Psychometric properties of the Opening Minds Stigma Scale for Health Care Providers in 32 European countries - A bifactor ESEM representation

To measure the stigma of healthcare providers toward people suffering from mental illness, the Opening Minds Stigma Scale for Health Care Providers (OMS-HC) is a commonly applied instrument. However, this scale has not been thoroughly validated in many European countries, its psychometric properties...

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Published inFrontiers in public health Vol. 11; p. 1168929
Main Authors Őri, Dorottya, Szocsics, Péter, Molnár, Tamás, Bankovska Motlova, Lucie, Kazakova, Olga, Mörkl, Sabrina, Wallies, Michael, Abdulhakim, Mohamed, Boivin, Sylvie, Bruna, Krista, Cabacos, Carolina, Carbone, Elvira Anna, Dashi, Elona, Grech, Giovanni, Greguras, Stjepan, Ivanovic, Iva, Guevara, Kaloyan, Kakar, Selay, Kotsis, Konstantinos, Klinkby, Ida Maria Ingeholm, Maslak, Jovana, Matheiken, Shevonne, Mirkovic, Ana, Nechepurenko, Nikita, Panayi, Angelis, Pereira, Ana Telma, Pomarol-Clotet, Edith, Raaj, Shaeraine, Rus Prelog, Polona, Soler-Vidal, Joan, Strumila, Robertas, Schuster, Florian, Kisand, Helena, Hargi, Ann, Ahmadova, Gumru, Vircik, Matus, Yilmaz Kafali, Helin, Grinko, Natalia, Győrffy, Zsuzsa, Rózsa, Sandor
Format Journal Article
LanguageEnglish
Published Switzerland Frontiers Media S.A 03.05.2023
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Abstract To measure the stigma of healthcare providers toward people suffering from mental illness, the Opening Minds Stigma Scale for Health Care Providers (OMS-HC) is a commonly applied instrument. However, this scale has not been thoroughly validated in many European countries, its psychometric properties are still unknown and data on practicing psychiatrists is lacking. Therefore, this multicenter study aimed to assess the psychometric characteristics of the 15-item OMS-HC in trainees and specialists in adult and child psychiatry in 32 countries across Europe. The OMS-HC was conducted as an anonymous online survey and sent Email to European adult and child psychiatrists. Parallel analysis was used to estimate the number of OMS-HC dimensions. Separate for each country, the bifactor ESEM, a bifactor exploratory structural equation modeling approach, was applied to investigate the factor structure of the scale. Cross-cultural validation was done based on multigroup confirmatory factor analyses and reliability measures. A total of 4,245 practitioners were included, 2,826 (67%) female, 1,389 (33%) male. The majority (66%) of participants were specialists, with 78% working in adult psychiatry. When country data were analyzed separately, the bifactor model (higher-order factor solution with a general factor and three specific factors) showed the best model fit (for the total sample χ /df = 9.760, RMSEA = 0.045 (0.042-0.049), CFI = 0.981; TLI = 0.960, WRMR = 1.200). The average proportion of variance explained by the general factor was high (ECV = 0.682). This suggests that the aspects of 'attitude,' 'disclosure and help-seeking,' and 'social distance' could be treated as a single dimension of stigma. Among the specific factors, the 'disclosure and help-seeking' factor explained a considerable unique proportion of variance in the observed scores. This international study has led to cross-cultural analysis of the OMS-HC on a large sample of practicing psychiatrists. The bifactor structure displayed the best overall model fit in each country. Rather than using the subscales, we recommend the total score to quantify the overall stigmatizing attitudes. Further studies are required to strengthen our findings in countries where the proposed model was found to be weak.
