67(3):231–43.CrossRefPubMed Jorm AF. Mental health literacy: empowering the community to take action for better mental health. Am Psychol. 2012;67(3):231–43.CrossRefPubMed
11.
go back to reference Wei Y, Kutcher S, Szumilas M. Comprehensive school mental health: an integrated “school-based pathway to care” model for Canadian secondary schools. McGill J Educ. 2011;46(2):213–29.CrossRef Wei Y, Kutcher S, Szumilas M. Comprehensive school mental health: an integrated “school-based pathway to care” model for Canadian secondary schools. McGill J Educ. 2011;46(2):213–29.CrossRef
12.
go back to reference Kutcher S, Bagnell A, Wei Y. Mental health literacy in secondary schools: a Canadian approach. Child Adolesc Psychiatr Clin N Am. 2015;24(2):233–44. 13.CrossRefPubMed Kutcher S, Bagnell A, Wei Y. Mental health literacy in secondary schools: a Canadian approach. Child Adolesc Psychiatr Clin N Am. 2015;24(2):233–44. 13.CrossRefPubMed
13.
go back to reference Rusch N, Evans-Lacko S, Henderson C, Flach C, Thornicroft G. Public knowledge and attitudes as predictors of help seeking and disclosure in mental illness. Psychiatr Serv. 2011;62(6):675–8.CrossRefPubMed Rusch N, Evans-Lacko S, Henderson C, Flach C, Thornicroft G. Public knowledge and attitudes as predictors of help seeking and disclosure in mental illness. Psychiatr Serv. 2011;62(6):675–8.CrossRefPubMed
14.
go back to reference Corrigan PW, Watson AC. Factors that explain how policy makers distribute resources to mental health services. Psychiatr Serv. 2003;54(4):501–7.CrossRefPubMed Corrigan PW, Watson AC. Factors that explain how policy makers distribute resources to mental health services. Psychiatr Serv. 2003;54(4):501–7.CrossRefPubMed
19.
go back to reference Wei Y, Hayden JA, Kutcher S, Zygmunt A, McGrath P. The effectiveness of school mental health literacy programs to address knowledge, attitudes and help seeking among youth. Early Interv Psychiatry. 2013;7(2):109–21.CrossRefPubMed Wei Y, Hayden JA, Kutcher S, Zygmunt A, McGrath P. The effectiveness of school mental health literacy programs to address knowledge, attitudes and help seeking among youth. Early Interv Psychiatry. 2013;7(2):109–21.CrossRefPubMed
21.
go back to reference Hadlaczky G, Hokby S, Mkrtchian A, Carli V, Wasserman D. Mental health first aid is an effective public health intervention for improving knowledge, attitudes, and behaviors: a meta-analysis. Int Rev Psychiatry. 2014;26(4):467–75. doi:10.3109/09540261.2014.924910.CrossRefPubMed Hadlaczky G, Hokby S, Mkrtchian A, Carli V, Wasserman D. Mental health first aid is an effective public health intervention for improving knowledge, attitudes, and behaviors: a meta-analysis. Int Rev Psychiatry. 2014;26(4):467–75. doi:10.​3109/​09540261.​2014.​924910.CrossRefPubMed
23.
go back to reference Terwee CB, Mokkink LB, Knol DL, Ostelo RW, Bouter LM. Rating the methodological quality in systematic reviews of studies on measurement properties: a scoring system for the COSMIN checklist. Qual Life Res. 2012;21(4):651–7.CrossRefPubMed Terwee CB, Mokkink LB, Knol DL, Ostelo RW, Bouter LM. Rating the methodological quality in systematic reviews of studies on measurement properties: a scoring system for the COSMIN checklist. Qual Life Res. 2012;21(4):651–7.CrossRefPubMed
24.
go back to reference Terwee CB, Bot SD, de Boer MR, van der Windt DA, Knol DL, Dekker J, et al. Quality criteria were proposed for measurement properties of health status questionnaires. J Clin Epidemiol. 2007;60:34–42.CrossRefPubMed Terwee CB, Bot SD, de Boer MR, van der Windt DA, Knol DL, Dekker J, et al. Quality criteria were proposed for measurement properties of health status questionnaires. J Clin Epidemiol. 2007;60:34–42.CrossRefPubMed
25.
