Development and responsiveness of a scale to measure clinicians’ attitudes to people with mental illness (medical student version)

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Abstract
Kassam A, Glozier N, Leese M, Henderson C, Thornicroft G. Development and responsiveness of a scale to measure clinicians’ attitudes to people with mental illness (medical student version).Objective:  We report the rationale, reliability, validity and responsiveness studies of the Mental Illness: Clinicians’ Attitudes (MICA) Scale, a 16‐item scale designed to measure attitudes of health care professionals towards people with mental illness.Method:  Items were generated through focus groups with service users, carers, medical students and trainee psychiatrists. Psychometric testing was completed in a number of student samples. The responsiveness of the scale was tested after a 1.5 h mental illness stigma related intervention with medical students.Results:  The MICA scale showed good internal consistency, α = 0.79. The test–retest reliability (concordance) was 0.80 (95% CI: 0.68–0.91). The standardised response mean for the scale was 0.4 (95% CI 0.02–0.8) after a mental illness related stigma intervention.Conclusion:  The MICA scale is a responsive, reliable and valid tool, which can be used in medical education and mental health promotion settings and studies.

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