AbstractList Aims: To measure the stigma of healthcare providers toward people suffering from mental illness, the Opening Minds Stigma Scale for Health Care Providers (OMS-HC) is a commonly applied instrument. However, this scale has not been thoroughly validated in many European countries, its psychometric properties are still unknown and data on practicing psychiatrists is lacking. Therefore, this multicenter study aimed to assess the psychometric characteristics of the 15-item OMS-HC in trainees and specialists in adult and child psychiatry in 32 countries across Europe.Materials and methods: The OMS-HC was conducted as an anonymous online survey and sent via Email to European adult and child psychiatrists. Parallel analysis was used to estimate the number of OMS-HC dimensions. Separate for each country, the bifactor ESEM, a bifactor exploratory structural equation modeling approach, was applied to investigate the factor structure of the scale. Cross-cultural validation was done based on multigroup confirmatory factor analyses and reliability measures.Results: A total of 4,245 practitioners were included, 2,826 (67%) female, 1,389 (33%) male. The majority (66%) of participants were specialists, with 78% working in adult psychiatry. When country data were analyzed separately, the bifactor model (higher-order factor solution with a general factor and three specific factors) showed the best model fit (for the total sample χ2/df = 9.760, RMSEA = 0.045 (0.042-0.049), CFI = 0.981; TLI = 0.960, WRMR = 1.200). The average proportion of variance explained by the general factor was high (ECV = 0.682). This suggests that the aspects of 'attitude,' 'disclosure and help-seeking,' and 'social distance' could be treated as a single dimension of stigma. Among the specific factors, the 'disclosure and help-seeking' factor explained a considerable unique proportion of variance in the observed scores.Conclusion: This international study has led to cross-cultural analysis of the OMS-HC on a large sample of practicing psychiatrists. The bifactor structure displayed the best overall model fit in each country. Rather than using the subscales, we recommend the total score to quantify the overall stigmatizing attitudes. Further studies are required to strengthen our findings in countries where the proposed model was found to be weak.
AimsTo measure the stigma of healthcare providers toward people suffering from mental illness, the Opening Minds Stigma Scale for Health Care Providers (OMS-HC) is a commonly applied instrument. However, this scale has not been thoroughly validated in many European countries, its psychometric properties are still unknown and data on practicing psychiatrists is lacking. Therefore, this multicenter study aimed to assess the psychometric characteristics of the 15-item OMS-HC in trainees and specialists in adult and child psychiatry in 32 countries across Europe.Materials and methodsThe OMS-HC was conducted as an anonymous online survey and sent via Email to European adult and child psychiatrists. Parallel analysis was used to estimate the number of OMS-HC dimensions. Separate for each country, the bifactor ESEM, a bifactor exploratory structural equation modeling approach, was applied to investigate the factor structure of the scale. Cross-cultural validation was done based on multigroup confirmatory factor analyses and reliability measures.ResultsA total of 4,245 practitioners were included, 2,826 (67%) female, 1,389 (33%) male. The majority (66%) of participants were specialists, with 78% working in adult psychiatry. When country data were analyzed separately, the bifactor model (higher-order factor solution with a general factor and three specific factors) showed the best model fit (for the total sample χ2/df = 9.760, RMSEA = 0.045 (0.042–0.049), CFI = 0.981; TLI = 0.960, WRMR = 1.200). The average proportion of variance explained by the general factor was high (ECV = 0.682). This suggests that the aspects of ‘attitude,’ ‘disclosure and help-seeking,’ and ‘social distance’ could be treated as a single dimension of stigma. Among the specific factors, the ‘disclosure and help-seeking’ factor explained a considerable unique proportion of variance in the observed scores.ConclusionThis international study has led to cross-cultural analysis of the OMS-HC on a large sample of practicing psychiatrists. The bifactor structure displayed the best overall model fit in each country. Rather than using the subscales, we recommend the total score to quantify the overall stigmatizing attitudes. Further studies are required to strengthen our findings in countries where the proposed model was found to be weak.
