Adaptation to Brazilian Portuguese and Latin-American Spanish and psychometric properties of the Mental Illness Clinicians' Attitudes Scale (MICA v4).

Autor: Vistorte AOR; Departamento de Psiquiatria, Universidade Federal de São Paulo (UNIFESP), São Paulo, SP, Brazil., Ribeiro W; Departamento de Psiquiatria, Universidade Federal de São Paulo (UNIFESP), São Paulo, SP, Brazil. Personal Social Services Research Unit, London School of Economics and Political Science, London, United Kingdom., Ziebold C; Departamento de Psiquiatria, Universidade Federal de São Paulo (UNIFESP), São Paulo, SP, Brazil., Asevedo E; Departamento de Psiquiatria, Universidade Federal de São Paulo (UNIFESP), São Paulo, SP, Brazil. Global Mental Health Program, Columbia University, New York, NY, USA., Evans-Lacko S; Personal Social Services Research Unit, London School of Economics and Political Science, London, United Kingdom. Universidad Internacional de La Rioja, Logrono, La Rioja, Spain., Varas DJ; Departamento de Psiquiatria, Universidade Federal de São Paulo (UNIFESP), São Paulo, SP, Brazil., Gutierrez N; Departamento de Psiquiatria, Universidade Federal de São Paulo (UNIFESP), São Paulo, SP, Brazil., Haddad M; Departamento de Psiquiatria, Universidade Federal de São Paulo (UNIFESP), São Paulo, SP, Brazil., Ulloa O; Universidad Internacional de La Rioja, Logrono, La Rioja, Spain., Martínez R; Universidad Internacional de La Rioja, Logrono, La Rioja, Spain., Harada AS; Universidad Internacional de La Rioja, Logrono, La Rioja, Spain., Mari JJ; Departamento de Psiquiatria, Universidade Federal de São Paulo (UNIFESP), São Paulo, SP, Brazil. Institute of Psychiatry, Psychology & Neuroscience, Health Service and Population Research Department, King's College London, London, United Kingdom.
Jazyk: angličtina
Zdroj: Trends in psychiatry and psychotherapy [Trends Psychiatry Psychother] 2023; Vol. 45, pp. e20210291. Date of Electronic Publication: 2021 Dec 02.
DOI: 10.47626/2237-6089-2021-0291
Abstrakt: Objective: To describe translation to Spanish and Portuguese and adaptation of the Mental Illness Clinicians' Attitudes Scale version 4 (MICA v4).
Methods: The questionnaire was administered to primary care physicians (PCPs) from four Latin-American countries, Brazil, Bolivia, Chile, and Cuba. The validation process included four phases: 1) translation of the questionnaire to Spanish and Portuguese; 2) assessment of face validity; 3) assessment of reliability; and 4) evaluation of construct validity with confirmatory factor analysis (CFA).
Results: The study sample comprised 427 PCPs. The mean age of the Spanish-speaking sample (n = 252) was 40.1 (S.D = 9.7) years and the mean age of the Portuguese-speaking sample (n = 150) was 40.2 (S.D = 10.9) years. Both models demonstrated "appropriate" internal reliability. Total omega was 0.91 for the Spanish-speaking sample and 0.89 for the Portuguese-speaking sample. The CFA of both questionnaires showed an appropriate fit for a three-factor model (Portuguese: CFI = 0.927; TLI = 0.913; RMSEA = 0.066; Spanish: CFI = 0.945; TLI = 0.935; RMSEA = 0.068).
Conclusion: The Latin-American versions of the MICA v4 in Spanish and Brazilian Portuguese have appropriate psychometric properties, good internal consistency, and are applicable to and acceptable in the Latin-American context. The instrument proved its validity for collecting data on stigmatizing attitudes among health professionals in different contexts and cultures.
Competing Interests: No conflicts of interest declared concerning the publication of this article.
Databáze: MEDLINE
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