Development and Validation of the EspaiJove.net Mental Health Literacy (EMHL) Test for Spanish Adolescents
Open Access
- 20 December 2019
- journal article
- research article
- Published by MDPI AG in International Journal of Environmental Research and Public Health
- Vol. 17 (1), 72
- https://doi.org/10.3390/ijerph17010072
Abstract
There is evidence of the effectiveness of implementing mental health literacy (MHL) programs. However, there are substantial limitations in the instruments available for measuring MHL. This study aimed to develop and validate the EspaiJove.net MHL test (EMHL) for Spanish adolescents by assessing its psychometric properties. The development of the EMHL test was conducted using item pool generation and a pilot study. A convenience sample of students aged 13–15 years (n = 355) participated in the validity study. Reliability was assessed for internal consistency and via test-retest. Convergent validity was evaluated by comparing the effect sizes among known groups with different levels of mental health knowledge, the correlation with mental health-related instruments, and the item discrimination index. A final version of a 35-item EMHL test was obtained with two parts: (i) a binary choice format (yes/no) for the identification of mental disorders; (ii) a multiple choice question with four possible answer options. Internal consistency was acceptable in the first part (Cronbach’s alpha = 0.744; Guttman’s lambda 2 = 0.773) and almost acceptable in the second part (Cronbach’s alpha = 0.615; Guttman’s lambda 2 = 0.643). The test-retest evaluation supported the stability of the test (first part, ICC = 0.578; second part, ICC = 0.422). No ceiling and floor effects were found. The EMHL test scores discriminated between known groups with different levels of mental health knowledge and it is associated with several-related constructs of MHL. Conclusions: The EMHL test is a relevant measure for assessing MHL in adolescents into Spanish context with acceptable validity and stability.Keywords
Funding Information
- Instituto de Salud Carlos III (PI15/01613)
This publication has 33 references indexed in Scilit:
- Beliefs and Attitudes Among Italian High School Students Toward People With Severe Mental DisordersJournal Of Nervous and Mental Disease, 2013
- Internet-Based Interventions to Promote Mental Health Help-Seeking in Elite Athletes: An Exploratory Randomized Controlled TrialJournal of Medical Internet Research, 2012
- Development, item analysis, and initial reliability and validity of a multiple-choice knowledge of mental illnesses test for lay samplesPsychiatry Research, 2011
- The development of a knowledge test of depression and its treatment for patients suffering from non-psychotic depression: a psychometric assessmentBMC Psychiatry, 2009
- Age of onset of mental disorders: a review of recent literatureCurrent Opinion in Psychiatry, 2007
- headspace: National Youth Mental Health Foundation: Making headway with rural young people and their mental healthAustralian Journal of Rural Health, 2007
- Lifetime Prevalence and Age-of-Onset Distributions of DSM-IV Disorders in the National Comorbidity Survey ReplicationArchives of General Psychiatry, 2005
- EuroQol - a new facility for the measurement of health-related quality of lifeHealth Policy, 1990
- A CONSUMERs' GUIDE TO CRITERION‐REFERENCED TEST RELIABILITYJournal of Educational Measurement, 1980
- Coefficient alpha and the internal structure of testsPsychometrika, 1951