To measure the stigma of healthcare providers toward people suffering from mental illness, the Opening Minds Stigma Scale for Health Care Providers (OMS-HC) is a commonly applied instrument. However, this scale has not been thoroughly validated in many European countries, its psychometric properties are still unknown and data on practicing psychiatrists is lacking. Therefore, this multicenter study aimed to assess the psychometric characteristics of the 15-item OMS-HC in trainees and specialists in adult and child psychiatry in 32 countries across Europe. The OMS-HC was conducted as an anonymous online survey and sent Email to European adult and child psychiatrists. Parallel analysis was used to estimate the number of OMS-HC dimensions. Separate for each country, the bifactor ESEM, a bifactor exploratory structural equation modeling approach, was applied to investigate the factor structure of the scale. Cross-cultural validation was done based on multigroup confirmatory factor analyses and reliability measures. A total of 4,245 practitioners were included, 2,826 (67%) female, 1,389 (33%) male. The majority (66%) of participants were specialists, with 78% working in adult psychiatry. When country data were analyzed separately, the bifactor model (higher-order factor solution with a general factor and three specific factors) showed the best model fit (for the total sample χ /df = 9.760, RMSEA = 0.045 (0.042-0.049), CFI = 0.981; TLI = 0.960, WRMR = 1.200). The average proportion of variance explained by the general factor was high (ECV = 0.682). This suggests that the aspects of 'attitude,' 'disclosure and help-seeking,' and 'social distance' could be treated as a single dimension of stigma. Among the specific factors, the 'disclosure and help-seeking' factor explained a considerable unique proportion of variance in the observed scores. This international study has led to cross-cultural analysis of the OMS-HC on a large sample of practicing psychiatrists. The bifactor structure displayed the best overall model fit in each country. Rather than using the subscales, we recommend the total score to quantify the overall stigmatizing attitudes. Further studies are required to strengthen our findings in countries where the proposed model was found to be weak.
Aims To measure the stigma of healthcare providers toward people suffering from mental illness, the Opening Minds Stigma Scale for Health Care Providers (OMS-HC) is a commonly applied instrument. However, this scale has not been thoroughly validated in many European countries, its psychometric properties are still unknown and data on practicing psychiatrists is lacking. Therefore, this multicenter study aimed to assess the psychometric characteristics of the 15-item OMS-HC in trainees and specialists in adult and child psychiatry in 32 countries across Europe. Materials and methods The OMS-HC was conducted as an anonymous online survey and sent via Email to European adult and child psychiatrists. Parallel analysis was used to estimate the number of OMS-HC dimensions. Separate for each country, the bifactor ESEM, a bifactor exploratory structural equation modeling approach, was applied to investigate the factor structure of the scale. Cross-cultural validation was done based on multigroup confirmatory factor analyses and reliability measures. Results A total of 4,245 practitioners were included, 2,826 (67%) female, 1,389 (33%) male. The majority (66%) of participants were specialists, with 78% working in adult psychiatry. When country data were analyzed separately, the bifactor model (higher-order factor solution with a general factor and three specific factors) showed the best model fit (for the total sample χ 2 /df = 9.760, RMSEA = 0.045 (0.042–0.049), CFI = 0.981; TLI = 0.960, WRMR = 1.200). The average proportion of variance explained by the general factor was high (ECV = 0.682). This suggests that the aspects of ‘attitude,’ ‘disclosure and help-seeking,’ and ‘social distance’ could be treated as a single dimension of stigma. Among the specific factors, the ‘disclosure and help-seeking’ factor explained a considerable unique proportion of variance in the observed scores. Conclusion This international study has led to cross-cultural analysis of the OMS-HC on a large sample of practicing psychiatrists. The bifactor structure displayed the best overall model fit in each country. Rather than using the subscales, we recommend the total score to quantify the overall stigmatizing attitudes. Further studies are required to strengthen our findings in countries where the proposed model was found to be weak.