go back to reference Uijen AA, Heinst CW, Schellevis FG, van den Bosch WJ, van de Laar FA, Terwee CB, Schers HJ. Measurement properties of questionnaires measuring continuity of care: a systematic review. PLoS One. 2012;7(7):e42256.CrossRefPubMedPubMedCentral Uijen AA, Heinst CW, Schellevis FG, van den Bosch WJ, van de Laar FA, Terwee CB, Schers HJ. Measurement properties of questionnaires measuring continuity of care: a systematic review. PLoS One. 2012;7(7):e42256.CrossRefPubMedPubMedCentral
26.
go back to reference Furlan AD, Pennick V, Bombardier C, van Tulder M. 2009 updated method guidelines for systematic reviews in the Cochrane Back Review Group. Spine (Phila Pa 1976). 2009;34(18):21.CrossRef Furlan AD, Pennick V, Bombardier C, van Tulder M. 2009 updated method guidelines for systematic reviews in the Cochrane Back Review Group. Spine (Phila Pa 1976). 2009;34(18):21.CrossRef
27.
go back to reference RefWorks-COS PL, ProQuest LLC. RefWorks. 2nd ed. Ann Arbour: ProQuest LLC.; 2001. RefWorks-COS PL, ProQuest LLC. RefWorks. 2nd ed. Ann Arbour: ProQuest LLC.; 2001.
28.
go back to reference Ascher-Svanum H. Development and validation of a measure of patients’ knowledge about schizophrenia. Psychiatr Serv. 1999;50(4):561–3.CrossRefPubMed Ascher-Svanum H. Development and validation of a measure of patients’ knowledge about schizophrenia. Psychiatr Serv. 1999;50(4):561–3.CrossRefPubMed
29.
go back to reference Balasubramanian N, Juliana LD, Sathyanarayana RTS. Knowledge questionnaire on home care of schizophrenics (KQHS): validity and reliability. J Educ Pract. 2013;4(11):176–82. Balasubramanian N, Juliana LD, Sathyanarayana RTS. Knowledge questionnaire on home care of schizophrenics (KQHS): validity and reliability. J Educ Pract. 2013;4(11):176–82.
30.
go back to reference Compton MT, Quintero L, Esterberg ML. Assessing knowledge of schizophrenia: development and psychometric properties of a brief, multiple-choice knowledge test for use across various samples. Psychiatry Res. 2007;151:87–95.CrossRefPubMed Compton MT, Quintero L, Esterberg ML. Assessing knowledge of schizophrenia: development and psychometric properties of a brief, multiple-choice knowledge test for use across various samples. Psychiatry Res. 2007;151:87–95.CrossRefPubMed
31.
go back to reference Compton MT, Hankerson-Dyson D, Broussard B. Development, item analysis, and initial reliability and validity of a multiple-choice knowledge of mental illness test for lay samples. Psychiatry Res. 2011;189:141–8.CrossRefPubMedPubMedCentral Compton MT, Hankerson-Dyson D, Broussard B. Development, item analysis, and initial reliability and validity of a multiple-choice knowledge of mental illness test for lay samples. Psychiatry Res. 2011;189:141–8.CrossRefPubMedPubMedCentral
32.
go back to reference Daltio CS, Attux C, Ferraz MB. Knowledge in schizophrenia: The Portuguese version of KAST(Knowledge About Schizophrenia Test) and analysis of social-demographic and clinical factors’ influence. Schizophr Res. 2015;168:168–73.CrossRefPubMed Daltio CS, Attux C, Ferraz MB. Knowledge in schizophrenia: The Portuguese version of KAST(Knowledge About Schizophrenia Test) and analysis of social-demographic and clinical factors’ influence. Schizophr Res. 2015;168:168–73.CrossRefPubMed
33.
