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Development and validation of a scale for measuring cultural beliefs about psychotherapy patients in southern Chile.

ABSTRACT: PURPOSE:Negative cultural beliefs about psychotherapy patients represent one of the barriers in the psychological help-seeking and treatment adherence. In Chile today, there is little research about specific beliefs towards this group, and therefore measuring them represents a challenge. The aim of the present study was to develop and validate an instrument to measure cultural beliefs about psychotherapy patients. METHODS:A mixed method design conducted in four stages was implemented. First, 32 semi-structured interviews were carried out to identify beliefs about psychotherapy patients in southern Chile. Then, a scale of beliefs about psychotherapy patients (SBPP) was developed and piloted in an adult sample (n?=?109). Subsequently, the factorial structure of the new scale was explored in patients of primary health centres in La Araucanía Region of Chile (n?=?201). Finally, the validity of the construct was assessed in adults who were not undergoing psychotherapy (n?=?361). RESULTS:The results showed the existence of negative cultural beliefs about psychotherapy patients which were included in the construction of the SBPP. The scale had a bifactorial structure (?transitory situations?=?0.81 and ?stable characteristics?=?0.79), consisting of 15 items with a Likert-type response format, and showed good indicators of validity and reliability on the samples in which were applied. CONCLUSIONS:The present study shows the importance of using mixed methods for the examination of socially shared beliefs by the cultural group under study, in order to construct instruments that are psychometrically robust and culturally pertinent.

SUBMITTER: Salinas-Onate N

PROVIDER: S-EPMC7026340 | biostudies-literature | 2020 Feb

REPOSITORIES: biostudies-literature

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Development and validation of a scale for measuring cultural beliefs about psychotherapy patients in southern Chile.

Salinas-Oñate Natalia N Baeza-Rivera María José MJ Ortiz Manuel M Betancourt Héctor H

Psicologia, reflexao e critica : revista semestral do Departamento de Psicologia da UFRGS 20200217 1

<h4>Purpose</h4>Negative cultural beliefs about psychotherapy patients represent one of the barriers in the psychological help-seeking and treatment adherence. In Chile today, there is little research about specific beliefs towards this group, and therefore measuring them represents a challenge. The aim of the present study was to develop and validate an instrument to measure cultural beliefs about psychotherapy patients.<h4>Methods</h4>A mixed method design conducted in four stages was implemen ...[more]

PMID: 32067122

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Project description:ObjectiveThis study aimed to develop the Motivation in stroke patients for rehabilitation scale (MORE scale), following the Consensus-based standards for the selection of health measurement instruments (COSMIN).MethodStudy participants included rehabilitation professionals working at the convalescent rehabilitation hospital and stroke patients admitted to the hospital. The original MORE scale was developed from an item pool, which was created through discussions of nine rehabilitation professionals. After the content validity of the scale was verified using the Delphi method with 61 rehabilitation professionals and 22 stroke patients, the scale's validity and reliability were examined for 201 stroke patients. The construct validity of the scale was investigated using exploratory factor analysis (EFA), confirmatory factor analysis (CFA), and item response theory analysis. Cronbach's alpha confirmed its internal consistency. Regarding convergent, discriminant, and criterion validity, Spearman's rho was calculated between the MORE scale and the Apathy Scale (AS), Self-rating Depression Scale (SDS), and Visual Analogue Scale (VAS), which rates the subjective feelings of motivation.ResultsUsing the Delphi method, 17 items were incorporated into the MORE scale. According to EFA and CFA, a one-factor model was suggested. All MORE scale items demonstrated satisfactory item response, with item slopes ranging from 0.811 to 2.142, and item difficulty parameters ranging from -3.203 to 0.522. Cronbach's alpha was 0.948. Regarding test-retest reliability, a moderate correlation was found between scores at the beginning and one month after hospitalization (rho = 0.612. p < 0.001). The MORE scale showed significant correlation with AS (rho = -0.536, p < 0.001), SDS (rho = -0.347, p < 0.001), and VAS (rho = 0.536, p < 0.001), confirming the convergent, discriminant, and criterion validity, respectively.ConclusionsThe MORE scale was verified as a valid and reliable scale for evaluating stroke patients' motivation for rehabilitation.

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Development and validation of a scale for measuring cultural beliefs about psychotherapy patients in southern Chile.

Publications

Development and validation of a scale for measuring cultural beliefs about psychotherapy patients in southern Chile.

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