Author Kotsis, Konstantinos
Maslak, Jovana
Bankovska Motlova, Lucie
Matheiken, Shevonne
Nechepurenko, Nikita
Pereira, Ana Telma
Boivin, Sylvie
Dashi, Elona
Raaj, Shaeraine
Abdulhakim, Mohamed
Wallies, Michael
Győrffy, Zsuzsa
Bruna, Krista
Kakar, Selay
Panayi, Angelis
Szocsics, Péter
Soler-Vidal, Joan
Rus Prelog, Polona
Vircik, Matus
Ivanovic, Iva
Kazakova, Olga
Őri, Dorottya
Pomarol-Clotet, Edith
Cabacos, Carolina
Mirkovic, Ana
Rózsa, Sandor
Guevara, Kaloyan
Klinkby, Ida Maria Ingeholm
Kisand, Helena
Schuster, Florian
Grech, Giovanni
Hargi, Ann
Carbone, Elvira Anna
Strumila, Robertas
Molnár, Tamás
Greguras, Stjepan
Grinko, Natalia
Mörkl, Sabrina
Yilmaz Kafali, Helin
Ahmadova, Gumru
AuthorAffiliation 1 Institute of Behavioural Sciences, Semmelweis University , Budapest , Hungary
26 The Serbsky State Scientific Center for Social and Forensic Psychiatry , Moscow , Russia
5 Department of Psychiatry, Aladar Petz County Teaching Hospital , Győr , Hungary
20 Department of Psychiatry, Erasmus University Medical Center , Rotterdam , Netherlands
34 Hospital Benito Menni, Complex Assistencial Salut Mental , Sant Boi de Llobregat , Spain
36 Institute of Functional Genomics, University of Montpellier, CNRS, INSERM , Montpellier , France
43 Department of Clinical Psychology, Ukrainian Catholic University , Lviv , Ukraine
3 Department of Psychology, Illinois Institute of Technology , Chicago, IL , United States
37 Psychiatric Clinic, Faculty of Medicine, Institute of Clinical Medicine, Vilnius University , Vilnius , Lithuania
13 Psychiatry Department, Centro Hospitalar e Universitário de Coimbra , Coimbra , Portugal
10 Department of Psychiatry, Vrije Universiteit Brussel , Brussels , Belgium
22 Department
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– name: 32 Department of General Adult Psychiatry, South Meath Mental Health Service , Meath , Ireland
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Copyright Copyright © 2023 Őri, Szocsics, Molnár, Bankovska Motlova, Kazakova, Mörkl, Wallies, Abdulhakim, Boivin, Bruna, Cabacos, Carbone, Dashi, Grech, Greguras, Ivanovic, Guevara, Kakar, Kotsis, Klinkby, Maslak, Matheiken, Mirkovic, Nechepurenko, Panayi, Pereira, Pomarol-Clotet, Raaj, Rus Prelog, Soler-Vidal, Strumila, Schuster, Kisand, Hargi, Ahmadova, Vircik, Yilmaz Kafali, Grinko, Győrffy and Rózsa.