go back to reference Evans-Lacko S, Little K, Meltzer H, Rose D, Rhydderch D, Henderson C. Development and psychometric properties of the mental health knowledge schedule. Can J Psychiatry. 2010;55(7):440–8.CrossRefPubMed Evans-Lacko S, Little K, Meltzer H, Rose D, Rhydderch D, Henderson C. Development and psychometric properties of the mental health knowledge schedule. Can J Psychiatry. 2010;55(7):440–8.CrossRefPubMed
34.
go back to reference Gabriel A, Violato C. The development of a knowledge test of depression and its treatment for patients suffering from non-psychotic depression: a psychometric assessment. BMC Psychiatry. 2009;9:56.CrossRefPubMedPubMedCentral Gabriel A, Violato C. The development of a knowledge test of depression and its treatment for patients suffering from non-psychotic depression: a psychometric assessment. BMC Psychiatry. 2009;9:56.CrossRefPubMedPubMedCentral
35.
go back to reference Gulliver A, Griffiths KM, Christensen H, Mackinnon A, Calear AL, Parsons A, et al. Internet-based interventions to promote mental health help-seeking in elite athletes: an exploratory randomized controlled trial. J Med Internet Res. 2012;14(3):e69. doi:10.2196/jmir.1864.CrossRefPubMedPubMedCentral Gulliver A, Griffiths KM, Christensen H, Mackinnon A, Calear AL, Parsons A, et al. Internet-based interventions to promote mental health help-seeking in elite athletes: an exploratory randomized controlled trial. J Med Internet Res. 2012;14(3):e69. doi:10.​2196/​jmir.​1864.CrossRefPubMedPubMedCentral
36.
go back to reference Kiropoulos L, Griffiths KM, Blashki G. Effects of a multilingual information website intervention on the levels of depression literacy and depression-related stigma in Greek-born and Italian-born immigrants living in Australia: a randomized controlled trial. J Med Internet Res. 2011;13(2):e34. doi:10.2196/jmir.1527.CrossRefPubMedPubMedCentral Kiropoulos L, Griffiths KM, Blashki G. Effects of a multilingual information website intervention on the levels of depression literacy and depression-related stigma in Greek-born and Italian-born immigrants living in Australia: a randomized controlled trial. J Med Internet Res. 2011;13(2):e34. doi:10.​2196/​jmir.​1527.CrossRefPubMedPubMedCentral
37.
go back to reference Hepperlen TM, Clay DL, Henly GA, Barké CR, Hehperlen MH, Clay DL. Measuring teacher attitudes and expectations toward students with ADHD: development of the test of knowledge about ADHD (KADD). J Atten Disord. 2002;5(3):133–42. doi:10.1177/108795470200500301.CrossRefPubMed Hepperlen TM, Clay DL, Henly GA, Barké CR, Hehperlen MH, Clay DL. Measuring teacher attitudes and expectations toward students with ADHD: development of the test of knowledge about ADHD (KADD). J Atten Disord. 2002;5(3):133–42. doi:10.​1177/​1087954702005003​01.CrossRefPubMed
38.
go back to reference Kronmüller KT, Saha R, Kratz B, Karr M, Hunt A, Mundt C, et al. Reliability and validity of the knowledge about depression and mania inventory. Psychopathology. 2008;41:69–76. doi:10.1159/000111550.CrossRefPubMed Kronmüller KT, Saha R, Kratz B, Karr M, Hunt A, Mundt C, et al. Reliability and validity of the knowledge about depression and mania inventory. Psychopathology. 2008;41:69–76. doi:10.​1159/​000111550.CrossRefPubMed
39.
go back to reference O’Connor M, Casey L. The Mental Health Literacy Scale (MHLS): a new scale-based measure of mental health literacy. Psychiatry Res. 2015;229:511–6.CrossRefPubMed O’Connor M, Casey L. The Mental Health Literacy Scale (MHLS): a new scale-based measure of mental health literacy. Psychiatry Res. 2015;229:511–6.CrossRefPubMed
40.
go back to reference Pickett-Schenk SA, Cook JA, Laris A. Journey of hope program outcomes. Community Ment Health J. 2000;36(4):413–24.CrossRefPubMed Pickett-Schenk SA, Cook JA, Laris A. Journey of hope program outcomes. Community Ment Health J. 2000;36(4):413–24.CrossRefPubMed
41.
go back to reference Serra M, Lai A, Buizza C, Pioli R, Preti A, Masala C, et al. Beliefs and attitudes among Italian high school students toward people with severe mental disorders. J Nerv Ment Dis. 2013;201(4):311–8.CrossRefPubMed Serra M, Lai A, Buizza C, Pioli R, Preti A, Masala C, et al. Beliefs and attitudes among Italian high school students toward people with severe mental disorders. J Nerv Ment Dis. 2013;201(4):311–8.CrossRefPubMed
42.
go back to reference Hart SR, Kastelic EA, Wilcox HC, Beaudry MB, Musei RJ, Heley K, et al. Achieving depression literacy: the adolescent depression knowledge questionnaire (ADKQ). Sch Ment Health. 2014;6:213–23. doi:10.1007/s12310-014-9120-1.CrossRef Hart SR, Kastelic EA, Wilcox HC, Beaudry MB, Musei RJ, Heley K, et al. Achieving depression literacy: the adolescent depression knowledge questionnaire (ADKQ). Sch Ment Health. 2014;6:213–23. doi:10.​1007/​s12310-014-9120-1.CrossRef
43.
go back to reference Swami V, Persaud R, Furnham A. The recognition of mental health disorders and its association with psychiatric skepticism, knowledge of psychiatry, and the big five personality factors: an investigation using the overclaiming technique. Soc Psychiatry Psychiatr Epedemiol. 2011;46:181–9. doi:10.1007/s00127-010-0193-3.CrossRef Swami V, Persaud R, Furnham A. The recognition of mental health disorders and its association with psychiatric skepticism, knowledge of psychiatry, and the big five personality factors: an investigation using the overclaiming technique. Soc Psychiatry Psychiatr Epedemiol. 2011;46:181–9. doi:10.​1007/​s00127-010-0193-3.CrossRef
44.
go back to reference Wang J, He Y, Jiang Q, Cai J, Wang W, Zeng Q, et al. Mental health literacy among residents in Shanghai. Shanghai Arch Psychiatry. 2013;25(4):224–35.PubMedPubMedCentral Wang J, He Y, Jiang Q, Cai J, Wang W, Zeng Q, et al. Mental health literacy among residents in Shanghai. Shanghai Arch Psychiatry. 2013;25(4):224–35.PubMedPubMedCentral
45.
go back to reference Terwee CB, Dekker FW, Wiersinga WM, Prummel MF, Bossuyt PM. On assessing responsiveness of health-related quality of life instruments: guidelines for instrument evaluation. Qual Life Res. 2003;12:349–62.CrossRefPubMed Terwee CB, Dekker FW, Wiersinga WM, Prummel MF, Bossuyt PM. On assessing responsiveness of health-related quality of life instruments: guidelines for instrument evaluation. Qual Life Res. 2003;12:349–62.CrossRefPubMed
46.
go back to reference Cronbach LJ. Coefficient alpha and the internal structure of tests. Psychometrika. 1951;16(3):297–334.CrossRef Cronbach LJ. Coefficient alpha and the internal structure of tests. Psychometrika. 1951;16(3):297–334.CrossRef
47.
go back to reference Streiner DL, Norman GR. Health measurement scales: a practical guide to their development and use. 4th ed. New York: Oxford University Press; 2008.CrossRef Streiner DL, Norman GR. Health measurement scales: a practical guide to their development and use. 4th ed. New York: Oxford University Press; 2008.CrossRef
Metadata
Title
Measurement properties of tools measuring mental health knowledge: a systematic review
Authors
Yifeng Wei
Patrick J. McGrath
Jill Hayden
Stan Kutcher
Publication date
01-12-2016
Publisher
BioMed Central
Published in
BMC Psychiatry / Issue 1/2016
Electronic ISSN: 1471-244X
DOI
https://doi.org/10.1186/s12888-016-1012-5

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