Distributed under a Creative Commons Attribution 4.0 International License
Copyright © 2023 Őri, Szocsics, Molnár, Bankovska Motlova, Kazakova, Mörkl, Wallies, Abdulhakim, Boivin, Bruna, Cabacos, Carbone, Dashi, Grech, Greguras, Ivanovic, Guevara, Kakar, Kotsis, Klinkby, Maslak, Matheiken, Mirkovic, Nechepurenko, Panayi, Pereira, Pomarol-Clotet, Raaj, Rus Prelog, Soler-Vidal, Strumila, Schuster, Kisand, Hargi, Ahmadova, Vircik, Yilmaz Kafali, Grinko, Győrffy and Rózsa. 2023 Őri, Szocsics, Molnár, Bankovska Motlova, Kazakova, Mörkl, Wallies, Abdulhakim, Boivin, Bruna, Cabacos, Carbone, Dashi, Grech, Greguras, Ivanovic, Guevara, Kakar, Kotsis, Klinkby, Maslak, Matheiken, Mirkovic, Nechepurenko, Panayi, Pereira, Pomarol-Clotet, Raaj, Rus Prelog, Soler-Vidal, Strumila, Schuster, Kisand, Hargi, Ahmadova, Vircik, Yilmaz Kafali, Grinko, Győrffy and Rózsa
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– notice: Distributed under a Creative Commons Attribution 4.0 International License
– notice: Copyright © 2023 Őri, Szocsics, Molnár, Bankovska Motlova, Kazakova, Mörkl, Wallies, Abdulhakim, Boivin, Bruna, Cabacos, Carbone, Dashi, Grech, Greguras, Ivanovic, Guevara, Kakar, Kotsis, Klinkby, Maslak, Matheiken, Mirkovic, Nechepurenko, Panayi, Pereira, Pomarol-Clotet, Raaj, Rus Prelog, Soler-Vidal, Strumila, Schuster, Kisand, Hargi, Ahmadova, Vircik, Yilmaz Kafali, Grinko, Győrffy and Rózsa. 2023 Őri, Szocsics, Molnár, Bankovska Motlova, Kazakova, Mörkl, Wallies, Abdulhakim, Boivin, Bruna, Cabacos, Carbone, Dashi, Grech, Greguras, Ivanovic, Guevara, Kakar, Kotsis, Klinkby, Maslak, Matheiken, Mirkovic, Nechepurenko, Panayi, Pereira, Pomarol-Clotet, Raaj, Rus Prelog, Soler-Vidal, Strumila, Schuster, Kisand, Hargi, Ahmadova, Vircik, Yilmaz Kafali, Grinko, Győrffy and Rózsa
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Keywords OMS-HC
mental health-related stigma
psychiatrist
stigma
bifactor
bifactor ESEM
psychometrics
opening minds
Language English
License Copyright © 2023 Őri, Szocsics, Molnár, Bankovska Motlova, Kazakova, Mörkl, Wallies, Abdulhakim, Boivin, Bruna, Cabacos, Carbone, Dashi, Grech, Greguras, Ivanovic, Guevara, Kakar, Kotsis, Klinkby, Maslak, Matheiken, Mirkovic, Nechepurenko, Panayi, Pereira, Pomarol-Clotet, Raaj, Rus Prelog, Soler-Vidal, Strumila, Schuster, Kisand, Hargi, Ahmadova, Vircik, Yilmaz Kafali, Grinko, Győrffy and Rózsa.
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This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
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PMCID: PMC10285467
Edited by: Sujita Kumar Kar, King George’s Medical University, India
Reviewed by: Filippo Rapisarda, Consultant, Montreal, Canada; Stojan Bajraktarov, University Ss Cyril and Methodius, North Macedonia
This article was submitted to Public Mental Health, a section of the journal Frontiers in Public Health
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Snippet To measure the stigma of healthcare providers toward people suffering from mental illness, the Opening Minds Stigma Scale for Health Care Providers (OMS-HC) is...
Aims To measure the stigma of healthcare providers toward people suffering from mental illness, the Opening Minds Stigma Scale for Health Care Providers...
AimsTo measure the stigma of healthcare providers toward people suffering from mental illness, the Opening Minds Stigma Scale for Health Care Providers...
Aims: To measure the stigma of healthcare providers toward people suffering from mental illness, the Opening Minds Stigma Scale for Health Care Providers...
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SubjectTerms Adult
Attitude of Health Personnel
bifactor
bifactor ESEM
Child
Female
Health Personnel
Human health and pathology
Humans
Life Sciences
Male
mental health-related stigma
OMS-HC
Psychiatrics and mental health
Psychometrics
Public Health
Reproducibility of Results
Social Stigma
stigma
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Title Psychometric properties of the Opening Minds Stigma Scale for Health Care Providers in 32 European countries - A bifactor ESEM representation
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